Strategic Plan For Strengthening PHEOC in Member States of Africa and Eastern Meditrranean Region
Strategic Plan For Strengthening PHEOC in Member States of Africa and Eastern Meditrranean Region
Strategic Plan For Strengthening PHEOC in Member States of Africa and Eastern Meditrranean Region
Strategic plan for strengthening Public Health Emergency Operations Centres in Member States of Africa and
Eastern Mediterranean Region (2023–2027)
ISBN: 978-929023497-5
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Designed in the WHO African Region
Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Contents
Acknowledgements..............................................................................................................................................................iii
Abbreviations........................................................................................................................................................................iv
Executive summary................................................................................................................................................................v
1. Introduction.......................................................................................................................................................................1
2. Situational analysis of pheoc implementation in the african and eastern mediterranean regions..............................4
2.1. Partner support in africa and eastern mediterranean region (2015–2021)..................................................................5
2.2. Existing pheoc capacities of african region member states..........................................................................................7
2.3. Existing pheoc capacities of the eastern mediterranean member states....................................................................8
2.4. Development process of the joint multistakeholder plan..........................................................................................13
3. Strategic goal and objectives..........................................................................................................................................15
3.1. Strategic goal................................................................................................................................................................15
3.2. Strategic objectives......................................................................................................................................................15
4. Pheoc strategic pillars.....................................................................................................................................................16
4.1. Develop, approve, and implement core pheoc policies, plans and procedures.......................................................16
4.2. Develop capabilities of the pheoc routine and surge staff.........................................................................................18
4.3. Reinforce information management and data standards..........................................................................................20
4.4. Strengthen the pheoc communication technology and physical infrastructure......................................................22
4.5. Establish pheoc “centres of excellence”......................................................................................................................23
5. Budget and timeframe....................................................................................................................................................25
6. Plan implementation......................................................................................................................................................28
6.1. Implementation timeline............................................................................................................................................28
6.2. Regional-level coordination........................................................................................................................................28
6.3. Country-level coordination.........................................................................................................................................28
6.4. Technical coordinators................................................................................................................................................28
7. Monitoring and evaluation.............................................................................................................................................29
8. Annexes...........................................................................................................................................................................31
8.1. Operational plan for the african and eastern mediterranean regions 2023-2027....................................................31
8.2. Budget estimate for the african and eastern mediterranean regions 2023–2027....................................................41
8.3. Performance measures for the african and eastern mediterranean regions 2023–2027.........................................50
8.4. Workshop participants, african and eastern mediterranean regions, march and april 2022..................................59
8.4.1. Participants from the african region, march 2022...................................................................................................59
8.4.2. Participants from the eastern mediterranean region, april 2022...........................................................................65
iii Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Acknowledgements
Member States of Africa and Eastern Mediterranean Region, World Health Organization Regional Offices for Africa
(WHO AFRO) and Eastern Mediterranean (WHO EMRO), Africa Centres for Disease Control and Prevention (Africa
CDC), West African Health Organization (WAHO), US Centers for Disease Control and Prevention (US CDC), UK Health
Security Agency (UKHSA.), Bill and Melinda Gates Foundation (BMGF) and Robert Koch Institute (RKI) collaborated
on the development of this joint strategic plan (2023–2027) to strengthen public health emergency operations
centres (PHEOCs) across these countries.
The professionals mentioned below contributed in different ways during the development of this document. In
addition, the participants from Member States of the African and Eastern Mediterranean Regions and partners who
contributed in reviewing the document during the workshops held in March and April 2022 are found in Annex 8.4.
Abbreviations
AAR: After-action review/report
Africa CDC: Africa Centres for Disease Control and Prevention
ARM: Annual Review Meeting
BMGF: Bill and Melinda Gates Foundation
COVID-19: coronavirus disease 2019
EOC-NET: Emergency Operations Centre Network
EVD: Ebola virus disease
ICT: Information and Communication Technology
IHR: International Health Regulations
IMS: Incident Management System
IT : Information Technologys
JEE: Joint External Evaluations(s)
MoU: Memorandum of Understanding
M&E: Monitoring and Evaluation
MoH: Ministery of Health
MS: Member States
NPHI: National Public Health Institutes
PHEs: Public Health Emergencies
PHEM: Public Health Emergency Management
PHEOC: Public Health Emergency Operations Centre
PHEM-F: Public Health Emergency Management Fellowship
RKI: Robert Koch Institute
RRTs: Rapid Response Teams
SIMEX: Simulation Exercisea
SOP: Standard Operating Procedure
ToR: Terms of Reference
ToT: Training of Trainers
TWG: Technical Working Group
US CDC: United States Centers for Disease Control and Prevention
UKHSA: United Kingdom Health Security Agency
WAHO: West African Health Organization
WHO: World Health Organization
WHO AFRO: World Health Organization Regional Office for Africa
WHO EMRO: World Health Organization Regional Office for the Eastern Mediterranean
v Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Executive Summary
”
Public health threats such as disasters and public
health emergencies (PHEs) including disease
outbreaks, conflicts, droughts, and civil wars
continue to be a major concern for Member States
in Africa and Eastern Mediterranean Region. The
International Health Regulations (IHR (2005))
Many countries
require States Parties to develop, strengthen and
maintain their capacity to respond promptly and
effectively to public health risks and emergencies
(PHEs). The Member States (MS) and partners, established and
made a substantial investment leading to
noteworthy progress in improving the emergency
preparedness and response capabilities, especially
operationalized
after the largest Ebola virus disease (EVD) epidemic
in West Africa in 2014–2016.
their PHEOCs in the
aftermath of EVD
The Public Health Emergency Operations Centre
(PHEOC) is a hub for joint risk assessment and
planning, and coordination of information and
resources for effective emergency management.
Many countries established and operationalized
their PHEOCs in the aftermath of EVD epidemic in
West Africa.
epidemic in West
Africa.
”
Strategic Plan for Strengthening PHEOCs in MS of Africa and vi
Eastern Mediterranean Region
An in-depth review of the key achievements in implementing PHEOC by MS to further strengthen the emergency
management capability from 2015 to 2021, as well as a PHEOC survey, were conducted in May 2021 to determine the
progress made and to identify key challenges in PHEOC implementation. According to these findings, 36 MS from
the African Region and 10 MS from Eastern Mediterranean Region have established a PHEOC. Results showed that
MS have varying PHEOC implementation capabilities. Hence, MS and partners agreed to develop a joint strategic
plan (SP) to strengthen PHEOCs by harmonizing the efforts of the various stakeholders and assisting resource
mobilization and addressing the gaps to improve management of PHEs. Subsequently, WHO, Africa CDC, the West
African Health Organization (WAHO), United States Centers for Disease Control and Prevention (US CDC), United
Kingdom Health Security Agency (UKHSA), Bill and Melinda Gates Foundation (BMGF), and Robert Koch Institute
”
(RKI) worked with MS to develop this joint strategic plan to strengthen the PHEOCs, with the aim of having fully
functional PHEOCs in 90% of MS in the African and Eastern Mediterranean Regions between 2023 and 2027.
To achieve this goal, the SP identified five strategic objectives across the core components of a PHEOC. The primary
areas of focus under the PHEOC policy, plans, and procedures are finalization, validation and operationalization of
the documents including the legal framework, handbook, multi-hazard response plan and other pertinent plans
and procedures. The PHEOC and surge personnel capacity development is another key focus area to ensure trained
and skilled personnel are available to support emergency management through the PHEOC. This will be ensured
by providing regional-level capacity-building activities (training of trainers, national-level training, online training,
PHEOC/PHEM fellowship, simulation exercises and mentorship). The information system management capacity
of the PHEOC, as an essential requirement, will be strengthened by defining data and information requirements,
developing data and information standards, and deploying software to assist in data collection, analysis, and
visualization. To facilitate communication and information-sharing, appropriate communication and information
technology equipment (computers, plasma screens, printers, copiers, scanners, internet modems, internet security,
etc.) and office supplies will be mobilized and deployed.
US$ 181, 637, 498 surge staff capacity development through initiatives including
fellowships, mentorship, study tours, etc.
required to execute and regional levels. A tool will be developed to ensure that a
standard review approach is utilized in assessing performance
throughout the The total estimated budget required to execute the activities
throughout the plan in both Regions is US$ 181, 637, 498.
plan in both The budget will cover costs related to renovating the PHEOC
facilities, procurement of information and communication
”
1 Introduction
Public health threats such as disasters and public health emergencies (PHEs) continue to be a major concern for
African Member States (MS). Ebola virus disease (EVD), COVID-19, conflicts, droughts, floods, cholera, Rift Valley
fever, Crimean-Congo haemorrhagic fever and yellow fever, among others, are major public health threats in the
African continent. Similarly, countries in the Eastern Mediterranean Region are frequently affected by various public
health emergencies including disease outbreaks, natural disasters, conflicts, and civil wars.
Previous experiences, particularly the EVD outbreak in West Africa from 2014 to 2016, revealed critical gaps in
preparation for and response to public health emergencies. One of the key recommendations following this, was to
”
strengthen preparedness and response to future threats. The International Health Regulations (IHR (2005)) require
State Parties to develop, strengthen and maintain their capacity to respond promptly and effectively to public
health emergencies (PHEs). A functional public health emergency operations centre (PHEOC) is critical in assisting
MS in preparing for and responding to public health emergencies. A PHEOC acts as a hub for the coordination of
information and resources.
Following the EVD outbreak in West Africa from 2014 to 2016, MS in the Region began establishing and strengthening
public health emergency operations centres (PHEOCs) to improve their capacity to coordinate their response to
PHEs. In 2015, the World Health Organization Regional Office for Africa (WHO AFRO) officially launched a regional
emergency operations centre network (AFR-EOCNET) to support this initiative. Other key partners¹ joined WHO
to assist MS in Africa and the Eastern Mediterranean Region to establish and strengthen their PHEOCs, providing
technical assistance to develop key PHEOC legal frameworks, operational and functional plans and procedures,
capacitating the health PHEOC routine and surge staff through training and exercises, and establishing, upgrading
and/or converting existing locations into a PHEOC facility, procuring and distributing office supplies and Information
and Communication Technology (ICT) equipment (computers, printers, scanners, smart television sets, LCD
projectors, etc.).
Regions toward
emergency response operations as a core capacity in
JEE/IHR recommendations, serves as a driving force to
requirements or core
Despite the efforts of MS and partners to strengthen
PHEOCs in Africa and the Eastern Mediterranean Region,
recently conducted assessments, review of relevant
documents and bi-regional meetings revealed gaps in capacities of a PHEOC.
the full functionality of PHEOCs . These hampered the
1
WHO, Africa CDC, WAHO, US CDC, UKHSA, BMGF and RKI.
3 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
efficiency of coordinated responses during the management of the COVID-19 pandemic, EVD epidemic, humanitarian
crises and other PHEs. Even though some MS have strong PHEOC implementation capabilities, in others these are
still limited. In partnership with other institutions, WHO AFRO, WHO EMRO and Africa Centres for Disease Control
and Prevention (Africa CDC) started devoting resources to assist MS in strengthening their PHEOCs to effectively
manage any public health threat. The MS and partners agreed to develop a joint strategic plan to harmonize the
efforts of the various stakeholders towards addressing the gaps regarding effective management of public health
threats. Subsequently, MS supported by WHO, Africa CDC, WAHO, US CDC, UKHSA, BMGF and RKI developed this
joint multi-stakeholder strategic plan (2023-2027) to strengthen PHEOCs aiming to have fully functional ones in 90%
of MS. To achieve this goal, the plan identified key tasks across the four core components of a PHEOC to strengthen
capacities in MS (1. Policy, plans and procedures, 2. Data and information, 3. Physical infrastructure and technology,
and 4. Skilled, trained personnel). Supporting the development, finalization, validation and implementation of
key PHEOC plans and procedures (legal framework, handbook, plans and several functional plans and Standard
Operating Procedures (SOPs)); establishing training and exercise programmes in the PHEOC for continuous capacity
development and systems’ testing (short training, online training, PHEM fellowship, simulation exercises and
mentorship); defining information requirements and digitization and, providing regional-level capacity development.
In addition, mobilizing and equipping PHEOCs with communication and information technology equipment and
office supplies will be the key areas of focus concerning infrastructure. Furthermore, PHEOC “Centres of Excellence”
will be established in selected countries and will serve as regional reference centres for MS and other stakeholders
in the strive to strengthen and implement fully functional PHEOCs. The centres will facilitate experience sharing,
especially in PHEOC operations and emergency management, PHEOC routine and surge staff capacity development
through initiatives including fellowship, mentorship, study tours, etc.
The plan’s main purpose is to guide PHEOC implementation in African MS and the Eastern Mediterranean Regions
toward meeting the minimum requirements for PHEOC core capacities. MS are expected to incorporate the activities
and tasks in this strategic plan into their respective National Action Plans. Partners will work with the respective MS
to support implementation by providing technical support and assisting them in resource mobilization.
Policy,
Data and
plans and
information
procedures
PHEOC
Physical Skilled,
infrastructure and trained
technology personnel
Strategic Plan for Strengthening PHEOCs in MS of Africa and 4
Eastern Mediterranean Region
2 Situational
analysis of PHEOC
implementation in
africa and the eastern
mediterranean region
A review of the key achievements in implementing PHEOCs by MS and partners was conducted in May 2021 to
determine the progress made thus far toward the establishment of functional PHEOCs in African MS and the Eastern
Mediterranean Region.
In addition, an assessment of existing PHEOC capacities was conducted in all MS, supplemented by joint (Africa and
the Eastern Mediterranean) meetings between May and July 2021 to identify the key achievements and areas that
need strengthening. The summary of the key achievements recorded from 2015 to 2021 is presented in Box 1.
Additionally, the areas that need strengthening to improve the coordination of responses to public health threats
were identified and summarized in Box 2.
5 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
BOX 1. BOX 2.
Key achievements. Areas that need strengthening.
Functional network of PHEOCs to strengthen 20 MS (10 in each region), do not have a PHEOC
national capacities and facilitate communication, facility in the African and Eastern Mediterranean
exchange of information and best practices. Regions.
36 MS established PHEOCs at the national level in In the Africa and Eastern Mediterranean Regions,
the African Region.
only 17 and 10 MS respectively established PHEOCs
12 MS established national-level PHEOCs in the at the subnational level.
Eastern Mediterranean Region.
About half of the MS in the two regions do
Key PHEOC documents developed, and published, not have an approved legal authority for the
legal framework guide, handbook, training operationalization of the PHEOC.
modules, etc.
About half of the PHEOCs in the two regions have a
Countries supported in development of plans and
procedures for PHEOC operations. handbook for their operations and management but
these are not validated and endorsed.
Various national and regional simulation
exercises (SIMEX) to test PHEOC systems and staff The majority of the PHEOCs have inadequate
capabilities conducted. office supplies and communication technology
infrastructure for the workstations.
More than 60 regional experts trained as trainers
(ToT) in emergency management from MS of the The established PHEOCs lack the software to
two regions and regional roster of PHEOC experts manage routine and response-related data and
developed. information.
56 weekly webinars on PHEOC and COVID-19
There are not sufficient , well-trained, and skilled
management were conducted and MS in both
Regions have taken part and shared their PHEOC and surge personnel in the MS of the
experiences. regions.
The detailed findings of the document review, bi-regional meetings and PHEOC survey are narrated in sections 2.1,
2.2 and 2.3 of this document.
2
https://www.who.int/publications/i/item/framework-for-a-public-health-emergency-operations
3
https://www.afro.who.int/sites/default/files/2021-03/AFRO_PHEOC-Handbook_.pdf
4
https://www.afro.who.int/sites/default/files/2021-03/AFRO_PHEOC-Legal-Framework-Guide_.pdf
Strategic Plan for Strengthening PHEOCs in MS of Africa and 6
Eastern Mediterranean Region
More than 30 MS from the two Regions received technical assistance through the deployment of experts from the
regional roster who assisted in developing a legal framework for PHEOC operationalization and a handbook for
PHEOC management and operations, and conducted national-level training and simulation exercises.
through the activation of PHEOC to support the coordination of response activities to various PHEs, including the
management of the COVID-19 pandemic.
Furthermore, WHO, the Africa CDC and other key partners held weekly webinars on PHEOC and COVID-19
management intended to improve MS’ response efforts through the PHEOC. A total of 56 webinars were organized
between April 2020 and December 2021, focusing on a variety of themes. They were attended by over 12 000
emergency management personnel. Representatives from selected MS were invited to share their experiences and
lessons learnt in the management of the COVID-19 pandemic through the weekly webinars so that other MS could
adapt them to their countries’ environment. A virtual community of practice platform was hosted on Discord to
enable continuous engagement after the live webinar sessions.
1
Strengthening COVID-19 pandemic response coordination through public health emergency operations centres (PHEOC) in Africa: Review of a multi-faceted knowledge management and sharing
approach, 2020–2021 Retrievable from https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001386
2
Public health emergency operations centres in Africa: a cross-sectional study assessing the implementation status of core components and areas for improvement, December 2021. Retrievable from
https://bmjopen.bmj.com/content/13/6/e068934
Strategic Plan for Strengthening PHEOCs in MS of Africa and 8
Eastern Mediterranean Region
Political support and understanding were reported in the 12 countries that responded to the survey. However,
only six of the national PHEOCs have sufficient human and financial resources to run their response operations.
The minimum requirements for routine staff are met in only eight countries.
Eleven of the PHEOCs can identify and contact a roster of trained personnel while only six PHEOCs have
a dedicated training programme and a comprehensive, progressive exercise programme. Eight countries
reported that their staff can activate a response within 120 minutes of detecting an event and they are available
around the clock to fulfil key PHEOC roles.
Half of 12 National PHEOCs reported that their staff did not receive formal training in PHEM. Only eight countries
have an established training programme with follow-up documentation supporting training activities. Only
five countries reported that training and exercise programmes are primary components of a performance
monitoring and evaluation system, and their staff are routinely trained.
The following important recommendations were proposed to address the gaps based on the Strengths, Weakness,
Opportunities and Threats (SWOT) analysis findings. They were as follows:
Development of country-specific national action plans to address the capacity gaps identified in the respective
MS.
Conduct high-level advocacy to gain political buy-in by policies and decision makers to establish fully functional
PHEOCs to improve emergency management.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 10
Eastern Mediterranean Region
Development of a joint PHEOC strategic plan to guide PHEOC implementation that meets the minimum
requirements in the Africa and Eastern Mediterranean Regions.
Facilitate resource mapping and mobilization to assist MS in Africa and Eastern Mediterranean in establishing
fully functional PHEOCs.
In addition, a SWOT analysis from the PHEOC survey complemented with findings of the bi-regional meeting was
developed and summarized for the two Regions by the core components of PHEOC as depicted in Table 1 below.
Table 1. Major findings of the PHEOC Survey in Africa and Eastern Mediterranean Member States, June 2021
Training opportunities
(in-class, online) at
regional and national
levels to improve staff
capacities.
Existing evidence of PHEOC implementation in MS of Africa and Eastern Mediterranean Region was
evaluated and analysed regarding the core PHEOC capacities. Major accomplishments and areas for
improvement were extracted from the relevant documents collected from MS and partners, such as
national action plans, PHEOC surveys detailing existing capacities in MS and findings of the bi-regional
meetings . The major findings were the foundation for the formulation of this joint multistakeholder plan.
A Technical Working Group (TWG) composed of representatives from the partners supporting PHEOC
activities in MS of Africa and Eastern Mediterranean Region met on a weekly basis to provide constant
feedback on each section of the plan until its finalization. A virtual workshop in March 2022 and April 2022
with all MS in the two Regions and partners’ representatives was also convened to review and validate
the plan and consolidate inputs from the workshops. The milestones of the plan development process
are depicted in Figure 1.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 14
Eastern Mediterranean Region
Conducted Survey
to assess PHEOC capacities 2021 May
Conducted SP review
workshop with MS in 2022 March
African Region
Conducted SP review
April 2022 workshop with MS
in Eastern M. Region
Internal partners
planning meeting 2022 May
Resource mapping
workshop for the SP PHEOC 2023 June
Figure 1. Milestones of the developmental process of the joint multistakeholder PHEOC Strategic Plan
(2023–2027)
15 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
3 Strategic goal
and objectives
3.1. Strategic goal
The strategic plan aims to improve the public health emergency management capability by putting in
place fully functional5 Public Health Emergency Operations Centres (PHEOCs) in at least 90% of MS in
Africa and Eastern Mediterranean Region by the end of 2027.
Objective 1: At least 90% of MS in Africa and Eastern Mediterranean Region will have developed and
implemented the core PHEOC policy, plans and procedures: legal framework, operational and functional
plans, and procedures.
Objective 2: Develop and/or strengthen the capabilities of the PHEOC workforce (routine and surge
staff) to support preparedness and response coordination in at least 90% of MS in Africa and Eastern
Mediterranean Region.
Objective 3: At least 90% of PHEOCs in MS of Africa and Eastern Mediterranean Region will have the
information management and sharing platform(s) suitable for handling the minimum data required.
5
The criteria or critical requirements described in the PHEOC Framework used in determining a PHEOC as fully functional will be further reviewed and communicated with all MS.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 16
Eastern Mediterranean Region
4 PHEOC strategic
”
pillars
4.1. Develop, approve, and
implement core PHEOC policies,
plans and procedures
Mediterranean
and Eastern Mediterranean Region. The following key
tasks will be undertaken to meet this objective.
procedures.
management act/policy.
Enact legal frameworks for the operationalization
of the PHEOC.
Implement the PHEOC handbook/plan for
PHEOC operations and management involving
relevant stakeholders.
6
Refers to multisectoral engagement and exhaustive mapping of existing authorities and mandates of the emergency
management systems and PHEOC.
17 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Targets:
By the end of the implementation period:
90% of MS of Africa and Eastern Mediterranean Region have completed a comprehensive mapping and review of
existing legal authorities and emergency management systems.
90% of MS of Africa and Eastern Mediterranean Region have developed or amended the legal framework for the
operationalization of their PHEOC.
90% of PHEOCs have developed, approved, and implemented a handbook or manual for PHEOC management
and operations.
90% of PHEOCs have developed training and exercise programmes to regularly build capacity and test systems,
skills, and capabilities.
90% of key PHEOC plans and procedures (legal framework, handbook/plan, plans and procedures, training and
exercise programmes plans) are validated.
90% of PHEOCs have developed and obtained approval for a multisectoral, all-hazards national response plan.
90% of PHEOCs have utilized the standard response structure/the IMS to coordinate emergency management.
7
Refers to a multisectoral and multidisciplinary workshop organized to review and/or validate a certain document.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 18
Eastern Mediterranean Region
Description: Trained and skilled PHEOC routine and surge staff in emergency
management should be in the PHEOC to monitor the day-to-day preparedness
activities and able to be mobilized from the roster to fill positions within the
IMS and support response operations through the PHEOC.
90% of MS in
The plan set an objective to develop and/or strengthen the capabilities of the
PHEOC routine and surge staff in 90% of MS in Africa and Eastern Mediterranean
Africa and Eastern
Region. The following key tasks are included in the plan to make sure that this Mediterranean
objective is met. Region will have
trained and skilled
Tasks:
Conduct high-level advocacy to ensure permanent and qualified staff are
PHEOC regular and
assigned for the PHEOC to perform day-to-day preparedness activities. surge staff.
Conduct a review of staff retention mechanisms to maintain the PHEOC
staff.
Prepare a strategy for staff retention with a focus on maintaining routine PHEOC staff.
Conduct up-to-date country-level PHEOC routine and surge staff capacity gap analysis on PHEOC human
resources capacities.
Conduct up-to-date subnational PHEOC routine and surge staff capacity gap analysis on PHEOC and PHEM
systems.
Establish a regular training and exercise programme8 to train PHEOC and surge personnel on an annual basis
based on the needs or gap analysis.
Conduct regional-level ToTs on emergency management for 200 PHEOC and/or PHEM professionals from MS of
Africa and Eastern Mediterranean Region.
Cascade the regional emergency management training at the country level in both Regions.
Provide high-level PHEOC operations and IMS orientation/sensitization to high- and mid-level leadership.
Develop/design a web-based/online PHEOC/IMS training platform to enable all emergency management
professionals from all MS to receive the training to enhance their knowledge.
Initiate registration/enrolment of PHEOC and surge personnel in the web-based/online PHEOC/IMS training and
8
The PHEOC needs to conduct at least one training per year to train national and subnational PHEOC and surge personnel.
19 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Targets:
By the end of the implementation period:
National level
100% of MS have assigned the minimum9 routine staff in their PHEOCs as per their defined standard9.
100% of MS have trained and skilled surge staff for emergency response and a roster of surge staff is available.
Regional level
PHEOC experts recruited and deployed to selected10 MS to support capacity building and implementation of the strategic plan.
Targets:
By the end of the implementation period:
National level
100% of the routine PHEOC staff trained in PHEOC operations and IMS.
80% of PHEOCs conducted a training needs assessment to identify capacity gaps.
9
The minimum staff needed in the PHEOC to run the key functions will be communicated with countries.
10
Refers to MS with limited skilled workforce in PHEOC operations and emergency management.
11
The number varies from country to country, and it could be determined based on findings of risk mapping.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 20
Eastern Mediterranean Region
80% of the PHEOCs developed a dedicated training programme based on assessment findings.
90% of MS have sufficient11 trained surge capacity to support preparedness and response coordination.
95% of PHEOC and surge personnel completed online PHEOC training.
100% of the functional PHEOCs in both regions conducted a minimum of one tabletop simulation SIMEX per
year involving concerned stakeholders and preparing corrective action plans.
90% of the PHEOCs conducted at least one functional SIMEX every two years involving concerned stakeholders
and preparing corrective action plans.
100% of the PHEOCs maintained and regularly updated the national database of trained and skilled PHEOCs
and surge personnel based on the standard template to support preparedness and response coordination.
Regional level
200 PHEOC experts from MS of Africa and Eastern Mediterranean Region received ToTs.
Developed, designed, and initiated a web-based/online PHEOC learning platform.
Adapted/developed PHEM fellowship in collaboration with the identified academic institutions in both Regions.
250 professionals from the prioritized MS of Africa and Eastern Mediterranean Region enrolled and completed
PHEM fellowship.
Designed and conducted at least four functional SIMEX involving concerned stakeholders from all MS of the two
Regions.
Adapted/prepared a generic database and shared it with all MS in both Regions to regularly allow tracking
trained human resources.
Maintained and regularly updated the regional database of trained and skilled surge personnel for potential
deployment to support MS.
Description: For informed interventions and effective response, the PHEOC needs to provide the capability to receive,
analyse, display, and monitor incident information (incident-related, operational, and contextual information). It is
essential that the three types of information systematically flow to the PHEOC and that tools are available to manage
the information. The PHEOC should also determine information requirements, develop information management
platforms, and deploy digital solutions/software. Besides, putting in place the information management SOPs and a
memorandum of understanding (MoU) with relevant departments, sectors and agencies is critical for the PHEOC to
facilitate efficient information management and communication to effectively manage health emergencies.
21 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Targets:
By the end of the implementation period:
90% the PHEOCs have implemented digital/software solutions to manage information systems.
90% of the PHEOCs have established communication, coordination and information management and sharing
mechanisms between the concerned stakeholders.
90% of the PHEOCs have developed the capacity to produce situational reports and information products.
12
The minimum data required in the PHEOC will be defined with the MS.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 22
Eastern Mediterranean Region
Description: The PHEOC should have adequate physical space equipped with
appropriate, fit-for-purpose information and communication technology
infrastructure and office furniture and supplie s to provide ade quate circumstance s
90% of MS in
for the response personnel coordinating the emergency management to operate Africa and Eastern
and to allow seamless communication between the various stakeholders. Mediterranean
Region have
The plan set the objective of ensuring that at least 90% of MS in Africa and Eastern a PHEOC
Mediterranean Region have a PHEOC facility in place equipped with the required
facility in place
information and communication technology infrastructure, furniture, and office
equipment. The following key tasks are included in the plan to make sure that this
equipped with
objective is met.
information and
communication
Tasks: technology
Conduct high-level advocacy on the importance of creating functional PHEOC that meets
with Heads of State, ministries, and agencies (offices of the president, prime the minimum
minister, MoH, national disaster management agencies, relevant ministries
requirements.
and agencies, civil society, partners, and other relevant stakeholders).
Conduct assessments on an annual basis to identify requirements to equip the PHEOCs with office supplies
and communication technology equipment (Computers/laptops, printers, scanners, internet modems, smart
television sets, internet subscription fee, antivirus software) .
Prepare a resource mobilization plan to acquire resources (including logistical, financial and human) from
relevant stakeholders, partners and donors based on the gap analysis.
Procure or acquire the requisite communication technology infrastructure and other required resources and
deploy them to the PHEOCs.
Ensure constant functionning of systems in terms of continuity of operations for physical PHEOC, data backup,
and technological failure including the internet.
13
The ICT and physical infrastructure requirements for a PHEOC described in the PHEOC framework will be further reviewed and communicated withs MS.
14
The requirements for alternate PHEOC facilities will be discussed with MS.
23 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
Targets:
By the end of the implementation period:
Physical facility:
90% of MS have designated a PHEOC physical facility in accordance with their defined standard13 and equipped
with the necessary technology, furniture, and office equipment.
100% of MS with dedicated PHEOC facilities have identified alternate PHEOC locations14 per standard.
Description: Establish PHEOC “Centres of Excellence” that will serve as regional reference centres for MS and other
stakeholders in strengthening and setting up fully functional PHEOCs, facilitating experience sharing especially in
PHEOC operations and emergency management, supporting PHEOC routine and surge staff capacity development
through set initiatives including fellowships, mentorship, and study tours, etc.
The plan aims to designate eight PHEOC “Centres of Excellence’’ in selected MS, five in the WHO African Region and
three in the Eastern Mediterranean Region, with the following key tasks included in the plan to achieve the objective.
15
The guidance document will address the standards or requirements including definitions, functions, requirements, roles, and responsibilities.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 24
Eastern Mediterranean Region
The guidance
Tasks:
document will
Conduct high-level advocacy with officials and experts in MoH, relevant
agencies of the selected MS, and other key stakeholders and partners.
address the
Develop a standardized tool to select eligible sites for establishing a standards or
PHEOC Centre of Excellence. requirements
Develop a guidance document for the PHEOC Centre of Excellence15, including
including standards and requirements.
definitions,
Review the tool with potential experts from selected MS and relevant
functions,
stakeholders.
Conduct self-assessments using the PHEOC eligibility tool by willing MS.
requirements,
Validate eligible sites for serving as PHEOC Centres of Excellence.
roles, and
Prepare a resource mobilization plan to acquire the resources from MS, responsibilities.
partners, and donors.
Recruit and deploy senior PHEOC experts (both from the selected MS
and at regional level) to support the establishment and strengthening of the centres.
Organize meetings to review implementation progress with all relevant stakeholders at least twice a year.
Monitor and evaluate the implementation progress of the centres.
Targets:
By the end of the implementation period:
All requirements/resources are mobilized, and resources needed deployed to the centres.
At least eight PHEOC “Centres of Excellence” established in selected MS, five and three in the African and
Eastern Mediterranean Regions, respectively.
Annex. 1 contains a thorough operational plan for the next five years (2023–2027) with a set time frame. It also shows
the responsible body for leading the implementation of the specific activities even though each MS is primarily
responsible for overseeing and implementing all the activities outlined in the plan at country level. Further, the
level of implementation provides the information where the planning and coordination of the key tasks will be
managed(at country and regional level).
25 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
5
”
Budget
and timeframe
Implementation of
the activities planned
over the next five years
requires approximately
US$ 181, 637 ,498
Strategic Plan for Strengthening PHEOCs in MS of Africa and 26
Eastern Mediterranean Region
Implementation of the activities planned over the next five years requires US$ 181, 637, 498 (Table 2). MS in the
two Regions request a budget with a detailed proposal, as well as regular disbursement. Aside from the resources
mobilized from partners and donors, MS also seek regular funding for PHEOC operations, which is included in the
Ministry of Health’s annual budget to ensure ownership and sustainability.
Table 2. Summary of budget (US dollars) by year, African and Eastern Mediterranean Regions, 2023–2027
”
6 Plan
implementation
6.1. Implementation timeline
The timeline for implementing each activity will be as
indicated in the operational plan.
Close collaboration,
Reference (ToRs) will communicate progress updates
to senior leadership in WHO regional offices, Africa
coordination, and
CDC and other key stakeholders.
communication is
6.3. Country-level coordination
For the successful implementation of the strategic
plan, close coordination, collaboration and
communication between the regional partners and critical for effective
respective MoH/National Public Health Institutes
(NPHI) in MS are critical. Activities outlined in the plan implementation of
”
rely on collaboration at all levels between government
and technical partners. the plan.
6.4. Technical coordinators
Senior technical coordinators who support the
strategic plan implementation at the regional level
will be designated. There will also be specific ToR to
define their roles and responsibilities.
29 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
7 Monitoring
and evaluation
The performance measurements will serve as the foundation for monitoring and evaluating the strategic plan’s
implementation. MS, in collaboration with key partners who support PHEOC activities, will monitor implementation
progress. There will be quarterly and annual review meetings at the country level to determine performance against
the annual plan, involving relevant stakeholders. Performance reports will also be prepared twice a year and
distributed to all stakeholders both at the national and regional levels.
There will be internal and external mid-term and end-term evaluations to determine the progress and achievement of
the targets throughout the specified objectives at national and regional levels. A multisectoral and multidisciplinary
team will conduct the mid-term and end-term reviews using a standardised tool. Proceedings of the mid-term and
end-term reviews will be developed and shared with all relevant stakeholders.
The mid-term and long-term goals to be achieved by these time frames will be defined, similarly the yearly target
of MS with fully functional PHEOCs meeting the minimum requirements (Fig. 2). By the end of the plan’s time frame,
approximately 42 (90%) and 20 (90%) MS in Africa and Eastern Mediterranean Region respectively are expected to
have fully functional PHEOCs. By mid-term implementation of the plan, 34 MS in the African Region and 12 in the
Eastern Mediterranean Region will have fully functional PHEOCs (Fig. 2).
62
2027
42 Africa
20 Eastern M.
46 52
2025 2026
34 Africa 37 Africa
12 Eastern M. 15 Eastern M.
30
2023 35
22 Africa
8 Eastern M. 2024
25 Africa
10 Eastern M.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 30
Eastern Mediterranean Region
Table 3. Summary of the mid-term and end-term targets in MS of the African and Eastern Mediterranean Regions,
2023–2027
Annex 3 contains the detailed performance measurements (indicator or measures, indicator computations, data
sources and frequency of data collection) for the key activities planned for the next five years.
31 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region
8 Annexes
8.1. Operational plan for the African and Eastern Mediterranean Regions 2023-2027
16
Refers to the primary lead(s) responsible for the implementation of each task: coordination, planning, and execution.
17
Refers to the level of implementation, whether the planning, coordination and execution of the key tasks are managed at the country or regional level.
Strategic Plan for Strengthening PHEOCs in MS of Africa and 32
Eastern Mediterranean Region
Monitoring
and Revise the activity plan for the next two and a
evaluation: half years in the PHEOC strategic plan based
annual review on the findings from the mid-term evaluation
X Partners
meetings, (e.g., include the activities not implemented
mid-term, from the first mid-term into the next imple-
and end-term mentation period)
evaluations)
Organize and conduct an end-term evalua-
tion to track the implementation progress
of the PHEOC five-year strategic plan with X Partners
all the relevant stakeholders at the regional
level
8.2. Budget estimate for the African and Eastern Mediterranean Regions 2022–2026
Annual budget
Total budget
Activities (Both 2023 2024 2025 2026 2027
Regions) US$
Country-level implementation
Objective : At least 90% of MS have a PHEOC facility in place equipped with information and communication technology and
physical infrastructure meeting the minimum requirements.
Conduct high-level advocacy on
the importance of establishing
functional PHEOCs with Heads
of State, ministries, and agencies
(offices of the president, prime
$2,380,000 $476,000 $476,000 $714,000 $333,200 -
minister, MoH, national disaster
management agencies, relevant
ministries and agencies, civil soci-
ety, partners, and other relevant
stakeholders)
Hold regular steering committee
meetings to review the PHEOC
$1,890,000 $378,000 $378,000 $567,000 $264,600 -
implementation and the progress
of the five-year strategic plan
Subtotal $4,270,000 $854,000 $854,000 $1,281,000 $597,800 $0
Objective : By 2027, at least 90% of MS in Africa and Eastern Mediterranean Region will have developed and implemented
the core PHEOC policy, plans and procedures: legal framework, operational and functional plans, and procedures.
Conduct workshop and complete
a comprehensive mapping of
existing legal mandates on public $275,000 $275,000 $412,500 $192,500 - $275,000
health emergency management
systems and PHEOC
Conduct workshop to adapt and/
or amend a legal framework for
operationalization of the PHEOC,
$275,000 $275,000 $412,500 $192,500 - $275,000
in line with existing national
disaster/emergency management
act/policy
Conduct sensitization workshop
on the PHEOC legal framework to
$476,000 $476,000 $714,000 $333,200 - $476,000
leadership, experts of key sectors
and partners
Conduct workshop to adapt a
handbook/plan for the PHEOC $275,000 $275,000 $412,500 $192,500 - $275,000
Operations and Management
Conduct workshops to adapt/
prepare programmes/plans for
the management of PHEOC and $275,000 $275,000 $412,500 $192,500 - $275,000
emergency management training
and exercises
Conduct workshop to adapt/
prepare country-level SOPs for
- $825,000 $880,000 - - -
management of RRTs and surge
personnel in the PHEOC
Conduct workshop to prepare
SOP/guide for financial manage- - $825,000 $880,000 - - -
ment within the PHEOC
Conduct workshops to validate
the key PHEOC policy, plans and
$385,000 $385,000 $577,500 $269,500 - $385,000
procedures (handbook/plan and
procedures)
Strategic Plan for Strengthening PHEOCs in MS of Africa and 42
Eastern Mediterranean Region
Annual budget
Total budget
Activities (Both 2023 2024 2025 2026 2027
Regions) US$
Annual budget
Total budget
Activities (Both 2023 2024 2025 2026 2027
Regions) US$
Annual budget
Total budget
Activities (Both Regs.) 2023 2024 2025 2026 2027
US$
Annual budget
Total budget
Activities (Both Regs.) 2023 2024 2025 2026 2027
US$
Develop/design, a web-based/
online PHEOC/IMS training
platform to enable all emergen-
cy management professionals $318,750 $159,375 $159,375 - - -
from all MS of both Regions to
receive the training to enhance
their knowledge
Develop selection criteria to
identify potential academic
institutions in Africa and Eastern
Mediterranean Region to pro- $106,250 $53,125 $53,125 - - -
vide a Public Health Emergen-
cy Management Fellowship
(PHEM-F)
Adapt/develop PHEM-F in the
two Regions in collaboration
with the identified academic
$318,750 $159,375 $159,375 - - -
institutions (adapt curriculum,
course materials, commence
the fellowship, etc.)
Enrol and provide the PHEM-F
to 250 PHEOC and/or PHEM
experts (two fellowship
$20,750,000 - - $6,916,667 $6,916,667 $6,916,667
programmes a year) in col-
laboration with the academic
institutions in the two Regions
Subtotal $23,243,750 $721,875 $721,875 $7,266,667 $7,266,667 $7,266,667
Objective : Designate eight PHEOC “Centres of Excellence’’ in selected Member States in the WHO African and Eastern
Mediterranean Regions by the end of 2027.
Develop a guidance document
for the PHEOC Centre of Excel-
$212,500 $106,250 $106,250 - - -
lence, including standards and
requirements
Develop a site selection stan-
dardized tool for establishing a $106,250 - $106,250 - - -
PHEOC centre of excellence
Finalize the selection process
and disseminate the assess-
ment report to the selected $297,500 - $99,167 $99,167 $99,167 -
countries and other relevant
stakeholders
Conduct high-level advocacy
with officials and experts in
MoH, relevant agencies of the $595,000 - $297,500 $297,500 - -
selected MS, other key stake-
holders, and partners
Organize meetings to review
implementation progress with
$1,487,500 - - $495,833 $495,833 $495,833
all relevant stakeholders at least
twice a year
Subtotal $2,698,750 $106,250 $609,167 $892,500 $595,000 $495,833
Objective : Evaluate the implementation of the key activities in the strategic plan: conduct mid-term and end-term evalu-
ations
Organize and conduct a mid-
term evaluation to track the
implementation progress of the
$297,500 - - $297,500 $0 $0
PHEOC five-year strategic plan
with all the relevant stakehold-
ers at the regional level
Strategic Plan for Strengthening PHEOCs in MS of Africa and 46
Eastern Mediterranean Region
Annual budget
Total budget
Activities (Both Regs.) 2023 2024 2025 2026 2027
US$
Annual budget
Objectives Total budget
2023 2024 2025 2026 2027
Ensure that at least 90% of MS in Africa and Eastern Mediterranean Region have a PHEOC facility in place equipped with
information, communication technology and physical infrastructure that meets the minimum requirements by 2027.
Equip the PHEOCs with of-
fice supplies and communi-
cation technology equip-
ment (computers/laptops,
printers, scanners, internet
modems, smart television $24,850,000 $0 $8,283,333 $8,283,333 $8,283,333 $0
sets, internet subscription
fee, antivirus software)
for at least 15 persons per
PHEOC facility based on the
assessment findings
Subtotal 24,850,000 - 8,283,333 8,283,333 8,283,333 -
By 2027, at least 90% of PHEOCs in MS of Africa and Eastern Mediterranean Region will have the information manage-
ment and sharing platform(s) containing the minimum data required.
Provide functional PHEOCs
with security equipment
and networks and commu- 138 000 0 46 000 46 000 46 000 $0
nication to collect, process
and share information
Subtotal 138 000 - 46 000 46 000 46 000 -
Designate eight PHEOC “Centres of Excellence’’ in selected Member States in the WHO African and Eastern Mediterranean
Regions by the end of 2027.
Support upgrading/renova-
tion of facilities to establish
16 000 000 0 5 333 333 5 333 333 5 333 333 0
PHEOC “Centres of Excel-
lence”
Procure office supplies
and ICT equipment for the 8 000 000 0 2 666 667 2 666 667 2 666 667 0
Centres of Excellence
Subtotal 24 000 000 0 8 000 000 8 000 000 8 000 000 0
8.3. Performance measures for the African and Eastern Mediterranean Regions 2022–2026
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
End
Indicators/ Indicator End End Frequency
PHEOC core target Source
Performance definitions / target target Annual target (both) of data
component (Eastern of data
measures Calculations (both) (Africa) collection
Med.)
8.4. Workshop participants, African and Eastern Mediterranean Regions, March and April 2022
43 Chamssoudine [email protected]
COUSP_Institut National d'Hygiène
44 CHERIF Djibril Côte d'Ivoire [email protected]
Publique
45 Chimwemwe Waya Headquarters [email protected]
59 El Habib Ben Alifeni Union des Comores Directeur regional de la santé Anjouan [email protected]
Strategic Plan for Strengthening PHEOCs in MS of Africa and 60
Eastern Mediterranean Region
Direction de la Surveillance et de la
60 Elhadji IBRAHIM Tassiou Niger [email protected]
Riposte aux Epidémies
61 Elhadji Mamadou Mbengue Senegal IT Manager HEOC (Senegal) [email protected]
113 Kalidou Djibril SOW Senegal Health Emergency Operations Centre [email protected]
136 Malick Yissibe Kone Mali Public Health Operation Centre [email protected]
Centre des opérations de réponse aux
137 Mamadou Traore Burkina Faso [email protected]
urgences sanitaires
138 Mamitahiana Rakotoson [email protected]
141 Maria Da Luz Lima Cabo Verde Public Health Operation Centre [email protected]
166 Patrick Okumu Abok Regional Office-AFR World Health Organization [email protected]
173 Reuben Opara Ngofa Regional Office-AFR World Health Organization [email protected]
190 Stephen Ablino Laku South Sudan Ministry of Health /PHEOC [email protected]
215 Zewdu Assefa Edea Ethiopia Ethiopian Public Health Institute [email protected]
65 Strategic Plan for Strengthening PHEOCs in MS of Africa and
Eastern Mediterranean Region