GLOBAL HEALTH SECURITY AGENDA (GHSA)
Larry Kerr, PhD, U.S. Department of Health and Human Services, Office of the Secretary, Office of Global Affairs LINKING GHSA TO IHR
GHSA is an implementation vehicle to assist countries in achieving core capacities agreed to in the International Health Regulations (2005) GHSA IHR (2005) Voluntary mechanism Binding treaty agreed upon by all WHO member among subset of WHO states member states Takes an “all-hazards” Focused on infectious approach to health threats disease threats Original deadline passed Five year sunset date to in 2012 with less than 20% of member states in focus and accelerate compliance (current implementation deadline of 2016 with ~30% compliant) MULTISECTORAL ACTION
Sectors Actors Health Governments Agriculture Academic/research communities Development Private sector National Non-Governmental security/defense Organizations / Civil Foreign Affairs Society International Organizations THE ACTION PACKAGES
Action Package Activities Purpose Emphasis on incentivizing APs activities Organizationas an accelerator to IHR implementation/filling the gaps identified through IHR monitoring activities • Focus international • Five-Year Targets discussion toward specific, coordinated • Measures action • Desired Impacts • Highlight measurable approaches countries can • Country Commitments (Lead adopt or Contribute) • Provide a mechanism for • Five-Year Action Items collaboration and sharing of best practices
4 GHSA Structure
Annual Ministerial Meeting
GHSA Steering Gr oup Advisors
Action Packages Prevent Detect Respond Emergency National Lab AMR Operation Systems Centres
Multi- Biosecurity/ Real-Time Sectoral Biosafety Surveillance Response
MCM/ Zoonotic Reporting Personnel Diseases Deployment
Workforce Immunization Development 5 GHSA MULTILATERAL STRUCTURE
Chairmanship and “Troika” Concept Previous Chair: Indonesia Current Chair: The Republic of Korea Incoming Chair: Italy Steering Group Steering Group members: Canada, Chile, Finland, Indonesia, India, Italy, Kenya, Kingdom of Saudi Arabia, Republic of Korea, the United Kingdom, and the United States Advisory Body to Steering Group: World Health Organization (WHO), Food and Agriculture Organization (FAO), Organization for Animal Health (OIE), World Bank, ECOWAS, EU, AU, INTERPOL MULTILATERAL INSTITUTIONS
IHR
WHO One Health
OIE FAO
Various PVS Assessments GHSA ACTION PACKAGES IN PRACTICE
Antimicrobial National Emergency Resistance Laboratory Operations Centers Zoonotic Disease Systems Real-Time Multisectoral Biosafety and Response / Biosurveillance Biosecurity Linking Public Immunizations Reporting Health with Law Workforce Enforcement Development Medical Countermeasures and Personnel Deployment GHSA ACTION PACKAGES AND PANDEMIC PREPAREDNESS
Antimicrobial National Emergency Resistance Laboratory Operations Centers Zoonotic Disease Systems Real-Time Multisectoral Biosafety and Response / Biosurveillance Biosecurity Linking Public Immunizations Reporting Health with Law Workforce Enforcement Development Medical Countermeasures and Personnel Deployment SYNERGIES
GHSA investments in the Emergency Operations Action Package led to the development of an Emergency Operations Center in Cameroon. Our global Pandemic Preparedness efforts is a foundation stone for global health security. WHO JOINT EXTERNAL EVALUATION (JEE)
On September 26, 2014, countries agreed that there was a need to be able to measure progress. A pilot tool was developed and several countries volunteered for the external pilot assessment process: Georgia, Peru, Uganda, Portugal, the United Kingdom, and Ukraine WHO then developed the new IHR Joint External Evaluation which includes all elements of the GHSA assessment. We are now leveraging the GHSA mechanism to support JEE implementation, working with WHO and other partners. So far, 37 countries have completed a JEE, 31 more are scheduled, and an additional 28 have expressed interest in undergoing a JEE U.S. & G7 COMMITMENTS
G7 partners and EU made a collective commitment to assist 76 countries in IHR implementation ROK, the Nordic Countries, and others have all made separate commitments to health security
U.S. committed to assist 32 countries to achieve the 11 GHSA targets for IHR implementation Develop country-owned, five-year GHSA roadmaps Specific annual milestones toward all GHSA & JEE targets Work plans to guide project implementation and donor coordination Work with G7 partners for shared commitments
GHSAgenda.org Facilitates full and transparent information sharing, progress measurements, and coordination EXTRA SLIDES WHO JEE ASSESSMENT AND INVESTMENT CYCLE
JEE Technical Area Targets guide the country capacity assessment, and inform country plans and partner commitments to improve health security.
• Host Country Self- Assessment Joint • External Assessment External Partner Team Validation Evaluations Commitments • Open Dissemination of • Funding and Country Improved Results • Training investment • Infrastructure Health Security • Technical Assistance Capability
Country Plans for • Country Plan for Meeting Health Security Capacity Gaps and JEE Capacity Building Technical Area Targets
The process toward improving health security capacity requires continuous assessment of capabilities and (re)alignment of resources to address gaps. THE ALLIANCE FOR COUNTRY ASSESSMENTS
International Member States Organizations Alliance for Country Assessments
Development NonNon----GovernmentalGovernmental Partners/ Foundations Organizations
Plan and conduct Develop and Help connect JEE JEE assessments maintain an results with plan and promote international roster development and transparency of of experts gap filling results
15 THE US IS COMMITTED TO SUPPORTING GHSA IN 32 PARTNER COUNTRIES AND REGIONS 5-YEAR ROADMAPS
USG commitment to 31 countries + CARICOM
Interagency USG team working with host government
Specific annual milestones toward all GHSA & JEE targets
Work plan to guide project implementation
Partnerships and coordination with donors, government, and non-governmental entities