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- W2913442095 abstract "Purpose: Implementation of IHR is a commitment and developing minimum core capacities like detection, identification and response to the public health events are essential for all members states. The study objectives are assess IHR implementation arrangements in Pakistan. Methods & Materials: The qualitative study conducted during December 2017. Literature, documents and available record were reviewed. The stakeholders were engaged. Focus group discussions were carried out with representatives of IHR federal & provincial focal points and Points of Entries. Results: Based on “One Health” approach, national and provincial Focal Points has been notified. To build national surveillance and response capacity, all stakeholders are accordingly kept engaged to undertake the desired capacity building efforts. Strategic framework for public health laboratories network, Integrated Disease Surveillance & Response and legal framework for surveillance have been developed. Emergency Operation Centers and Coordination units for disease surveillance & response have been established at federal and provincial levels aiming to provide meaningful information for actions. One Health Hub has been officially notified to overcome Zoonosis and environmental threats. Joint External Evaluation (JEE) was conducted in 2016 and gross infrastructural and human resource deficiencies in all 19 areas identified. Based on the JEE recommendations, five year costed National Action Plan aiming to develop a strong public health system with the standards and competencies required for implementing IHR. Anti Microbial Resistance (AMR) surveillance and monitoring activities have been planned. Sentinel Surveillnace sites for AMR have been identifide and networking been started. Federal Reference Lab upgraded as well as work on establishing four provincial reference labs have been started out of which one provincial lab has been made operational. Conclusion: Despite varied progress in certain areas, an adequate legal framework, proper institutional mechanism to detect, identify, report and respond to the public health events is lacking. An adequate legal framework, strengthening proper institutional mechanism for surveillance and response, infrastructural and human resource capacities at POEs, improved laboratory detection, surveillance and response capacities at all levels, coordinated mechanism based on all hazard approach, control of Zoonosis and mechanisms for detecting & responding to chemical emergencies are recommended." @default.
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- W2913442095 date "2019-02-01" @default.
- W2913442095 modified "2023-10-16" @default.
- W2913442095 title "Implementation status of international health regulations (IHR) 2005 in Pakistan" @default.
- W2913442095 doi "https://doi.org/10.1016/j.ijid.2018.11.276" @default.
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