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Volume 18, Number 7—July 2012


Costing Framework for International Health Regulations (2005)

Rebecca KatzComments to Author , Vibhuti Haté, Sarah Kornblet, and Julie E. Fischer
Author affiliations: George Washington University, Washington, DC, USA (R. Katz); and Stimson Center, Washington (V. Haté, S. Kornblet, J.E. Fischer)

Main Article

Table 1

Summary of 2010 World Health Organization IHR Monitoring Framework*

Core capacity Component Country-level indicator
National legislation, policy, and financing National legislation and policy Laws, regulations, administrative requirements, policies, or other government instruments in place are sufficient for implementation of obligations under IHR.
Financing Funding is available and accessible for implementing IHR (including developing core capacities).
Coordination and NFP communications IHR coordination, communication, and advocacy A mechanism is established for the coordination of relevant sectors in the implementation of IHR.
IHR National Focal Point functions and operations are in place as defined by the IHR (2005).
Surveillance Indicator-based, or routine, surveillance (also referred to as structured surveillance, routine surveillance, and surveillance for defined conditions) Indicator-based, routine, surveillance includes the early warning function for the early detection of public health events.
Event based surveillance established Event-based surveillance is established.
Surveillance overview of information on IHR-related hazards (situation awareness) A coordinated mechanism is in place for collecting and integrating information from sectors relevant to IHR
Response Rapid response capacity Public health emergency response mechanisms are established.
Case management Case management procedures are established for IHR-relevant hazards.
Infection control Infection prevention and control is established at national and hospital levels.
Disinfection, decontamination, and vector control A program for disinfection, decontamination, and vector control is established.
Preparedness Public health emergency preparedness and response Multihazard national public health emergency preparedness and response plan is developed.
Risk and resource management for IHR preparedness Public health risks and resources are mapped.
Risk Communication Policy and procedures for public communications Mechanisms for effective risk communication during a public health emergency are established.
Human Resources Human resource capacity Human resources are available to implement IHR core capacity requirements.
Laboratories Laboratory diagnostic and confirmation capacity Laboratory services are available and accessible to test for priority health threats.
Influenza surveillance is established.
Specimen collection and transport System for collection, packaging, and transport of clinical specimens is established.
Laboratory biosafety and biosecurity Laboratory biosafety/biosecurity practices are in place.
Laboratory-based surveillance Laboratory data management and reporting is established.
Points of Entry Surveillance at points of entry Effective surveillance is established at points of entry.
Response at points of entry Effective response at points of entry established.

*IHR, International Health Regulations; NFP, National Focal Point. Data from (2).

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