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Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania
The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with M...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5873533/ https://www.ncbi.nlm.nih.gov/pubmed/29607098 http://dx.doi.org/10.1136/bmjgh-2017-000600 |
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author | Mghamba, Janneth M Talisuna, Ambrose O Suryantoro, Ludy Saguti, Grace Elizabeth Muita, Martin Bakari, Muhammad Rusibamayila, Neema Ally, Mohamed Bernard, Jubilate Banda, Richard Mapunda, Maximillian Eidex, Rachel Sreedharan, Rajesh Sliter, Karen Nikkari, Simo Saikat, Sohel Lolong, Glenn P M Verboom, Paul Yahaya, Ali Ahmed Chungong, Stella Rodier, Guenael Fall, Ibrahima Soce |
author_facet | Mghamba, Janneth M Talisuna, Ambrose O Suryantoro, Ludy Saguti, Grace Elizabeth Muita, Martin Bakari, Muhammad Rusibamayila, Neema Ally, Mohamed Bernard, Jubilate Banda, Richard Mapunda, Maximillian Eidex, Rachel Sreedharan, Rajesh Sliter, Karen Nikkari, Simo Saikat, Sohel Lolong, Glenn P M Verboom, Paul Yahaya, Ali Ahmed Chungong, Stella Rodier, Guenael Fall, Ibrahima Soce |
author_sort | Mghamba, Janneth M |
collection | PubMed |
description | The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with Member States in 2015 with one mandatory component, that is, States Parties annual reporting to the World Health Assembly (WHA) on compliance and three voluntary components: Joint External Evaluation (JEE), After Action Reviews and Simulation Exercises. In February 2016, Tanzania, was the first country globally to volunteer to do a JEE and the first to use the recommendations for priority actions from the JEE to develop a National Action Plan for Health Security (NAPHS) by February 2017. The JEE demonstrated that within the majority of the 47 indicators within the 19 technical areas, Tanzania had either ‘limited capacity’ or ‘developed capacity’. None had ‘sustainable capacity’. With JEE recommendations for priority actions, recommendations from other relevant assessments and complementary objectives, Tanzania developed the NAPHS through a nationwide consultative and participatory process. The 5-year cost estimate came out to approximately US$86.6 million (22 million for prevent, 50 million for detect, 4.8 million for respond and 9.2 million for other IHR hazards and points of entry). However, with the inclusion of vaccines for zoonotic diseases in animals increases the cost sevenfold. The importance of strong country ownership and committed leadership were identified as instrumental for the development of operationally focused NAPHS that are aligned with broader national plans across multiple sectors. Key lessons learnt by Tanzania can help guide and encourage other countries to translate their JEE priority actions into a realistic costed NAPHS for funding and implementation for IHR (2005). |
format | Online Article Text |
id | pubmed-5873533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-58735332018-03-30 Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania Mghamba, Janneth M Talisuna, Ambrose O Suryantoro, Ludy Saguti, Grace Elizabeth Muita, Martin Bakari, Muhammad Rusibamayila, Neema Ally, Mohamed Bernard, Jubilate Banda, Richard Mapunda, Maximillian Eidex, Rachel Sreedharan, Rajesh Sliter, Karen Nikkari, Simo Saikat, Sohel Lolong, Glenn P M Verboom, Paul Yahaya, Ali Ahmed Chungong, Stella Rodier, Guenael Fall, Ibrahima Soce BMJ Glob Health Analysis The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with Member States in 2015 with one mandatory component, that is, States Parties annual reporting to the World Health Assembly (WHA) on compliance and three voluntary components: Joint External Evaluation (JEE), After Action Reviews and Simulation Exercises. In February 2016, Tanzania, was the first country globally to volunteer to do a JEE and the first to use the recommendations for priority actions from the JEE to develop a National Action Plan for Health Security (NAPHS) by February 2017. The JEE demonstrated that within the majority of the 47 indicators within the 19 technical areas, Tanzania had either ‘limited capacity’ or ‘developed capacity’. None had ‘sustainable capacity’. With JEE recommendations for priority actions, recommendations from other relevant assessments and complementary objectives, Tanzania developed the NAPHS through a nationwide consultative and participatory process. The 5-year cost estimate came out to approximately US$86.6 million (22 million for prevent, 50 million for detect, 4.8 million for respond and 9.2 million for other IHR hazards and points of entry). However, with the inclusion of vaccines for zoonotic diseases in animals increases the cost sevenfold. The importance of strong country ownership and committed leadership were identified as instrumental for the development of operationally focused NAPHS that are aligned with broader national plans across multiple sectors. Key lessons learnt by Tanzania can help guide and encourage other countries to translate their JEE priority actions into a realistic costed NAPHS for funding and implementation for IHR (2005). BMJ Publishing Group 2018-03-09 /pmc/articles/PMC5873533/ /pubmed/29607098 http://dx.doi.org/10.1136/bmjgh-2017-000600 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Analysis Mghamba, Janneth M Talisuna, Ambrose O Suryantoro, Ludy Saguti, Grace Elizabeth Muita, Martin Bakari, Muhammad Rusibamayila, Neema Ally, Mohamed Bernard, Jubilate Banda, Richard Mapunda, Maximillian Eidex, Rachel Sreedharan, Rajesh Sliter, Karen Nikkari, Simo Saikat, Sohel Lolong, Glenn P M Verboom, Paul Yahaya, Ali Ahmed Chungong, Stella Rodier, Guenael Fall, Ibrahima Soce Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title | Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title_full | Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title_fullStr | Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title_full_unstemmed | Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title_short | Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania |
title_sort | developing a multisectoral national action plan for health security (naphs) to implement the international health regulations (ihr 2005) in tanzania |
topic | Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5873533/ https://www.ncbi.nlm.nih.gov/pubmed/29607098 http://dx.doi.org/10.1136/bmjgh-2017-000600 |
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