Abstract
Cote d'Ivoire has decided to implement the International Health Regulations (IHR) (2005), which came into effect in June 2007. However, after a period of 5 years without the actual start, several observations have found deficiencies in the application of this legal instrument binding law. In collaboration with the World Health Organization (WHO), actions have been undertaken for its implementation. The purpose of this work was to assess the key minimum core capabilities required to prevent, detect early and respond to public health emergencies. A documentary review on the table took place from 01 to 09 December 2011 at the National Institute of Public Hygiene with all the sectors involved in the implementation of the IHR (2005). For this purpose following a sampling for convenience, An interview grouped by sub-themes made it possible to collect information from the questionnaire developed by WHO. The data collected was analyzed by highlighting the Strengths, Weaknesses, Opportunities and Threats (SWOT) of the 13 components of the IHR. Confidentiality and anonymity have been respected in order to accelerate the implementation of the capacities of this Regulation. In this study with 51 sectors involved, the minimum required such as legislation, coordination and National Focal Point (NFP) communication represented respectively 50%, 73% and 57% regarding the entities rate of involvement in the implementation of the IHR. Human resources and monitoring were not developed (0%) unlike the laboratories (90%), the response to events represented (85%). In addition, other aspects are in the early stages of implementation to various degrees. The assessment of strengths, weaknesses, opportunities and threats revealed significant progress in some technical areas (preparedness, response) and many insufficiencies in the implementation of the IHR (2005). All this shows the degree of involvement of entities in the implementation of the IHR in Cote d’Ivoire. IHR implementation is an investment to ensure the safety and health of global and Ivorian populations.
Highlights
Today's highly mobile, interdependent and interconnected world offers an array of opportunities for the rapid spread of infectious diseases
This study analyzed the strengths, weaknesses, threats and opportunities (SWOT) of the various technical domains of the RSI (2005) in 51 sectors involved in its implementation
As forces there were the existence of a national anti-epidemic committee and coordination and communication mechanisms at the level of certain ministries, these mechanisms have been tested during certain crises
Summary
Today's highly mobile, interdependent and interconnected world offers an array of opportunities for the rapid spread of infectious diseases In response to these threats, the World Health Organization (WHO) recommends that states declare any event that may constitute a public health emergency of international concern. Because these events can, especially if global health security is not ensured, have repercussions on economic or political stability, trade, tourism, access to goods and services, and even if occur periodically, jeopardizing demographic stability [1]. From 2005, after 10 years of discussion and debate the RSI was adopted (2005) [5] which laid out provisions and procedures that allow the international community to act in case of a risk or a Public Health Emergency of International scope (USPPI), whether natural, accidental or deliberate, biochemical or radioactive accidents [2]
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