Strategic Plan 2014-2019

PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH ORGANIZATION 52nd DIRECTING COUNCIL 65th SESSION OF THE REGIONAL COMMITTEE Washington, D.C., USA, 30 September-4 October 2013 Provisional Agenda Item 4.1 Off. Doc. 345 (Eng.) 1 September 2013 ORIGINAL: ENGLISH STRATEGIC PLAN OF THE PAN AMERICAN HEALTH ORGANIZATION 2014-2019* * Note: This final version contains editorial changes and adjustments to the baselines as well as to the targets of the program area indicators. This note will be removed from the document at the time of its approval during the 52nd Directing Council. STRATEGIC PLAN OF THE PAN AMERICAN HEALTH ORGANIZATION 2014-2019 “Championing Health: Sustainable Development and Equity” Introductory Note for the Directing Council 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 has been developed in three phases aligned with PAHO’s Governing Bodies cycle for 2013, as follows: (a) Phase 1: An outline was presented 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: A draft of the SP 2014-2019 was submitted for consideration by the 152nd Session of the Executive Committee of PAHO in June 2013, with input from the final version of the WHO 12th GPW as well as WHO’s PB 2014-2015, as approved by the World Health Assembly in May 2013. (c) Phase 3: The final version of the SP 2014-2019 is being presented for approval by PAHO’s 52nd Directing Council in September 2013. 2. To ensure the involvement of PAHO Member States and their ownership of 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. This Group was assigned responsibility for providing strategic and technical input into the crafting of the SP 2014-2019 and its first PB 2014-2015. In addition, the Pan American Sanitary Bureau (PASB) facilitated national consultations to obtain input from all countries and territories in the Region. PASB staff at all levels also participated in the development of this Plan. 3. The PASB is pleased to present the complete SP 2014-2019 to the 52nd Directing Council for its consideration and approval. STRATEGIC PLAN OF THE PAN AMERICAN HEALTH ORGANIZATION 2014-2019 “Championing Health: Sustainable Development and Equity” Pan American Health Organization Regional Office of the World Health Organization OD345 (Eng.) Page 5 CONTENTS Page I. Foreword by the Director .......................................................................9 II. Executive Summary ............................................................................. 11 III. Introduction .......................................................................................... 16 IV. The Context ........................................................................................... 21 Political, Economic, Social, and Environmental Context ..........................................21 Social Determinants of Health ...................................................................................22 Demographic Trends ..................................................................................................24 Health and Environment ............................................................................................25 Regional Health ..........................................................................................................27 The Health System Response .....................................................................................29 Status of the PAHO Strategic Plan 2008-2013 ..........................................................31 V. Strategic Agenda ................................................................................... 34 Strategic Overview .....................................................................................................34 Impact Goals and Strategic Focus ..............................................................................38 Organization of the Plan ............................................................................................42 Priority Setting ...........................................................................................................44 VI. Categories, Program Areas, and Outcomes ...................................... 47 Category 1 - Communicable Diseases ....................................................... 47 Scope ........................................................................................................................47 Context .......................................................................................................................47 Key Stakeholders’ Analysis .......................................................................................53 Strategies for Technical Cooperation .........................................................................54 Cross-Cutting Themes and Strategic Approaches in Health ......................................55 Assumptions and Risks ..............................................................................................57 Category 1. Communicable Diseases: Program Areas and Outcomes .......................59 1.1 HIV/AIDS and STIs ...................................................................................59 OD345 (Eng.) Page 6 1.2 Tuberculosis ...............................................................................................59 1.4 Neglected, Tropical, and Zoonotic Diseases..............................................61 1.5 Vaccine-Preventable Diseases ...................................................................62 Category 2 - Noncommunicable Diseases and Risk Factors ................... 63 Scope ........................................................................................................................63 Context .......................................................................................................................63 Key Stakeholders’ Analysis .......................................................................................67 Strategies for Technical Cooperation .........................................................................68 Cross-Cutting Themes and Strategic Approaches in Health ......................................69 Assumptions and Risks ..............................................................................................69 Category 2. Noncommunicable Diseases and Risk Factors: Program Areas and Outcomes ...............................................................................................71 2.1 Noncommunicable Diseases and Risk Factors ..........................................71 2.2 Mental Health and Psychoactive Substance Use Disorders .......................72 2.3 Violence and Injuries .................................................................................72 2.4 Disabilities and Rehabilitation ...................................................................73 2.5 Nutrition .....................................................................................................73 Category 3 - Determinants of Health and Promoting Health throughout the Life Course ........................................................... 74 Scope ........................................................................................................................74 Context .......................................................................................................................74 Key Stakeholders’ Analysis .......................................................................................81 Strategies for Technical Cooperation .........................................................................82 Cross-Cutting Themes and Strategic Approaches in Health ......................................83 Assumptions and Risks ..............................................................................................84 Category 3. Determinants of Health and promoting Health throughout the Life Course: Program Areas and Outcomes .................................................86 3.1 Women, Maternal, Newborn, Child, Adolescent, and Adult Health, and Sexual and Reproductive Health ................................................................86 3.3 Gender, Equity, Human Rights, and Ethnicity ..........................................87 3.4 Social Determinants of Health ...................................................................87 3.5 Health and the Environment ......................................................................88 OD345 (Eng.) Page 7 Category 4 - Health Systems ...................................................................... 89 Scope ........................................................................................................................89 Context .......................................................................................................................89 Key Stakeholders’ Analysis .......................................................................................93 Strategies for Technical Cooperation .........................................................................94

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