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Health Surveillance and Disease Management / Noncommunicable Diseases

PanAmerican STEPS, the PAHO/WHO Stepwise Approach to Chronic Noncommunicable Disease Risk-Factor Surveillance


The PAHO/WHO Stepwise Approach to Risk-Factor (RF) Surveillance (PanAmerican STEPS) is a simple, standardized method for collecting, analyzing, and disseminating RF data in Member Countries.

As the Regional Office of WHO in the Americas and in collaboration with WHO Headquarters in Geneva, PAHO has adapted the original STEPS methodology and produced the PanAmerican STEPS instrument and methodology to respond to the needs of the Region. By using the same standardized questions and protocols, all countries can use STEPS information, not only for monitoring trends within the country, but also for making comparisons across countries. The approach encourages the collection of small amounts of useful information on a regular and continuing basis. The methodology offers the instrument itself, a detailed Manual, and software support for data entry, data processing, and reporting.

The PanAmerican Stepwise Approach to Risk-Factor Surveillance (PanAm STEPS) is currently available in both Spanish and English (in PDF):

English español
Pan American Version of STEPS (PanAm STEPS) Versión panamericana de STEPS (STEPS Panamericano)

PAHO is offering technical support to the countries on how to use the PANAMERICAN STEPS methodology.

Regional Office for the Americas of the World Health Organization
525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663

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