Development of a Subnational Health Security Capacities Assessment Tool: Lessons From Nigeria and Implications for the Implementation of the Integrated Disease Surveillance and Response Strategy

被引：0

作者：

Danjuma, Jenom S. ^{[1
]}

Okunromade, Oyeladun ^{[2
]}

Fasominu, Olukayode ^{[4
]}

Lee, Christopher T. ^{[1
]}

Daam, Clement ^{[2
]}

Bergquist, Eleanor Peters ^{[1
]}

Dada, Augustine O. ^{[5
]}

Dalhat, Mahmood ^{[6
]}

Aruna, Olusola ^{[7
]}

Oyebanji, Oyeronke ^{[8
]}

Olajide, Lois ^{[3
]}

Udoh, Emem ^{[1
]}

Ezeudu, Chinyere ^{[9
]}

Muhammad, Basheer ^{[10
]}

Bagudu, Abubakar M. ^{[11
]}

Hassan, Assad ^{[11
]}

Obiekea, Celestina ^{[1
]}

Usman, Rabi ^{[1
]}

Odu, Joseph ^{[12
]}

Andebutop, Elisha Ashasim ^{[13
]}

Ilori, Elsie ^{[14
]}

Agogo, Emmanuel ^{[15
]}

Ihekweazu, Chikwe ^{[17
]}

Adetifa, Ifedayo ^{[16
]}

机构：

[1] Resolve Save Lives, Prevent Epidem, Abuja, Nigeria

[2] Nigeria Ctr Dis Control & Prevent, Measles Tech Working Grp, Surveillance & Epidemiol, Abuja, Nigeria

[3] Nigeria Ctr Dis Control & Prevent, IHR Div, Abuja, Nigeria

[4] Volte Hlth Syst Ltd, Abuja, Nigeria

[5] Univ Massachusetts, Sch Publ Hlth & Hlth Sci, Dept Biostat & Epidemiol, Amherst, MA USA

[6] Infect Dis Control Ctr, Kaduna, Kaduna, Nigeria

[7] UK Hlth Secur Agcy, Int Hlth Regulat Strengthening Programme Nigeria, Abuja, Nigeria

[8] London Sch Hyg & Trop Med, London, England

[9] State Minist Hlth, Ebonyi, Nigeria

[10] Kano State Minist Hlth, Kano, Nigeria

[11] Fed Univ Birnin Kebbi, Birnin Kebbi, Kebbi State, Nigeria

[12] Washington DC VA Med Ctr, Washington, DC 20422 USA

[13] Nigeria Ctr Dis Control, Abuja, Nigeria

[14] Nigeria Ctr Dis Control & Prevent, Dept Surveillance & Epidemiol, Abuja, Nigeria

[15] Fdn Innovat New Diagnost FIND, CH-1202 Geneva, Switzerland

[16] Univ Hosp Geneva, Geneva, Switzerland

[17] WHO Global Hub Pandem & Epidem Intelligence, Hlth Emergency Intelligence & Surveillance Syst, Prinzessinnenstr 17-18, D-10969 Berlin, Germany

来源：

HEALTH SECURITY | 2025年 / 23卷 / 01期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

Subnational; Health security assessment tool; Integrated Disease Surveillance and Response (IDSR); International Health Regulations (IHR); Nigeria;

D O I：

10.1089/hs.2023.0185

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The Joint External Evaluation tool is a World Health Organization-recommended method for evaluating countries' capacities under the International Health Regulations (2005) (IHR). It encompasses a national preparedness assessment process for public health threats and offers a structured framework for planning and implementing effective response measures. A tailored approach is necessary for Nigeria's federated system of government, in which most constitutional requirements for public health and associated issues are decentralized to the state level. The Nigeria Centre for Disease Control and Prevention (NCDC) developed an assessment tool to identify state-level health security gaps and support the development of improvement plans. With input from state and national public health leaders and legal experts, a legislative evaluation was conducted to determine specific IHR activities that could be implemented within the state's legal framework to accelerate the implementation of the Integrated Disease Surveillance and Response strategy and IHR. The resulting assessment instrument was piloted in Kano, Enugu, and Kebbi states, followed by a consensus meeting to identify additional areas for improvement. The revised tool contains 14 technical areas and 35 indicators tailored to implementing improvement plans. By recognizing the unique characteristics of subnational entities and their implications for pandemic preparedness, the tool provides an innovative approach to health security for countries with multilayered governance structures or geographic diversity. Conducting a subnational health security assessment is a crucial step in ensuring preparedness for public health threats and enhancing health security in Nigeria's federated system of government.

引用

页码：35 / 46

页数：12

共 31 条

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