Joshua Kayiwa, MS, is an Information Analyst; Milton-Makoba Wetaka is a Laboratory Specialist; Simon Kyazze, MS, is a GIS Specialist; and Issa Makumbi, MS, is a Director; all in the Public Health Emergency Operations Center, Ministry of Health, Kampala, Uganda. Juliet-Namuga Kasule, MS, is a Public Health Specialist; Jaco Homsy, MS, is a Director; Vance Brown, MS, is Deputy Director of Operations; and Bao-Ping Zhu, PhD, is Resident Advisor; all in the Division of Global Health Protection, Centers for Disease Control and Prevention, Kampala. Alex-Riolexus Ario, PhD, is the Director, Institute of Public Health; Benard Lubwama, MS, is an Epidemiologist, Epidemiology and Surveillance Division; Dativa Aliddeki, MS, is a Fellow, Uganda Public Health Fellowship Program; Atek Kagirita, MS, is Assistant Commissioner, Public Health Laboratory Services; Benard Opar, MS, is Manager, Uganda National Expanded Program on Immunization; Paul Okware, MS, is Chief Stores and Operations Officer, National Medical Stores; Patrick Tusiime, MS, is Commissioner, National Diseases Control; and Henry Mwebesa, MS, is Director of General Health Services; all in the Ministry of Health, Kampala. Steven Sendagire, MS, is Senior Resident Mentor, Health Policy Planning and Management, Makerere University School of Public Health, Kampala. Innocent Komakech, MS, is Emergency Preparedness Focal Person, World Health Organization, Kampala. Paul Okot, MS, is Emergency Response Manager, Red Cross Society of Uganda, Kampala. David Matseketse, MS, is Emergency Preparedness Officer, United Nations Children's Fund, Kampala. The views expressed in this article are the authors' own, and not the official position of the Uganda Ministry of Health, the Uganda Country offices of the World Health Organization, the United States Agency for International Development, or the Centers for Disease Control and Prevention or any other institutions herein quoted.
Health Secur. 2019 May/Jun;17(3):174-180. doi: 10.1089/hs.2018.0137.
Uganda is currently implementing the Global Health Security Agenda (GHSA), aiming at accelerating compliance to the International Health Regulations (IHR) (2005). To assess progress toward compliance, a Joint External Evaluation (JEE) was conducted by the World Health Organization (WHO). Based on this evaluation, we present the process and lessons learned. Uganda's methodological approach to the JEE followed the WHO recommendations, including conducting a whole-of-government in-country self-assessment prior to the final assessment, using the same tool at both assessments, and generating consensus scores during the final assessment. The in-country self-assessment process began on March 24, 2017, with a multisectoral representation of 203 subject matter experts from 81 institutions. The final assessment was conducted between June 26 and 30, 2017, by 15 external evaluators. Discrepancies between the in-country and final scores occurred in 27 of 50 indicators. Prioritized gaps from the JEE formed the basis of the National Action Plan for Health Security. We learned 4 major lessons from this process: subject matter experts should be adequately oriented on the scoring requirements of the JEE tool; whole-of-government representation should be ensured during the entire JEE process; equitable multisectoral implementation of IHR activities must be ensured; and over-reliance on external support is a threat to sustainability of GHSA gains.
乌干达目前正在实施全球卫生安全议程（GHSA），旨在加快对《国际卫生条例（2005）》（IHR）的遵守。为了评估合规进展情况，世界卫生组织（WHO）进行了联合外部评估（JEE）。基于此评估，我们介绍了相关过程和经验教训。乌干达的 JEE 方法学方法遵循了世卫组织的建议，包括在最终评估之前进行全政府范围的国内自我评估，在两次评估中使用相同的工具，并在最终评估期间生成共识得分。国内自我评估过程于 2017 年 3 月 24 日开始，有来自 81 个机构的 203 名多部门专题专家参加。2017 年 6 月 26 日至 30 日，由 15 名外部评估人员进行了最终评估。50 个指标中有 27 个在国内和最终得分之间存在差异。JEE 中确定的优先差距构成了《国家卫生安全行动计划》的基础。我们从这个过程中吸取了 4 个主要经验教训：专题专家应该充分了解 JEE 工具的评分要求；应在整个 JEE 过程中确保全政府的代表性；必须确保公平的多部门实施 IHR 活动；过度依赖外部支持是对 GHSA 成果可持续性的威胁。
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