Alonso Lucía, Pujadas Mónica, Rosa Raquel
Dirección General de la Salud, Ministerio de Salud Pública, Montevideo, Uruguay.
Rev Panam Salud Publica. 2011 Jul;30(1):59-64.
To describe the characteristics and results of the assessment of core capacities for enforcement of the International Health Regulations (IHR) at points of entry in Uruguay through simultaneous application of the World Health Organization (WHO) and MERCOSUR instruments, and indicate the strengths and weaknesses identified in both instruments when applied in the field.
A descriptive cross-sectional study was conducted through the application of the WHO and MERCOSUR instruments to assess core capacities for the enforcement of the IHR. Two points of entry (POE 1 and 2) were selected as a convenience sample because they had the highest volume of passenger and goods traffic in the country. Both instruments were characterized individually and qualitatively in terms of strengths and weaknesses.
The average values for the implementation of core capacities were 69% (WHO) and 67.4% (MERCOSUR) for POE 1 and 68% (WHO) and 63.9% (MERCO-SUR) for POE 2. The average differences recorded between the instruments were 1.6% for POE 1 and 4.1% for POE 2. Both instruments examined nonmeasurable factors that are subject to the evaluator's judgment, without using operational definitions of the relevant variables.
Simultaneous application of the WHO and MERCOSUR instruments yielded similar levels of implementation at the two points of entry assessed. The assessment processes of the two instruments would be enhanced by capitalizing on each other's strengths and addressing the weaknesses observed and recorded in this study.
通过同时应用世界卫生组织（WHO）和南方共同市场（MERCOSUR）的工具，描述乌拉圭入境点《国际卫生条例》（IHR）执行核心能力评估的特点和结果，并指出这两种工具在实地应用时所发现的优势和不足。
通过应用WHO和MERCOSUR的工具对IHR执行核心能力进行评估，开展了一项描述性横断面研究。选取了两个入境点（入境点1和2）作为便利样本，因为它们是该国客运和货运量最大的地方。对这两种工具的优势和不足分别进行了单独的定性描述。
入境点1核心能力实施的平均值，WHO为69%，MERCOSUR为67.4%；入境点2，WHO为68%，MERCOSUR为63.9%。两种工具记录的平均差异，入境点1为1.6%，入境点2为4.1%。两种工具都考察了需由评估者判断的不可测量因素，且未使用相关变量的操作定义。
WHO和MERCOSUR工具的同时应用在两个被评估的入境点产生了相似的实施水平。利用彼此的优势并解决本研究中观察和记录到的不足，将改进这两种工具的评估过程。
