Evidence map›Paper›PMID 39209763›Full record

ArticleBMJ global health2024

Defining and identifying the critical elements of operational readiness for public health emergency events: a rapid scoping review.

René English, Heather Carlson, Heike Geduld, Juliet Charity Yauka Nyasulu, Quinette Louw, Karina Berner, Maria Yvonne Charumbira, Michele Pappin, Michael McCaul, Conran Joseph and 3 more

Abstract readScoping Review
In one paragraph

Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

13 authors.

René EnglishDivision of Health Systems and Public Health, Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa renglish@sun.ac.za.
Heather CarlsonCountry Readiness and Strengthening Department, World Health Emergencies Programme, World Health Organization, Geneva, Switzerland.
Heike GeduldDepartment of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University Division of Emergency Medicine, Stellenbosch, South Africa.
Juliet Charity Yauka NyasuluDivision of Health Systems and Public Health, Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Quinette LouwDivision of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Karina BernerDivision of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Maria Yvonne CharumbiraDivision of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-2441-2566
Michele PappinDivision of Health Systems and Public Health, Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Michael McCaulCentre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape town, South Africa.
Conran JosephDivision of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Nina GobatCountry Readiness and Strengthening Department, World Health Emergencies Programme, World Health Organization, Geneva, Switzerland.
Linda Lucy BoulangerCountry Readiness and Strengthening Department, World Health Emergencies Programme, World Health Organization, Geneva, Switzerland.
Nedret EmirogluCountry Readiness and Strengthening Department, World Health Emergencies Programme, World Health Organization, Geneva, Switzerland.

Funding

Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

introductionCOVID-19 showed that countries must strengthen their operational readiness (OPR) capabilities to respond to an imminent pandemic threat rapidly and proactively. We conducted a rapid scoping evidence review to understand the definition and critical elements of OPR against five core sub-systems of a new framework to strengthen the global architecture for Health Emergency Preparedness Response and Resilience (HEPR).

methodsWe searched MEDLINE, Embase, and Web of Science, targeted repositories, websites, and grey literature databases for publications between 1 January 2010 and 29 September 2021 in English, German, French or Afrikaans. Included sources were of any study design, reporting OPR, defined as immediate actions taken in the presence of an imminent threat, from groups who led or responded to a specified health emergency. We used prespecified and tested methods to screen and select sources, extract data, assess credibility and analyse results against the HEPR framework.

resultsOf 7005 sources reviewed, 79 met the eligibility criteria, including 54 peer-reviewed publications. The majority were descriptive reports (28%) and qualitative analyses (30%) from early stages of the COVID-19 pandemic. Definitions of OPR varied while nine articles explicitly used the term 'readiness', others classified OPR as part of preparedness or response. Applying our working OPR definition across all sources, we identified OPR actions within all five HEPR subsystems. These included resource prepositioning for early detection, data sharing, tailored communication and interventions, augmented staffing, timely supply procurement, availability and strategic dissemination of medical countermeasures, leadership, comprehensive risk assessment and resource allocation supported by relevant legislation. We identified gaps related to OPR for research and technology-enabled manufacturing platforms.

conclusionsOPR is in an early stage of adoption. Establishing a consistent and explicit framework for OPRs within the context of existing global legal and policy frameworks can foster coherence and guide evidence-based policy and practice improvements in health emergency management.

Indexed as

COVID-19Public HealthCivil DefenseDisaster PlanningHumansPandemicsPublic HealthReview

Identifiers

PMID39209763
PMCPMC11367384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.