Joint External Evaluation (JEE) of IHR Core Capacities

Transcription

1 (JEE) of IHR Core Capacities Zanzibar 24 th 28 th April 2017 Dr. Mugo Muita Health Security and Emergencies

2 Background IHR monitoring and joint external evaluation Since June 2007, countries are strengthening their core capacities required for the implementation of International Health Regulations (IHR) (2005). Various countries, international organizations, partners and donors are supporting the implementation of IHR capacities. Under Article 54 of the IHR (2005), countries were annually self-reporting their implementation status to the World Health Assembly. IHR review committee and various experts panels recommended the review of events and voluntary independent external evaluation. WHO developed the tool based on various available tools like IHR monitoring questionnaires, Global Health Security Agenda (GHSA) assessment tools and others. 2

3 The JEE tool: overview February 2016, WHO developed the tool. The JEE tool consists of 19 technical areas. The JEE tool assesses country capacity under the IHR (2005) to prevent, detect and rapidly respond to public health threats whether occurring naturally or due to deliberate or accidental events. The JEE tool can be used for internal self-assessment or external evaluation. 3

4 The JEE Tool: 19 Technical Areas 4

5 The JEE Tool: Outcomes JEE tool specifically helps to: Determine the baseline capacity; gaps and needs Inform the development of implementations plans/roadmaps Measure progress - across the IHR Core Capacities Highlight gaps and needs for current and prospective donors and partners Inform country level planning and priority setting 5

6 JEE Process 1. Voluntary External Evaluation: openness, transparency 2. Peer to peer review, not an audit or inspection 3. Multi-sectoral-includes: agriculture, wildlife, security, others, both within host country and on external team 4. Field visits support and inform technical area discussions 5. Integration: supports findings from other assessments 6. Prioritized actions 7. Final Report (presented to Host Country in 2 weeks) 8. A common platform published on web; domestic funding, donor support, international support 6

7 The JEE Final Report 1. Focus is on end user needs: establishing baseline and next steps to strengthen capacity in each technical area a) Scores b) Strengths and best practices c) Areas which need strengthening/challenges d) 3-5 priority actions for each technical area 2. Final report is typically provided to host country for review within 2 weeks of the completion of the mission 3. Evaluation results ideally openly available and posted online 7

8 About 100 acute public health events annually Annually: 105 public health events 82 (78%): Infectious diseases 18 (17%): Disaster 4 (4%): Chemical 8

9 Recent outbreaks Ebola (Crisis) Marburg Yellow fever Lassa fever Zika virus disease 10

10 Ebola Crisis!! A reminder that there is need to urgently support building core IHR capacities-preparedness, alert, early detection, and response Over cases and over deaths 11

11 Pilot JEE (Uganda) AFRO - JEE JEE conducted (Tanzania, Ethiopia, Liberia, Eritrea, Sierra Leone, Morocco, Mauritania, Namibia and Ghana, Zanzibar) Requests (Botswana, Cameroun, Guinea, South Africa, Swaziland, Uganda) 13

12 Example - Grading-PREVENT Capacities Indicators Final Score National Legislation, Policy and Financing IHR Coordination, Communication and Advocacy P.1.1 Legislation, laws, regulations, administrative requirements, policies or other government instruments in place are sufficient for implementation of IHR. P.1.2 The state can demonstrate that it has adjusted and aligned its domestic legislation, policies and administrative arrangements to enable compliance with the IHR (2005) P.2.1 A functional mechanism is established for the coordination and integration of relevant sectors in the implementation of IHR Antimicrobial Resistance P.3.1 Antimicrobial resistance (AMR) detection 1 P.3.2 Surveillance of infections caused by AMR pathogens P.3.3 Healthcare associated infection (HCAI) prevention and control programs P.3.4 Antimicrobial stewardship activities 2 1 3

13 Zanzibar JEE April 24-28, 2017 High level government support Active and transparent participation Field visits - Government ownership of preliminary findings 16

14 Zanzibar JEE Field visits Pemba Unguja Wete - Team One Mkoani / Cheke Cheke Team One 1. Mkoani Seaport and isolation 1. Wete seaprt centre 2. Wete Hospital/Isolation c. /Lab 2. Vitongoji Cottage hospital 3. Wingwi Isolation Centre and lab 3. PHL 4. DHMT 4. Airport 5. Plane to Unguja Team One (Both Teams to EOC) Team Two 1. Zonal Office 1. Fuoni Isolation 2. Airport 2. Chumbuni PHCU CTC 3. Seaport 3. Vet lab 4. Mnazi Mmoja 4. Government Chemist 5. ZFDB 5. Ware house 17

15 Zanzibar JEE team composition WHO o AFRO o Nigeria, S. Leone, Uganda, Ethiopia, US CDC Tanzania (Observer); Nigeria (Evaluator) FAO (1 Team Lead, 1 Evaluator) Member states (Kenya, Pakistan, Sweden) Tanzania mainland Observer 18

16 Zanzibar JEE - Findings Report Expected in less than 2 weeks (before May 12, 2017); Share with authorities to sign off in 1-2 weeks after receiving the report 19

17 Zanzibar- Immediate Next Steps Finalize JEE draft report & send it back for country comments in 2 weeks Country to provide comments & send back to JEE external team with in 1-2 weeks of receipt of draft report JEE external team to finalize final report within 1 week of receiving comments from the country Disseminate and publish JEE report in consultation with national authorities Develop and Finalize a costed National Action Plan for Health Security, anchored on the OH approach, aligned with sector strategies & based on a whole of government, whole of society approach, Q3/Q

18 Thank you