The NCD Country Capacity Survey (CCS) is the main instrument used to monitor country progress on the NCD commitments. It provides information on the status of country NCD policies, guidelines and programs, and the health system capacity to response to NCDs. This interactive tool provides the results of the 2017 CCS, in a visual manner with charts, maps and tables, and features which allow the user to explore data for each topic, by country, subregion or region.
What is the Country Capacity Survey?
It assesses the country's capacity for responding to noncommunicable diseases. It is a self-administrated questionnaire that countries in the Americas complete every two years. It is structured in four modules: 1. Public health infrastructure, partnerships and multisectorial collaboration for NCDs and their risk factos 2. Status of NCD-relevant policies, strategies and action plans 3. Health information systems, monitoring, surveillance and surveys for NCDs and their risk factors 4. Capacity for NCD early detection, traetment and care within the health system
How to apply the survey
The online questionnaire is completed by a focal point coordinator, designated by the Ministry of Health of each country. The coordinator should consult with the relevant areas and will be provided with a user name and password to access the survey.
Reports
Profile of capacity and response to NCDs and their risk factors in the Region of the Americas (2015)
The NCD Country Capacity Survey (CCS) is the main instrument used to monitor country progress on the NCD commitments. It provides information on the status of country NCD policies, guidelines and programs, and the health system capacity to response to NCDs. This interactive tool provides the results of the 2017 CCS, in a visual manner with charts, maps and tables, and features which allow the user to explore data for each topic, by country, subregion or region.
PanamSTEPS is a step-by-step method used for recollecting, analyzing and publish basic information to surveille risk factors and noncommunicable diseases. PAHO, in collaboration with Geneva WHO headquarters, adapted the original STEPS methodology and created Panamerican STEPS (STEPS PanAm), a tool and methodology that respond to the region's needs. Its implementation is recommended every 4 to 5 years.
How is it applied?
PanamSTEPS has three levels of "steps" of risk factor assessment:
1. Application of questionnaire
2. Physical measurements
3. Biochemical measurements
These three steps contain minimum basic data to surveille noncommunicable diseases. It is sufficiently flexible to allow each country to expand on the core variable and risk factors, and to incorporate optional modules related to local or regional interests.
- Manual: PanamSTEPS provides instructions and support material for countries that want to start the process of surveilling risk factors using STEPS approach for risk factors and chronic diseases.
- eSTEPS: It is an electronic tool to collect data for the PanamSTEPS approach. The app is currently available for the Android operating system. eSTEPS provides the following benefits:
- immediate error-checking during data collection
- ability to track fieldwork progress in real time
- ability to send data to centralized server as it is collected
- fewer materials to be carried by data collectors
- no data entry needed
- eSTEPS app can be downloaded from Google Play Store or clicking here
Why apply this tool?
PanamSTEPS was designed to help countries to build and strengthen their capacity to conduct surveillance. Similarly, PanAm STEPS serves as a harmonizing tool to collect and display data throughout the Region in a unifying way.
The Global School-based Student Health Survey (GSHS) is a collaborative surveillance project designed to help countries measure and assess the behavioural risk factors and protective factors in 10 key areas among young people aged 13 to 17 years. The GSHS is a relatively low-cost school-based survey which uses a self-administered questionnaire to obtain data on young people's health behaviour and protective factors related to the leading causes of morbidity and mortality among children and adults worldwide.
The GSHS provides accurate data on health behaviors and protective factors among students to help countries develop priorities, establish programs, and advocate for resources for school health and adolescent health programs and policies; allow international agencies, countries, and others to make comparisons across countries regarding the prevalence of health behaviors and protective factors; and establish trends in the prevalence of health behaviors and protective factors by country for use in the evaluation of school health and youth health promotion.
The GSHS uses a standardized scientific sample selection process; common school-based methodology; and core questionnaire modules, core-expanded questions, and country-specific questions that are combined to form a self-administered questionnaire which can be administered during one regular class period.
The 10 core questionnaire modules address the leading causes of morbidity and mortality among 13-17 year-old students worldwide: alcohol use, dietary behaviors, drug use, hygiene, mental health, physical activity, protective factors, sexual behaviors, tobacco use and violence and unintentional injury.
Resources
- GSHS Overview
- Core Questionnaire Modules
- Core-Expanded Questions
- Core Module Rationale
- GSHS Data Policy
GSHS related sites
- World Health Organization (WHO)
- Centers for Disease Control and Prevention (CDC)
An internet based tool that provides information on alcohol and health. It operates as one single data source with standard data collection and data quality assessment techniques to harmonize the global and regional information systems on alcohol and health. The tool includes more than 180 alcohol-related indicators which are routinely enhanced to address the full scope of issues related to alcohol and health.
The purpose of GISAH is to strengthen the association between monitoring, policy development, and evaluation. This is the main tool used for surveilling the application of the global strategy to reduce harmful alcohol consumption at global, regional and country levels.
The data is collected through a survey (online or on paper) in each Member State, every 2-3 years, which is responded by appointed focal points (national counterparts) on alcohol at the Ministry of Health. Other data sources are also used, including information from economic operators, the United Nations Population Division, World Bank, FAO, data from national surveys (such as STEPS, GSHS), experts and systematic reviews of the literature. The data entered in the system is also validated by Member States.
Reports based on GISAH:
Regional Status Report on Alcohol and Health in the Americas 2015
Regional Status Report on Alcohol and Health in the Americas 2015 - summary
Global Status Report on Alcohol and Health 2014
Country Profiles:
- Antigua and Barbuda
- Argentina
- Bahamas
- Barbados
- Belize
- Bolivia
- Brazil
- Canada
- Chile
- Colombia
- Costa Rica
- Cuba
- Dominica
- Dominican Republic
- Ecuador
- El Salvador
- Grenada
- Guatemala
- Guyana
- Haiti
- Honduras
- Jamaica
- Mexico
- Nicaragua
- Panama
- Paraguay
- Peru
- Puerto Rico
- Saint Kitts and Nevis
- Saint Lucia
- Saint Vincent and the Grenadines
- Trinidad and Tobago
- United States of America
- Uruguay
- Venezuela
Global Status Report on Alcohol and Health 2011
Global Status Report on Alcohol and Health 2004
Mandates
Plan of Action to Reduce Harmful Use of Alcohol 2011
Brasilia Declaration on Alcohol Public Policies 2005
It provides up-to-date information about existing availability of mental health services and resources. The questionnaire is compiled every 2 years by focal points of each Member State and completed with the support of PAHO mental health focal points. It requires methodological and administrative steps that WHO and PAHO coordinate:
Production and pilot test of the questionnaire:
Selection of indicators is based on a mutual collaboration between PAHO and Member States, as well as experts in mental health. A questionnaire draft is used as a pilot test in two countries and sent to advisors and other experts for feedback. Later on, it is modified according to the feedback received. A final guide standardizes terms and definition of resources so that they are understood by all subjects surveyed.
Dissemination and presentation of the questionnaire:
PAHO/WHO request Health Ministries and other related ministries to appoint a focal point responsible for completing the Mental Health Atlas Questionnaire. The focal point contacts other experts in the field to gather relevant information for the questionnaire. PAHO/WHO is always available to answer possible questions or additional guidance to help focal points answer the questionnaire.
Interpreting, refining and data analyzing:
When the questionnaire is completed, there is a revision for incomplete or inconsistent answers. To ensure high-quality data, subjects that have been surveyed are contacted for clarification and their answers might be edited. Upon reception of final questionnaires, the data is processed, analyzed and reported to WHO/PAHO and World Bank Group of Income.
Mandates and Strategies
Mental Health Atlas 2017 Questionnaire
Publications
Mental Health Atlas of the Americas - 2015
This tool aims to evaluate road safety on all State Members and the implementation of basic road safety indicators, as well as identifying gaps and key interventions on the subject. It is also a way of monitoring national and international progress towards the UN Decade of Action for Road Safety (2011-2020).
Implementing the survey implies serval steps:
- The Member State identifies a National Data Coordinator (NDC), who will participate in a regional training about the tool methodology. The NDC will then identify a maximum of 8 experts in road safety from different sectors (education, health, transportation, police, NGOs, etc.) and invite them to participate in the survey.
- The NDC should compile complete copies of all national legislation on road safety that covers the 7 risks and prevention factors and present this documentation to PAHO/WHO for revision and analysis.
- Participators of the survey receive a copy of the questionnaire and are asked to complete it to join in a consensus meeting, organized by the NDC. on the meeting, answers are used to complete the final questionnaire of the country.
- The final questionnaire data are validated in the regional offices and later on uploaded to the WHO online data base.
- PAHO/WHO send NDC an approval sheet that summarizes national data, which is in turn sent to relevant sectors.
- NDC should collect all legislative information that will be reviewed by an attorney.
General information
Fact sheet: Road safety in the region of the Americas - 2013
Pedestrian safety fact sheet
Mandates
Brasilia Declaration on road safety - 2015
Plan of Action on road safety - 2011
Plan of Action on road safety Resolution - 2011
Regional Reports
Road safety in the Americas - 2016
Report on road safety in the region of the Americas - 2015
- Argentina
- Bahamas
- Barbados
- Belize
- Bolivia
- Brazil
- Canada
- Chile
- Colombia
- Costa Rica
- Cuba
- Dominica
- Dominican Republic
- Ecuador
- El Salvador
- Guatemala
- Guyana
- Honduras
- Jamaica
- Mexico
- Nicaragua
- Panama
- Paraguay
- Peru
- Saint Kitts and Nevis
- Saint Lucia
- Saint Vincent and the Grenadines
- Trinidad and Tobago
- United States of America
- Uruguay
- Venezuela
Report on road safety in the region of the Americas - 2013
Report on road safety in the Americas - 2009 (SPA)
A nationally representative, self-administered, school-based survey of students in grades associated with 13 to 15 years of age. GYTS uses a globally standardized methodology and a core questionnaire that is designed to produce cross-sectional estimates for each country with a global standard for systematically monitoring youth tobacco use (smoking and smokeless) and tracking key tobacco control indicators.
GYTS is an important tool to assist countries in supporting WHO MPOWER, a package of six evidence-based demand reduction measures contained in the WHO Framework Convention on Tobacco Control (FCTC). The results from the GYTS assist countries in enhancing their capacity to design, implement, and evaluate tobacco control interventions.
The GYTS, launched in 1999, is one of the largest public health surveillance systems. It has been active in more than 188 countries/sites and is implemented every 5 years. In the Region of the Americas, the GYTS has been carried out at least with a national representativeness in 32 of the 35 PAHO's member states.
Manuals
- Core Questionnaire with optional questions
- Sample design and weights
- Implementation and instructions
- Analysis and reporting package
- Data dissemination guidance
- EPI info 7 course
- Data release policy
- Indicator definitions
Implementation
- Objectives Agenda
- GYTS Overview
- Questionnaire adaptation
- Survey implementation/li>
- Proposal development
GYTS Factsheets Search
GATS is a nationally representative household survey of adults 15 years of age or older that is intended to enhance the capacity of countries to design, implement and evaluate tobacco control interventions such as the WHO MPOWER, a package of six evidence-based demand reduction measures contained in the WHO Framework Convention on Tobacco Control (FCTC).
As a global standard for systematic monitoring of adult tobacco use, it tracks key tobacco control indicators and uses a standard core questionnaire, sample design, and data collection and management procedures. All the standardize components and procedures were reviewed and approved by international experts. GATS is designed to produce national and sub-national estimates among adults across countries and should be applied by countries every 5 years.
Manuals
- 1. Process chart
- 2. Country engagement
- 3. Implementing agency selection guidelines
- 4. Proposal development guidelines
- 5. Implementation instructions
- 6. Core questionnaire with optional questions
- 7. Question by question specifications
- 8. Sample design manual
- 9. Sample weights manual
- 10. Field interviewer manual
- 11. Field supervisor manual
- 12. Mapping and listing manual
- 13. Programmer's guide to GSS
- 14. Core questionnaire programming specifications
- 15. Data management implementation plan
- 16. Data management training guide
- 17. Quality assurance
- 18. Analysis package
- 19. Data release policy
- 20. Data dissemination
Related links
- GATS Atlas
- WHO web for Global Adult Tobacco Atlas (GATS)
A set of questions on tobacco taken from the Global Adult Tobacco Survey (GATS) to be included in national health surveys or multiple risk factor surveys. It aims to improve survey comparability over time and harmonize international tobacco surveillance and monitoring activities. The use of standardized questions worldwide can greatly enhanced the capacity of all stakeholders for monitoring and comparing trends in tobacco use and tobacco control intervention, leading to quality estimates at country, regional and global level.
TQS consists in a set of 22 questions:
- The first three questions that quantifies tobacco smoking prevalence are the highest priority measures and should be included in all surveys to measure tobacco use. These allow the collection of information in response to built indicators established on the Global Monitoring Framework for the Global Action Plan for Prevention and control of NDC 2013 - 2020 and on Sustainable Development Goals.
- The other 19 questions cover additional key topics related to tobacco use and policies to respond WHO MPOWER, a package of six evidence-based demand reduction measures contained in the WHO Framework Convention on Tobacco Control (FCTC).
The report is a unique and comparable set of global data about tobacco consumption, its impact on the population and on the economy of nations, as well as a review of actions countries, have taken to fight tobacco epidemic, emphasizing those that have been proven more efficient. WHO defined 6 measures known as MPOWER:
The tool aims to respond to the globalization of the tobacco epidemic. Member States that have signed the Convention compile voluntary submission of information about the use of guidelines to reduce tobacco use. It is a standardized survey that is completed every two years, 6 months before the COP session.
It includes:
- A core questionnaire
- Basic health indicators and tobacco consumption
- Prevalence of tobacco use, exposition to tobacco smoke and taxing and farming of tobacco
- Policy, legislation and regulation
- Cooperation and international colaboration
- Voluntary additional questions
Documents
- The Convention
- WHO FCTC Overview
- Rules of Procedure
- Sessions of the Conference of the Parties: COP1, COP2, COP3, COP4, COP5, COP6, COP7
- United Nations Treaty Section
- Implementation database and updates from Parties
Links
- WHO web for FCTC
- Framework Convention Alliance