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PAHO/WHO Planning Instruments

Health Agenda for the Americas(HAA) 2008-2017

PAHO Strategic Plan(SP) 2008-2012

PAHO Program and Budget(PB) 2008-2009 (10-11, 12-13)

PAHO Biennial Workplans(BWP) 2008-2009 (10-11, 12-13)

strategicplanning

Country & SubregionalCooperation Strategies

operationalplanning

General Program of WorkGlobal Health Agenda(GPW/GHA) 2006-2015

Medium-Term Strategic Plan(MTSP) 2008-2013

Program Budget2008-2013

WHO

PAHO/WHOPAHO/WHO’’s s Results Chain and Indicators

Areas of Action

Strategic Objectives

OWERs

RERs

OSERs

P/S

Tasks

Planning

Instrument

SO indicators

RER indicators

OSER indicators

Means of Measurement

contribute

aggregate orcontribute

aggregate orcontribute

GPW (GHA)

WHO MTSP

PAHO SP

& PB

Biennial

Workplans

AMPES

OWER indicators

SUSTAINABLE DEVELOPMENT AND

ENVIRONMENTAL HEALTH (SDE)

STRATEGIC OBJETIVES

STRATEGIC OBJECTIVE 3

• To prevent and reduce disease, disability and

premature death from chronic non-

communicable conditions, mental disorders,

violence and injuries

INDICATORS AND TARGETS

• Reduction in the estimated annual number of deaths related to major

chronic noncommunicable diseases (cardiovascular diseases, cancer,

chronic respiratory diseases and diabetes) in Latin America and the

Caribbean. Baseline: 2.4 million deaths in 2000. Target: 2.1 million deaths

by 2013.

• Reduction in the treatment gap in persons suffering from mental

disorders (psychosis, bipolar disorder, depression, anxiety, and

alcoholism). Baseline: 62% of persons suffering from mental disorders

who do not receive treatment. Target: 47% by 2013

• Halt the current increasing trends in mortality rates due to road traffic

injuries in the Region. Baseline: 16.7 per 100,000 inhabitants in 2000-2004

(estimated average). Target: 14.7 per 100,000 inhabitants by 2013.

REGION-WIDE EXPECTED RESULTS

RER 3.1

• Member States supported through technical

cooperation to increase political, financial

and technical commitment to address chronic

noncommunicable conditions, mental and

behavioral disorders, violence, road safety,

and disabilities.


RER 3.2


cooperation for the development and

implementation of policies, strategies and

regulations regarding chronic non-

communicable conditions, mental and

behavioral disorders, violence, road safety,

disabilities, and oral diseases.


RER 3.3


cooperation to improve capacity to collect,

analyze, disseminate and use data on the

magnitude, causes and consequences of

chronic noncommunicable conditions, mental

and behavioral disorders, violence, road traffic

injuries and disabilities.


RER 3.4

• Improved evidence compiled by the Bureau

on the cost-effectiveness of interventions to

address chronic non-communicable

conditions, mental and behavioral disorders,

violence, road traffic injuries, disabilities, and

oral health.


RER 3.5


cooperation for the preparation and

implementation of multisectoral, population-

wide programs to promote mental health and

road safety and prevent chronic non-


behavioral disorders, violence, and injuries, as

well as hearing and visual impairment,

including blindness.


RER 3.6


cooperation to strengthen their health and

social systems for the integrated prevention

and management of chronic non-


behavioral disorders, violence, road traffic

injuries, and disabilities


• To reduce the health consequences of

emergencies, disasters, crisis and conflicts,

and minimize their social and economic

impact


• Crude daily mortality. Target: Daily mortality

of populations affected by major emergencies

maintained below 1 per 10,000 during initial

emergency response phase.

• Access to functioning health services. Target:

Affected health networks become operational

within one month following a natural disaster.


RER 5.1

• Member States and partners supported

through technical cooperation for the

development and strengthening of

emergency preparedness plans and programs

at all levels.


RER 5.2

• Timely and appropriate support provided to

Member States for immediate assistance to

populations affected by crisis.


RER 5.3


cooperation for reducing health sector risk in

disasters and ensuring the quickest recovery

of affected populations.


RER 5.4

• Member States supported through

coordinated technical cooperation for

strengthening preparedness, recovery and

risk reduction in areas such as communicable

disease, mental health, health services, food

safety, and nuclear radiation


RER 5.5


cooperation to strengthen national

preparedness and establish alert and

response mechanisms for food safety and

environmental health emergencies.


RER 5.6

• Effective communications issued,

partnerships formed and coordination

developed with organizations in the United

Nations system, governments, local and

international nongovernmental organizations,

academic institutions and professional

associations at the country, regional and

global levels.

RER 5.7

• Acute, rehabilitation, and recovery

operations implemented in a timely and

effective manner, when needed.


• To promote health and development, and

prevent or reduce risk factors such as use of

tobacco, alcohol, drugs and other

psychoactive substances, unhealthy diets,

physical inactivity and unsafe sex, which

affect health conditions



• Number of countries reporting a 10%

reduction in the prevalence rate of tobacco

use. Baseline: 3 countries in 2007. Target: 10

countries by 2013.

• Number of countries that have stabilized or

reduced the prevalence of adult obesity

among males and females. Baseline: 0

countries in 2007. Target: 5 countries by 2013.

RER 6.1


cooperation to strengthen their capacity for

health promotion across all relevant

programs; and to establish effective

multisectoral and multidisciplinary

collaborations for promoting health and

preventing or reducing major risk factors.



RER 6.2


cooperation to strengthen national systems

for surveillance of major risk factors through

development and validation of frameworks,

tools and operating nprocedures and their

dissemination.


RER 6.3


cooperation on evidence based and ethical

policies, strategies, programs and guidelines

for preventing and reducing tobacco use and

related problems.


RER 6.4


cooperation to develop evidence-based and

ethical policies, strategies, programs and

guidelines for preventing and reducing

alcohol, drugs and other psycho-active

substance use and related problems.


RER 6.5


cooperation to develop evidence-based and

ethical policies, strategies, programs and

guidelines for preventing and reducing

unhealthy diets and physical inactivity, and

related problems.


• To address the underlying social and

economic determinants of health through

policies and programs that enhance health

equity and integrate pro-poor, gender-

responsive, and human rights-based

approaches


• Number of countries with national health indicators

disaggregated by sex and age, and including the Gini coefficient and the Lorenz curve. Baseline: 3 countries

in 2007. Target: 6 countries by 2013.

• Number of countries that have developed public policies for non-health sectors that address health

conditions. Baseline: 7 countries in 2007. Target: 20

countries by 2013.

• Number of countries that have national development and poverty reduction plans integrating health,

nutrition and education. Baseline: 3 countries in 2007.

Target: 6 countries by 2013.


RER 7.1

• Significance of determinants of health and

social policies recognized throughout the

Organization and incorporated into normative

work and technical cooperation with Member

States and other partners.


RER 7.2

• Initiative taken by PAHO/WHO in providing

opportunities and means for intersectoral

collaboration at national and international

levels in order to address social and

economic determinants of health and to

encourage poverty-reduction and sustainable

development.


RER 7.3

• Social and economic data relevant to health

collated and analyzed on a disaggregated

basis (by sex, age, ethnicity, income, and

health conditions, such as disease or

disability).


RER 7.4

• Ethics- and human rights-based approaches

to health promoted within PAHO/WHO and at

national, regional and global levels.


RER 7.5

• Gender analysis and responsive actions

incorporated into PAHO/WHO’s normative

work and technical cooperation provided to

Member States for formulation of gender

sensitive policies and programs.


RER 7.6


cooperation to develop policies, plans and

programs that apply an intercultural

approach based on primary health care and

that seek to establish strategic alliances with

relevant stakeholders and partners to improve

the health and well-being of indigenous

peoples and racial/ethnic groups.


• To promote a healthier environment,

intensify primary prevention and influence

public policies in all sectors so as to address

the root causes of environmental threats to

health


• Proportion of urban and rural populations with access to improved water

sources in the Region. Baseline: 95% of urban and 69% of rural

populations in 2002. Target: 96% ofurban and 77% of rural populations by

2013 (per the Millennium Development Goals).

• Proportion of urban and rural populations with access to improved

sanitation in the Region. Baseline: 84% of urban and 44% of rural

populations in 2002. Target: 90% of urban and 48% of rural populations by

2013 (per the Millennium Development Goals).

• Number of countries implementing national plans on Workers Health

(based on the WHO Workers’ Health: Global Plan of Action, 2007).

Baseline: 10 countries in 2007. Target: 20 countries by 2013.


• Number of countries with toxicological information centers. Baseline: 14 countries in 2006 (estimated). Target: 24 countries by 2013.

• Reduction in the attributable factor of the burden of diarrhealdiseases among children/adolescents age 0-19 years, due to environmental causes. Baseline: 94% in 2002estimated). Target: 84% by 2013. (Methodology for Assessment of Environmental Burden of Disease developed by WHO, measured by the attributable factors in DALYs)

• Number of environmental health policies on chemical substances, air quality and drinkingwater adopted by countries of the Region. Baseline: 11, 7, 13, respectively, in 2007. Target: 20, 12, 20, respectively, by 2013.


RER 8.1

• Evidence-based assessments, norms and

guidance on priority environmental health

risks (e.g., air quality, chemical substances,

electromagnetic fields (EMF), radon, drinking

water, waste water re-use) disseminated


RER 8.2


cooperation for the implementation of

primary prevention interventions that reduce

environmental health risks; enhance safety;

and promote public health, including in

specific settings and among vulnerable

population groups (e.g. children, older

adults).


RER 8.3


cooperation to strengthen occupational and

environmental health policy-making,

planning of preventive interventions, service

delivery and surveillance.


RER 8.4

• Guidance, tools, and initiatives created to

support the health sector to influence policies

in priority sectors (e.g. energy, transport,

agriculture), assess health impacts, determine

costs and benefits of policy alternatives in

those sectors, and harness non-health sector

investments to improve health.


RER 8.5

• Health sector leadership enhanced to promote a healthier environment and influence public policies in all sectors to address the root causes of environmental threats to health, by responding to emerging and reemerging environmental health concerns from development, evolving technologies, other global environmental changes, and consumption and production patterns.


RER 8.6


cooperation to develop evidence-based

policies, strategies and recommendations for

identifying, preventing and tackling public

health problems resulting from climate

change.

Examples of products and services

provided by WHO/SDE CC

• Data bases

• Policy issues

• Monitoring and surveillance

• Human resources development

• Research

• Expert committee participation

• Publications

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