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Outline of Presentation. PAHO profile and leadership Accomplishments History Structure and presence in the Americas Vision/ Mission Governing Bodies and Member States Confronting challenges in health, some examples EHealth Strategy – Background Vision and Areas of Work.

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Outline of presentation
Outline of Presentation

  • PAHO profile and leadership

  • Accomplishments

  • History Structure and presence in the Americas

  • Vision/ Mission

  • Governing Bodies and Member States

  • Confronting challenges in health, some examples

  • EHealth Strategy – Background Vision and Areas of Work

Pan American Health Organization

O rganization s p rofile

PAHO works with all the countries in the Western Hemisphere to improve health and raise living standards throughout the Region.

Pan American Health Organization

O rganization s l eadership


Dr. Mirta Roses Periago

Deputy Director:

Dr. Jon Andrus

Assistant Director:

Dr. Socorro Gross

Director of Administration:

Mr. Guillermo Birmingham

Pan American Health Organization

Some key paho who accomplishments
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.

Pan American Health Organization

O rganization s h istory


  • 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


Pan American Health Organization

O rganization s h istory1


  • 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)







Pan American Health Organization

Paho d irectors to d ate

Walter Wyman 1902 - 1911

Rupert Blue 1911 - 1920

Hugh S. Cumming 1920 - 1947

Fred L. Soper 1947 - 1959

Abraham Horwitz 1959 - 1975

Hector Acuña 1975 - 1983

Carlyle Guerra de Macedo 1983 - 1995

George A.O. Alleyne 1995 - 2003

Mirta Roses Periago 2003 – to date

Pan American Health Organization

Outline of presentation

Regional Structure




AMROWashington, DCUSA


SEARONew Delhi,India

AFROBrazzaville,Rep. Du Congo

Pan American Health Organization

P resence of paho in the r egion









Country Offices


Pan American Health Organization

Paho as a s pecialized a gency of the un and i nter a merican s ystems


SpecializedAgency of the Organization ofAmerican States


UN System

RegionalOffice of theWorld HealthOrganization

Pan American Health Organization

V ision

  • 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.

Pan American Health Organization

M ission

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.

Pan American Health Organization

Paho g overning b odies

Pan 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.

Pan American Health Organization


Paho g overning b odies1

Directing Council

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

Executive Committee

The 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.

Pan American Health Organization


Paho m ember s tates


Haiti 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 States


Kingdom of the


United Kingdom of Great

Britain and Northern


Associate Member

Puerto Rico

Observer States



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

Ecuador El Salvador


Pan American Health Organization

Outline of presentation

Chronic Disease Burden in the Americas, 2007


3,9 M

Chronic respiratory disease

Other NCDs


Cardiovascular diseases

145 million smokers; 139 million overweight

Higher burden in poor and less educated


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

Pan American Health Organization

What is the pan american forum
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

Pan American Health Organization

Country examples of cost effective interventions
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

Pan American Health Organization

Social determinants of health
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

Pan American Health Organization

5 building blocks for addressing social determinants of health
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

Pan American Health Organization

Ehealth strategy
eHealth Strategy Health

Pan American Health Organization


Outline of presentation

Current state of telemedicine services Health

  • Telemedicine services globally

  • Telemedicine services by WHO region

  • Telemedicine services by WB income group

  • Other telemedicine initiatives occurring around the world

Global Survey on eHealth

Outline of presentation

Factors facilitating telemedicine development Health

  • Governance

  • Policy and strategy

  • Scientific development

  • Evaluation processes

Global Survey on eHealth

Outline of presentation

Global Survey on eHealth Health

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)

Outline of presentation
eHealth Strategy HealthConceptual model:


Outline of presentation

Pan American Health Organization


Outline of presentation

eHealth Strategy HealthPAHO/WHO Resolution 2011CD51/13 — PAHO/WHO Strategy and Plan of Action on eHealthCD51/13 — OPS/OMS Estrategia y Plan de acción sobre eSalud CD51/13—  OPAS/OMS Estratégia e Plano de Ação para eSaúde

Pan American Health Organization


Outline of presentation

The objective of the HealtheHealth 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

Pan American Health Organization


Ehealth strategy1
eHealth Health 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.

Pan American Health Organization


Outline of presentation

Universal access to health services Health 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

Outline of presentation

Systems of supervision and Healthsurveillance 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

Outline of presentation

Support for the programs guided to ` Healthhuman 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

Outline of presentation

Projects at PAHO Health

  • Virtual collaboration and practice communities

  • social Networks

  • Web 2.0 of PAHO (

  • `Virtual Public Health Campus` ( http:/

  • Virtual Health Library (

  • Regional public health observatory ( http:/

  • Telemedicine

  • Digital Literacy

Outline of presentation

Virtual collaboration and practice communities Health


3 Languages and interpretation



All theCountry Offices and Centers of PAHO


Regional Bureau ofPAHO - Task Equipment

Ministries of Health

Pandemic H1N1 2009

Tools for thematic networks development
Tools for: HealthThematic 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

Dissemination of information
Dissemination of Information Health

  • E-health

    • Reaching communities

    • Teaching communities

    • Empowering communities

    • Enriching communities

Outline of presentation

Health Technologies Health



Social media

Thank you




Lucia Ruggiero

Knowledge Management and Communications DD/ KMC


Medical Devices