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Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security
The COVID-19 epidemic is the latest evidence of critical gaps in our collective ability to monitor country-level preparedness for health emergencies. The global frameworks that exist to strengthen core public health capacities lack coverage of several preparedness domains and do not provide mechanis...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839902/ https://www.ncbi.nlm.nih.gov/pubmed/33495285 http://dx.doi.org/10.1136/bmjgh-2020-004227 |
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author | Erondu, Ngozi A Rahman-Shepherd, Afifah Khan, Mishal S Abate, Ebba Agogo, Emmanuel Belfroid, Evelien Dar, Osman Fehr, Angela Hollmann, Lara Ihekweazu, Chikwe Ikram, Aamer Iversen, Bjorn Gunnar Mirkuzie, Alemnesh H Rathore, Tayyab Razi Squires, Neil Okereke, Ebere |
author_facet | Erondu, Ngozi A Rahman-Shepherd, Afifah Khan, Mishal S Abate, Ebba Agogo, Emmanuel Belfroid, Evelien Dar, Osman Fehr, Angela Hollmann, Lara Ihekweazu, Chikwe Ikram, Aamer Iversen, Bjorn Gunnar Mirkuzie, Alemnesh H Rathore, Tayyab Razi Squires, Neil Okereke, Ebere |
author_sort | Erondu, Ngozi A |
collection | PubMed |
description | The COVID-19 epidemic is the latest evidence of critical gaps in our collective ability to monitor country-level preparedness for health emergencies. The global frameworks that exist to strengthen core public health capacities lack coverage of several preparedness domains and do not provide mechanisms to interface with local intelligence. We designed and piloted a process, in collaboration with three National Public Health Institutes (NPHIs) in Ethiopia, Nigeria and Pakistan, to identify potential preparedness indicators that exist in a myriad of frameworks and tools in varying local institutions. Following a desk-based systematic search and expert consultations, indicators were extracted from existing national and subnational health security-relevant frameworks and prioritised in a multi-stakeholder two-round Delphi process. Eighty-six indicators in Ethiopia, 87 indicators in Nigeria and 51 indicators in Pakistan were assessed to be valid, relevant and feasible. From these, 14–16 indicators were prioritised in each of the three countries for consideration in monitoring and evaluation tools. Priority indicators consistently included private sector metrics, subnational capacities, availability and capacity for electronic surveillance, measures of timeliness for routine reporting, data quality scores and data related to internally displaced persons and returnees. NPHIs play an increasingly central role in health security and must have access to data needed to identify and respond rapidly to public health threats. Collecting and collating local sources of information may prove essential to addressing gaps; it is a necessary step towards improving preparedness and strengthening international health regulations compliance. |
format | Online Article Text |
id | pubmed-7839902 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-78399022021-02-04 Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security Erondu, Ngozi A Rahman-Shepherd, Afifah Khan, Mishal S Abate, Ebba Agogo, Emmanuel Belfroid, Evelien Dar, Osman Fehr, Angela Hollmann, Lara Ihekweazu, Chikwe Ikram, Aamer Iversen, Bjorn Gunnar Mirkuzie, Alemnesh H Rathore, Tayyab Razi Squires, Neil Okereke, Ebere BMJ Glob Health Practice The COVID-19 epidemic is the latest evidence of critical gaps in our collective ability to monitor country-level preparedness for health emergencies. The global frameworks that exist to strengthen core public health capacities lack coverage of several preparedness domains and do not provide mechanisms to interface with local intelligence. We designed and piloted a process, in collaboration with three National Public Health Institutes (NPHIs) in Ethiopia, Nigeria and Pakistan, to identify potential preparedness indicators that exist in a myriad of frameworks and tools in varying local institutions. Following a desk-based systematic search and expert consultations, indicators were extracted from existing national and subnational health security-relevant frameworks and prioritised in a multi-stakeholder two-round Delphi process. Eighty-six indicators in Ethiopia, 87 indicators in Nigeria and 51 indicators in Pakistan were assessed to be valid, relevant and feasible. From these, 14–16 indicators were prioritised in each of the three countries for consideration in monitoring and evaluation tools. Priority indicators consistently included private sector metrics, subnational capacities, availability and capacity for electronic surveillance, measures of timeliness for routine reporting, data quality scores and data related to internally displaced persons and returnees. NPHIs play an increasingly central role in health security and must have access to data needed to identify and respond rapidly to public health threats. Collecting and collating local sources of information may prove essential to addressing gaps; it is a necessary step towards improving preparedness and strengthening international health regulations compliance. BMJ Publishing Group 2021-01-25 /pmc/articles/PMC7839902/ /pubmed/33495285 http://dx.doi.org/10.1136/bmjgh-2020-004227 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Practice Erondu, Ngozi A Rahman-Shepherd, Afifah Khan, Mishal S Abate, Ebba Agogo, Emmanuel Belfroid, Evelien Dar, Osman Fehr, Angela Hollmann, Lara Ihekweazu, Chikwe Ikram, Aamer Iversen, Bjorn Gunnar Mirkuzie, Alemnesh H Rathore, Tayyab Razi Squires, Neil Okereke, Ebere Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title | Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title_full | Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title_fullStr | Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title_full_unstemmed | Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title_short | Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security |
title_sort | improving national intelligence for public health preparedness: a methodological approach to finding local multi-sector indicators for health security |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839902/ https://www.ncbi.nlm.nih.gov/pubmed/33495285 http://dx.doi.org/10.1136/bmjgh-2020-004227 |
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