IHR SPAR Average

Score

The revised International Health Regulations (IHR) were adopted in 2005 and entered into force in 2007 (available at: http://apps.who.int/iris/bitstream/10665/43883/1/9789241580410_eng.pdf ) . Under the IHR, States Parties are obliged to develop and maintain minimum core capacities for surveillance and response, including at points of entry, in order to early detect, assess, notify, and respond to any potential public health events of international concern. Article 54 of the IHR request that States Parties and the Director-General shall report to the World Health Assembly on the implementation of these Regulations as decided by the World Health Assembly. In 2008, the World Health Assembly, through the adoption of Resolution WHA61(2), and later on 2018 with the Resolution WHA71(15), decided that “that States Parties and the Director-General shall continue to report annually to the Health Assembly on the implementation of the International Health Regulations (2005), using the self-assessment annual reporting tool”. This SDG 3.d.1. indicator reflects the capacities State Parties of the International Health Regulations (2005) (IHR) had agreed and committed to develop.

Percentage of attributes of 13 core capacities that have been attained at a specific point in time. The 13 core capacities are: (1) Legislation and financing; (2) IHR Coordination and National Focal Point Functions; (3) Zoonotic events and the Human-Animal Health Interface; (4) Food safety; (5) Laboratory; (6) Surveillance; (7) Human resources; (8) National Health Emergency Framework; (9) Health Service Provision; (10) Risk communication; (11) Points of entry; (12) Chemical events; (13) Radiation emergencies.

Core capacity: the essential public health capacity that States Parties are required to have in place throughout their territories pursuant to Articles 5 and 12, and Annex 1A of the IHR (2005) requirements by the year 2012. Thirteen core capacities and 24 indicators are defined in this document. Indicator: a variable that can be measured repeatedly (directly or indirectly) over time to reveal change in a system. It can be qualitative or quantitative, allowing the objective measurement of the progress of a programme or event. The quantitative measurements need to be interpreted in the broader context, taking other sources of information (e.g. supervisory reports and special studies) into consideration and they should be supplemented with qualitative information. Attributes: one of a set of specific elements or characteristics that reflect the level of performance or achievement of a specific indicator. The capability levels: Each attribute has been assigned a level of maturity, or a ‘capability level.’ Attainment of a given capability level requires that all attributes at lower levels are in place. In the checklist, the status of core capacity development is measured at five capability levels, each of the 5 levels used is described by specific indicators, according related capacity.

Computation Method: INDICATOR LEVEL The score of each indicator level is classified as a percentage of performance along the “1 to 5” scale. e.g. for a country selecting level 3 for indicator 2.1, the indicator level will be expressed as: 3/5*100=60% CAPACITY LEVEL The level of the capacity is expressed as the average of all indicators. e.g. for a country selecting level 3 for indicator 2.1 and level 4 for indicator 2.2. Indicator level for 2.1 will be expressed as: 3/5*100=60%, indicator level for 2.2 will be expressed as: 4/5*100=80% and capacity level for 2 will be expressed as: (60+80)/2=70%

Computation Method: INDICATOR LEVEL The score of each indicator level is classified as a percentage of performance along the “1 to 5” scale. e.g. for a country selecting level 3 for indicator 2.1, the indicator level will be expressed as: 3/5*100=60% CAPACITY LEVEL The level of the capacity is expressed as the average of all indicators. e.g. for a country selecting level 3 for indicator 2.1 and level 4 for indicator 2.2. Indicator level for 2.1 will be expressed as: 3/5*100=60%, indicator level for 2.2 will be expressed as: 4/5*100=80% and capacity level for 2 will be expressed as: (60+80)/2=70%

Aggregate of each score per indicator/capacity, by country/number of countries submitted the questionnaire out of the 196 IHR State Parties by WHO administrate regions or other groups

Deadline for completed questionnaire submission is end of February and report to be presented to the World Health Assembly is prepared to be submitted by May every year. Collection of data starts second semester every year. For year 2019 the deadline for submission of reports was extended two weeks, due to implication with COVID-19 Pandemic.

1) it is based on a self-assessment and self-reporting by the State Party 2) The questionnaire was revised in 2018 and been used for reporting in 2018 and 2019 with same format, different from the questionnaire used during period from 2010-2017, thus there is limitation for comparison of scores from reports between 2010-2017 period with reports after 2018.