Validation of Indicators for Implementation of the Plan of Action on Health in All Policies: Proposal for Application at National Level
Abstract
[Executive Summary]; In September 2014, the Directing Council of the Pan American Health Organization (PAHO) approved the
first Regional Plan of Action on Health in All Policies (Regional HiAP Plan), with a view to defining concrete
measures for implementation of this ambitious and innovative approach to public policies in the countries of the
Americas. With this initiative, the Region of the Americas is leading the way in implementation of the Global
Framework for Action at the Country Level on Health in All Policies (Global HiAP Framework) of the World
Health Organization (WHO), defined in January 2014.
Following the six strategic lines of action of the Global HiAP Framework, the Regional HiAP Plan proposes nine
objectives and 12 indicators for the 2014–2019 period. The indicators were formulated in 2014 through an open
and collective process of consultation in the countries of the Region, and at various meetings with experts, in
order to integrate a diversity of perspectives on and experiences with the intersectoral approach.
The objective of the Regional HiAP Plan indicators is to support the countries of the Region of the Americas in
assessing their state of preparation at the beginning of the Plan of Action (baseline) and determining what level of
progress toward HiAP they want to have achieved at the end of the five years (2019).
This document presents an analysis of the 12 indicators of the Regional Plan of Action with a view to facilitating
their application. Using an analytical framework for evaluating the intersectoral approach and HiAP based on a
review of experiences carried out in the Region (1, 2), we propose a typology for classifying the set of indicators
in terms of their contribution to advancing the HiAP approach at the country level, in order to determine the
specific characteristics of each indicator and the differences among them, as well as the coherence of the plan’s
set of indicators. This typology distinguishes four major groups of indicators with regard to key aspects of
plan implementation: generating an enabling environment for HiAP; characterizing current HiAP initiatives;
establishing monitoring and evaluation; and developing knowledge and capacities for work on HiAP.
This classification is intended to help each country define “its own path towards Health in All Policies,” selecting
the indicators that it wishes to use, “taking into account the social, economic, political, legal, historical, and
cultural challenges as well as current and future health challenges and priorities” (3).
The analysis of the indicators presented in this document is intended to strengthen the validity and reliability
in recording and monitoring at the local, national, and regional levels. The Regional HiAP Plan indicators for
the most part are process indicators formulated in terms of the number of countries in the Region with relevant
experiences on each strategic line of action of HiAP. In general, determination of these indicators requires making
judgments on the degree of progress on key requirements or elements, based on each country’s documentation and
reporting of the indicators it has chosen to implement as part of the monitoring process...
Translated title
Validación de los indicadores de implementación del Plan de Acción sobre la Salud en Todas las Políticas: Propuesta para su aplicación en los países
Subject
Category of PAHO Strategic Plan 2014-2019
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