EOB 2024-2025
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Highlighted achievements
Access increased through essential medicines list reform
During the 2024–2025 biennium, Trinidad and Tobago advanced in a comprehensive review of its National Essential Medicines List (NEML), reinforcing the foundations of access to quality-assured medicines for all.
Climate resilient health systems advanced through evidence-based risk assessment
Trinidad and Tobago strengthened its capacity to address the health impacts of environmental challenges, including climate change, through the completion of a national vulnerability and adaptation assessment.
Mental health policy implementation strengthened through national evaluation
Trinidad and Tobago advanced its mental health agenda through a comprehensive evaluation of the National Mental Health Policy 2019–2029, with technical support from PAHO.
Obesity prevention advanced through expanded baby friendly hospital coverage
The largest tertiary facility in Trinidad and Tobago achieved accreditation under the Baby Friendly Hospital Initiative in November 2025, the fifth of the country’s six public maternity hospitals to do so. The initiative strengthens national breastfeeding support systems and advances national efforts in the areas of obesity prevention and maternal and child health.
Hospital preparedness reinforced to build readiness and protect lives
Trinidad and Tobago is now better prepared for health emergencies thanks to the development of comprehensive hospital evacuation plans for the Port of Spain General Hospital and the St. James Medical Complex. This work represents a key institutional advance in ensuring the continuity of essential health services during disasters and other high impact emergency events.
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Outcome Indicators
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions | Target 2025 | Not achieved |
| 01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care | Target 2025 | Achieved |
| 02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood Development | Baseline 2019 | Partially achieved |
| 03.a. Number of countries and territories with capacity to prevent care dependence | Target 2025 | Partially achieved |
| 08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT | Target 2025 | Partially achieved |
| 09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions | Target 2025 | Discrepancy |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women | Baseline 2019 | Not achieved |
| 04.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV) | Target 2025 | Achieved |
| 04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities | Target 2025 | Achieved |
| 04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level | Target 2025 | Achieved |
| 04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program | Baseline 2019 | Achieved |
| 12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through intersectoral action | Baseline 2019 | Partially achieved |
| 12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety | Target 2025 | Achieved |
| 17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART) | Baseline 2019 | Achieved |
| 17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment | Baseline 2019 | Achieved |
| 17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies] | Baseline 2019 | Partially achieved |
| 17.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis] | Baseline 2019 | Achieved |
| 17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years | Baseline 2019 | Achieved |
| 05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age | Target 2025 | Not achieved |
| 05.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy | Baseline 2019 | Not achieved |
| 05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases | Baseline 2019 | Achieved |
| 05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries | Target 2025 | Partially achieved |
| 05.g. Number of countries and territories that have increased capacity to manage mental health disorders at the first level of care | Target 2025 | Achieved |
| 05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals | Target 2025 | Achieved |
| 06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines | Target 2025 | Partially achieved |
| 13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids | Target 2025 | Not achieved |
| 15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy | Baseline 2019 | Achieved |
| 15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system | Target 2025 | Achieved |
| 16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides) | Target 2025 | Achieved |
| 18.h. Number of countries and territories with capacity to address the health-related effects of climate change | Target 2025 | Achieved |
| 19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being | Target 2025 | Achieved |
| 26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights | Target 2025 | Partially achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems | Target 2025 | Achieved |
| 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 | Partially achieved |
| 21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing | Target 2025 | Partially achieved |
| 22.b. Number of countries and territories that have ethical standards for conducting research with human subjects | Target 2025 | Achieved |
| 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 |
| 23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities | Target 2025 | Achieved |
| 24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics | Target 2025 | Achieved |
| 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 |
1. Access to comprehensive and quality health services
Health systems, services, and life course
01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions
01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Health systems, services, and life course
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
2. Health throughout the life course
Health systems, services, and life course
02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood
02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood Development
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
3. Quality care for older people
Health systems, services, and life course
03.a. Number of countries and territories with capacity to prevent care dependence
03.a. Number of countries and territories with capacity to prevent care dependence
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
4. Response capacity for communicable diseases
Communicable diseases
04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women
04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
04.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV)
04.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV)
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities
04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level
04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
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
5. Access to services for NCDs and mental health conditions
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years
05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age
05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy
05.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases
05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries
05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.g. Number of countries and territories that have increased capacity to manage mental health disorders at the first level of care
05.g. Number of countries and territories that have increased capacity to manage mental health disorders at the first level of care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals
05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
6. Response capacity for violence and injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines
06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
8. Access to health technologies
Health systems, services, and life course
08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT
08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
9. Strengthened stewardship and governance
Health systems, services, and life course
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
12. Risk factors for communicable diseases
Communicable diseases
12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through
12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through intersectoral action
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety
12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
13. Risk factors for noncommunicable diseases
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
15. Intersectoral response to violence and injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system
15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
16. Intersectoral action on mental health
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors
16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
17. Elimination of communicable diseases
Communicable diseases
17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART)
17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART)
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
17.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis]
17.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis]
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
18. Social and environmental determinants
Determinants of health and cross-cutting themes
18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides)
18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides)
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
Determinants of health and cross-cutting themes
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
19. Health promotion and intersectoral action
Determinants of health and cross-cutting themes
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
21. Data, information, knowledge, and evidence
Information systems, evidence, and research
21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems
21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
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
Information systems, evidence, and research
21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing
21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
22. Research, ethics, and innovation for health
Information systems, evidence, and research
22.b. Number of countries and territories that have ethical standards for conducting research with human subjects
22.b. Number of countries and territories that have ethical standards for conducting research with human subjects
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
Health emergencies
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
24. Epidemic and pandemic prevention and control
Health emergencies
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
26. CCTs: equity, gender, ethnicity, and human rights
Determinants of health and cross-cutting themes
26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights
26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights
Target Value:
2025
Baseline value:
2019
Rating:
Partially 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
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs, including NCDs and the elimination agenda | Target 2025 | Partially achieved |
| 02.2.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence | Baseline 2023 | Achieved |
| 07.1.a. Number of countries and territories that are implementing a national policy on human resources for health | Target 2025 | Partially achieved |
| 07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms | Baseline 2023 | Achieved |
| 09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas | Target 2025 | Partially achieved |
| 12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health facilities | Baseline 2023 | Achieved |
| 12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems, or any other practice to protect public health from foodborne diseases, with a One Health approach | Baseline 2023 | Achieved |
| 17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs | Baseline 2023 | Achieved |
| 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 |
| 05.3.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 2023 | Achieved |
| 05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems | Target 2025 | Partially achieved |
| 06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage | Baseline 2023 | Not achieved |
| 13.1.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population | Target 2025 | Not achieved |
| 13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products | Target 2025 | Partially achieved |
| 13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply | Target 2025 | Not achieved |
| 14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable Development Goals | Baseline 2023 | Achieved |
| 15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector | Baseline 2023 | 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 | Baseline 2023 | Achieved |
| 16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.2.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, following WHO guidelines | Baseline 2023 | Achieved |
| 19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings | Baseline 2023 | Achieved |
| 19.4.a. Number of countries and territories implementing a national health promotion policy | Baseline 2023 | Achieved |
| 19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics | Baseline 2023 | Partially achieved |
| 20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy | Target 2025 | Achieved |
| 21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information, and evidence for health | Target 2025 | Achieved |
| 22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005) | Baseline 2023 | Achieved |
| 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.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities | Target 2025 | Not 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 |
| 24.3.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens, including emerging zoonotic pathogen | 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 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 27.1.a. Number of countries and territories with a current Country Cooperation Strategy | Target 2025 | Achieved |
1.1 Policy options, tools, and technical guidance provided to countries to enhance equitable, people-centered, integrated service delivery, including public health services
Health systems, services, and life course
01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs
01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs, including NCDs and the elimination agenda
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
2.2 Countries and territories enabled to expand access and coverage for women, men, children, and adolescents with quality comprehensive health services that are people-, family-, and community-centered
Health systems, services, and life course
02.2.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence
02.2.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
4.2 Countries and territories enabled to effectively manage cases of arboviral diseases
Communicable diseases
04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas
04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas
Baseline value
2023
Target Value
2025
Rating:
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
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
5.4 Countries and territories enabled to strengthen mental health information systems to monitor and report on the basic mental health indicators
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems
05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
6.1 Countries and territories enabled to increase health service response capacity for road traffic injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage
06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage
Baseline value
2023
Target Value
2025
Rating:
Not achieved
7.1 Countries and territories have formalized and initiated implementation of a national policy on human resources for health
Health systems, services, and life course
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
7.3 Countries and territories have strengthened capacities of the health workforce through continuing education programs and lifelong learning
Health systems, services, and life course
07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms
07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
9.1 Countries and territories enabled to implement the essential public health functions as the basis for building resilient health systems
Health systems, services, and life course
09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems
09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.2 Countries and territories enabled to strengthen capacity on standard setting and policy implementation to reduce the incidence of multidrug-resistant infections through effective sanitation, hygiene, infection prevention measures, and antimicrobial stewardship programs
Communicable diseases
12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health
12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health facilities
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.7 Countries and territories enabled to implement international standards and strategies for food safety to prevent and mitigate foodborne illnesses, including infections produced by resistant pathogens, with a One Health approach
Communicable diseases
12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems
12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems, or any other practice to protect public health from foodborne diseases, with a One Health approach
Baseline value
2023
Target Value
2025
Rating:
Not achieved
13.1 Countries and territories enabled to develop and implement technical packages to address risk factors through multisectoral action, with adequate safeguards in place to prevent potential conflict of interests
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population
13.1.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products
13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply
13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
14.1 Countries and territories enabled to develop and monitor implementation of policies and plans to tackle malnutrition in all its forms and to achieve the global nutrition targets for 2025 and the nutrition components of the Sustainable Development Goals
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable
14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable Development Goals
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
15.2 Capacity of key sectors strengthened to prevent violence through multisectoral collaboration
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector
15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector
Baseline value
2023
Target Value
2025
Rating:
Not 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
16.2 Countries and territories enabled to develop suicide prevention plans
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants
16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
17.8 Countries and territories enabled to implement plans of action for the prevention, prophylaxis, surveillance, control, and elimination of human rabies transmitted by dogs
Communicable diseases
17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs
17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
18.2 Countries and territories enabled to reduce health risks associated with climate change, air pollution, hazardous waste and chemicals, and water and sanitation
Determinants of health and cross-cutting themes
18.2.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, following WHO guidelines
18.2.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, following WHO guidelines
Baseline value
2023
Target Value
2025
Rating:
Achieved
19.1 Countries and territories enabled to adopt, review, and revise laws, regulations, and policies to create healthy settings, including schools, universities, housing, and workplaces
Determinants of health and cross-cutting themes
19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings
19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings
Baseline value
2023
Target Value
2025
Rating:
Achieved
19.4 Countries and territories enabled to apply health promotion in a systematic way within and outside the health sector
Determinants of health and cross-cutting themes
19.4.a. Number of countries and territories implementing a national health promotion policy
19.4.a. Number of countries and territories implementing a national health promotion policy
Baseline value
2023
Target Value
2025
Rating:
Not achieved
Determinants of health and cross-cutting themes
19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs
19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs
Baseline value
2023
Target Value
2025
Rating:
Achieved
20.2 Countries and territories enabled to adopt and implement national plans of action for strengthening the quality and coverage of vital statistics
Information systems, evidence, and research
20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics
20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics
Baseline value
2023
Target Value
2025
Rating:
Not achieved
20.3 Countries and territories enabled to adopt and implement digital health strategies
Information systems, evidence, and research
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
21.2 Countries and territories enabled to generate and disseminate multilingual information and to develop standards, policies, and tools for knowledge sharing for health
Information systems, evidence, and research
21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information
21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information, and evidence for health
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
22.2 Countries and territories enabled to address priority ethical issues related to research for health
Information systems, evidence, and research
22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research
22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research
Baseline value
2023
Target Value
2025
Rating:
Achieved
23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported
Health emergencies
23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005)
23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005)
Baseline value
2023
Target Value
2025
Rating:
Achieved
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.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities
23.2.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities
Baseline value
2023
Target Value
2025
Rating:
Not achieved
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
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.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens
24.3.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens, including emerging zoonotic pathogen
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
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