Lessons learnt from implementation of the International Health Regulations: a systematic review.
Lessons learnt from implementation of the International Health Regulations: a systematic review.
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DOI：
10.2471/blt.16.189100
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发表时间：
2018-02-01
影响因子：
11.1
通讯作者：
Nagata JM
中科院分区：
文献类型：
--
作者：
Suthar AB;Allen LG;Cifuentes S;Dye C;Nagata JM
响应世界卫生大会关于传播已开始实施《2005年国际卫生条例》修订本的国家的经验教训的呼吁；《国际卫生条例(2005)》。2015年11月，我们对以下在线数据库和来源进行了系统检索：PubMed®、Embase®、Global Health、Scopus、世界卫生组织（WHO）全球索引Medicus、WHO《国际卫生条例》实施公报和国际疾病监测学会。我们纳入了已确定的研究和报告，总结了在实施《国际卫生条例（2005）》任何核心能力或其组成部分方面的国家经验。我们排除了理论性研究或参考《国际卫生条例（1969）》的研究。定性系统评价方法，包括元人种学，用于定性综合。我们分析了代表世卫组织所有区域的77个国家的51篇文章。综合综合确定了从《国际卫生条例（2005）》的八项核心能力中获得的总共44项经验教训。主要主题包括需要调动和维持政治承诺；根据当地的社会文化、流行病学、卫生系统和经济情况适应全球需求；并开展基线和后续评估，以监测《国际卫生条例（2005）》的实施状况。尽管实施《国际卫生条例（2005）》的经验涵盖了全球范围，但需要非洲和东欧提供更多的文件。我们没有发现监测《国际卫生条例（2005）》的具体薄弱环节；需要持续监测所有核心能力，以确保有效的系统。各国在满足《国际卫生条例（2005）》要求的过程中可以借鉴这些经验教训。
To respond to the World Health Assembly call for dissemination of lessons learnt from countries that have begun implementing the International Health Regulations, 2005 revision; IHR (2005). In November 2015, we conducted a systematic search of the following online databases and sources: PubMed®, Embase®, Global Health, Scopus, World Health Organization (WHO) Global Index Medicus, WHO Bulletin on IHR Implementation and the International Society for Disease Surveillance. We included identified studies and reports summarizing national experience in implementing any of the IHR (2005) core capacities or their components. We excluded studies that were theoretical or referred to IHR (1969). Qualitative systematic review methodology, including meta-ethnography, was used for qualitative synthesis. We analysed 51 articles from 77 countries representing all WHO Regions. The meta-syntheses identified a total of 44 lessons learnt across the eight core capacities of IHR (2005). Major themes included the need to mobilize and sustain political commitment; to adapt global requirements based on local sociocultural, epidemiological, health system and economic contexts; and to conduct baseline and follow-up assessments to monitor the status of IHR (2005) implementation. Although experiences of IHR (2005) implementation covered a wide global range, more documentation from Africa and Eastern Europe is needed. We did not find specific areas of weakness in monitoring IHR (2005); sustained monitoring of all core capacities is required to ensure effective systems. These lessons learnt could be adapted by countries in the process of meeting IHR (2005) requirements.