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EOB 2024-2025
Flag of Sint Marteen
Sint Maarten
Flag of Sint Marteen
Sint Maarten
Sint Maarten
Highlighted achievements
Foundations strengthened for healthy aging

During the 2024–2025 biennium, Sint Maarten took important steps toward healthy aging by conducting its first comprehensive baseline assessment, strengthening the country’s long-term capacity to respond to demographic change. 

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Evidence-based action on noncommunicable diseases advanced through the national STEPS survey

Sint Maarten advanced its capacity for data-driven prevention and control of noncommunicable diseases (NCDs) with the completion of the national NCD survey report in 2025, supported through sustained technical cooperation from PAHO. 

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Primary care response strengthened for cardiovascular diseases and diabetes

In Sint Maarten, the Department of Health monitored the growing burden of cardiovascular disease risk factors and took decisive action to protect residents’ health. It developed a national protocol to tackle type 2 diabetes, adapted from the regional HEARTS-D initiative – a model of care for cardiovascular risk management. The journey began with national hypertension protocols inspired by the HEARTS in the Americas initiative. General practitioners, pharmacists, diabetes educators, physiotherapists, and national health insurance representatives collaborated to establish a synergistic approach underpinned by the principles of Better Care for NCDs. 

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Strategic alignment improved through the 2026–2031 Country Cooperation Strategy

PAHO strengthened health leadership and governance in Sint Maarten through the development of the PAHO 2026–2031 Country Cooperation Strategy, providing a clear strategic framework to accelerate progress toward a people-centered health system and health for all. PAHO convened senior officials from the Ministry of Public Health, Social Development and Labor, other government sectors, and civil society, facilitating participatory dialogue to define priorities and deliverables.

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[Report Landing Page]
Outcome Indicators

  • Outcome 04. Response capacity for communicable diseases
    • Outcome Indicator Baseline/Target Rating
    04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program Baseline 2019
    Achieved

  • Outcome 21. Data, information, knowledge, and evidence
    • Outcome Indicator Baseline/Target Rating
    21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context Target 2025
    Achieved

  • Outcome 23. Health emergencies preparedness and risk reduction
    • Outcome Indicator Baseline/Target Rating
    23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies Baseline 2019
    Achieved

  • Outcome 27. Leadership and governance
    • Outcome Indicator Baseline/Target Rating
    27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues Target 2025
    Achieved
    27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025 Target 2025
    Achieved

    4. Response capacity for communicable diseases

    Communicable diseases
    04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program
    04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Achieved

    21. Data, information, knowledge, and evidence

    Information systems, evidence, and research
    21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
    21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved

    23. Health emergencies preparedness and risk reduction

    Health emergencies
    23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
    23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved

    27. Leadership and governance

    Leadership, governance, and enabling functions
    27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues
    27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Leadership, governance, and enabling functions
    27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
    27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Output Indicators

  • OPT 5.2 Countries and territories enabled to strengthen noncommunicable disease surveillance systems to monitor and report on the global and regional NCD commitments
  • OPT 5.3 Countries and territories enabled to provide quality, people-centered mental health services, based on primary health care strategies and comprehensive essential mental health service packages
  • OPT 16.1 Countries and territories enabled to strengthen multisectoral policies and legislation for mental health in line with PAHO/WHO policies
    • Output (OPT) Indicator Baseline/Target Rating
    05.2.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments Target 2025
    Achieved
    05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB Baseline 2023
    Achieved
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities Target 2025
    Partially achieved
    16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments Target 2025
    Partially achieved

  • OPT 23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported
  • OPT 23.2 Countries and territories enabled to strengthen capacities for emergency preparedness
  • OPT 23.4 Countries and territories enabled to improve the safety and security of integrated health services networks
  • OPT 23.5 Countries and territories enabled to implement the most feasible climate-smart and safety standards in selected health facilities to improve their resilience and reduce their impact on the environment
  • OPT 24.3 Countries and territories enabled to mitigate the risk and consequences of the emergence/reemergence of high-threat infectious pathogens, including emerging zoonotic pathogens, and to improve pandemic preparedness
    • Output (OPT) Indicator Baseline/Target Rating
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector Baseline 2023
    Achieved
    23.2.b. Number of countries and territories with full-time staff assigned to health emergencies Baseline 2023
    Achieved
    23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services Target 2025
    Partially achieved
    23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services Baseline 2023
    Partially achieved
    24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19 Baseline 2023
    Achieved

  • OPT 26.5 Countries and territories enabled to establish and implement health-related policies, plans, and/or laws to advance the right to health and other health-related rights
    • Output (OPT) Indicator Baseline/Target Rating
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation Target 2025
    Achieved

  • OPT 27.1 Leadership, governance, and external relations enhanced to implement the PAHO Strategic Plan 2020–2025 and drive health impact at the country level, in accordance with the SHAA2030
    • Output (OPT) Indicator Baseline/Target Rating
    27.1.a. Number of countries and territories with a current Country Cooperation Strategy Target 2025
    Partially achieved

    5.2 Countries and territories enabled to strengthen noncommunicable disease surveillance systems to monitor and report on the global and regional NCD commitments

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.2.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments
    05.2.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
    05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    5.3 Countries and territories enabled to provide quality, people-centered mental health services, based on primary health care strategies and comprehensive essential mental health service packages

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    16.1 Countries and territories enabled to strengthen multisectoral policies and legislation for mental health in line with PAHO/WHO policies

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments
    16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported

    Health emergencies
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    23.2 Countries and territories enabled to strengthen capacities for emergency preparedness

    Health emergencies
    23.2.b. Number of countries and territories with full-time staff assigned to health emergencies
    23.2.b. Number of countries and territories with full-time staff assigned to health emergencies
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    23.4 Countries and territories enabled to improve the safety and security of integrated health services networks

    Health emergencies
    23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services
    23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    23.5 Countries and territories enabled to implement the most feasible climate-smart and safety standards in selected health facilities to improve their resilience and reduce their impact on the environment

    Health emergencies
    23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
    23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    24.3 Countries and territories enabled to mitigate the risk and consequences of the emergence/reemergence of high-threat infectious pathogens, including emerging zoonotic pathogens, and to improve pandemic preparedness

    Health emergencies
    24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19
    24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    26.5 Countries and territories enabled to establish and implement health-related policies, plans, and/or laws to advance the right to health and other health-related rights

    Determinants of health and cross-cutting themes
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    27.1 Leadership, governance, and external relations enhanced to implement the PAHO Strategic Plan 2020–2025 and drive health impact at the country level, in accordance with the SHAA2030

    Leadership, governance, and enabling functions
    27.1.a. Number of countries and territories with a current Country Cooperation Strategy
    27.1.a. Number of countries and territories with a current Country Cooperation Strategy
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved