1. PAHO’s Strategic Framework
Canadian PAHO/WHO
Collaborating Centre Workshop
24 October, 2009

2. PAHO/WHO Planning Instruments
WHO General Programme of Work 06–15
(Global Health Agenda)
Health Agenda for
the Americas
08–17
WHO
WHO Medium-term Strategic Plan 08–13
PAHO Strategic Plan
08–12
Country & Subregional Cooperation Strategies (CCS & SCS)
PAHO Program and Budget
08–09 (and 10–11, 12–13)
PAHO
Biennial Workplans
08–09 (and 10–11, 12–13)

3. Health Agenda for the Americas
Was elaborated by the Member States of the Pan American Health Organization
Took into consideration agreed-upon international objectives and mandates
Was launched in Panama City, on 03 June, 2007 through a Declaration signed by all the Ministers and Secretaries of Health of the Americas

4. The Health Agenda for the Americas is:
Jointly adopted by the governments of the Region of the Americas
A commitment to the vision of a region that is healthier, more equitable, addresses health determinants, and shows improved access to individual and collective health goods and services
A response to the health needs of our peoples
Complementary to the global agenda included in WHO’s 11th General Program of Work
The highest-level political instrument for health in the Region
A guide for the preparation of future subregional health agendas and national health plans; as well as partner organizations’ health plans
A guide for the collective action of national and international stakeholders
The Health Agenda for the Americas

5. AREAS OF ACTION Strengthening the National Health Authority
Tackling Health Determinants
Increasing Social Protection and Access to Quality Health Services
Diminishing Health Inequalities among Countries and within Them
Reducing the Risk and Burden of Disease
Strengthening the Management and Development of Health Workers
Harnessing Knowledge, Science, and Technology
Strengthening Health Security
The Health Agenda for the Americas

6. PAHO Planning Instruments – Timeline Health Agenda for the Americas
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
PASC*
PASC
PASC
Health Agenda for the Americas
2008–2017
Areas of Action
PAHO Strategic Plan
2008–2012
PAHO Strategic Plan
2013–2017
SP 03–07
SP 18–22
Program & Budget
06–07
Program & Budget
08–09
Program & Budget
10–11
Program & Budget
12–13
Program & Budget
14–15
Program & Budget
16–17
Program & Budget
18–19
* PASC = Pan American Sanitary Conference

7. PAHO Strategic Plan
The PAHO Strategic Plan has 16 Strategic Objectives
SO 1-14: Core Functions
SO 15 and16: Enabling Functions
89 Region-wide Expected Results (RER)
256 RER indicators
Strategic Objective TEAM:
SO facilitator and network
SOs represent the PROGRAM of PAHO and WHO,
SP has recently be modified to incorporate the changes in the WHO MTSP
Review the SO and RER and decide where you can support WHO/PAHO
Function of the SO team is to monitor and assess the SO, every 6 months we have PMA meetings, and every 2 years we present a report to our Governing Bodies about the progress

8. PAHO/WHO Core Functions
Providing leadership on matters critical to health and engaging in partners where joint action is needed
Shaping the research agenda and stimulating the generation, dissemination and application of valuable knowledge
Setting norms and standards, and promoting and monitoring their implementation
Articulating ethical and evidence-based policy options
Establishing technical cooperation, catalyzing change and building sustainable institutional capacity
Monitoring the health situation and assessing health trends

9. Strategic Objectives SO1: Communicable diseases
SO2: HIV/AIDS, tuberculosis and malaria (MDG)
SO3: Chronic non-communicable conditions, mental disorders, violence and injuries
SO4: Pregnancy, childbirth, neonatal period, childhood and adolescence, sexual and reproductive health, and active and healthy aging (MDG)
SO5: Emergencies, disasters, crisis and conflicts
SO6: Health promotion and prevention of risk factors (tobacco, alcohol, drugs and other psychoactive substances, unhealthy diets, physical inactivity and unsafe sex)

10. Strategic Objectives (cont’d)
SO7: Social and economic determinants of health
SO8: Environment and health (MDG)
SO9: Nutrition, food safety and food security
SO10: Health services
SO11: Leadership, governance and evidence base of health systems
SO12: Medical products and technology
SO13: Health workforce
SO14: Social protection

11. Strategic Objectives (cont’d) (Enabling functions)
SO15: To provide leadership, strengthen governance, and foster partnership and collaboration with Member States, the United Nations system and other stakeholders to fulfill the mandate of PAHO/WHO in advancing the global health agenda, as set out in WHO’s 11th Programme of Work, and the Health Agenda for the Americas
SO16: To develop and sustain PAHO/WHO as a flexible, learning organization enabling it to carry out its mandate more efficiently and effectively

12. PAHO/WHO Planning Instruments
WHO General Programme of Work 06–15
(Global Health Agenda)
Health Agenda for
the Americas
08–17
WHO
WHO Medium-term Strategic Plan 08–13
PAHO Strategic Plan
08–12
Country & Subregional Cooperation Strategies (CCS & SCS)
Biennial Workplans
PAHO Program and Budget
08–09 (and 10–11, 12–13)
PAHO
Biennial Workplans
08–09 (and 10–11, 12–13)

13. PAHO Biennial Workplans (BWP)
BWP is the instrument to implement the Program and Budgets, and the PAHO Strategic Plan
Entity is a generic term that designates a managerial, programmatic and executing unit responsible for developing and implementing a Biennial Workplan and managing its associated resources (human, budget and others)
Regional: entities
Subregional: 5 entities
Country: entities
Total: entities
Entity Manager
A good opportunity to include Collaborating Centers activities in the BWP 10/11 of the different entities

14. PAHO/WHO’s Results Chain and Indicators
Planning
Instrument
GPW (GHA)
& HAA
Areas of Action
Means of
Measurement
Strategic Objectives
SO indicators
WHO MTSP
contribute
OWERs
OWER indicators
aggregate or
contribute
PAHO SP
& PB
RERs
RER indicators
aggregate or
contribute A M P E S
OSERs
OSER indicators
Biennial
Workplans
P/S
Tasks

15. Mechanisms for Collaboration between PAHO and Canadian Collaborating Centers
All interventions by PAHO are derived from the Strategic Plan, and implemented through the Biennial Workplans of each entity
The matrix approach to planning combines:
a. Strategic Objectives defined by the Governing Bodies that are the collective long-term results of the Organization’s work (Member States and the PASB)
b. The individual BWP of each entity, which are the managers of the resources needed to achieve the SOs targets
CC working through the BWP are really supporting the WHO/PAHO program

16. The Matrix Approach Strategic Objectives (SO) vs. Entities (E)
AMPES
Entity
SO1
SO2
SO3
SO4...
SO15
SO16
E 1
E 2
E 3
E 4
E 5...
E 68
E 69

17. Mechanisms for Collaboration between PAHO and Canadian Collaborating Centers
Who to contact?
Strategic objective facilitators (Regional and Global level)
Entity managers
Regional level
Subregional level
Country level (PAHO/WHO Representatives)

18. Technical cooperation among country projects (TCC)
Two or more countries
Entity managers elaborate the TCC projects
TCC projects are approved by the Director
Funding comes from the variable portion of the PAHO budget
As soon the project is approved, funds are part of the respective BWPs

19. Information
Official Document 328 PAHO Strategic Plan Amended
Health Agenda for the Americas:

20. Thank you
The Health Agenda for the Americas