pan american health organization 1 2 outline of presentation 1.paho profile and leadership...

Pan American Health Organization 1


Outline of Presentation

1. PAHO profile and leadership

2. Accomplishments

3. History Structure and presence in the Americas

4. Vision/ Mission

5. Governing Bodies and Member States

6. Confronting challenges in health, some examples

7. EHealth Strategy – Background Vision and Areas of Work


PAHO works with all the countries in

the Western Hemisphere to improve

health and raise living standards

throughout the Region.

ORGANIZATION’S PROFILE


ORGANIZATION’S LEADERSHIPORGANIZATION’S LEADERSHIP

Director:Dr. Mirta Roses Periago

Deputy Director:Dr. Jon Andrus

Assistant Director:Dr. Socorro Gross

Director of Administration:Mr. Guillermo Birmingham


Some Key PAHO/WHO Accomplishments

• Successful eradication of smallpox, polio, measles, and rubella from the Americas.

• Virtual elimination of other childhood killer diseases such as diphtheria, pertussis, and tetanus.

• Defense of the Americas against dangerous threats of infectious diseases or re-emerging diseases, such as yellow fever, malaria, influenza, TB and AIDS.

• Much improved emergency preparedness and disaster response in the Americas, which provides the ability to control and contain disasters across borders.

• Implementation of the International Health Regulations, which provides a global and regional framework for disease outbreak reporting, accountability and information sharing.

• Access to clean drinking water and adequate sanitation aimed at reducing illness, death, and spread of disease across borders.

• Access to information about disease incidence and health measures to all countries in the Americas.

• Improved and efficient health systems within individual countries.


• International Sanitary Bureau (ISB) is formed by the First General International Sanitary Convention of American States

• ISB renamed Pan American Sanitary Bureau

• Adoption of the Pan American Sanitary Code which continues in force today

19021902

19231923

19241924

ORGANIZATION’S HISTORY


• Ratification of the Pan American Sanitary Code by all the American Republics

• International Health Conference drafts the Constitution for aWorld Health Organization

• Pan American Sanitary Conference reorganizes the Bureau and its Governing Bodies, and gives a new name to the organization: the “Pan American Sanitary Organization” (PASO)

• Establishment of the World Health Organization (WHO)

• PASO also becomes the WHO Regional Office for the Americas (AMRO).

• PASO becomes the specialized agency for health for the Inter–American System

• Pan American Sanitary Organization is renamed Pan American Health Organization (PAHO)

19361936

19461946

19471947

19481948

19491949

19501950

19581958

ORGANIZATION’S HISTORY


PAHO DIRECTORS TO DATE

Walter Wyman 1902 - 1911Rupert Blue 1911 - 1920Hugh S. Cumming 1920 - 1947Fred L. Soper 1947 - 1959Abraham Horwitz 1959 - 1975Hector Acuña 1975 - 1983Carlyle Guerra de Macedo 1983 - 1995 George A.O. Alleyne 1995 - 2003Mirta Roses Periago 2003 – to date


AMROWashington, DC

USA

AMROWashington, DC

USA

AFROBrazzaville,

Rep. Du Congo

AFROBrazzaville,

Rep. Du Congo

EMROCairo,Egypt

EMROCairo,Egypt SEARO

New Delhi,India

SEARONew Delhi,

India

WPROManila,

Philippines

WPROManila,

Philippines

EUROCopenhagen,

Denmark

EUROCopenhagen,

Denmark

HQGeneva,

Switzerland

HQGeneva,

Switzerland

Regional StructureRegional Structure


HeadquartersHeadquarters

Country OfficesCountry OfficesCentersCenters

CFNICFNI

CARECCAREC

PANAFTOSAPANAFTOSABIREMEBIREME

CLAPCLAP

CEPISCEPIS

INCAPINCAP

PRESENCE OF PAHO IN THE REGION


PAHO AS A SPECIALIZED AGENCY OF THE UN AND INTER–AMERICAN SYSTEMS

Inter–American System UN SystemUN System

Regional Office of the World

HealthOrganization

Regional Office of the World

HealthOrganization

Specialized Agency of the

Organization ofAmerican States

Specialized Agency of the

Organization ofAmerican States

PAHOPAHO


A united Hemisphere committed to attaining the highest possible level of health for all its inhabitants.

Governments that exercise leadership and responsibility in calling on society as a whole to improve the health of the people.

Individuals, families, communities, and institutions empowered to seek social justice by promoting health and protecting life.

VISION


To lead strategic collaborative efforts among Member States and other partners to promote equity in health, combat disease, and improve the quality of, and lengthen, the lives of the peoples of the Americas.

MISSION


PAHO GOVERNING BODIES

Pan American Sanitary ConferencePan American Sanitary Conference

The Pan American Sanitary Conference, made up of delegations from all countries of the Americas, is the supreme governing authority of the Organization and meets every five years. It elects the Director of the Organization and sets policy.

(8)


Directing Council Directing Council

The Directing Council, made up largely of health ministers, meets annually. It approves budgets and policy matters.

PAHO GOVERNING BODIES

(9)

Executive CommitteeExecutive CommitteeThe Executive Committee is composed of nine Member States, elected by the Conference or the Council. It meets twice a year, and sets the agenda and reviews technical issues for the Conference or Council.


PAHO MEMBER STATES

Antigua and Barbuda Argentina Bahamas Barbados Belize Bolivia Brazil Canada Chile Colombia Costa Rica Cuba Dominica Dominican RepublicEcuador El SalvadorGrenada

GuyanaHaiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Saint Kitts and Nevis Saint Lucia Saint Vincent and the GrenadinesSurinameTrinidad and Tobago United States Uruguay Venezuela

Participating StatesFranceKingdom of the NetherlandsUnited Kingdom of Great Britain and Northern Ireland

Associate MemberPuerto Rico

Observer StatesSpainPortugal


Diabetes

Chronic respiratory disease

Cancer

Cardiovascular diseases

TOTAL NCD DEATHS 2007

3,9 M Other NCDs

Chronic Disease Burden in the Americas, 2007

145 million smokers; 139 million overweightHigher burden in poor and less educated

Approx 250 million people living with an NCD in the Americas, N= 940 million


What is the Pan American Forum?

• The Pan American Forum for Action on Chronic Disease is a platform established by PAHO, which brings together government, private sector and civil society to raise awareness of and help scale-up successful practices for the prevention and control of NCDs/chronic diseases and promotion of health at all levels

• Approach relevant to all countries which will be needed to intensify action after the UN High Level Meeting on NCDs


Country Examples of Cost Effective Interventions

• Tobacco taxes and smoke free spaces (Uruguay)• Trans Fat Free Americas initiative• Reduction of sodium in bread, Argentina; restaurants New York• Ciclovias (car free Sundays)• Mass communication and public education (USA)• Scale up basic health care for diabetes/hypertension (Brazil)• Reduce amputations through foot care (T&T)• School meals reformulation as part of obesity law (Colombia)• Quality of care improved using “promotoras” (Mexico)• Workplace wellness programs (Argentina, Brazil)• Access to NCD medicines for free (Jamaica, T&T, Brazil)

• Mostly outside the health sector; need broader political commitment, and all of society approach


Social Determinants of Health

• Health inequities cause unnecessary suffering resulting from social conditions and failing public policies

• Health affected by differences in income, wealth, ethnicity, racism, class, gender, education, disability, sexual orientation, and geographic location

• Health inequities due to SDHs are preventable


5 Building Blocks for addressing Social Determinants of Health

• Governance to tackle root causes

• Promoting community participation and leadership

• Role of health sector in reducing health inequities

• Global action on social determinants; aligning priorities and stakeholders

• Monitoring progress


eHealth Strategy

Current state of telemedicine services

Telemedicine services globally Telemedicine services by WHO region Telemedicine services by WB income group Other telemedicine initiatives occurring around the world

http://www.paho.org

Global Survey on eHealth

Factors facilitating telemedicine development

Governance Policy and strategy Scientific development Evaluation processes

http://www.paho.org


Current level of development of four fields of telemedicine: - teleradiology- teledermatology - telepathology- telepsychology

As well as four mechanisms that facilitate the promotion and development of telemedicine:- the use of a national agency - national policy or strategy- scientific development- evaluation.

Telemedicine - opportunities and developments in Member States discusses the results of the telemedicine module, which was completed by 114 countries 59% of Member States)


27

eHealth Strategy

Conceptual model:http://new.paho.org/ict4health/images/stories/ict4health/ehealth-program-

eng.pdf


• eHealth Strategy


eHealth Strategy

PAHO/WHO Resolution 2011

CD51/13 — PAHO/WHO Strategy and Plan of Action on eHealth

CD51/13 — OPS/OMS Estrategia y Plan de acción sobre eSalud CD51/13— OPAS/OMS Estratégia e Plano de Ação para eSaúde


The objective of the eHealth Strategy and Plan of Action :

To help ensure the sustainable development of the Member States’ health systems.

Adoption of the eHealth Strategy and Plan of Action is envisaged as a means of improving health services access and quality, based on:- the use of information and communications technologies ICT’s - the development of digital literacy and ICTs, and - the use of various methods,

facilitating progress toward the goal of societies that are more informed, and equitable


eHealth Strategy

• Strategic area 1: Guarantee and promote the formulation, execution, and evaluation of effective, comprehensive, and sustainable public policies on the use and implementation of ICT’s in the health sector

• Strategic area 2: Improve public health through the use of tools and methodologies based on innovative ICT’s

• Strategic area 3: Promote and facilitate horizontal cooperation among countries for development of a digital health agenda for the Region.

• Strategic area 4: Development of knowledge management, digital literacy, and ICT’s as key elements for ensuring the quality of care, health promotion, and disease prevention activities.

• Universal access to health services with a better quality of care

• Expansion of the social protection with regard to health by means of health systems based on primary health care

• Competent, available, and motivated health personnel• Sources of reliable information in real time for the

decision-making• Exchange of knowledge and information within scattered

and among them populations

The vision of PAHO

• Systems of supervision and surveillance that use mobile and wireless communication devices (for example, the `Expanded Program on Immunization`)

• Objects of learning in real time for the e-learning and training to form competencies and motivate the teams of primary health care

• Tools and methods of formation of social networks for emergencies and disasters

• Access to clinical services specialized to increase the capacity of the first level of care

The vision of PAHO

• Support for the programs guided to `human resources development within the educational programs of eHealth and telemedicine

• Universal and open access to information, knowledge, and up-to-date scientific data

• Registry and recovery of scientific data and procedures of documentation through automated health systems and services, for example, workflows and clinical histories

• Terminology supply, classifications, concepts, and ontologies to structure the storage, the recovery, and the navigation in sources and information flows

• Collection, indexing, publication, and dissemination of technical and scientific information on eHealth

The vision of PAHO

Projects at PAHO

• Virtual collaboration and practice communities• social Networks• Web 2.0 of PAHO ( http://www.paho.org)• `Virtual Public Health Campus` (

http:/www.campusvirtualsp.org/)• Virtual Health Library ( http://www.bvs.br/)• Regional public health observatory (

http:/devserver.paho.org/rpho/)• Telemedicine• Digital Literacy

Projects at PAHO

Virtual collaboration and practice communities

Pandemic H1N1 2009

Conference Web

wwwwww All the Country

Offices and Centers of PAHO

3 Languages and interpretation

Ministries of Ministries of HealthHealth

ww

wRegional Bureau ofRegional Bureau of PAHO - Task PAHO - Task EquipmentEquipment

Tools for:Thematic Networks Development

• Dissemination of Information

• Knowledge sharing events• Learning and collaboration• ToolKits, papers• Surveys and data• Publications Lit.Rev.• Young Professionals on

eHealth YP’s eSAC Project

Public / Private Partnerships

Dissemination of Information

• E-health

– Reaching communities– Teaching communities– Empowering

communities– Enriching communities

Thank you

Health Technologies

eHealthmHealth

Social media

Twitter

Facebook

TeleHealth

Medical Devices

Lucia RuggieroKnowledge Management and

Communications DD/ KMCPAHO/WHO

pan american health organization 1 2 outline of presentation 1.paho profile and leadership...

Documents

world health organization

pan american sanitary

health measures

american sanitary conference

efficient health systems

date slide

o rganizations h istory

areas of work slide