Table 2.
Technical areas | Indicators | Score |
---|---|---|
National legislation, policy and financing | P.1.1 legislation, laws, regulations, administrative requirements, policies or other government instruments in place are sufficient for implementation of IHR (2005) | Limited capacity-2 |
P.1.2 the state can demonstrate that it has adjusted and aligned its domestic legislation, policies and administrative arrangements to enable compliance with IHR (2005) | No capacity-1 | |
IHR coordination, communication and advocacy | P.2.1 a functional mechanism is established for the coordination and integration of relevant sectors in the implementation of IHR | Limited capacity-2 |
Antimicrobial resistance | P.3.1 antimicrobial resistance detection | No capacity-1 |
P.3.2 surveillance of infections caused by antimicrobial-resistant pathogens | No capacity-1 | |
P.3.3 healthcare-associated infection (HCAI) prevention and control programs | No capacity-1 | |
P.3.4 antimicrobial stewardship activities | No capacity-1 | |
Zoonotic diseases | P.4.1 surveillance systems in place for priority zoonotic diseases/pathogens | Developed capacity-3 |
P.4.2 veterinary or animal health workforce | Limited capacity-2 | |
P.4.3 mechanisms for responding to infectious and potential zoonotic diseases are established and functional | No capacity-1 | |
Food safety | P.5.1 the country has IBS or EBS and monitoring systems in place to monitor trends | Limited capacity-2 |
and detect foodborne events (outbreak or contamination) | ||
Biosafety and biosecurity | P.6.1 whole-of-government bio-safety and bio-security system is in place for human, animal and agriculture facilities | No capacity-1 |
P.6.2 biosafety and bio-security training and practices | No capacity-1 | |
Immunization | P.7.1 vaccine coverage (measles) as part of a national program | No capacity-1 |
P.7.2 national vaccine access and delivery | Developed capacity-3 | |
Total score (N=15) | 23 | |
Mean score | 23/15 (1.5) |
Note: 1(red)=“attributes of a capacity do not exist or are not in place”; 2 (yellow)= “attributes of a capacity are in the development stage (some are achieved, and some are undergoing; however, the implementation has started)”; 3 (yellow) = “attributes of a capacity are in place; however, there is the issue of sustainability and measured by lack of inclusion in the operational plan in national health sector planning (NHSP) and/or secure funding”;4 (green) = “attributes are in place, sustainable for a few more years and can be measured by the inclusion of attributes or IHR (2005) core capacities in the national health sector plan-green”;5 (green) = “attributes are functional, sustainable and the country is supporting other countries in its implementation. This is the highest level of the achievement of implementation of IHR (2005) core capacities” (10)