GHSA 2024 Framework

The Second Phase of the

Global Health Security Agenda

Dr Ganglip Kim

Deputy Minister, Ministry of Health and Welfare The Republic of Korea

The Global Threat

• The 1918 Influenza Pandemic

– Infected 500 million people (~one third of the world population)

– Killed 50-100 million (3 times the number killed in World War I)

• Outbreaks Continue

– Examples: SARS (2002), H1N1 influenza (2009), MERS-CoV

(2012), H7N9 influenza (2013), Ebola (2014), Zika (2016)

– Many others: Yellow fever, Chikungunya, dengue, cholera, etc.

• Risks to national, economic, and health security

2

The Global Health Security

Landscape (2007-Present)

3

Coalition for

Epidemic

Preparedness

Innovations

(2017)

World Health

Organization

World Bank

Group

Global

Health

Security

Agenda

(2014)

Contingency

Fund for

Emergencies

(2015)

Health

Emergencies

Program

(2016)

Pandemic

Emergency

Financing

Facility

(2017)

Joint

External

Evaluation

(2016)

Global

Health

Security

Agenda 2024

(2019)

World

Organization

for Animal

Health

Performance

of Veterinary

Services

Pathway

(2007)

IHR-PVS

Bridging

(2014)

International

Health

Regulations

(2007)

JEE

Alliance

(2016)

Global

Preparedness

Monitoring

Board

(2018)

Vision:

• A world safe and secure from global health threats posed by

infectious diseases, whether natural, deliberate, or accidental

A voluntary initiative launched in 2014 to:

• Enhance country capacities to prevent, detect, and respond

• Emphasize global health security as a national leader-level priority

• Promote multisectoral engagement and collaboration

• Focus on common, measurable targets

Currently includes: 65 member countries, along with multilateral

organizations, and non-governmental stakeholders

What is GHSA?

4

Beyond the First Five Years

In 2017, GHSA member countries a t the Ministerial Meeting

in Uganda endorsed the Kampala Declaration:

• Highlighting the role of GHSA in spurring action toward global

health security;

• Acknowledging much work remains to achieve and sustain

health security;

• Supporting extension of GHSA until 2024 to

continue efforts; and

• Initiating a multilateral consultative process

to develop the next phase of GHSA.

5

Developing the Next Phase

of GHSA

6

The Steering Group led a consultative process to

develop a framework for “GHSA 2024”

• GHSA community-wide questionnaire

• Series of virtual Town Hall webinars hosted for difference time

zones

• Updates and timelines shared on GHSAgenda.org

• Three rounds of review and comments solicited from the

GHSA community-wide

Approach and Milestones

• Overall Approach: Consultations, Drafts, Discussions

• Development Timeline

– Nov 2017: GHSA-wide input solicitation (Questionnaire)

– Dec 2017: Discuss key issues at the Steering Group meeting

– Jan 2018: Begin drafting; discuss further at Steering Group meeting

– Mar 2018: Share 1st draft GHSA-wide; hold virtual Town Hall Meetings

– Apr 2018: Incorporate input; draft Terms of Reference documents (TORs)

– May 2018: Discuss Framework & TORs at Steering Group meeting

– Jul 2018: Share 2nd draft GHSA-wide; hold virtual Town Hall Meetings

– Aug 2018: Finalize Framework; partners indicate interest in roles for 2019

– Fall 2018: Select new leads for GHSA 2024

– Nov 2018: Launch GHSA 2024 at the GHSA Ministerial Meeting

– Dec 2018: Transition to GHSA 2024

Background and Goals

• 2017 Kampala Declaration

• Endorsed extension of GHSA to 2024

• Tasked the Steering Group to develop a framework

for the next phase of GHSA

• Goals for “GHSA 2024”

• Aims to achieve ambitious but realistic goals

• Establishes an approach to achieve those goals

• Incorporates input from the broader GHSA community

• Launches at the November GHSA Ministerial meeting

GHSA 2024 Goal and Target

Goal:

Work with relevant partners to support countries in evaluation, planning,

resource mobilization, and implementation of activities that build health

security capacity.

Target:

More than 100 countries:

• Undergo health security capacity evaluation, national action planning,

and resource mobilization, and begin implementing activities;

• Demonstrate improvements in at least 5 technical areas to a level of

‘Demonstrated Capacity,’ as measured by assessments (e.g., WHO).

9

GHSA 2024 Framework

I. Overarching Framework

• Vision, Mission, Core Principles, and Mandate

• Strategic Objectives

– Promote international frameworks for health security

– Strengthen multisectoral engagement and commitment

– Support building capacities (e.g., tools, best practices)

– Increase financial sustainability for health security

– Strengthen accountability (members, commitments, etc.)

• Structure and Activities:

– Steering Group, Secretariat Function, Task Forces, and

Action Packages

– GHSA-wide Activities (e.g., membership, meetings)

– Tracking Progress and Impact

GHSA 2024 Framework

II. Terms of Reference Documents

• Steering Group

• Secretariat Function

• Task Forces

– Stakeholder Engagement, Advocacy and Communication,

Accountability and Results, Action Package Coordination

• Action Packages

• Membership and Participation

III. Additional Annexes (e.g. global health security landscape)

GHSA vs GHSA 2024

GHSA GHSA 2024

Governance • Countries only

• Permanent members only

• Countries, multilateral organizations,

non-governmental stakeholders

• Permanent, rotating members

Initiative’s

commitments

• High-level engagement, multi-sectoral

approach, measurable progress

• High-level engagement, multi-sectoral

approach, measurable progress

Support structure • Annual chair-provided secretariat • Secretariat function to be established

to support administration and logistics

activities

Collaboration

structures

• Action Packages • Action Packages, Task Forces

Accountability • Annual submission of success stories • Accountability and Results

Framework to track/measure

commitments, progress, and impact

Ministerial meetings • Annual • Biennial

Strategic guidance • Annual chair priorities • 5-year roadmap (GHSA-wide

consultation)

• Annual roadmap review/update

Delineation of roles • Terms of reference for Steering Group • Terms of reference for Steering

Group, Action Packages, Task Forces 12

What’s Next for GHSA 2024

Launching GHSA 2024

• GHSA 2024 is to be launched at the GHSA Ministerial Meeting

in Indonesia, November 6-8, 2018

Transition to GHSA 2024

• Handover to the new Steering Group in December, 2018

13

Thank you

For more information, see: www.GHSAgenda.org/ghsa2024

For questions, email: ghsaPost2018@gmail.com

Presentation Version: September 2018

GHSA Overarching Target

MORE THAN

100 COUNTRIES

DEMONSTRATE

IMPROVEMENT IN

5

TECHNICAL AREAS

BY

2024