A Global Agenda for 2025–2028: Promoting, Delivering, and Protecting Health «Part Twelve»

Outcome indicators have also been updated to better track coverage of essential health services and progress in improving financial protection, as well as to monitor progress in climate change and health, mental health, disability, physical inactivity, and missed care. Indicators have also been improved to better measure operational readiness and emergency health response, based on lessons learned from the COVID-19 pandemic.

Additional WHO tools used to accelerate and translate results at the country level include WHO’s “Delivering for Impact” approach (see Section 3 below) and country impact stories (see Box 3). Country impact stories provide qualitative assessment and review of results at the country level and complement output indicators and the Output Scorecard.

In addition to the Secretariat’s annual reporting on GPW 14 results (i.e., in WHO Results Reports), organizational learning and evaluation approaches will also be used to provide insights into opportunities to improve results-based management during GPW 14. This may include developmental or programme evaluations.

Box 3 – Building on GPW 13: Strengthening Results Measurement in the WHO Results Framework
New impact and outcome indicators (HALE and the Triple Billion targets) were introduced in the WHO Results Framework under GPW 13 to track the joint efforts of Member States, the WHO Secretariat, and partners, and to accelerate progress towards health-related Sustainable Development Goals and GPW 13 targets.

In consultation with Member States, the Triple Billion targets for GPW 14 have been recalibrated to account for changes in health and to improve impact measurement for 2025–2028. This was based on lessons learned from GPW 13 and its independent evaluation, as well as recommendations from recent assessments. Reforms to WHO Results Framework measurement components and related tools to accelerate and translate results include:

Impact and outcome measurement:
a. HALE monitoring: HALE will continue to serve as the main impact metric for GPW 14.
b. Recalibrated Triple Billion targets: These targets are set as absolute population coverage by 2028. Initial targets include:

• 6 billion people with better health and well-being;

• 5 billion people benefiting from universal health coverage without financial hardship;

• 7 billion people better protected from health emergencies.
  c. Updated outcome indicators: The Triple Billion targets and GPW 14 outcome indicators ensure continuity with the SDGs and have been updated to consider the impact of climate change on health, physical activity, mental health, and missed health care. These indicators will also monitor disaggregated dimensions such as sex and geography. The focus is on indicators with readily available data that are linked to health outcomes. For indicators with less reliable estimates, efforts focus on improving measurement and/or defining new indicators that are easily trackable.

Output measurement and WHO tools for accelerating and translating results:
d. Enhanced WHO Output Scorecard: The scorecard has been revised and simplified based on past experiences and the evaluation of WHO’s results-based management framework to include internal and external assessments, simplified tools, and a streamlined user interface. Key performance indicators will inform output reporting across all main offices.

e. Expansion of the “Delivering for Impact” approach: WHO will expand the use of the “Delivering for Impact” approach in GPW 14, integrating dashboards and tools such as inventory reviews to accelerate progress on selected country priorities.

f. Simplifying production and use of country impact stories: In response to growing demand, an annual mechanism for producing country impact stories has been introduced, where Member States share both successful and less successful efforts to accelerate progress on national priorities. Rapid learning mechanisms will be expanded with country offices.

Given that accurate and timely monitoring and reporting on health and health inequalities are essential for GPW 14’s success, WHO will significantly increase its support to countries in this area.