|General EPHF Performance in the Region of the Americas|
The results obtained from the EPHF measurements in the 41 countries of the Americas were analyzed and grouped according to the averages obtained for each of the eleven EPHF. These general results and conclusions are founded on an objective and comprehensive self-evaluation, but cannot be interpreted as a completed analysis or discussion.
Rather, the results open the door to further debate among the different actors that participated in the measurement exercise as well as for the elaboration of plans to strengthen public health in each country.
The graph below represents the generalized regional results of the EPHF performance.
The best relative performance, under the 70% performance standard established for this evaluation, was observed for the following functions:
• Reduction of the impact of emergencies and disasters on health (EPHF 11)
• Public Health Surveillance (EPHF 2)
The following functions performed at a mid-superior level:
• Monitoring, evaluation, and analysis of health status (EPHF 1)
• Evaluation and promotion of equitable access to necessary health services (EPHF 7)
• Development of policies and institutional capacity for public health planning and management (EPHF 5)
• Health Promotion (EPHF 3)
The following functions performed at a sub-intermediate level:
• Social participation in health (EPHF 4)
• Strengthening of public health regulation and enforcement capacity (EPHF 6)
The following functions performed at a poor level:
• Quality assurance in personal and population-based health services (EPHF 9)
• Human Resources development and training in public health (EPHF 8)
• Research in Public Health (EPHF 10)
In general, these results demonstrate that EPHF that are part of the tradition of public health perform the best (EPHF 2 and 11). In contrast, functions that were more recently developed such as quality assurance (EPHF 9) performed poorly as they require the region to perform a comprehensive review of its public health performance and its ability to address current sanitary and management challenges. One noteworthy result is the poor performance seen in EPHF 8, Human Resources development. This is of great concern, as this function is crucial to the strengthening of public health and of the NHA’s institutional capacity.
Regional Office for the Americas of the World Health Organization