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Information Meeting for Ambassadors to the Organization of American States

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Title: Information Meeting for Ambassadors to the Organization of American States


1
Briefing Session to thePermanent Ambassadors to
theOrganization of American States 140th
Session of the Executive Committee
Washington, D.C., 25-29 June 2007 Mirta Roses
Periago Director
  • Information Meeting for Ambassadors to the
    Organization of American States
  • Dra. Mirta Roses Periago
  • Washington, 13 June 2006

2
Contents
  • Updating regional and global processes
  • General Issues
  • Keys Issues in the Executive Committee Agenda

3
REGIONAL PROCESSES
  • VIH/SIDA
  • Coalition of First Ladies and Women Leaders of
    Latin America and the Caribbean in the fight
    against AIDS led by the first Lady Of Honduras,
    Mrs. Xiomara de Castro
  • IV Latin American and the Caribbean HIV/AIDS and
    STI Forum Buenos Aires, 17 19 April 2007
  • CONCASIDA, Managua, Nicaragua. 4 9 November
    2007
  • XVII International AIDS Conference (AIDS 2008),
    Mexico City, 3-8 August 2008

4
REGIONAL PROCESSES
  • Meeting of Ministers of Health of Ibero-America,
    Chile, July, 2007
  • International Conference of Health for
    Development Rights, Facts, and Realities.
    Argentina, August 2007
  • Summit of CARICOM Heads of State on Non
    communicable Diseases, Trinidad and Tobago, Sept.
    2007.
  • Summit of First Ladies, El Salvador, November
    2007 (Women and Aging)
  • 17th Ibero-American Summit of Heads of State and
    of Government, Chile Nov. 2007 (Social Cohesion
    and Sense of Belonging)

5
Global Processes 60 World Health Assembly
  • Meeting of Heads of delegation of the Region of
    the Americas
  • Elections to the EC/WHO Bahamas, Paraguay, Peru
  • Vice president of CE/OMS El Salvador
  • Subjects addressed
  • WHO Strategic Plan
  • Malaria
  • Drugs and Intellectual Property
  • Alcohol abuse, and
  • Final review. Health Agenda for the Americas
    (Minister of Health of Panama, Dr. Alleyne)

6
60th World Health Assembly (cont.)
  • 32 Member States of the Americas (GRULA, HON)
  • President of the Assembly Jane Halton
    (Australia)
  • Vice-president of the Assembly Caroline Chang
    (Ecuador)
  • 30 Resolutions adopted (19 resolutions on
    technical subjects)
  • R11 Medium Term Strategic Plan 2008-2013
  • R18 Malaria, including the proposal of
    establishment of the Malaria World Day

7
60th World Health Assembly (cont.)
  • R23 Prevention of non-communicable diseases
    world strategy
  • R26 Workers health global plan of action
  • R28 preparation for a pandemic flu exchange of
    flu viruses and access to vaccines and other
    benefits
  • R30 Public health, innovation, and intellectual
    property

8
Health International Scenario
  • 3 June 2007, Panama
  • Launching of The Health Agenda for the Americas
    2008-2017. President of Panama and Sec. Gral of
    UN and OAS were present
  • 8-10 June 2007 Vancouver
  • Social determinants of Health, meeting
  • 15 June 2007
  • International Health Regulations (2005) New
    obligations for the Member States and
    Implications for foreign policy and the diplomacy
    in health

9
Health International Scenario
  • Toward the 5th Summit of the Americas
  • Regional challenges show an overview of recovery
    and economic growth
  • Signs of reduction and relief of poverty
  • Gaps in equity continue to be large
  • Accumulated social debt
  • Health issues needs to be placed on the political
    agenda with a new approach Universal access and
    the increase in the public spending (5-6 of the
    GDP), Strengthening Public Health and Primary
    Health Care

10
Work in Haiti
  • Network of friends of Haiti
  • Strengthening role coordination and leadership of
    the Ministry of Health and Population
  • Defining action plan for improving human
    resources for health
  • Reduction of morbidity and mortality in diseases
    as HIV, Rabies, TB, malaria, filariasis
  • Agreement with CANCIDA (PAHO/UNICEF)
    Vaccination, US15 m
  • Agreement with CAN/CIDA/PAHO Reduction maternal
    mortality, US5M

11
140th Session of the Executive Committee
12
Current Members
  • 2004-2007 Canada, Cuba, Venezuela (President)
  • 2005-2008 Antigua and Barbuda (Vice-president),
    Chile, Panama
  • 2006-2009 Trinidad and Tobago, Uruguay, USA
    (Rapporteur)
  • Election of three Member States for the Executive
    Committee of PAHO at the Pan American Health
    Conference

13
Matters related to the constitution
  • WHO
  • Election of the Member States for the Executive
    Board of WHO in lieu of Mexico
  • USA and ELS Remain (2006)
  • In addition to BAH, PAR, PER recently elected
    (2007)

14
Awards 2007
  • Award of Administration of PAHO
  • To be defined in the Executive Committee
  • Abraham Horwitz Award in Inter American Health
  • Dr. Maria Cristina Escobar (Chile) - Founder of
    the CARMEN Network
  • Award Manuel Velazco Suárez
  • Judges will convey in August

15
Strategic Plan 2008-2012
  • It answers to the General Program of Work and the
    Medium-term Plan of WHO and it includes lines of
    action of the Regional Health Agenda for the
    Americas.
  • Establishes the strategic objectives and expected
    results of technical cooperation of PAHO, and
    fulfillment indicators
  • Results-based planning that integrates all levels
    of the Secretariat and permits greater
    transparency and accountability to the Member
    States.

16
Program and Budget 2008-2009
17
Financial Program ProposalPAHO/WHO
Budget2008-2009
change
2008-2009
2006-2007
Source
3.9
180,066,000
173,300,000
Assessed contributions from Member States
0.0
14,500,000
14,500,000
Miscellaneous income
3.6
194,566,000
187,800,000
Total PAHO share (Regular Budget)
4.8
81,501,000
77,768,000
WHO share (Regular Budget)
4.0
276,067,000
265,568,000
Total Regular Budget
30.7
347,000,000
265,544,000
Estimated Voluntary Contributions
17.3
623,067,000
531,112,000
Total Resource Requirements
Represents the combined total estimated VC from
PAHO donor partners as well as from WHO
18
PAHO/WHO Program Budget Proposal for
2008-2009(ALL funding sources)
19
Use of the Regional Program Political
Budget(Approved by the Member States at the 45th
Directing Council)
20
Progress Reports
21
Impact of the rubella elimination strategies The
Americas, 19902007
Control acelerado de la rubéola
Consolidación de la eliminación del sarampión
Reducción 98,5 (1998 a 2006)
Eliminación de la rubéola
Fuente Reporte de países. Incluye casos de
rubéola reportados a la OPS a la semana
epidemiológica 21/2007.
22
Avian Flu and Pandemic Influenza
  • As of May 2007, all Member States have prepared
    activities to prevent pandemic influenza
  • PAHO has received national strategies from 28
    Member States
  • Four subregional workshops of evaluation of
    strategies with multidisciplinary assistance and
    multisectorial, more than 300 staff members of 41
    countries and/or territories (health,
    agriculture, livestock, communication, emergency
    services and external relations).

23
Avian Flu and Pandemic Influenza
  • PAHO established the Emergency Operations Center
    (EOC) with a network capacity, computers,
    communications, software and equipment to
    coordinate emergency responses from PAHO.
  • EOC is prepared to respond to any request from
    the Communicable Diseases Unit on outbreaks, its
    effect on public health, its risks of spreading,
    as per the RSI 2005.
  • From January 2006 to March 2007, 74 important
    events were registered for the international
    public health

24
Regional Malaria Plan (2006-2010)
  • A five component strategy to address the malaria
    challenge in the Americas (aligned to areas of
    work advocated by the Global Malaria Program)
  • Malaria Prevention, Surveillance, and Early
    Detection and Containment of Epidemics
  • Integrated Vector Management
  • Malaria Diagnosis and Treatment
  • Enabling Environment for Malaria Prevention and
    Control
  • Health Systems Strengthening / Country-Level
    Capacity-Building

25
Malaria Regional Progress
  • Preliminary country reports for 2006
  • ? 890,779 cases 23 reduction in malaria
    morbidity
  • 74 P. vivax 25 P. falciparum
  • (21 endemic countries majority of cases in
    countries sharing Amazon Rainforest)
  • ? 109 deaths 69 reduction in malaria
    mortality
  • In comparison with 2000

26
Evolution of dengue and DHF in the Americas.
1970-2006
Source Country Reports to PAHO/WHO
27
Dengue Haemorrhagic Fever, lethality rates and
tendency lines, 1995-2006
EGI-Dengue 2003
Despite a rising trend in the number of dengue
hemorrhagic fever cases and outbreaks
persistence, the interventions in the Americas
Region since 2003 have achieved an important
case-fatality rate reduction. However, the
resources devoted to the EGI-dengue continue to
be limited for the implementation and evaluation
of the same.
28
LESSONS LEARNED National EGI-dengue
  • Progress
  • Greater intrasectoral coordination (Technical and
    Management) and interprogrammatic efforts in
    order to guarantee the reduction of the
    case-fatality and confront the increase of DHF
    cases.
  • Greater coordination with other sectors
    environment, education, business, municipal
    government and community groups.
  • New programs at the local level COMBI,
    Eco-Clubs, Eco-Health.
  • Increased capacity for resource mobilization at
    the country level.
  • New tools being used by programs LIRA, Mosquito
    capture devices, GIS.
  • Increased capacity to respond to outbreaks and
    the anticipation of outbreaks/epidemics.
  • Criteria unifications diagnostic of Dengue,
    patient care, entomological indexs.
  • Avances
  • Mayor coordinación intrasectorial (Técnica y
    Gerencial) y esfuerzos interprogramáticos.
  • Mayor coordinación con otros sectores ambiente,
    educación, empresa privada, municipios y grupos
    comunitarios.
  • Nuevos proyectos locales COMBI, Ecoclubes,
    Eco-salud.
  • Aumento de la capacidad de movilización de
    recursos a nivel de país
  • Capacidades de respuesta a brotes aumentadas y
    anticipadas.
  • Establecimiento de criterios únicos para el
    diagnostico de la enfermedad, manejo del
    paciente, indicadores entomológicos.

PAHO/WHO RESOLUTIONS CD43.R4 (2001) and CD44.R9
(2003)
29
Strategies for the strengthening of Health
Systems and Services
  • Regional Action Plan of Human Resources for
    Health 2007-2015
  • Regional Initiative of the Safe Hospitals
  • Regional policy and Strategy to safeguard the
    quality of attention of patients, including its
    safety
  • Strategy to strengthen Vital Statistics

30
Regional Action Planof Human Resources 2007-2015
31
  • Define and implement long-term human resource
    policies based on reliable information linked to
    overall health policies.
  • Put the right people in the right places as part
    of an effort to correct inequities in the
    availability of health workers.
  • Manage the domestic and external migration of
    health professionals so that it does not result
    in shortages that affect the most vulnerable
    populations.
  • Achieve a commitment by health workers to the
    mission to provide quality services to the entire
    population.
  • Work together with universities, schools of
    public health, and health services to ensure that
    the education of new professionals and technical
    personnel is adapted to the health needs of the
    population.

32
Regional Initiative of Safe Hospitals
  • Safe hospitals collective responsibility
  • Comprehensive concept of hospital safety
  • Commitment of the countries of the region/world
  • Index of hospital safety
  • Global campaign of the United Nations
  • Strategic Plan of 2008-2012 PAHO

33
Areas of action of the World Alliance for Patient
Safety (WAPS/PAHO)
Global Challenges
Investigation
Patients for the safety of patients
Lessons learned
Solutions
Taxonomy
34
Strategies in order to strengthen Vital
Statistics
  • Development of national plans to improve the
    coverage, quality, and timeliness of those
    statistics.
  • Harmonization of national plans in a Regional
    Plan of Strengthening. Priority to countries with
    greater limitations, in accordance with the
    diagnosis of the vital establishments and health
    carried out.
  • Coordinated work with the countries and other
    international agencies.

35
Faces, Voices, and Places
  • Responds to the five challenges to reach the MDGs
    emanated from the joint report of the UN agencies
    produced in 2005
  • Equity
  • Work at a local level
  • Intersectorial action
  • Social participation
  • Interagency cooperation

36
COUNTRIES
37
Total collection of quotas as of 18 June, 2000
2007 Cuotas recibidas a 18 junio, 2000 - 2007
38
Collection of 2007 Quotas as of 18 June
2007Cuotas recibidas al 18 de junio de 2007
atribuibles a 2007
  • 27.2 million/millones

39
Regular Program BudgetQuota Collections(as of
18 June 2007)
US Millions
40
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