scholarly journals Development of a Costed National Action Plan for Health Security in Pakistan: Lessons Learned

2018 ◽  
Vol 16 (S1) ◽  
pp. S-25-S-29 ◽  
Author(s):  
Malik Safi ◽  
Kashef Ijaz ◽  
Dalia Samhouri ◽  
Mamun Malik ◽  
Farah Sabih ◽  
...  
2018 ◽  
Vol 3 (2) ◽  
pp. e000600 ◽  
Author(s):  
Janneth M Mghamba ◽  
Ambrose O Talisuna ◽  
Ludy Suryantoro ◽  
Grace Elizabeth Saguti ◽  
Martin Muita ◽  
...  

The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with Member States in 2015 with one mandatory component, that is, States Parties annual reporting to the World Health Assembly (WHA) on compliance and three voluntary components: Joint External Evaluation (JEE), After Action Reviews and Simulation Exercises. In February 2016, Tanzania, was the first country globally to volunteer to do a JEE and the first to use the recommendations for priority actions from the JEE to develop a National Action Plan for Health Security (NAPHS) by February 2017. The JEE demonstrated that within the majority of the 47 indicators within the 19 technical areas, Tanzania had either ‘limited capacity’ or ‘developed capacity’. None had ‘sustainable capacity’. With JEE recommendations for priority actions, recommendations from other relevant assessments and complementary objectives, Tanzania developed the NAPHS through a nationwide consultative and participatory process. The 5-year cost estimate came out to approximately US$86.6 million (22 million for prevent, 50 million for detect, 4.8 million for respond and 9.2 million for other IHR hazards and points of entry). However, with the inclusion of vaccines for zoonotic diseases in animals increases the cost sevenfold. The importance of strong country ownership and committed leadership were identified as instrumental for the development of operationally focused NAPHS that are aligned with broader national plans across multiple sectors. Key lessons learnt by Tanzania can help guide and encourage other countries to translate their JEE priority actions into a realistic costed NAPHS for funding and implementation for IHR (2005).


Author(s):  
Jovanka Šaranović ◽  
Brankica Potkonjak-Lukić ◽  
Tatjana Višacki

This paper reviews positive experiences in the implementation of the UNSC Resolution 1325 in the Ministry of Defence and the Serbian Armed Forces (MoD and SAF). Since the first National Action Plan for the Implementation of the UNSC Resolution 1325 – Women, Peace and Security in the Republic of Serbia (2010- 2015) is no longer valid, the best evidence of the significant improvements that have been made regarding gender equality in the MoD and SAF are the achieved results. In addition to improved gender awareness, and a higher representation of women in the defence system, these results also indicate that the roles, positions and protection of women have been improved. Future responses to all the challenges that stand in a way of full objectification of gender equality in the MoD and SAF require additional efforts for their timely identification, comprehensive understanding, correct interpretation and objective presentation. Today, as was the case with the pervious document, the MoD of the Republic of Serbia has a key role in drafting the new National Action Plan for the period 2016-2020, especially with regard to the definition of its objectives and determining the dynamics of their implementation, thereby taking into consideration contemporary standards in the area of gender equality, accumulated knowledge, lessons learned, empirical research findings and experience gained by other countries at the regional and global level. V članku so predstavljene pozitivne izkušnje pri izvajanju Resolucije OZN 1325 na Ministrstvu za obrambo in v Vojski Srbije. Ker prvi nacionalni akcijski načrt za uresničevanje Resolucije OZN 1325 – Ženske, mir in varnost v Republiki Srbiji (2010–2015) ni več v veljavi, so doseženi rezultati najboljši dokaz pomembnih izboljšav na področju enakosti spolov na Ministrstvu za obrambo in v Vojski Srbije. Poleg boljše ozaveščenosti na področju spolov in večje zastopanosti žensk v obrambnem sistemu ti rezultati kažejo tudi na izboljšane vlogo, položaj in zaščito žensk. Za prihodnje odgovore na izzive, ki se še pojavljajo na poti do popolne objektivizacije enakosti spolov na Ministrstvu za obrambo in v Vojski Srbije, so nujna dodatna prizadevanja, da se pravočasno odkrijejo, celovito razumejo, pravilno tolmačijo in objektivno predstavijo. Danes, podobno kot pri pripravi prejšnjega dokumenta, ima Ministrstvo za obrambo Republike Srbije glavno vlogo pri oblikovanju novega nacionalnega akcijskega načrta za obdobje 2016–2020, še zlasti pri opredeljevanju ciljev in določanju dinamike njihovega uresničevanja. Pri tem se upoštevajo sodobni standardi na področju enakosti spolov, pridobljeno znanje, učenje iz izkušenj, rezultati empiričnih raziskav ter izkušnje drugih držav na regionalni in globalni ravni.


2020 ◽  
Vol 18 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Olubunmi Eyitayo Ojo ◽  
Mahmoud Dalhat ◽  
Richard Garfield ◽  
Chris Lee ◽  
Oyeronke Oyebanji ◽  
...  

Author(s):  
Doris Schaeffer ◽  
Svea Gille ◽  
Klaus Hurrelmann

The promotion of health literacy (HL) has become an important task in public health. In response, in many countries, strategies and action plans to strengthen HL have been developed. Systematic discussion of implementation strategies of action plans on HL is scarce. This paper presents the implementation strategy and the methodical process of its realization of the National Action Plan HL in Germany which was published in 2018. The implementation strategy was based on considerations of implementation science and research. A process consisting of a continuum of various overlapping methodical and strategic steps of diffusion, dissemination and implementation based on collaboration and co-production was chosen. According to this, the Action Plan was widely diffused via various channels, disseminated through numerous publications and presentations, and implemented in several settings by holding workshops with stakeholders from politics, science and practice, as well as by cooperating with the Alliance for Health Literacy. This three-part collaborative and co-productive implementation strategy has helped to place HL and the National Action Plan on the health policy agenda in Germany. Experience demonstrates that implementation should be also considered, systematically planned, and addressed when developing strategies to strengthen HL.


10.1596/30401 ◽  
2018 ◽  
Author(s):  
Jakub Kakietek ◽  
Anne Provo ◽  
Michelle Mehta ◽  
Farhana Sharmin ◽  
Meera Shekar

Author(s):  
Elvis Tajoache Amin ◽  
Omeichu Amadeus Agwenam ◽  
Shu Divine Mamboneh ◽  
Ekukole Serge Ekome ◽  
Njumkeng Charles ◽  
...  

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110361
Author(s):  
Gentian Qejvanaj

Roma segregation in Albania has been causing growing concern since the fall of the communist regime. In this study, we analyze the effectiveness of the Albanian national action plan for Roma inclusion 2016–2020, in 2018, halfway in its implementation period. We gathered data on education and employment from the pre-implementation period (2015) and compared it with the latest available data in 2018. Interviews with local experts and surveys by the Balkan Barometer will provide background information to assess the current state of Roma integration in Albania. Moreover, descriptive statistics from national and international institutions and structured interviews will draw an independent narrative of Roma affairs. In our conclusion, we suggest moving beyond the “us and them” approach with programs run on inertia; our findings highlight that although encouraging achievements have been reached under the 2016–2020 action plan, real inclusion is still far, as statistical achievements do not say much about the quality of the education or job training provided under the 2016–2020 action plan.


2020 ◽  
Vol 41 (S1) ◽  
pp. s506-s507
Author(s):  
Patricia Cummings ◽  
Rita Alajajian ◽  
Larissa May ◽  
Russel Grant ◽  
Hailey Greer ◽  
...  

Background: The rate of inappropriate antibiotic prescribing for acute respiratory tract infections (ARTIs) is 45% among urgent care centers across the United States. To contribute to the US National Action Plan for Combating Antibiotic-Resistant Bacteria, which aims to decrease rates of inappropriate prescribing, we implemented 2 behavioral nudges using the evidence-based MITIGATE tool kit from urgent-care settings, at 3 high-volume, rural, urgent-care centers. Methods: An interrupted time series (ITS) analysis was conducted comparing a preintervention phase during the 2017–2018 influenza season (October through March) to the intervention phase during the 2018–2019 influenza season. We compared the rate of inappropriate or non–guideline-concordant antibiotic prescribing for ARTIs across 3 urgent-care locations. The 2 intervention behavioral nudges were (1) staff and patient education and (2) peer comparison. Provider education included presentations at staff meetings and grand rounds, and patient education print materials were distributed to the 3 locations coupled with news media and social media. We utilized the CDC “Be Antibiotics Aware” campaign materials, with our hospital’s logo added, and posted them in patient rooms and waiting areas. For the peer comparison behavioral intervention, providers were sent individual feedback e-mails with their prescribing data during the intervention period and a blinded ranking e-mail in which they were ranked in comparison to their peers. In the blinded ranking email, providers were placed into categories of “low prescribers,” those with a ≤23% inappropriate antibiotic prescribing rate based on the US National Action Plan for Combating Antibiotic-Resistance Bacteria 2020 goal, or “high prescribers,” those with a rate greater than the national average (45%) of inappropriate antibiotic prescribing for ARTI. Results: Our results show that fewer inappropriate antibiotic prescriptions were written during the intervention period (58.8%) than during the preintervention period (73.0%), resulting in a 14.5% absolute decrease in rates of inappropriate prescribing among urgent-care locations over a 6-month period (Fig. 1). The largest percentage decline in rates was seen in the month of April (−35.8%) when compared to April of the previous year. The ITS analysis revealed that the rate of inappropriate prescribing was statistically significantly different during the preintervention period compared to the intervention period (95% CI, −4.59 to −0.59; P = .0142). Conclusions: Using interventions outlined in the MITIGATE tool kit, we were able to reduce inappropriate antibiotic prescribing for ARTI in 3 rural, urgent-care locations.Funding: NoneDisclosures: Larissa May repo, Speaking honoraria-Cepheid Research grants-Roche Consultant-BioRad Advisory Board-Qvella Consultant-Nabriva


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