PostertemplatecourtesyFaculty&CurriculumSupport(FACS),GeorgetownUniversitySchoolof

Medicine

Open-Access,Web-BasedInterna3onalHealthRegula3on(IHR)Cos3ngTool

In 2016, the World Health OrganizaKon (WHO) adopted the voluntary Joint ExternalEvaluaKon(JEE)processtohelpcountriesstrengthentheircapaciKestoprevent,detect,and respond rapidly to public health events under the InternaKonalHealthRegulaKons(2005) (IHR). The JEE Tool, a data collecKon instrument, is used as part of thiscollaboraKveprocess toassess IHR-andGlobalHealthSecurityAgenda (GHSA)-relevantcapaciKes, and to idenKfy and prioriKze capacity-building needs. TargeKng resourceseffecKvelytobuildandsustaincapaciKesrequiresstakeholderstodevelopplansthatareacKonableandcontainsufficientcosKnginformaKontosupportraKonalandsustainableimplementaKonefforts. Since the IHRentered into force in2007,naKonal stakeholdersandtheir internaKonalpartnershavestruggledtodefinethecostsofstrengtheningandmaintaining health security systems that cross levels and agencies and rely on mulK-sectoral coordinaKon for acKon. Based on a methodology developed by our researchteam in case study countries spanning mulKple WHO regions, we have developed apublicly available, web-based cos2ng tool to support countries in developing costedac2onplanstoachievecapaci2espriori2zedundertheJEEprocess.TheIHRcosKngtoolintegrates user-supplied, country-specific data into a template derived from fieldpracKcesandbestguidanceforachievingspecificcapabiliKesthatcontributetoIHRcorecapaciKes. This cosKng tool, in combinaKon with the JEE and financing tools alreadyavailable, represent a significant step in helping naKonal and internaKonal decisionmakersdeveloppracKcalplanstoimproveglobalhealthsecurity.

INTRODUCTION

RebeccaKatz1,EllieGraeden2,JusKnKerr2,andJulieFischer11,GeorgetownCenterforGlobalHealthScience&Security|2,TalusAnalyKcs

METHODOLOGYThis work builds on cosKng templates, previously developed by our researchteam,basedona reviewof IHR implementaKon in14case studycountriesandfurther refined through country feedback collected while supporKng WHO indevelopingandpilot-tesKnganearlierconceptualframeworkforIHRcosKngin6countries. Since the JEE contains more indicators than the previous IHR CoreCapacity Monitoring Framework, we reviewed published guidance fromWHO,OIE,andother internaKonalauthoriKes toaddress thenew indicators. InaddiKon, published JEE evaluaKons were reviewed to idenKfy the specificcapabiliKesrequiredtoachieveagivenscoreforeachindicator,andtheacKviKesnecessarytobuildeachcapability.We developed an interacKve,web-based user interface to guide users throughtheprocessofesKmaKngcosts forauser-specifiedstep increase inJEEcapacityscore.Aback-enddatabaseofcostcalculaKonscoverscosKngforeachcapabilityand acKvity idenKfied in the above analysis. CalculaKons includemulKpliers foreach administraKve level, where applicable, because IHR requires capaciKes todetect, assess, and report unusual events from the local, intermediate, andnaKonal levels. To support summary analysis and planning efforts, each cost istagged with a specific JEE indicator, funcKonal category, and whether itrepresentsastart-up,capital,orrecurringcost.IndicatorsforwhichcosKngtoolshavealreadybeendeterminedelsewhereare linkedandalignedwherepossibletohelppreventduplicaKonorconfusion.

Acknowledgements:We thank the enKre Center for Global Health Science and Security research team for theirresearchsupport indevelopingthetool. IniKaleffortssupportedbytheU.S.DefenseThreatReducKonAgency-CooperaKve,BiologicalEngagementProgramandtheDepartmentofStateBiosecurity Engagement Program. The conceptual framework was strengthened throughcollaboraKonwiththeWHOanditstechnicalpartners.CurrenteffortsweresupportedbyOpenPhilanthropy Project and Georgetown University Medical Center. We are grateful to ourpartnersandcolleaguesattheWorldHealthOrganizaKon,theCentersforDiseaseControlandPrevenKon, theWorld Bank, McKinsey and Company, the GHSA Private Sector Roundtable,TomFrieden,PeterSands,AnasElTurabi,andPhilSaynischfortheirfeedbackandsupport.

ContactInforma3on:ihrcos3ng@georgetown.edu|hPps:ghss.georgetown.edu

OTHERINFORMATION

RESULTS

CONCLUSIONS•  Countryexperienceswereused todevelopanopenaccess,web-based tool toesKmatecountry-levelcostsforstrengtheningIHRcompliance

•  NosensiKveuserdatastoredbythetool•  MulKple opKons for use include storing data between sessions and workingofflineinaspreadsheettemplate

•  CostcalculaKonsaligntotheJEEandusecountry-specificdata•  IncludesJEEscoreuploadfromJEETechnologyTool(developedbythePSRTandpoweredbyQlikTechnologies)

•  InteracKve visualizaKons to explore costs by category, funcKon, core capacity,andover1,3,and5years

•  ExportdetailedcosKngresultstoMicrosoeExcel•  IdenKfies the costs associated with pracKcal steps to improve global healthsecurity

1.HomePage:Introduc3on 2.ChooseCountry:Interac3veMap 3A.Assessment:FileUploadOp3ons

3B.Assessment:EnterandReviewJEEScores 4A.Cos3ng:Country-SpecificInputs 4B.Cos3ng:EnterCosts

5A.Results:CostSummary

5B.Results:Interac3veGraph(s)

5B.Results:Interac3veGraph(s)

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