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SP 2026-2031
Impact Goal
Overview

The impact goal of SP26–31 is to improve health and well-being for all throughout the Region. Its achievement requires concerted action by Member States in collaboration with PASB and partners, implementing integrated approaches across the strategic objectives and tailored interventions in countries to reduce health disparities. It is proposed that the goal be measured through a suite of 17 impact indicators  along with proposed baselines and targets, addressing both the improvement of health systems and their sustainability, as well as their social determinants. These impact indicators will also be used to report on the Organization’s contribution to collective achievement of the SHAA2030 goals and the Region’s contribution toward global health targets. The definition of the indicators considered lessons learned from SP20–25 and commitments already made by Member States, including in the SHAA2030, and PAHO Governing Bodies mandates. Technical specifications, including definitions of terms, technical criteria, and sources, are available to ensure clarity and consistency in their application for monitoring and evaluation.

Impact Indicator SP20–25 SHAA 2030
1. Reduction of within-country health inequalities
✓
11.1
Baseline Year:
2025
Baseline Value:
17 countries
Target Year:
2031
Target Value:
26 countries
2. Mortality rate attributed to household and ambient air pollution
✓
11.3
Baseline Year:
2021
Baseline Value:
32 deaths per 100,000 population
Target Year:
2031
Target Value:
At least a 12% reduction
3. Mortality rate attributed to unsafe water, unsafe sanitation, and lack of hygiene
✓
11.3
Baseline Year:
2021
Baseline Value:
2.9 deaths per 100,000 population
Target Year:
2031
Target Value:
At least a 7% reduction
4. Health-adjusted life expectancy
✓
All
Baseline Year:
2025
Baseline Value:
63 years
Target Year:
2031
Target Value:
At least 1% increase
5. Neonatal mortality rate
✓
1.3
Baseline Year:
2023
Baseline Value:
7.1 deaths per 1,000 live births
Target Year:
2031
Target Value:
At least an 11% reduction
6. Maternal mortality ratio
✓
1.2
Baseline Year:
2023
Baseline Value:
58.5 deaths per 100,000 live births
Target Year:
2031
Target Value:
At least an 18% reduction
7. Mortality amenable to health care
✓
1.1
Baseline Year:
2021
Baseline Value:
94.5 deaths per 100,000 population
Target Year:
2031
Target Value:
At least a 3% reduction
8. Unconditional probability of dying between the ages of 30 and 70 from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases
✓
9.1
Baseline Year:
2021
Baseline Value:
14%
Target Year:
2031
Target Value:
10.9%
9. Mortality rate due to cervical cancer
✓
9.1
Baseline Year:
2021
Baseline Value:
5.9 deaths per 100,000 female population
Target Year:
2031
Target Value:
At least a 20% reduction
10. Proportion of ever-partnered women and girls aged 15–49 subjected to physical and/or sexual violence by a current or former intimate partner in the previous 12 months*
✓
9.4
Baseline Year:
2018
Baseline Value:
7%
Target Year:
2031
Target Value:
No increase
11. Mortality rate due to suicide
✓
9.6
Baseline Year:
2021
Baseline Value:
9.2 deaths per 100,000 population
Target Year:
2031
Target Value:
At least a 5.5% reduction
12. Mortality rate due to road traffic injuries
✓
9.5
Baseline Year:
2021
Baseline Value:
14.1 deaths per 100,000 population
Target Year:
2031
Target Value:
10 deaths per 100,000 population
13. Incidence rate of HIV infections
✓
10.1
Baseline Year:
2024
Baseline Value:
0.16 new infections per 1,000 uninfected population
Target Year:
2031
Target Value:
At least a 24% reduction
14. Incidence rate of congenital syphilis (including stillbirths)
✓
10.3
Baseline Year:
2024
Baseline Value:
2.7 cases per 1,000 live births
Target Year:
2031
Target Value:
At least a 63% reduction
15. Incidence rate of tuberculosis
✓
10.2
Baseline Year:
2023
Baseline Value:
32.9 cases per 100,000 population
Target Year:
2031
Target Value:
At least a 15% reduction
16. Number of endemic countries that achieve elimination of malaria
✓
10.6
Baseline Year:
2024
Baseline Value:
5 out of 21 countries and territories that were endemic in 2015
Target Year:
2031
Target Value:
8 out of 21 countries and territories that were endemic in 2015
17. Number of countries and territories that maintain elimination certification for wild polio, rubella and congenital rubella syndrome, and measles
N/A
10.4
Baseline Year:
2025
Baseline Value:
51 countries and territories
Target Year:
2031
Target Value:
51 countries and territories
* While recognizing data challenges, Member States requested inclusion of this indicator with a commitment to build national capacity to generate the data for its measurement.