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facesThe Health Services and Access Unit, Health Systems and Services Department, is responsible for the technical support for the PAHO Member States for issues related to policies, systems, and health services. The aim of its work is to promote the development and strengthening of health systems in the countries of the Region, promoting progress towards universal health and taking as central the right to health, equity and solidarity.

Strategic approach

The technical cooperation work of the Health Services and Access Unit (HSS/HS) is planned according of the Strategy for Universal Access to Health and Universal Health Coverage (Res .CD53.R14) in the region of the Americas. This strategy articulates the conditions that enable countries to guide and evaluate their policies and measure progress around four simultaneous and interdependent lines of action, and are the following:

  • Expanding equitable access to comprehensive, quality, people- and community-centered health services
  • Strengthening stewardship and governance
  • Increasing and improving financing, with equity and efficiency, and advancing toward the elimination of direct payment that constitutes a barrier to access at the point of service
  • Strengthening intersectoral action to address the social determinants of health


Governance, stewardship and financing in health: policies, strategies and action plans

  • Governance, stewardship and regulation
  • Health Financing
  • Analysis, monitoring and evaluation

Integrated, people-centered, and quality health services

  • Organization and management
  • Health care models
  • Integrated health service delivery networks
  • Quality
  • Resilient health systems

icon-link-100pxRelevant links

Pan American Journal of Public Health - Special Section on Equity in Health Systems

Public Health in the Americas: Conceptual Renewal, Performance Assessment, and Bases for Action

Health Economics and Financing

Health Policies and Plans

Integrated Health Service Delivery Networks

- Health Accounts / Health Satellite Accounts

Health Services Organization and Management

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icon-gavel-100pxResolutions and Mandates