A WORLD AT RISK
Annual report on global preparedness for health emergencies Global Preparedness Monitoring Board September 2019
Page 10 - The United Nations must strengthen coordination mechanisms.The Secretary General of the United Nations, with WHO and United Nations Office for the Coordination of Humanitarian Affairs (OCHA), must strengthen coordination in different country, health and humanitarian emergency contexts, by ensuring clear United Nations systemwide roles and responsibilities; rapidly resetting preparedness and response strategies during health emergencies; and, enhancing United Nations system leadership for preparedness, including through routine simulation exercises. WHO should introduce an approach to mobilize the wider national, regional and international community at earlier stages of an outbreak, prior to a declaration of an IHR (2005) Public Health Emergency of International Concern.Progress indicator(s) by September 2020
• The Secretary-General of the United Nations, with the Director-General of WHO and Under-Secretary-General for Humanitarian Affairs strengthens coordination and identifies clear roles and responsibilities and timely triggers for a coordinated United Nations systemwide response for health emergencies in different countries and different health and humanitarian emergency contexts.
• The United Nations (including WHO) conducts at least two system-wide training and simulation exercises, including one for covering the deliberate release of a lethal respiratory pathogen.• WHO develops intermediate triggers to mobilize national, international and multilateral action early in outbreaks, to complement existing mechanisms for later and more advanced stages of an outbreak under the IHR (2005).
• The Secretary General of the United Nations convenes a high-level dialogue with health, security and foreign affairs officials to determine how the world can address the threat of a lethal respiratory pathogen pandemic, as well as for managing preparedness for disease outbreaks in complex, insecure contexts.
Page 26 - Required actions Ultimate objectives: All countries have identified a high-level coordinator to plan and implement preparedness and response across all sectors, including health, security, finance and other relevant ministries. The coordinator demonstrates through exercises or actual events that national preparedness and response systems are capable of mitigating all types of public health emergencies. Preparedness activities involve communities in all phases of planning and implementation. All countries must build strong systemsHeads of government must appoint a national high-level coordinator with authority and political accountability to lead whole-of-government and whole-of-society approaches, and routinely conduct multisectoral simulation exercises to establish and maintain effective preparedness. They must prioritize community involvement in all preparedness efforts, building trust and engaging multiple stakeholders (e.g. legislators; representatives of human and animal health, security, and foreign affairs sectors; the private sector; local leaders; and women and youth).
Progress indicator(s) by September 2020• At a minimum, the 59 countries that have completed an NAPHS identify a national high-level coordinator (board, commission or agency) to implement national preparedness measures across all sectors and to lead and direct actions in these sectors in the event of a public health emergency.
• WHO, the World Bank and partners, working with countries, develop and cost packages of priority interventions to increase preparedness capacity that can be financed in current budget cycles and map these interventions to expected results in the near term. • There are fewer, but better harmonized coordination mechanisms, global, regional and country networks, institutions and initiatives for preparedness and readiness and for research and development (R&D).
Ultimate objectives: All countries have identified a high-level coordinator to plan and implement preparedness and response across all sectors, including health, security, finance and other relevant ministries. The coordinator demonstrates through exercises or actual events that national preparedness and response systems are capable of mitigating all types of public health emergencies. Preparedness activities involve communities in all phases of planning and implementation.
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