Noncommunicable Diseases and Mental Health Surveillance and Monitoring Topics

alcoholic beverages




Cancer ribbon



Cardiovascular Diseases


Chronic Kidney Disease

sugar levels in blood



Disabilities and rehabilitation

brain - mind

Mental Health

basket with nutritious foods

All forms of malnutrition



person exercising

Physical Activity

car seat belt

Road Safety


Salt Reduction


Substance Abuse

no smoking

Tobacco Control


Profile of capacity and response to nNCDs and their risk factors in the Region of the Americas. Country Capacity Survey results


The rise in noncommunicable diseases (NCDs) is increasingly undermining sustainable development, especially in low- and middle-income countries which suffer the highest burden of disease. Over the past several decades, countries in the Americas have made important gains in economic and social development, as well as considerable progress in reducing vaccine preventable infectious diseases, undernutrition, access to potable water and sanitation, and improving maternal and child health outcomes. While this has resulted in overall improvements in population health, there are growing NCD-related challenges... This report is intended to call attention to the urgent need to accelerate national efforts and invest more resources to fulfill the NCD commitments. Countries in the Americas are called upon to scale up their efforts to prevent and control NCDs. If the status quo continues, the social, human and economic costs associated with NCDs will overwhelm our health systems and economies and challenge the Region's ability to successfully pursue the 2030 Sustainable Development Agenda.

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What is the Country Capacity Survey?

The Country Capacity Survey 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 as four modules:
  1. Public health infrastructure, partnerships and multisectoral collaboration
  2. Status of policies, strategies, and action plans
  3. Health information systems, surveillance, and survey on non-communicable diseases and their risk factors
  4. Capacity of the health system with regard to detection, treatment, and management of non-communicable diseases and their risk factors

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.
If you are the focal point coordinator of the survey and have been directed by the Ministry of Health of your country to complete the questionnaire, you can access it through this link:

The questionnaire is also available for visualization for other interested parties in the following link:
pdf Country Capacity Survey Questionnaire 2015 ENG


Click here to access the results tool

Why do we apply the Country Capacity Survey?

The Country Capacity Survey serves as a source of information to report progress on the implementation of different action plans to control and prevent noncommunicable diseases and risk factors. To achieve those commitments, it is important to monitor progress on the following indicators:

Previous results of the Country Capacity Survey

PanamSTEPS Manual

The PanamSTEPS Manual provides a complete overview, guidelines and supporting materials for countries wishing to undertake noncommunicable disease (NCD) risk factor surveys, using the WHO STEPwise approach to NCD risk factor surveillance. It is written in modular parts and follows the sequence of events required to implement a STEPS survey. The seven parts of the PanamSTEPS Manual include:

  1. Introduction and Roles
  2. Planning and Set Up
  3. Data collection
  4. Data Management and Analysis, Reporting and Disseminating Results
  5. STEPS Instrument
  6. Templates and Forms
  7. Glossary

Each of the seven parts is devided into sections, presented with an index to help readers find specific topics.

Download the Table of contents (in PDF)

The various roles and relationships involved in implementing the WHO STEPwise approach to surveillance are detailed in this section. It provides an overview of the relationships between all those involved in a PanamSTEPS survey, along with a detailed description of each of the roles and the key tasks associated with them.

Select the Part 1 link below to download the entire Part, or select each individual section from the list below:

(Return to TOC)

There are essential tasks which are needed during the planning and preparation of PanamSTEPS survey and they are described in-depth in this section of the manual. Scheduling data collection, adapting the Instrument, translating the materials and pilot testing are all covered in the first section. Sampling procedures are extensively covered in the second section, which provides sites with guidelines and tools for developing a sampling frame and sample design selection. The various activities needed for the actual preparation of the STEPS site and for data entry and analysis are included in the last three sections.

Click on Part 2 to download the entire Part or select each individual section from the list below:

This part provides training modules as well as training tips to supervisors and interviewers. Training and practical guides have been designed for data collection and data entry supervisors who will actually train their staff in those areas. Guides for collecting data for Step 1, 2 and 3 of the PanamSTEPS Instrument, as well as guides for data entry and data analysis are also available for relevant users.
Click on Part 3 to download the entire Part or select each individual section from the list below:

The data collection activities to be undertaken by supervisors and interviewers are detailed in the first section of this part, as well as methods for approaching the participants and recording results in the various types of forms. Sections two provides instructions on data entry, including specific suggestions for the management and supervision of the data entry process. In section three, instructions are given on how to prepare the data for analysis, which covers how to clean and weight the data. Section four reviews the tasks required to prepare survey reports and disseminate the findings of the survey. Section five provides archiving recommendations.

Click on Part 4 to download the entire Part or select each individual section from the list below:

This part includes the PanamSTEPS Instrument as well as the Question-by-Question Guide.

Click on Part 5 to download the entire Part below:

This part includes all the forms, templates and reports which are essential for all stages of the PanamSTEPS implementation ranging from the planning phase to the actual data dissemination.
Click on Part 6 to download the entire Part or select each individual section from the list below:

A glossary is available with the most common technical terms used in the PanamSTEPS manual, as well as list of references and key sources of information for the design of the PanamSTEPS survey.
Click on Part 7 to download the entire Part or select the individual section from the list below.

Noncommunicable Diseases and Mental Health Surveillance and Monitoring