SEA/RC69/14: Emergency Reform
AbstractIn response to the evaluations conducted after the Ebola Virus Disease outbreak in 2014 and recommendations of the several advisory groups called by the Director-General, WHO’s reforms on its work in emergency management were implemented. These major evaluations conducted include: (i) the Institute of Medicine, National Academy of Sciences, USA, (ii) Harvard School of Public Health and London School of Hygiene and Tropical Medicine, (iii) Stocking Report and (iv) Advisory Group on Emergency Reform. The discussions also touched on the IHR Review Committee Report. The new Programme as described in the Sixty-ninth World Health Assembly (WHA- document WHA69/30) was approved by the Sixty-ninth World Health Assembly and is aligned with the principles of a single programme, with one clear line of authority, one workforce, one budget, one set of rules and processes, and one set of standard performance metrics. A short description of these areas is contained in Annex 1 including how the programme will be financed. The common structure reflects WHO’s major functions in health emergency risk management as follows: (1) Infectious Hazards Management, includes high-threat pathogens, expert networks and, at WHO headquarters, the PIP Secretariat; (2) Country Health Emergency Preparedness and the International Health Regulations (2005) include monitoring and evaluation of national preparedness capacities, planning and capacity-building for critical capacities and, at headquarters, the IHR Secretariat; (3) Health Emergency Information and Risk Assessments includes event detection and verification, health emergency operations monitoring, and data management and analytics; (4) Emergency Operations includes incident management functions, operational partnerships and readiness, and operations support and logistics; (5) Management and Administration; and (6) External Relations. The Sixty-ninth World Health Assembly also passed a Decision and in summary, the components of this were as follows: Noting the progress made in the development of the new Health Emergencies Programme, the elaboration of an implementation plan and timeline for the new Programme, and the establishment of the Emergencies Oversight and Advisory Committee; Encouraging the ongoing collaboration with the United Nations Office for the Coordination of Humanitarian Affairs to enhance humanitarian system-wide coordination; Approving an increase of US$ 160 million for the Programme Budget 2016−2017 (within a total of US$ 494 million) to initiate the implementation plan for the new Health Emergencies Programme, and to authorize the Director-General to mobilize additional voluntary contributions; and Requesting the Director-General to report to the Seventieth World Health Assembly on the progress made in this reform process. The High-Level Preparatory (HLP) Meeting held in the Regional Office in New Delhi, India, from 11–14 July 2016 discussed the agenda item and made the following recommendations: Actions by Member States (1) Support further development of the Health Emergencies Programme to ensure commensurate role of Member States in the programme. (2) Promote regional solidarity by ensuring support to emergency funds through SEARHEF; this should include support for preparedness activities at the country level that will also complement the WHO Contingency Fund for Emergencies. Actions by WHO (1) Ensure that support and capacity-building under the Health Emergencies Programme will not be only for WHO staff but also for Member States. (2) Provide technical and operational support towards the integration of disaster management, preparedness and response to public health emergencies. (3) Support efforts and requests of Member States to continue with SEARHEF as a regional contingency fund that would include preparedness activities. (4) Develop a resource mobilization plan to further support regional needs under the Health Emergencies Programme. This Working Paper and its Annexure ‘Reform of WHO’s work in health emergency management, WHO Health Emergency Programme, Report by the Secretariat’, is an update on the progress of the roll-out of WHO’s emergency reform process for information and consideration of the Sixty-ninth Session of the Regional Committee for South-East Asia.
Regional Office for South-East Asia, World Health Organization. (2016). SEA/RC69/14: Emergency Reform. WHO Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/246274