Attachments
executive summary
The Pan American Health Organization (PAHO), as the specialized public health agency of the Inter-American system, is the focal point of efforts to control diseases, respond to emergencies and disasters, and strengthen national and regional health systems. To highlight efforts in these areas and amplify regional achievements, PAHO has adopted a Results-Based Management (RBM) approach throughout its organization since its 2008-2012 Strategic Plan (SP) and published the RBM Framework in 2010.
Given these progress toward more comprehensive integration and utilization of RBM in PAHO’s portfolio of work, PAHO proceeded to evaluate its RBM efforts to determine accomplishments and challenges to date, and to identify useful and strategic recommendations to advance RBM efforts more effectively and efficiently.
Aims and goals
This report is the first comprehensive external evaluation of the PAHO RBM Framework. It was commissioned to examine the implementation of RBM, including its functioning, its added value to PAHO's work, good practices and lessons learned, and details of areas that can be improved. The evaluation covered all four elements of the RBM Framework (1 – Strategic and Operational Planning; 2 – Implementation, Performance Monitoring and Evaluation; 3 – Independent Evaluation and Learning; 4 – Accountability) and covered the period from January 2008 to December 2022 at all levels of the PAHO organization (regional, subregional and country offices).
The specific objectives of the evaluation are to:
Objective 1: Document key achievements, good practices, facilitators, challenges, gaps, obstacles, room for improvement and lessons learned in the implementation of RBM.Objective 2: Identify challenges and opportunities to foster a results-oriented culture and improve decision-making capacity in PAHO.Objective 3: Develop actionable recommendations to improve the implementation and use of RBM at the three levels of PAHO (national, regional and local) and key partners.Objective 4: Draw constructive lessons learned that can inform PAHO's 2026-2031 SP.
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