Outline of Presentation

1. Pan American Health Organization

2. 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

3. 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

4. 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

5. 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

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

7. ORGANIZATION’S HISTORY 1936 • 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) 1946 1947 1948 1949 1950 1958 Pan American Health Organization

8. PAHODIRECTORS TO DATE 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

9. Regional Structure EUROCopenhagen,Denmark HQGeneva,Switzerland WPROManila,Philippines AMROWashington, DCUSA EMROCairo,Egypt SEARONew Delhi,India AFROBrazzaville,Rep. Du Congo Pan American Health Organization

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

11. PAHO AS A SPECIALIZED AGENCY OF THE UN AND INTER–AMERICAN SYSTEMS Inter–AmericanSystem SpecializedAgency of the Organization ofAmerican States PAHO UN System RegionalOffice of theWorld HealthOrganization Pan American Health Organization

12. VISION • 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

13. 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

14. PAHOGOVERNING 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. Pan American Health Organization (8)

15. PAHOGOVERNING 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. Pan American Health Organization (9)

16. PAHOMEMBER STATES Guyana 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 France Kingdom of the Netherlands United Kingdom of Great Britain and Northern Ireland Associate Member Puerto Rico Observer States Spain Portugal Antigua and Barbuda Argentina Bahamas Barbados Belize Bolivia Brazil Canada Chile Colombia Costa Rica Cuba Dominica Dominican Republic Ecuador El Salvador Grenada Pan American Health Organization

17. Chronic Disease Burden in the Americas, 2007 TOTAL NCD DEATHS 2007 3,9 M Chronic respiratory disease Other NCDs Diabetes Cardiovascular diseases 145 million smokers; 139 million overweight Higher burden in poor and less educated Cancer Approx 250 million people living with an NCD in the Americas, N= 940 million Pan American Health Organization

18. 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. eHealth Strategy Pan American Health Organization 23

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 eHealth http://www.paho.org

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

25. Global Survey on eHealth 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)

26. eHealth StrategyConceptual model:http://new.paho.org/ict4health/images/stories/ict4health/ehealth-program-eng.pdf 27

27. eHealth Strategy Pan American Health Organization 28

28. eHealth StrategyPAHO/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 29

29. The objective of the eHealth 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 30

30. eHealth 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

31. 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

32. 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

33. Support for the programs guided to `human 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

34. Projects at PAHO

35. 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

36. Virtual collaboration and practice communities ConferenceWeb 3 Languages and interpretation www www All theCountry Offices and Centers of PAHO www Regional Bureau ofPAHO - Task Equipment Ministries of Health Pandemic H1N1 2009

37. Tools for:Thematic 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

38. Public / Private Partnerships

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

40. Health Technologies eHealth mHealth Social media Thank you Twitter Facebook TeleHealth Lucia Ruggiero Knowledge Management and Communications DD/ KMC PAHO/WHO Medical Devices