Division of Global Health Protection, U.S. Centers for Disease Control and Prevention (CDC), Country Office, New Delhi, India
Integrated Disease Surveillance Programme (IDSP), National Centre for Disease Control (NCDC), Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, Delhi, India.
BMJ Open. 2024 Sep 20;14(9):e084673. doi: 10.1136/bmjopen-2024-084673.
The current literature suggests that the frequency and complexity of public health emergencies are rising and this trend will likely continue. From 2000 to 2023, seven events have been declared as a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). Organisational models such as the Incident Management System, Incident Response System and Incident Command System or country-specific models are essential in managing PHEIC.The review aims to achieve four key objectives. First, identify and describe the organisational models used in the South-East Asia Region (SEAR) nations defined by WHO as Bangladesh, Bhutan, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, Timor-Leste and DPR Korea for managing PHEICs. Second, explore the indicators used to gauge the effectiveness of these models. Third, assess how these indicators impact the overall success of organisational models. Finally, the review will delve into the implementation aspects gaining a deeper understanding of how the organisational models are put into practice to manage PHEICs in the SEAR region.
Following Preferred Reporting Items for Systematic review and Meta-Analysis Protocols guidelines, a qualitative evidence synthesis will be conducted. A defined search strategy will be employed to conduct a comprehensive literature search of the following academic databases: PubMed (MEDLINE), Excerpta Medica Database, Cochrane CENTRAL, Cumulative Index to Nursing and Allied Health Literature, WHO Library Database, US Centers for Disease Control and Prevention (CDC), CDC's Morbidity and Mortality Weekly Report and Web of Science; as well as non-academic databases including Google Scholar, Evidence Aid, Epistemonikos, Shodhganga and ResearchGate. This review will employ the SPIDER-D tool for searching qualitative studies. Two reviewers will check the quality of included studies and will be appraised using standard critical appraisal tools. In case of any difference between the two reviewers, a third reviewer will take the decision.
No ethical approval is required. Results will be published in a peer-reviewed journal and disseminated through a workshop for stakeholders and policymakers.
CRD42023394418.
目前的文献表明，公共卫生紧急事件的频率和复杂性正在上升，而且这种趋势很可能会持续下去。从 2000 年到 2023 年，世界卫生组织（世卫组织）已经宣布了七起国际关注的突发公共卫生事件（PHEIC）。事件管理系统、事件应对系统和事件指挥系统等组织模式，或者国家特定模式，对于管理 PHEIC 至关重要。本综述旨在实现四个主要目标。首先，确定并描述世卫组织定义的东南亚区域（SEAR）国家，即孟加拉国、不丹、印度、印度尼西亚、马尔代夫、缅甸、尼泊尔、斯里兰卡、泰国、东帝汶和朝鲜民主主义人民共和国，用于管理 PHEIC 的组织模式。其次，探索用于评估这些模式有效性的指标。第三，评估这些指标如何影响组织模式的整体成功。最后，本综述将深入探讨实施方面，更深入地了解组织模式如何在 SEAR 地区实施以管理 PHEIC。
根据系统评价和荟萃分析报告议定书的首选报告项目，将进行定性证据综合。将采用明确的搜索策略，对以下学术数据库进行全面的文献搜索：PubMed（医学文献在线数据库）、Excerpta Medica Database、Cochrane CENTRAL、护理与联合健康文献累积索引、世卫组织图书馆数据库、美国疾病控制与预防中心（CDC）、CDC 的发病率和死亡率周报和 Web of Science；以及非学术数据库，包括谷歌学术、证据援助、Epistemonikos、Shodhganga 和 ResearchGate。本综述将使用 SPIDER-D 工具搜索定性研究。两名评审员将检查纳入研究的质量，并使用标准的批判性评估工具进行评估。如果两名评审员之间存在差异，将由第三名评审员做出决定。
不需要伦理批准。研究结果将发表在同行评议的期刊上，并通过研讨会传播给利益攸关方和政策制定者。
PROSPERO 注册号：CRD42023394418。
