Joint External Evaluation (JEE) Zoonotic Diseases Action Package Conference Da Nang, Viet Nam 29-30 August 2017
Background & rationale The IHR Review Committee on Second Extensions for Establishing National Public Health Capacities and on IHR Implementation recommended: options to move from exclusive self-evaluation, to approaches that combine self-evaluation, peer review and voluntary external evaluations involving a combination of domestic and independent experts EB136/22 Add.1, 16 January 2015 IHR Joint External Evaluation Republic of Korea 2
Components of IHR Monitoring and Evaluation Framework IHR MEF Annual Reporting After Action Review Exercises Joint External Evaluation Transparency Mutual accountability Trust building Appreciation of public health benefits Dialogue IHR Joint External Evaluation Republic of Korea 3
Collective actions to implement IHR The Asia Pacific Strategy for Emerging Diseases (APSED) A bi-regional framework for action for two WHO Regions (SEAR and WPR) to meet IHR core capacity requirements A common framework to prepare for and respond to all emerging diseases and public health emergencies Developed in 2005, updated in 2010 and 2016 (APSED III) IHR Joint External Evaluation Republic of Korea 4
APSED III focus areas Eight focus areas Each focus area has: Expected Outcome Key Elements Strategic Actions Developing country capacity for M&E is an APSED Focus Area IHR Joint External Evaluation Republic of Korea 5
APSED III monitoring and evaluation system for IHR Annual review In-country stakeholder planning and review process Annual regional TAG meeting Annual progress reporting to WHA After action review Outbreak review Exercises IHR Crystal, PanStop Joint External Evaluation (JEE) APSED Evaluation 2015 Missions started and planned for next years IHR Joint External Evaluation Republic of Korea 6
JEE Purpose and Features JEE process was developed to evaluate country capacity to prevent, detect and respond to public health threats. JEE Purpose Identify the most critical gaps for health security Identify opportunities for enhanced preparedness and response that inform updating of national work plans Support priority investment in health security domestically and globally JEE Features Voluntary country participation, national level coordination Peer-to-peer, consensus based Multi-sectoral, involving health and non-health sectors Transparency and openness of data and information sharing with public release of reports IHR Joint External Evaluation Republic of Korea 7
JEE Process Planning Assemble team Draft agenda Final report JEE mission JEE final report published online Site visits Facilitated discussion Consensus scoring Implementation of recommendations Initiate request Self-assessment Host country completes JEE self-assessment IHR Joint External Evaluation Republic of Korea 8
Joint External Evaluation (JEE) Tool Developed in 2016 19 Technical Areas For internal self-assessment and external evaluation Determine level of capacity and areas requiring improvement Contribute to action plan development Measure progress on IHR core capacities Continuing investment for health security domestically and globally IHR Joint External Evaluation Republic of Korea 9
JEE Tool: 19 technical areas Indicators assess capacities to PREVENT, DETECT and RESPOND plus other IHR related hazards and PoEs PREVENT DETECT RESPOND 1. National Legislation, Policy and Financing 2. IHR Coordination, Communication and Advocacy 3. Antimicrobial Resistance (AMR) 4. Zoonotic Disease 5. Food Safety 6. Biosafety and Biosecurity 7. Immunization 1. National Laboratory System 2. Real Time Surveillance 3. Reporting 4. Workforce Development 1. Points of Entry (PoEs) 2. Chemical Events 3. Radiation Emergencies 1. Preparedness 2. Emergency Response Operations 3. Linking Public Health and Security Authorities 4. Medical Countermeasures and Personnel Deployment 5. Risk Communication Other IHR related HAZARDs and PoEs IHR Joint External Evaluation Republic of Korea 10
Format and Color Scoring System Every indicator has attributes that reflect various levels of capacity with scores of 1-5 No Capacity 1: Red Limited Capacity -2 Yellow Developed Capacity 3: Yellow Demonstrated Capacity 4:. Green Sustainable Capacity 5: Green IHR Joint External Evaluation Republic of Korea 11
Sample Indicator Table - Zoonosis IHR Joint External Evaluation Republic of Korea 12
Typical JEE mission agenda IHR Joint External Evaluation Republic of Korea 13
The JEE Final Report Describes level of capacity by technical area: Scores Strengths Areas which need strengthening Identifies next steps to strengthen capacity in each technical areas Example: 3-5 recommended priority actions per technical area Report provided to host country for review Evaluation results to be posted online: https://extranet.who.int/donorportal/joint-external-evaluation-tool-assessment IHR Joint External Evaluation Republic of Korea 14
Benefits of JEE An objective evaluation of the national status of IHR core capacities Open and transparent process International confidence Opportunity for multi-sector collaboration Country ownership and leadership Continuing investment for health security Domestic investment to sustain momentum Contribution to global health security IHR Joint External Evaluation Republic of Korea 15
Post JEE: Updating of national plans as guided by APSED III Continuous learning for programme improvement and M&E National action planning Based on priorities identified during JEE and other M&E components Based on APSED III focus areas and workplan Based on other regional frameworks IHR Joint External Evaluation Republic of Korea 16
Questions IHR Joint External Evaluation Republic of Korea 17