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Implementing Joint External Evaluations of the International Health Regulations (2005) capacities in all countries in the WHO African region: process challenges, lessons learnt and perspectives for the future.
Fall, Ibrahima-Soce; Wango, Roland Kimbi; Yahaya, Ali Ahmed; Stephen, Mary; Mpairwe, Allan; Nanyunja, Miriam; Herring, Belinda Louise; Latt, Anderson; Mghamba, Janneth; Ndoungue, Viviane Fossouo; Yota, Daniel; Massidi, Christian; Diallo, Amadou Bailo; Ohene, Sally-Ann; Njuguna, Charles; Oke, Antonio; Kizerbo, Georges Alfred; Chamla, Dick; Yoti, Zabulon; Talisuna, Ambrose.
Afiliación
  • Fall IS; Neglected Tropical Diseases (NTDs), WHO Headquarters, Geneva, Switzerland.
  • Wango RK; Emergency Preparedness and Response Hub, WHO Regional Office for Africa, Dakar, Senegal.
  • Yahaya AA; AMR Unit, Office of the Assistant Regipnal Director, WHO regional Office for Africa, Brazzaville, Congo.
  • Stephen M; Emergency Preparedness and Response Cluster, WHO, Regional Office for Africa, Brazzaville, Congo.
  • Mpairwe A; Emergency Preparedness and Response Hub, WHO, Regional Office for Africa, Nairobi, Kenya.
  • Nanyunja M; Emergency Preparedness and Response Hub, WHO, Regional Office for Africa, Nairobi, Kenya.
  • Herring BL; Emergency Preparedness and Response Cluster, WHO, Regional Office for Africa, Brazzaville, Congo.
  • Latt A; Emergency Preparedness and Response Hub, WHO Regional Office for Africa, Dakar, Senegal.
  • Mghamba J; Health Division, Commonwealth Secretariat, London, UK.
  • Ndoungue VF; Emergency Preparedness and Response Cluster, WHO, Regional Office for Africa, Brazzaville, Congo.
  • Yota D; Emergency Preparedness and Response Hub, WHO Regional Office for Africa, Dakar, Senegal.
  • Massidi C; Emergency Preparedness and Response Hub, WHO Regional Office for Africa, Dakar, Senegal.
  • Diallo AB; Emergency Preparedness and Response Hub, WHO Regional Office for Africa, Dakar, Senegal.
  • Ohene SA; Emergency Preparedness and Response Programme, WHO, Ghana Country Office, Accra, Ghana.
  • Njuguna C; Health Emergecy Programme, WHO, Sierra Leone Country Office, Free Town, Sierra Leone.
  • Oke A; WHE Programme, WHO, Sudan Country Office, Juba, South Sudan.
  • Kizerbo GA; Liaison Office to the African Unions and the United Nations Economic Commission for Africa, WHO Regional Office for Africa, Addis Ababa, Ethiopia.
  • Chamla D; Emergency Preparedness and Response Cluster, WHO, Regional Office for Africa, Brazzaville, Congo.
  • Yoti Z; Emergency Preparedness and Response Cluster, WHO, Regional Office for Africa, Brazzaville, Congo.
  • Talisuna A; Liaison Office to the African Unions and the United Nations Economic Commission for Africa, WHO Regional Office for Africa, Addis Ababa, Ethiopia talisunaa@who.int.
BMJ Glob Health ; 8(10)2023 10.
Article en En | MEDLINE | ID: mdl-37802545
Following the West Africa Ebola virus disease outbreak (2013-2016), the Joint External Evaluation (JEE) is one of the three voluntary components recommended by the WHO for evaluating the International Health Regulations (2005) capacities in countries. Here, we share experience implementing JEEs in all 47 countries in the WHO African region. In February 2016, the United Republic of Tanzania (Mainland) was the first country globally to conduct a JEE. By April 2022, JEEs had been conducted in all 47 countries plus in the island of Zanzibar. A total of 360 subject matter experts (SMEs) from 88 organisations were deployed 607 times. Despite availability of guidelines, the process had to be contextualised while avoiding jeopardising the quality and integrity of the findings. Key challenges were: inadequate understanding of the process by in-country counterparts; competing country priorities; limited time for validating subnational capacities; insufficient availability of SMEs for biosafety and biosecurity, antimicrobial resistance, points of entry, chemical events and radio-nuclear emergencies; and inadequate financing to fill gaps identified. Key points learnt were: importance of country leadership and ownership; conducting orientation workshops before the self-assessment; availability of an external JEE expert to support the self-assessment; the skills, attitudes and leadership competencies of the team lead; identifying national experts as SMEs for future JEEs to promote capacity building and experience sharing; the centrality of involving One Health stakeholders from the beginning to the end of the process; and the need for dedicated staff for planning, coordination, implementation and timely report writing. Moving forward, it is essential to draw from this learning to plan future JEEs. Finally, predictable financing is needed immediately to fill gaps identified.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Pública / Salud Global Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: BMJ Glob Health Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Pública / Salud Global Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: BMJ Glob Health Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido