MESOAMERICAN MASTER PLANS TECHNICAL COOPERATION AGREEMENT BETWEEN THE MINISTRY OF FOREIGN AFFAIRS OF MEXICO AND THE PAN AMERICAN HEALTH ORGANIZATION Photos PAHO Flicker MESOAMERICAN MASTER PLANS TECHNICAL COOPERATION AGREEMENT BETWEEN THE MINISTRY OF FOREIGN AFFAIRS OF MEXICO AND THE PAN AMERICAN HEALTH ORGANIZATION Washington, D.C., 2016 PAHO HQ Library Cataloguing-in-Publication Data ********************************************************************************* Pan American Health Organization Mesoamerican Master Plans. Technical Cooperation Agreement between the Ministry of Foreign Affairs of Mexico and the Pan American Health Organization = Planes Maestros Mesoamericanos. Acuerdo de Cooperación Técnica entre la Secretaría de Relaciones Exteriores de México y la Organización Panamericana de la Salud. Washington, DC: PAHO; 2016. 1. Technical Cooperation. 2. International Cooperation. 3. Public Health Policies. 4. Universal Coverage. 5. Communicable Diseases. 6. Healthy City. 7. Mexico. I. Title. Document Number: PAHO/AD/16-005 (bilingual edition) (NLM Classification: WA 100) © Pan American Health Organization 2016. All rights reserved. The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and inquiries should be addressed to the Communications Department, Pan American Health Organization, Washington, D.C., U.S.A. (www.paho.org/permissions). Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights are reserved. 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Contents Acknowledgements ........................................................................................................................................................... v Preface .............................................................................................................................................................................. xi Prologue ............................................................................................................................................................................ xiii Acronyms .......................................................................................................................................................................... xiv Executive Summary .......................................................................................................................................................... xvii Introduction ...................................................................................................................................................................... xxi Chapter 1: Mesoamerican Master Plan to Strengthen the First Level of Care for Universal Access to Health and Universal Health Coverage 1.1. Background ............................................................................................................................................................... 2 1.2. Plan ............................................................................................................................................................................ 3 1.2.1. Purpose .......................................................................................................................................................... 3 1.2.2. Objectives ...................................................................................................................................................... 3 1.2.3. Results, activities, and indicators ................................................................................................................. 3 1.3. Timetable ................................................................................................................................................................... 7 1.4. Monitoring and evaluation ....................................................................................................................................... 9 1.5. Budget ....................................................................................................................................................................... 10 Chapter 2: Mesoamerican Master Plan for the Integrated Management of Dengue and Chikungunya Prevention and Control 2.1. Background ............................................................................................................................................................... 12 2.2. Policies, strategies, and plans implemented ........................................................................................................... 12 2.3. Current status of dengue and chikungunya in the Mesoamerican Region ............................................................. 13 2.4. Plan ............................................................................................................................................................................ 18 2.4.1. Purpose and objectives ................................................................................................................................. 18 2.4.2. Cross-cutting components ............................................................................................................................. 19 2.4.3. Management component ............................................................................................................................... 19 2.4.4. Epidemiology component .............................................................................................................................. 21 2.4.5. Laboratory component ................................................................................................................................. 23 2.4.6. Patient Care component ................................................................................................................................ 25 2.4.7. Integrated vector management component ................................................................................................. 27 2.4.8. Environmental management component ...................................................................................................... 30 2.4.9. Vaccine component ....................................................................................................................................... 32 2.4.10. Facilitating factors ......................................................................................................................................... 32 2.5. Monitoring and evaluation ....................................................................................................................................... 33 2.6. Budget ....................................................................................................................................................................... 33 2.7. Consolidated SWOT diagrams developed with the country teams ......................................................................... 36 iv Chapter 3: Mesoamerican Master Plan to Improve Malaria Control with the Goal of Elimination 3.1. Background ............................................................................................................................................................... 40 3.2. Current status of malaria in the Mesoamerican Region .......................................................................................... 41 3.2.1. Cases of malaria in indigenous populations ................................................................................................ 42 3.2.2. Cases of malaria in pregnant women ........................................................................................................... 42 3.2.3. Cases of malaria in border areas .................................................................................................................. 42 3.2.4. Other risk groups ........................................................................................................................................... 46 3.3. Plan ............................................................................................................................................................................ 46 3.4. Monitoring and evaluation ......................................................................................................................................