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Developing a comprehensive framework for evaluating public health emergency management program implementation: A

Sileshi Demelash Sasie1, Getinet Ayano2, Pien Van Zuylen3

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This study identifies key areas and factors for effective public health emergency management (PHEM) programs. It proposes a framework to improve preparedness and health system resilience during crises.

Keywords:
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Area of Science:

  • Public Health
  • Health Systems Research
  • Emergency Preparedness

Background:

  • Public health emergencies reveal weaknesses in health systems' emergency preparedness.
  • Developing robust public health emergency management (PHEM) programs is essential but difficult.
  • Current assessment tools for PHEM are limited in scope and standardization.

Purpose of the Study:

  • To identify core domains of PHEM implementation status.
  • To determine key factors influencing PHEM program implementation.
  • To develop a framework for assessing PHEM capabilities.

Main Methods:

  • A scoping review of 40 studies was conducted.
  • Literature searches included PubMed, Web of Science, Scopus, and Google Scholar.
  • A focused desk review of organizational websites and expert consultation were performed.

Main Results:

  • Four core domains of PHEM implementation were identified: overall level, individual, organizational, and overarching factors.
  • Nineteen key influencing factors were identified, including leadership, resources, and stakeholder engagement.
  • A conceptual framework integrating these domains and factors was developed.

Conclusions:

  • A preliminary evaluation framework for PHEM programs was developed based on global evidence.
  • This framework can guide standardized assessments of PHEM capabilities.
  • The ultimate goal is to enhance health system resilience against emergencies.