Global Health Security Implementation: Expanding the Evidence Base

Kennedy, Erin D.; Morgan, Juliette; Knight, Nancy

doi:10.1089/hs.2018.0120

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…The literature review consisted of assessments of IHR capacities and related documents, 6 , 29 , 30 WHO COVID-19 action plans and regional disease control strategies, 31 , 32 and academic publications; we chose to emphasize systematic reviews and supplements on lessons learned from IHR implementation and building resilient health systems. 33-36 Following best practice methods for rapid literature reviews, we conducted a search of relevant published literature and limited the search by both date and language. One author selected studies and abstracted data into technical investment areas and interventions to strengthen these areas; the other author verified results and conducted the risk-of-bias assessment.…”

Section: Methodsmentioning

confidence: 99%

Prioritizing Global Public Health Investments for COVID-19 Response in Real Time: Results from a Delphi Exercise

Osewe¹,

Peters

2022

Health Security

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In the first months of the COVID-19 pandemic, there was a lack of guidance on how to channel the unprecedented amount of health financing toward the pandemic response. We employed a multistep, interactive Delphi process to reach consensus on a “menu” of priority COVID-19 response interventions. In all, 27 health security experts—representing national governments, bilateral and multilateral organizations, academia, technical agencies, and nongovernmental organizations—participated in the exercise. The experts rated 11 technical investment areas and 37 interventions on a 5-point scale in terms of their importance to COVID-19 response. Initial findings were discussed at a virtual meeting where experts suggested modifications. A group of 19 experts then rated a revised list of 11 technical areas and 39 interventions. Consensus was defined as at least 80% of experts agreeing on the importance of a technical area or intervention; stability of scores across the rounds was identified using Wilcoxon matched-pairs and unpaired signed rank tests. Between the initial and final menu, 3 technical areas and 7 interventions were slightly modified, 3 interventions were added, and 1 intervention was removed. Consensus was reached on all 11 technical areas and 35 of the final 39 interventions, and between 34 and 37 interventions were stable across rounds depending on the test used. In this exercise, the health security experts agreed that COVID-19 response financing should prioritize interventions that enhance a country's capacity to test, trace, and treat high-risk populations. Simultaneously, supportive systems (eg, risk communication, community engagement, public health infrastructure, information systems, policy and coordination, workforce capacity, other social protections) should be developed to ensure that nonpharmaceutical and medical interventions can maximize the effectiveness of these systems.

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Section: Methodsmentioning

confidence: 99%

Prioritizing Global Public Health Investments for COVID-19 Response in Real Time: Results from a Delphi Exercise

Osewe¹,

Peters

2022

Health Security

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“…One of the barriers to progress in GHS is the relative paucity of shared published evidence-based approaches, interventions, outcome measurements, and lessons learned among countries [38][39][40]. It is critical for every nation to assess its health systems (e.g., facilities, laboratories, and related critical infrastructure) and other security metrics and needs in order to guarantee that participating stakeholders and partners follow standard guidelines, accurate knowledge and skill dissemination, training and competency, and continuous data monitoring [41][42][43].…”

Section: Surveillance and Metricsmentioning

confidence: 99%

Introductory Chapter: Contemporary Considerations and Developments in Global Health Security

Michaud,

G. Goldsmith,

P. Stawicki

2024

Sustainable Development

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“…As observed after the launch of the 2014 Global Health Security Agenda (GHSA) and associated action packages, much of the scientific information accessed by human and animal health officials and public health decision-makers was, and continues to be, generated by local and/or central diagnostic laboratories [26,27,28]. Continuing to address gaps in these capabilities can lead to significant advances in disease prevention, such as a recent response to Nipah virus in India [29].…”

Section: Introductionmentioning

confidence: 99%

Policy and Science for Global Health Security: Shaping the Course of International Health

et al. 2019

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The global burden of infectious diseases and the increased attention to natural, accidental, and deliberate biological threats has resulted in significant investment in infectious disease research. Translating the results of these studies to inform prevention, detection, and response efforts often can be challenging, especially if prior relationships and communications have not been established with decision-makers. Whatever scientific information is shared with decision-makers before, during, and after public health emergencies is highly dependent on the individuals or organizations who are communicating with policy-makers. This article briefly describes the landscape of stakeholders involved in information-sharing before and during emergencies. We identify critical gaps in translation of scientific expertise and results, and biosafety and biosecurity measures to public health policy and practice with a focus on One Health and zoonotic diseases. Finally, we conclude by exploring ways of improving communication and funding, both of which help to address the identified gaps. By leveraging existing scientific information (from both the natural and social sciences) in the public health decision-making process, large-scale outbreaks may be averted even in low-income countries.

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Global Health Security Implementation: Expanding the Evidence Base

Cited by 8 publications

References 28 publications

Prioritizing Global Public Health Investments for COVID-19 Response in Real Time: Results from a Delphi Exercise

Prioritizing Global Public Health Investments for COVID-19 Response in Real Time: Results from a Delphi Exercise

Introductory Chapter: Contemporary Considerations and Developments in Global Health Security

Policy and Science for Global Health Security: Shaping the Course of International Health

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