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152Nd SESSION of the EXECUTIVE COMMITTEE PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH ORGANIZATION 152nd SESSION OF THE EXECUTIVE COMMITTEE Washington, D.C., USA, 17-21 June 2013 Provisional Agenda Item 4.1 CE152/10, Rev. 1 (Eng.) 11 June 2013 ORIGINAL: ENGLISH PROPOSED PAHO STRATEGIC PLAN 2014-2019 DRAFT PAHO STRATEGIC PLAN 2014-2019 “Championing Health: Sustainable Development and Equity” DRAFT FOR EXECUTIVE COMMITTEE AND NATIONAL CONSULTATIONS June 2013 CE152/10, Rev. 1 (Eng.) Page 2 Introductory Note for the Executive Committee 1. In accordance with the road map for developing the Strategic Plan (SP) 2014-2019 and Program and Budget (PB) 2014-2015 of the Pan American Health Organization (PAHO), as approved by the 151st Session of the Executive Committee of PAHO in September 2012, the SP 2014-2019 is being developed in three phases aligned with PAHO’s Governing Bodies cycle for 2013, as follows: (a) Phase 1: Present a draft to the Seventh Session of the Subcommittee on Program, Budget, and Administration (SPBA7) in March 2013, taking into consideration the decisions made by the Executive Board of the World Health Organization (WHO) in January 2013 regarding WHO’s draft 12th General Programme of Work (GPW) 2014-2019; (b) Phase 2: Draft the SP 2014-2019 and submit the document for consideration by the 152nd Session of the Executive Committee of PAHO in June 2013, by which point it will have been strengthened by input from the final version of WHO’s 12th GPW as well as WHO’s PB 2014-2015, as approved by the World Health Assembly in May 2013; and (c) Phase 3: Present the final proposed SP 2014-2019 for approval by PAHO’s 52nd Directing Council in September 2013. 2. To ensure the involvement of PAHO Member States and their ownership in the development of PAHO’s SP 2014-2019, in addition to the mechanisms established by its Governing Bodies, PAHO’s Executive Committee appointed a Member States Countries Consultative Group (CCG). This Group was assigned responsibility for providing strategic and technical input in the crafting of the SP 2014-2019 and its first PB 2014- 2015. 3. In light of the ongoing dialogue with Member States regarding WHO’s programmatic reform, particularly its 12th GPW and PB 2014-2015, as well as its influence on PAHO’s planning frameworks and processes, this proposed draft is presented to the Executive Committee as a working document. This draft which may be adjusted based on the final WHO GPW and PB approved by the 66th World Health Assembly in May 2013. 4. This document has benefitted from review and input by the CCG. The Pan American Sanitary Bureau (PASB) will continue to develop the SP 2014-2019 with the full participation of PAHO Member States, as well as PASB staff at all levels, to ensure that a comprehensive document is submitted to the 52nd Directing Council of PAHO in September 2013 for its approval. PASB welcomes input and recommendations from Executive Committee Member States on the draft document, which will enable it to move forward in completing the full SP 2014-2019. DRAFT PAHO STRATEGIC PLAN 2014-2019 “Championing Health: Sustainable Development and Equity” Pan American Health Organization Regional Office of the World Health Organization June 2013 CE152/10, Rev. 1 (Eng.) Page 4 CONTENTS Page I. Foreword by the Director [to be completed] ............................................................7 II. Executive Summary [to be completed] .....................................................................8 III. Introduction ................................................................................................................9 IV. Taking Stock and Moving Forward ........................................................................14 Political, Economic, Social, and Environmental Context ..........................................14 Social Determinants of Health ...................................................................................16 Demographic Trends ..................................................................................................18 Environment and Health ............................................................................................19 Regional Health .........................................................................................................21 The Health System Response.....................................................................................26 V. Strategic Agenda .......................................................................................................30 Strategic Overview.....................................................................................................30 Impact Goals and Strategic Focus..............................................................................34 Organization of the Plan ............................................................................................38 Priority Setting ...........................................................................................................39 VI. Categories, Program Areas, and Outcomes ............................................................40 Category 1 - Communicable Diseases ............................................................................41 Scope ........................................................................................................................41 Context .......................................................................................................................41 Key Stakeholders’ Analysis .......................................................................................47 Strategies for Technical Cooperation .........................................................................48 Cross-Cutting Themes and Strategic Approaches in Health......................................49 Program Areas and Outcomes ...................................................................................52 HIV/AIDS and STIs ...........................................................................................52 Tuberculosis .......................................................................................................52 Malaria and other vector-borne diseases ............................................................53 Neglected, tropical, and zoonotic diseases ........................................................53 Vaccine-preventable diseases ............................................................................55 Category 2 - Noncommunicable Diseases and Risk Factors ........................................56 Scope ........................................................................................................................56 Context .......................................................................................................................56 CE152/10, Rev. 1 (Eng.) Page 5 Key Stakeholders’ Analysis .......................................................................................59 Strategies for Technical Cooperation .........................................................................60 Cross-Cutting Themes and Strategic Approaches in Health......................................61 Program Areas and Outcomes ...................................................................................62 Noncommunicable Diseases and Risk Factors ..................................................62 Mental Health.....................................................................................................63 Violence and Injuries .........................................................................................63 Disabilities and Rehabilitation ...........................................................................63 Nutrition .............................................................................................................64 CATEGORY 3 - DETERMINANTS OF HEALTH AND PROMOTING HEALTH THROUGHOUT THE LIFE COURSE .................................................................65 Scope ........................................................................................................................65 Context .......................................................................................................................65 Key Stakeholders’ Analysis .......................................................................................71 Strategies for Technical Cooperation .........................................................................72 Cross-Cutting Themes and Strategic Approaches in Health......................................74 Program Areas and Outcomes ...................................................................................75 Women, Maternal, Newborn, Child, and Adolescent Health, and Sexual and Reproductive Health ..................................................................................75 Aging and Health ...............................................................................................75 Gender, Equity, Human Rights, and Ethnicity Mainstreaming .........................76 Social Determinants of Health ...........................................................................76 CATEGORY 4 - HEALTH SYSTEMS .........................................................................78 Scope ........................................................................................................................78 Context .......................................................................................................................78 Key Stakeholders’ Analysis .......................................................................................82
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