Evaluation of the Pan American Health Organization Technical Cooperation in Noncommunicable Disease Prevention and Control in the Americas

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The overall purpose of the evaluation was to determine the level of results attainment and performance for NCD prevention and control. The evaluation’s three objectives included documenting key achievements and challenges, examining enabling and limiting factors, and providing lessons learned and evidence-based recommendations. The scope of the evaluation was determined by the scope of the POA and covered the period from 2013 and the region of the Americas including the sub-regions of the Caribbean, Central America, and South America.

The evaluation was conducted from July 2022 to March 2023 using a mixed methods approach. Existing indicator data was reviewed and analyzed. Primary data was collected through key informant interviews and surveys of Non-State Actors in official relations with PAHO and PAHO Collaborating Centers. A total of 231 key informants were interviewed including in “deep dives” conducted in three countries, Costa Rica, Paraguay, and Trinidad and Tobago. Each “deep dive” was conducted by a two-person team made up of one of the members of the evaluation core team and an in-country consultant. These “deep dives” allowed a wider range of key informants to be interviewed in these countries than in others. Analysis of findings was conducted by the core team through meetings and reviewing and commenting on draft sections. Different core team members took responsibility for particular sections of the report.