This section presents detailed findings from the review of impact indicators of the Strategic Plan of the Pan American Health Organization 2020–2025 (SP20–25). An overview of the main findings is available in the report presented to the Directing Council in Document CD61/4.  The indicator assessments present trends over the past two decades, considering the most recently available data that have been standardized to facilitate comparative analyses among countries and territories in the Region of the Americas. These data are also used to project estimates through 2025—the end of the Strategic Plan period. Each assessment includes a summary table with the indicator baseline, target, current status, and rating. Additionally, an analysis is presented for each impact indicator, followed by key takeaways and recommendations to improve health outcomes. For indicators that could not be assessed, information is presented on refining the methodology to improve measurement or on the most appropriate way forward.

Impact indicators were rated as follows: 

• Achieved: The target has been reached. Efforts must be maintained to protect the gains. 

• In progress: Progress has been made, but the target has not yet been reached. Based on current projections, the target will likely be reached by 2025, assuming current efforts are maintained. 

• Progress not sufficient to reach the target: Obstacles are impeding progress. Based on current projections, the target is unlikely to be reached by 2025, unless there are significant and accelerated actions. 

• Not rated: There is insufficient data to provide an assessment.