1. Pan American Health Organization Health in the Americas: Regional Challenges and Strategic Directions Dr. Carissa Etienne Assistant Director SUMMIT IMPLEMENTATION REVIEW GROUP XVI Meeting March 29, 2007 Washington DC

2. Health Regional Challenges: Old and New problems accumulation The burden of diseases in countries by income, 2002 (Healthy years of life lost by 1.000 population) Source: WHO

3. Health Regional Challenges: Old and New problems accumulation The burden of diseases in countries by income, 2002 (Healthy years of life lost by 1.000 population) Source: WHO

4. The Health Regional Challenges: The inequities Infant mortality indigenous and non indigenous and place of residence Death by 1.000 live birth Source: ECLAC, Millennium Development Goals: A view from Latin America and the Caribbean, 2005

5. The Health Regional Challenges: Insufficient public expenditure for health Source: PAHO, 2006 Composition of National Health Expenditures in Latin America and the Caribbean 1980-2005 (% GDP)

6. The Health Regional Challenges: Better distribution of the public expenditures in health Distribution of public health expenditures for quintiles of income Selected countries Q1=Poor Q5=Rich

7. Towards healthier societies more inclusive and more equitable Strategic Goal

8. Equity in Health Pan American Solidarity Strategic Directions Principles and values

9. Millennium Development Goals Health Agenda for the Americas Strategic Directions Framework for Action

10. Strategic Directions Priority Areas of Action Strengthening and expanding the Public Health Programs and Services Monitoring of the health situation and public health risks Promotion of healthy behaviors Protection against harm caused by environmental factors Prevention and control of the communicable and non communicable diseases Alert system and response to threats and disasters.

11. Strategic Directions Priority Areas of Action Towards Universal Access of Health Care  Increase public expenditure in health (5-6% of GDP)  Implementing mechanisms to reach the poor and vulnerable groups  Organizing the health care delivery system to bridge the gap in access and quality of health services

12. Strategic Directions Conclusion INVEST IN HEALTH, BUILD A SAFER FUTURE Thank You