Pan American Health Organization 1 Outline of

Pan American Health Organization 1

Outline of Presentation 1. 2. 3. 4. 5. 6. 7. 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 2

ORGANIZATION’S PROFILE PAHO works with all the countries in the Western Hemisphere to improve health and raise living standards throughout the Region. Pan American Health Organization 3

ORGANIZATION’S LEADERSHIP Director: Dr. Mirta Roses Periago Deputy Director: Dr. Jon Andrus Assistant Director: Dr. Socorro Gross Director of Administration: Mr. Guillermo Birmingham Pan American Health Organization 4

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 reemerging 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 5

ORGANIZATION’S HISTORY 1902 • International Sanitary Bureau (ISB) is formed by the First General International Sanitary Convention of American States 1923 • ISB renamed Pan American Sanitary 1924 Bureau • Adoption of the Pan American Sanitary Code which continues in force today Pan American Health Organization 6

ORGANIZATION’S HISTORY 1936 1947 1948 1949 1950 1958 • Ratification of the Pan American Sanitary Code by all the American Republics • International Health Conference drafts the Constitution for a World 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 7

PAHO DIRECTORS TO DATE Walter Wyman Rupert Blue Hugh S. Cumming Fred L. Soper Abraham Horwitz Hector Acuña Carlyle Guerra de Macedo George A. O. Alleyne Mirta Roses Periago Pan American Health Organization 1902 - 1911 - 1920 - 1947 - 1959 - 1975 - 1983 - 1995 - 2003 – to date 8

Regional Structure EURO Copenhagen, Denmark HQ Geneva, Switzerland WPRO Manila, Philippines AMRO Washington, DC USA AFRO Brazzaville, Rep. Du Congo Pan American Health Organization EMRO Cairo, Egypt SEARO New Delhi, India 9

PRESENCE OF PAHO IN THE REGION CFNI CAREC INCAP CEPIS PANAFTOSA BIREME CLAP Headquarters Country Offices Centers Pan American Health Organization 10

PAHO AS A SPECIALIZED AGENCY OF THE UN AND INTER–AMERICAN SYSTEMS Specialized Agency of the Organization of American States Inter–American System PAHO UN System Regional Office of the World Health Organization Pan American Health Organization 11

VISION Ø Ø Ø 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 12

MISSION 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 13

PAHO GOVERNING BODIES 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. (8) Pan American Health Organization 14

PAHO GOVERNING BODIES 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. (9) Pan American Health Organization 15

PAHO MEMBER STATES Antigua and Barbuda Argentina Bahamas Barbados Belize Bolivia Brazil Canada Chile Colombia Costa Rica Cuba Dominican Republic Ecuador El Salvador Grenada Guyana Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago United States Uruguay Venezuela Pan American Health Organization Participating States France Kingdom of the Netherlands United Kingdom of Great Britain and Northern Ireland Associate Member Puerto Rico Observer States Spain Portugal 16

Chronic Disease Burden in the Americas, 2007 Chronic respiratory disease • 10% TOTAL NCD DEATHS 2007 3, 9 M Other NCDs • 7% Diabetes • 8% • 45% Cardiovascular diseases • 30% Cancer 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 17

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 19

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 20

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 21

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 22

e. Health Strategy Pan American Health Organization 23

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 Global Survey on e. Health http: //www. paho. org

Factors facilitating telemedicine development Governance Policy and strategy Scientific development Evaluation processes Global Survey on e. Health http: //www. paho. org

Global Survey on e. 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)

e. Health Strategy Conceptual model: http: //new. paho. org/ict 4 health/images/stories/ict 4 health/ehealth-programeng. pdf 27

• e. Health Strategy Pan American Health Organization 28

e. Health Strategy PAHO/WHO Resolution 2011 CD 51/13 — PAHO/WHO Strategy and Plan of Action on e. Health CD 51/13 — OPS/OMS Estrategia y Plan de acción sobre e. Salud CD 51/13— OPAS/OMS Estratégia e Plano de Ação para e. Saúde Pan American Health Organization 29

The objective of the e. Health Strategy and Plan of Action : To help ensure the sustainable development of the Member States’ health systems. Adoption of the e. Health 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 30

e. 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 31

The vision of PAHO • 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 e. Health and telemedicine • Universal and open access to information, knowledge, and up-todate 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 e. Health

Projects at 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

Virtual collaboration and practice communities Conference Web 3 Languages and interpretation ww w w ww Regional Bureau of PAHO - Task Equipment Ministries of Health ww w All the Country Offices and Centers of PAHO Pandemic H 1 N 1 2009

Tools for: Thematic Networks Development • Dissemination of Information • Knowledge sharing events • Learning and collaboration • Tool. Kits, papers • Surveys and data • Publications Lit. Rev. • Young Professionals on e. Health YP’s e. SAC Project

Public / Private Partnerships

Dissemination of Information • E-health – Reaching communities – Teaching communities – Empowering communities – Enriching communities

Health Technologies e. Health m. Health Social media Thank you Twitter Facebook Tele. Health Medical Devices Lucia Ruggiero Knowledge Management and Communications DD/ KMC PAHO/WHO