She serves as the Director of the Pan American Health Organization (PAHO) and Regional Director for the Americas of the World Health Organization (WHO) (2018-2023).[1][2] She is currently in her second fiver-year term as PAHO director having been re-elected by the Pan American Health Organization member states during the Pan American Sanitary Conference in September 2017. In January of 2018 she was named Regional Director for the Americas for the World Health Organization by its Executive Board based in Geneva.[3] She is an advocate for universal health coverage.[4]