Related Experiment Video
Updated: May 29, 2025

Author Spotlight: Development of a Smartphone-Enhanced Paper-Based Device for Rapid Dengue NS1 Detection
Published on: January 26, 2024
Development of a Subnational Health Security Capacities Assessment Tool: Lessons From Nigeria and Implications for
Jenom S Danjuma1, Oyeladun Okunromade1, Olukayode Fasominu1
1Jenom S. Danjuma, MBBS, MPH, MIAD, is Principal Advisor and Manager; Emem Udoh, LLB, LLM, is a Senior Legal Advisor; Celestina Obiekea, MSc, is a Senior Laboratory Advisor; and Rabi Usman, MBBS, MPH, is a Senior Technical Advisor, Health Security and Event-Based Surveillance; all with Prevent Epidemics, Resolve to Save Lives, Abuja, Nigeria. Oyeladun Okunromade, MBBS, MPH, is Head, and Clement Daam, MBBS, MPH, is Lead, Measles Technical Working Group, Surveillance and Epidemiology; and Lois Olajide, MBBS, MPH, is Head, IHR Division; all at the Nigeria Centre for Disease Control and Prevention, Abuja, Nigeria. Olukayode Fasominu, MD, MPH, is Executive Director, Volte Health Systems Limited, Abuja, Nigeria. Christopher T. Lee, MD, MSc, MPH, is Director, Epidemic Intelligence, and Eleanor Peters Bergquist, PhD, MSPH, MA, is a Senior Technical Advisor; both with Prevent Epidemics, Prevent Epidemics Resolve to Save Lives, Alexandria, VA. Augustine O. Dada, MD, MPH, is a Doctoral Candidate, Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA. Mahmood Dalhat, MD, MPH, is Medical Director, Infectious Diseases Control Centre, Kaduna State, Nigeria. Olusola Aruna, MBChB, MPH, DCH, FFPH, is Country Lead and Senior Public Health Advisor, International Health Regulations Strengthening Programme in Nigeria, UK Health Security Agency, Abuja, Nigeria. Oyeronke Oyebanji, MSc, is a Doctoral Candidate, London School of Hygiene and Tropical Medicine, London, United Kingdom. Chinyere Ezeudu, MBBS, MPH, is a State Epidemiologist, Enugu State Ministry of Health, State Secretariat, Enugu, Nigeria. Basheer Muhammad, MBBS, MPH, is a State Epidemiologist, Kano State Ministry of Health, Kano, Nigeria. Abubakar M. Bagudu, MSc, is Director Public Health, and Assad Hassan, MBBS, MPH, is a State Epidemiologist; both with the Kebbi State Ministry of Health, Birnin Kebbi, Nigeria. Joseph Odu, BPharm, MHM, is Regional Monitoring, Evaluation and Learning Officer (Africa), Project HOPE HQ, Washington, DC. Elisha Ashasim Andebutop, MBBS, MPH, is COVID/Global Health Security Governance Advisor, USAID Nigeria (Former Senior Technical Assistant to the Director General, Nigeria Centre for Disease Control and Prevention), Abuja, Nigeria. Elsie Ilori, MSc, is CEPI Consultant for Enable 1.5 Project Coordination, Nigeria (Former Director, Department of Surveillance and Epidemiology, Nigeria Centre for Disease Control and Prevention), Abuja, Nigeria. Emmanuel Agogo, MD, MPH, is Director of Pandemic Threats, Foundation for Innovative New Diagnostics (FIND), Geneva, Switzerland. Ifedayo Adetifa, MBBS, MSc, PhD, is Chief Transformation Officer/Chief Executive Officer, FIND, Geneva, Switzerland. Chikwe Ihekweazu, MBBS, FFPH, MPH, is Assistant Director-General, Health Emergency Intelligence and Surveillance Systems, WHO Global Hub for Pandemic and Epidemic Intelligence, Berlin, Germany.
Abstract:
The Joint External Evaluation tool is a World Health Organization-recommended method for evaluating countries' capacities under the International Health Regulations (2005) (IHR). It encompasses a national preparedness assessment process for public health threats and offers a structured framework for planning and implementing effective response measures. A tailored approach is necessary for Nigeria's federated system of government, in which most constitutional requirements for public health and associated issues are decentralized to the state level. The Nigeria Centre for Disease Control and Prevention (NCDC) developed an assessment tool to identify state-level health security gaps and support the development of improvement plans. With input from state and national public health leaders and legal experts, a legislative evaluation was conducted to determine specific IHR activities that could be implemented within the state's legal framework to accelerate the implementation of the Integrated Disease Surveillance and Response strategy and IHR. The resulting assessment instrument was piloted in Kano, Enugu, and Kebbi states, followed by a consensus meeting to identify additional areas for improvement. The revised tool contains 14 technical areas and 35 indicators tailored to implementing improvement plans. By recognizing the unique characteristics of subnational entities and their implications for pandemic preparedness, the tool provides an innovative approach to health security for countries with multilayered governance structures or geographic diversity. Conducting a subnational health security assessment is a crucial step in ensuring preparedness for public health threats and enhancing health security in Nigeria's federated system of government.
Related Concept Videos
Principles of Disease Surveillance
Steps in Outbreak Investigation
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Integrated Healthcare System

