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. 2024 Jun 5;9(6):e013675.
doi: 10.1136/bmjgh-2023-013675.

Mapping the international health regulations monitoring and evaluation framework: an expert consultation, triangulation crosswalk and quantitative analysis

Robert Nguni  1 , Nirmal Kandel  2 , Cynthia Bell  1 , Luc Bertrand Tsachoua Choupe  1 , Rebecca Gribble  1 , Qudsia Huda  1 , Stéphane de la Rocque  1 , Rajesh Sreedharan  1 , Ludy Suryantoro  1 , Liviu Vedrasco  1 , Tamara Mancero  3 , Dick Chamla  4 , Phuong Nam Nguyen  5 , Ihor Perehinets  6 , Dalia Samhouri  7 , Reuben Samuel  8 , Mary Stephen  4 , Ambrose Talisuna  4 , Jun Xing  1 , Stella Chungong  1
Affiliations

Mapping the international health regulations monitoring and evaluation framework: an expert consultation, triangulation crosswalk and quantitative analysis

Robert Nguni et al. BMJ Glob Health. .

Abstract

The International Health Regulations Monitoring and Evaluation Framework (IHRMEF) includes four components regularly conducted by States Parties to measure the current status of International Health Regulations (IHR) 2005 core capacities and provide recommendations for strengthening these capacities. However, the four components are conducted independently of one another and have no systematic referral to each other before, during or after each process, despite being largely conducted by the same team, country and support organisations. This analysis sets out to identify ways in which IHRMEF components could work more synergistically to effectively measure the status of IHR core capacities, taking into account the country's priority risks. We developed a methodology to allow these independent components to communicate with each other, including expert consultation, a qualitative crosswalk analysis and a country-level quantitative analysis. The demonstrated results act as a proof of concept and illustrate a methodology to provide benefits across all four components before, during and after implementation.

Keywords: Health systems evaluation; Public Health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Total number of International Health Regulations Monitoring and Evaluation Framework activities 2016–2022, by WHO region. AAR, after action review; IAR, intra action review; JEE, joint external evaluation; SimEx, simulation exercises; SPAR, States Parties self-assessment annual reporting; AFR, Regional Office for Africa; AMR, Regional Office for the Americas; EMR, Regional Office for the Eastern Mediterranean; EUR, Regional Office for Europe; SEAR, Regional Office for South-East Asia; WPR, Regional Office for the Western Pacific
Figure 2
Figure 2
IHR capacity scores for Uganda by IHR Monitoring and Evaluation Framework components and adjusted average. AAR, after action review; EVD, Ebola Virus Disease; IAR, intra action review; IHR, International Health Regulations; JEE, joint external evaluation; NA, not assessed; PHEOC, Public Health Emergency Operations Center; SimEx, simulation exercises; SPAR, States Parties self-assessment annual reporting; NFP, National Focal Point. ∗Adjusted score calculated by arithmetic mean from all available components within each IHR capacity area.
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