Evidence map›Paper›PMID 33495285›Full record

ReviewBMJ global health2021

Improving National Intelligence for Public Health Preparedness: a methodological approach to finding local multi-sector indicators for health security.

Ngozi A Erondu, Afifah Rahman-Shepherd, Mishal S Khan, Ebba Abate, Emmanuel Agogo, Evelien Belfroid, Osman Dar, Angela Fehr, Lara Hollmann, Chikwe Ihekweazu and 6 more

Abstract readReview
In one paragraph

Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Ngozi A EronduGlobal Health Programme, Chatham House, London, UK ngozierondu@gmail.com.ORCID 0000-0003-0268-6838
Afifah Rahman-ShepherdGlobal Health Programme, Chatham House, London, UK.
Mishal S KhanLondon School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.
Ebba AbateEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Emmanuel AgogoNigeria Centre for Disease Control, Abuja, Nigeria.
Evelien BelfroidNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Osman DarChatham House, London, UK.
Angela FehrRobert Koch Institute, Berlin, Germany.
Lara HollmannGlobal Health Programme, Chatham House, London, UK.ORCID 0000-0002-5500-8275
Chikwe IhekweazuNigeria Centre for Disease Control, Abuja, Nigeria.
Aamer IkramPakistan National Institute of Health, Islamabad, Pakistan.
Bjorn Gunnar IversenNorwegian Institute of Public Health, Oslo, Norway.
Alemnesh H MirkuzieEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Tayyab Razi RathorePakistan National Institute of Health, Islamabad, Pakistan.
Neil SquiresGlobal Public Health, Public Health England, London, UK.
Ebere OkerekeInternational Health Regulations Strengthening Project, Public Health England, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 epidemic is the latest evidence of critical gaps in our collective ability to monitor country-level preparedness for health emergencies. The global frameworks that exist to strengthen core public health capacities lack coverage of several preparedness domains and do not provide mechanisms to interface with local intelligence. We designed and piloted a process, in collaboration with three National Public Health Institutes (NPHIs) in Ethiopia, Nigeria and Pakistan, to identify potential preparedness indicators that exist in a myriad of frameworks and tools in varying local institutions. Following a desk-based systematic search and expert consultations, indicators were extracted from existing national and subnational health security-relevant frameworks and prioritised in a multi-stakeholder two-round Delphi process. Eighty-six indicators in Ethiopia, 87 indicators in Nigeria and 51 indicators in Pakistan were assessed to be valid, relevant and feasible. From these, 14-16 indicators were prioritised in each of the three countries for consideration in monitoring and evaluation tools. Priority indicators consistently included private sector metrics, subnational capacities, availability and capacity for electronic surveillance, measures of timeliness for routine reporting, data quality scores and data related to internally displaced persons and returnees. NPHIs play an increasingly central role in health security and must have access to data needed to identify and respond rapidly to public health threats. Collecting and collating local sources of information may prove essential to addressing gaps; it is a necessary step towards improving preparedness and strengthening international health regulations compliance.

Indexed as

Communicable Disease ControlCOVID-19Public Health SurveillanceEthiopiaHealth PolicyHumansNigeriaPakistanSARS-CoV-2health policyhealth systemspublic healthreview

Identifiers

PMID33495285
PMCPMC7839902

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.