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The responsibilityfor the translation and use of the fabric lies with the reader. In no event shall WHO be liable for damages arisingfrom its use. Layout by: HIS/SDS/QSRCONTENTSAcknowledgements . 1Executive abstract . 2 Background.
2 Methods . 2 Key findings . 2 Next steps and suggestions . 31. Background . 4 Context of vital public health features .
4 Project objectives . 5 Project scope . 52. Methods . 73.
Frameworks for a must-have public health features . 9 WHO frameworks. 9 European Region: Delphi study and the later essential public health operations . 9 Americas Region: Public Health in the Americas Initiative . 13 Western Pacific Region . 15 Eastern Mediterranean Region .
15 Major EPHF frameworks outside of WHO . 17 Centers for Disease Control and Prevention and CDC Center for Global Health . 17 World Bank . 18 European Commission. 19 Country level frameworks .
19 Lessons in making use of EPHFs at nation and nearby levels . 21 Local possession. 21 Links to planning and policy . 21 Long term commitment . 21 Technical potential . 214.
Content evaluation of existing frameworks of essential public health features . 22 Horizontal features . 22 Governance . 22 Financing . 23 Human resources .
23 Health data systems . 23 Research . 23 Social participation and health verbal exchange . 24 Vertical features . 24 Health protection .
24 Health advertising . 24 Disease prevention . 25 Health care . 25 Preparedness for public health emergencies . 26 Other vertical capabilities. 26 iii5.
Developing conceptual readability on vital public health features in WHO . 27 Charter of the World Federation of Public Health Associations . 27 Compatibility of the WFPHA framework with other WHO lists: regional comments . 29 Harmony among WFPHA and WHO strategies: analysis . 296.
Cross cutting WHO work – links to other programmes . 31 Sustainable Development Goals. 31 International Health Regulations 2005 . 32 Noncommunicable illnesses and mental health initiatives . 33 Other WHO programmes. 347.
Next steps for the agenda on vital public health features: alternatives for WHO management . 35 Option 1: Develop consensus based EPHF meta functions . 36 Option 2: Promote EPHFs as a way rather than a product for bettering population health . 37 Option 3: Reformulate EPHFs as a complementary policy tool or mechanism . 388. Conclusions .
40This technical report was produced by Professor Jose M. Martin Moreno and Mrs Meggan HarrisUniversity of Valencia, Spain as part of a review commissioned by WHO under the supervision ofDr Sohel Saikat WHO Department of Service Delivery and Safety. WHO thanks health systemscolleagues from the local workplaces for his or her participation and contribution at alternative stages ofthe assignment. Dr Matthew Neilson, Dr Dirk Horemans, Mr Reza Sasanto and Ms Monica Lamongeprovided valuable input in the development of the task and finalization of this report. Specialthanks are due to Dr Edward Kelley Director, Department of Service Delivery and Safety and DrShamsuzzoha B.
Syed Coordinator, Quality Systems and Resilience Unit for their overallguidance in the work undertaken. 1Executive summaryBackgroundSince the first World Health Organization WHO list of a must-have public health functions EPHFswas posted in 1998, EPHFs were a habitual method used by WHO regions, MemberStates and other global health actors to assist define public health talents and chart healthsystem reforms. In light of the differing strategies and results acquired internationally over thepast two a long time, WHO headquarters in Geneva called on the World Federation of Public HealthAssociations to discover the feasibility of uniting efforts across WHO areas to increase a unifiedlist of public health features, the so called “A Systems Framework for Healthy Policy”. ResolutionWHA 69. 1 adds WHO with a robust mandate to aid Member States in strengtheningEPHFs as the main cost beneficial and sustainable way to arrive key health goals which are centralto accomplishing common health insurance and to the Sustainable Development Goals SDG agenda.
There is, although, demand from Members States and from WHO neighborhood workplaces and colleaguesto offer larger conceptual clarity on EPHFs in order to make stronger efforts on health systemsplanning and public health advocacy. To advance one of the crucial above priorities for the globalEPHF agenda, the goal of the work underlying this report was to develop a referencedocument on WHO policy and operational views of local approaches on EPHFs and thelinks with the International Health Regulations 2005 and health systems strengthening, and toprovide a glossary for use in framing discussions on resilient health methods and common healthcoverage. MethodsA systematic review was achieved of all peer reviewed and grey literature describing EPHFframeworks and reports during the last 25 years. The analysis of this information wascomplemented by qualitative data amassed in key informant interviews with professionals detached regional places of work and elsewhere who have worked on or are currently developing thepublic health agenda. The content material of the alternative EPHF frameworks was analysed to identifycommon themes as well as changes. In addition, the EPHF framework of the World Federationof Public Health Associations was examined and in comparison with any other published frameworks.
Key findingsWith regard to the alternative EPHF frameworks used by WHO areas, there are two relevantexperiences from the early 2000s, from the Pan American Health Organization and the RegionalOffice for the Western Pacific. In the past 10 years and especially in the past five, the RegionalOffices for Europe and the Eastern Mediterranean have also produced assessment tools on EPHFsand guided assessments and subsequent reforms in Member States. Common components of theframeworks come with surveillance, governance/financing, health advertising, healthprotection/legislations, analysis, and human materials. More variations exist in how the regionsframe disease prevention, health care, emergency preparedness, social participation andcommunication within public health. In specific, there are obvious differences in regionalperspectives about health care; some public health specialists, for example in the Western PacificRegion, see universal health insurance as a cornerstone of any public health programme and asan acceptable conceptual home for the EPHFs.
