The countries of the Region have made great efforts to incorporate the vaccine into their national vaccination schedules; as of December 31, 2023, only 4 countries had not introduced the HPV vaccine. 26 countries in the Region are vaccinating children and 12 countries have switched to a single-dose schedule.

As part of the deinstitutionalization process, a mental health crisis management course was delivered to first responders in Saint Kitts and Nevis and the Bahamas. Deinstitutionalization processes were accelerated across several countries to shift toward community-based services. For instance, Paraguay made progress transitioning patients from a national psychiatric hospital into integrated community-based mental healthcare, supporting 156 patients through new municipal-level centers last year. Mobile crisis response gained more prominence as an alternative to hospitalizations. Another example is the Bahamas emergency response service, which has prevented avoidable hospital admissions. Similar assistance programs now run across 3 Argentine provinces.

The Report of the PAHO High-Level Commission on Mental Health and COVID-19 and the new Strategy for Improving Mental Health and Suicide Prevention provide the vision and the recommended actions for increased technical cooperation in MH in the Region. Several countries have started to take important actions to improve and reform their mental health systems. The recommendations of the Commission emphasize the importance of intersectoral work and integration of mental health into all areas of government to better face the long-term crisis of mental health in the Americas. In the area of suicide prevention, comprehensive strategies aligned with global best practices were developed with the support of PAHO, including the promotion of intersectoral collaboration and policy developments. For instance, PAHO helped Uruguay establish a multi-stakeholder network for suicide prevention across healthcare, education, social services, and civil society. Prioritized policy recommendations have also been formulated. Bolivia targeted action across societal, community, relationship, and individual levels based on the WHO LIVE LIFE framework.
Furthermore, 70 media professionals were trained on responsible reporting on suicide in Guyana (25), Barbados (22), and Grenada (23).

The number of countries that have generated and produced analytical health reports which include disaggregated data on a regular basis has increased from 5 to 17. Additionally, countries are increasingly making these reports and other health data and information more accessible both internally and externally. Improved national health information systems and advances in digital transformation have led to increased data demand and utilization. Such data increasingly include the social determinants of health and allow countries to monitor progress and gaps. PASB provided technical cooperation through ongoing capacity-building efforts in health analysis, particularly for monitoring SDG3 indicators among interdisciplinary country teams at national and subnational levels. This has been crucial to the progress achieved for OCM 21.b. An additional 13 countries are on track to achieve this indicator.
No agreement was reached for three countries and territories. PASB assessed that the criteria as detailed on the technical note for the indicator were not met, and no documentation was submitted or otherwise available at the time of the assessment.

The majority of countries and territories express satisfaction with PAHO/WHO's leading role on global and regional health issues, indicating that the Organization’s efforts and initiatives are generally perceived positively across the region. This widespread satisfaction underscores PAHO/WHO's role as a leading public health authority, engaging countries and territories in the regional and global public health agenda at the highest level – politically, strategically, and technically. Efforts will continue to ensure alignment between biennial work plans and the priorities indicated by national health authorities. This commitment involves ongoing coordination and collaboration with national health authorities to tailor PAHO/WHO's biennial work plans to address the specific health challenges and priorities identified by each country.