SEA/RC66/8 Rev.1 - Implementation of the international health regulations (2005)
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AbstractThe International Health Regulations (IHR 2005) came into force in 2007 and required States Parties to establish core capacities to detect, assess and report potential health threats by 15 June 2012. This deadline has now passed and all 11 Member States of the South-East Asia Region have requested an extension and developed a national IHR implementation extension plan, based on a new deadline of 15 June 2014. The IHR self-monitoring data are available from 10 Member States of the Region for 2012. The data showed that the overall (average) level of IHR implementation for these 10 countries was 67%, whereas levels of IHR implementation varied from 42–86%. Implementation was also uneven across capacities, with the lowest (average regional) implementation rates being seen for preparedness (59%) and for chemical (29%) and radiation hazards (44%). Implementation of IHR (2005) core capacities also continues to present a challenge in other areas, including legislation, points of entry, surveillance and laboratory. For many of these technical areas, capacity strengthening requires constructive engagement with stakeholders in health and non-health sectors, as well as support from partners. The IHR also allows an additional extension until June 2016, to be granted by the Director-General in exceptional circumstances. Any such request must be submitted four months in advance of the 15 June 2014 deadline, and be accompanied by a new implementation plan containing: a clear description of capacity gaps; progress made up until that date; proposed actions and a time frame towards establishment of capacities; technical and financial resources required for implementation, including any external assistance required. Ministries of health and WHO should continue to strengthen advocacy for, and collaborate with non-health sector, technical and donor partners to identify gaps, including for institutional, human and financial resources. WHO and Member States should also continue to work collectively to bridge identified gaps in IHR core capacities in the most efficient and effective way, for example through the use of existing strategic approaches and by harnessing the resources of States Parties, WHO, technical partners, donors and networks according to their different comparative advantages. The High-Level Preparatory (HLP) Meeting held in the Regional Office in New Delhi, India, from 1 to 3 July 2013 reviewed the attached document and made the following recommendations: Actions by Member States (1) For countries anticipating a request for an additional two-year extension until 2016: to undertake a careful assessment of core capacities and develop a strong and feasible two-year implementation plan based on identified gaps and priorities, considering the use of existing strategic frameworks. (2) To further strengthen multisectoral response and links between human health and authorities responsible for managing and securing risks related to livestock, wildlife, environmental health, food safety, chemical safety and radiological safety. (3) To participate actively in efforts to strengthen intercountry collaboration to address identified national and regional capacity gaps, including exchange of information, joint assessments at land crossings, facilitation of study tours and strengthening regional technical networks. Actions by WHO-SEARO (1) To facilitate the assessment of national IHR core capacities and the development of implementation plans that would be required to accompany a request for an extension until 2016. (2) To facilitate intercountry collaboration, including strengthening networks, to address identified national and regional capacity gaps, with a focus on identified priorities, including points of entry and chemical/radiation safety. (3) To advocate for and work with partners including those responsible for managing and securing risks related to livestock, wildlife, environmental health, food safety, chemical safety and radiological safety to mobilize/provide technical and financial support for national IHR implementation plans. The working paper and the HLP recommendations are submitted to the Sixty-sixth Session of the Regional Committee for its consideration.
World Health Organization, Regional Office for South-East Asia. (2013). SEA/RC66/8 Rev.1 - Implementation of the international health regulations (2005). WHO Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/128291
Gov't Doc #SEA/RC66/8 Rev.1