A Global Agenda for 2025–2028: Promoting, Delivering, and Protecting Health «Part Eleven»
Public health needs will be rapidly assessed to provide a basis for adapting the essential health and nutrition service package across the entire continuum of care during a crisis and for monitoring coverage over time.
Special attention will be given to ensuring continuity of sexual and reproductive health services and responding to the needs of vulnerable or marginalized populations, including women and children, and people living with noncommunicable diseases, disabilities, and mental health conditions.
Strong coordination mechanisms will be implemented to support critical functions, including equitable allocation and rapid access to medical countermeasures, supply chain management, and the planning and financing of health clusters, with specific provisions to sustain collective public health interventions during protracted crises and throughout the recovery phase.
Particular emphasis will be placed on maintaining routine health services and systems during crises to ensure continued equitable access to health care, alongside early recovery planning to build back better.
The World Health Organization will further strengthen its leadership of the Global Health Cluster to implement comprehensive public health needs assessments as a basis for developing, financing, and managing targeted response programmes in support of Member States.
Systematic monitoring of attacks on health care during crises will remain essential for developing effective prevention strategies, protecting health workers, and ensuring access to essential care.
These combined efforts aim to respond to the continually growing humanitarian needs, ensuring that no one is left behind and that health for all remains a core priority, especially for vulnerable and marginalized populations.
GPW 14 Results Framework
The GPW 14 Results Framework consists of two parts:
(a) the overall results chain (inputs, activities, outputs, outcomes, and impact); and
(b) results measurement.
The GPW 14 Results Framework underpins the WHO’s biennial programme budget, which is the Organization’s primary accountability mechanism. The results chain links the work of the Secretariat (outputs) to the health and development changes it brings about at country, regional, and global levels (outcomes and impact).
The underlying logic of the results chain builds on GPW 12 and GPW 13. Outputs are the responsibility of the Secretariat and include WHO’s global health leadership, normative and data functions, technical assistance, and operational products and services. These are delivered to influence, enable, and accelerate the collective actions required by Member States, the Secretariat, and partners to achieve the shared outcomes and strategic objectives of GPW 14, as well as WHO enabling functions.
Member States, the Secretariat, and partners share responsibility for achieving the GPW 14 shared outcomes, which include expanding health service coverage, reducing health-related risks, or strengthening core health system capacities. Outcomes contribute to the intended impact: improved health and well-being of all people at the country level, including reductions in morbidity and mortality.
The results measurement component of the WHO Results Framework is used to assess and measure results at output, outcome, and impact levels. For GPW 14, the measurement components have been enhanced, drawing on lessons learned from GPW 13 and its independent evaluation. Outputs represent the Secretariat’s specific contributions to shared and organizational outcomes and are measured using a combination of output indicators and the Output Scorecard.
Output indicators also link outputs to shared outcomes. The Output Scorecard is a composite indicator, first introduced in GPW 13 and updated in GPW 14, to better measure WHO Secretariat accountability for results and performance across five dimensions:
(a) health leadership;
(b) global public health goods;
(c) technical assistance and operational support;
(d) gender, equity, and the right to health;
(e) value for money.
A sixth dimension of the Scorecard includes leading output indicators that act as a bridge between outputs and outcomes and also provide quantitative measurement of outputs.
For GPW 14, forty-six GPW 13 outcome indicators, including health-related Sustainable Development Goals and relevant World Health Assembly resolutions, have been mapped to the GPW 14 shared outcomes and complemented with additional indicators to reflect new areas of work and national and international targets. This creates a shared approach to impact measurement that can be used at country level and by participating organizations and entities (see annex).
Progress on gender equality and health equity will be tracked through the collection and analysis of data disaggregated by sex, age, and other indicators that reflect potential vulnerabilities, such as disability.
To facilitate focused global impact measurement, the “triple billion” indicators and targets have been recalibrated and updated (see Box 3). The updated targets—measured in billions of people—set a shared ambition for all those who need better health and well-being, access to universal health coverage without financial hardship, and protection from health emergencies, helping to put health-related Sustainable Development Goals back on track through GPW 14.
