Strengthening Multisectoral Engagement for Health Security

Countries must be better prepared to detect and respond to public health threats in order to prevent public health emergencies and the devastating impact they can have on people’s lives and well-being, as well as on travel and trade, national economies, and society as a whole. Public health challenges are complex and cannot be effectively addressed by one sector alone. A holistic, multisectoral and multidisciplinary approach is needed for addressing gaps and advancing coordination for health emergency preparedness and health security and is essential for the implementation of the International Health Regulations (IHR, 2005). 

The International Health Regulations, have been approved by all Member States of WHO in 2005 and entered into force worldwide in 2007, require countries to develop, strengthen and maintain minimum national core public health capacities to detect, assess, notify, and respond to events that may constitute a public health emergency of international concern. The role of WHO in facilitating collaboration and assistance in capacity-building is specified in Article 44.2 of IHR (2005), which states that “WHO shall collaborate with States Parties, upon request, to the extent possible, in: (a) The evaluation and assessment of their public health capacities in order to facilitate the effective implementation of these Regulations; (b) The provision or facilitation of technical cooperation and logistical support to States Parties; and (c) the mobilization of financial resources to support developing countries in building, strengthening and maintaining the capacities provided for in Annex1.”  

High-level political commitment and technical guidance are both necessary for successful multisectoral coordination for health emergency preparedness and health security. The Multisectoral Engagement for Health Security (MHS) Unit has developed different frameworks and tools (the Multisectoral Preparedness Coordination, the Strategic Partnership for Health Security and Emergency Preparedness Portal, and Resource Mapping) designed to keep track of and help Member States report and achieve goals set out by the IHR. 

 

 

3,452

Contributions

The SPH Portal engages with donors and partners to collect data related to IHR and Health Security.

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More $730 million

mapped in 2021

from over 80 partners

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More 28 partners

Representing 185 Organizations, 52 Networks, 125 Countries, 179 Parliaments

 

 

Resource Mapping (REMAP) for IHR and Health Security

Under the WHO General Programme of Work (GPW 13), the WHO Health Emergencies Programme (WHE) contributes to the strategic priority of having 1 billion more people better protected from health emergencies. WHO developed the Resource Mapping (REMAP) tool to advance this effort and support Member States in strengthening core health security capacities. The REMAP tool was first launched in 2018 to support countries meet the requirements of the International Health Regulations (IHR, 2005) by facilitating the mobilization of financial and technical resources for implementation of National Action Plans for Health Security (NAPHS) and other country plans with relevance to health security. The tool supports countries in donor coordination, identifying gaps and needs, monitoring of plan implementation, and in the linkage of different plans to increase efficiency and achieve synergies.

The tool maps the health security projects that partners are supporting in the country — through financial or technical assistance — allowing policymakers and partners to see where the gaps exist and where more investment of resources is needed. This provides valuable information for the country and at the same time offers visibility for the partners‘ financial and technical investments.

The tool can for example, identify whether partners are mostly supporting one area such as laboratory systems with little support for another priority area like zoonosis activities. The REMAP process fosters dialogue between countries and partners for a coordinated multisectoral approach to plan implementation.

 

 

 

Multisectoral Preparedness Coordination (MPC)

The WHO General Programme of Work 2019-2023 (GPW13) establishes the ‘triple billion’ targets which aim at ensuring that by 2023, one billion more people benefit from universal health coverage; have better protection from health emergencies; and enjoy better health and well-being.

As stipulated in the GPW13, countries must be better prepared to detect and respond to public health threats to prevent future health emergencies. Due to the complex nature of public health emergencies that can be caused by different risks, threats and hazards, the health sector alone cannot effectively address all aspects and thus a multisectoral approach that leverages and coordinates resources from multiple sectors is required.

By expanding efforts beyond the health sector, countries engage a range of stakeholders that can support a coordinated approach to health emergencies preparedness and implementation of IHR (2005) core capacities. This extends to the development and implementation of the National Action Plans for Health Security (NAPHS). Relevant stakeholders that can provide valuable support include but are not limited to the foreign policy, finance sector, security sector, transport, and tourism sector, but also parliaments, the private sector and academia.

Multisectoral preparedness coordination refers to the deliberate collaboration between stakeholders from multiple and diverse sectors and disciplines working towards the shared goal of enhanced health emergency preparedness by leveraging knowledge, expertise, strengths, reach and resources. Successful multisectoral preparedness coordination is dependent on political, economic, and social factors, and requires commitment from all stakeholders working together.

 

Multisectoral preparedness coordination framework

Countries must be better prepared to detect and respond to public health threats in order to prevent public health emergencies and the devastating impact...

 

 

Strategic Partnership for Health Security and Emergency Preparedness (SPH) Portal

The Strategic Partnership for Health Security and Emergency Preparedness (SPH) Portal is an interactive digital platform that facilitates the sharing and exchange of information on multisectoral health security investments, activities, and capacities on a national, regional, and global scale.

In order to develop baseline capacities of Member States, the World Health Assembly resolution “WHA 69.21” further identified WHO’s critical convening role to facilitate strategic cooperation and partnership between and within States Parties along with regional and international partners, donors and networks. The SPH Portal is designed to foster these relationships, working in close cooperation with the WHO regional and national offices.

The usage of the SPH Portal by Member States has been constantly increasing since its creation in 2015. In 2019, the Executive Board expressed that the SPH Portal is a fundamental tool that all Member States have adopted in order to monitor progress in health security capacities, in the identification of needs, gaps and priorities, and in mapping and sharing crucial information on investments and resources. The World Health Assembly resolution "WHA A73/14" acknowledged the role of the SPH Portal as a central repository for data and reports on IHR Monitoring and Evaluation Framework assessments.

 

 

 

Global Strategic Preparedness Network (GSPN)

MHS

COVID-19 has pushed health systems across the world to their limits, exacerbating inequalities, exposing severe gaps in public health infrastructure, impacting economies, and devastating communities. Fragmented and underfunded health systems are struggling to absorb the shock of COVID-19 while maintaining routine health services. The WHO IHR monitoring and evaluation framework provides a tool to strengthen country capacities and inform National Action Plans for Health Security (NAPHS) based on One Health and whole-of-government approaches.

However, resolutions adopted at the 74th World Health Assembly and recent independent expert reviews have emphasized the urgent need to do much more: to improve and maintain IHR core capacities at all levels, mainstream One Health approaches, and rapidly invest in building more resilient and equitable health systems and implementing multisectoral and Universal Health Coverage (UHC)-aligned national health security plans. There is a need for collective action to build long-term preparedness through sharing expertise and learning between countries, ensuring the availability of high-quality technical guidance and reliable information tailored to local settings, strengthening the public health workforce and promoting multisectoral engagement and dialogue with local communities

The Global Strategic Preparedness Network is being established to implement the landmark resolution on Strengthening preparedness for health emergencies: implementation of the International Health Regulations (2005) passed and adopted by WHO member states at the World Health Assembly in 2020 (WHA 73.8). The resolution calls on all Member States to “encourage, promote and share information about strategic partnerships and technical collaboration for preparedness, including those between relevant international, regional and national institutions, in particular national public health institutes, including through the WHO Global Strategic Preparedness Network”.

 

 

 

Health Emergency Preparedness in Cities and Urban Settings

Primary Health Care in Nepal  Urbanization in Nepal

Cities and urban settings are crucial to preventing, preparing for, responding to, and recovering from health emergencies, and therefore enhancing the focus on urban settings is necessary for countries pursuing improved overall health security.

Urban areas, especially cities, have unique vulnerabilities that need to be addressed and accounted for in health emergency preparedness. An unprepared urban setting is more vulnerable to the catastrophic effects of health emergencies and can exacerbate the spread of diseases, whilst they are also very often the frontline for response efforts. This has been seen in past disease outbreaks, and during the COVID-19 pandemic. It is therefore crucial that health emergency preparedness in cities and urban settings is addressed through contextualized policy development, capacity building, and concrete activities undertaken at the national, subnational, and city levels.

Building on the member state request in World Health Assembly Resolution 73.8 to enhance a focus on urban preparedness, WHO convened, jointly with the Government of Singapore, a Technical Working Group on the topic in early 2021. An outcome of this is the WHO Framework on Strengthening Health Emergency Preparedness in Cities and Urban Settings , intended to support member states and policymakers at the national and city levels.

 

Strengthening health emergency preparedness in cities and urban settings: guidance for national and local authorities

This guidance document is an operational accompaniment to the WHO Framework on Strengthening Health Emergency Preparedness in Cities and Urban Settings....

Framework for strengthening health emergency preparedness in cities and urban settings

Cities and urban settings are crucial to preventing, preparing for, responding to, and recovering from health emergencies, and therefore enhancing the...

Advancing health emergency preparedness in cities and urban settings in COVID-19 and beyond: report on a series of global technical working group meetings, February-April 2021

This report documents proceedings and outcomes of a virtual technical working group on "Advancing Health Emergency Preparedness in Cities and Urban Settings...

This document accompanies the interim guidance on “Strengthening Preparedness for COVID-19 in cities and urban settings”. It provides local...

This document is to support local authorities, leaders and policy-makers in cities and other urban settlements in identifying effective approaches and...

 

 

Resources

Delivering global health security through sustainable financing
26-27 July 2017, Seoul, Republic of Korea
Advanced global health security: from commitments to actions

The High-level meeting on advancing global health security: from commitments to actions took place from 27 to 29 June 2016, in Bali, Indonesia, bringing...

Building health security beyond Ebola: report of a high-level meeting, Cape Town, 13-15 July 2015

The high-level meeting on Building Health Security Beyond Ebola was convened by WHO and the Government of South Africa in Cape Town on 13−15 July...

Contact us

Multisectoral Engagement for Health Security

Health Security Preparedness

Email: [email protected]

URL: SPH Portal