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The Joint External Evaluation (JEE) team would like to express its appreciation to Indonesia for volunteering for a second round of JEE. This demonstrates commitment, foresight, and leadership from the highest levels of government, crucial for long-term success in building and sustaining Indonesia’s core capacities under the International Health Regulations (2005) (IHR). The external team commends Indonesia for enhancing health security by implementing IHR through committed leadership, which is of significant importance not just regionally, but also globally. As a large country spread over 17 000 islands, Indonesia’s size, population, and vulnerability to natural disasters, along with its social, economic, and administrative diversity, pose unique challenges to public health. The country has robustly responded to these challenges, taking public health leadership roles both regionally and globally.
Despite significant improvements in many health outcomes over the past 60 years, many chronic problems in Indonesia’s health system including financial sustainability, governance and inequities in accessing health care have long been apparent, even before the COVID-19 pandemic. The epidemiological transition associated with demographic and socioeconomic change in recent decades makes Indonesia one of many countries that still struggle to address the issues of communicable, maternal and nutritional diseases while facing an increasing burden of non-communicable diseases. The contributors to In Sickness and In Health: Diagnosing Indonesia investigate challenges and opportunities facing the Indonesian health system and assess hurdles that Indonesians have to navigate in their quest to achieve a longer and better quality of life. Politics shaping recent health policy reforms in Indonesia, barriers to the supply of specialist doctors and quality medicines, availability of accurate health and population data, and the financial toll of the COVID-19 pandemic are among the topics discussed in this book. Accessing essential health services for mothers and children and for those living with disability, discrimination and mental illness, as well as an innovative trial to control dengue, are also examined.
In 2019, the tripartite Organizations, FAO, OIE and WHO developed The Tripartite Zoonosis Guide, which was a summation of a global effort of more than 100 experts worldwide to provide guidance and explain best practices for addressing zoonotic diseases in countries. This includes supporting countries in understanding national contexts and developing capacities for strategic technical areas. Three operational tools have been developed to support national staff in these efforts: (1) the Multisectoral Coordination Mechanism OT (MCM OT), (2) the Joint Risk Assessment OT (JRA OT), and (3) the Surveillance and Information Sharing OT (SIS OT). These tools can be used independently or in coordinated efforts to support national capacity for preparedness and response, ultimately linking to existing international policies and frameworks, and supporting efforts for global health security. Specifically, the JRA OT provides additional support on the area of risk assessment to countries implementing the TZG.
The Health Systems for Health Security (HSforHS) Framework guides developing capacities for International Health Regulations (IHR), and components in health systems and other sectors that work in synergy to meet the demands imposed by health emergencies. HSforHS offers an innovative and country-focused approach that builds on the lessons learned from recent health emergencies, including the COVID-19 Pandemic. The HSforHS Framework complements existing concepts and tools that support capacity-building for global health security. The HSforHS Framework is structured to: Support stakeholders to better understand what Health Systems for Health Security entails, Delineate the essential components of health systems and other sectors that play an important role in health security, Explain how countries can define, prioritize and monitor the actions and investments in health security, health systems and other sectors that can support multisectoral and multidisciplinary management of health emergencies, Help partners and donors better support countries in strengthening their health security capacities, and Highlight challenges related to the implementation of the HSforHS Framework.
This volume focuses on Global Catastrophic Biological Risks (GCBRs), a special class of infectious disease outbreaks or pandemics in which the combined capacity of the world’s private and government resources becomes severely strained. These events, of which the 1918 influenza pandemic is emblematic, cause severe disruptions in the normal functioning of the world, exact heavy tolls in terms of morbidity and mortality, and lead to major economic losses. GCBRs can be caused by any type of microorganism, and myriad contextual factors can influence their impact. Additionally, there are cascading questions that arise in connection with GCBR prediction, preparation, and response. This book gathers contributions from thought leaders who discuss the multi-faceted approaches needed in order to address this problem. From understanding the special characteristics of various microbes to financing challenges, the volume provides an essential primer on a neglected but highly relevant topic. Physicians, scientists, policymakers, public health practitioners and anyone with an interest in the field of pandemics, emerging infectious disease, biosecurity, and global health security will find it a valuable and insightful resource.
This edited volume examines the multifaceted impact of the COVID-19 pandemic on peoples and states in East Asia. The book brings together selected case studies in Southeast Asia and the wider East Asian region that analyse how states in the region have responded to the pandemic and its multi-dimensional threats to human security, including risks of atrocity crimes. In the context of protecting human security and upholding the Responsibility to Protect (R2P), the work analyses how such a consequential crisis has compounded socio-economic and political problems, exacerbated societal fault lines, and created new types of risks for people’s safety and security. Using the United Nations Framework of Analysis for Atrocity Crimes: A Tool for Prevention, the book presents seven case studies that identify relevant risks factors confronting selected countries and the extent to which the global pandemic has magnified and/or exacerbated such risks for affected populations. It draws key lessons on how states should manage extant and emerging risks for atrocity crimes and how they can build and enhance their capabilities for preventing atrocities in both conflict-affected and relatively stable states, particularly within the context of Pillar 1 (prevention) and Pillar 2 (capacity building) of the R2P principle. This book will be of much interest to students of the Responsibility to Protect, humanitarian protection, Asian politics, International Relations, and Security studies.
The UHC Partnership (UHC-P) is a collaborative agreement between WHO, several donors (namely: the EU, the Grand Duchy of Luxembourg, Irish Aid, the Government of Japan, the French Ministry for Europe and Foreign Affairs, Germany, Canada, Belgium and the UK Department for International Development) and a number of partner countries (currently, 125 partner countries across all six WHO regions) to support policy dialogue on national health policies, strategies, and plans (NHPSPs) and UHC -and it is part of the WHO Special Programme on Primary Health Care (SP-PHC). Its overall objective being to improve health sector results in concerned countries, it aims at building country capacities (and strengthening country processes) for the development, negotiation, implementation, monitoring and evaluation of robust and comprehensive NHPSPs with a view on promoting UHC; health in all policies; and people-centered primary care -as indeed, investments in quality primary health care (PHC) will be the cornerstone for achieving UHC around the world. The purpose of this publication is to document accomplishments of the UHC-P in 2022 for the 125 partner countries. The annual UHC-P report serves as a single report to all nine donors supporting the Partnership. It will provide a synthesis of activities and results achieved in all the participating countries; present a range of country examples related to the major areas of work; and also elaborate on how the UHC-P achieved sustainable buy-in of partners and stakeholders at the country level in the different countries concerned.