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Table 3 Main strengths and challenges by key IHR core capacity reviewed/tested in the WHO-supported AAR and SimEx conducted worldwide where reports were available, February 2016 to December 2019

From: Simulation exercises and after action reviews – analysis of outputs during 2016–2019 to strengthen global health emergency preparedness and response

IHR Core Capacity Strengths Challenges
C8 – National Health Emergency Framework 1. Regular meetings and information sharing.
2. Good coordination between partners.
3. Coordination mechanism and structure in place.
1. Lack of stakeholders being involved and well briefed.
2. Lack of a unified command system and decision-making.
3. Insufficient coordination structure and systems in place.
C9 - Health service provision 1. Immediate notification, early detection and confirmation of case.
2. Large-scale vaccination for vulnerable people.
3. Safe and dignified burial implemented.
1. Inadequate IPC practices and supplies.
2. Insufficient care for cases.
3. Insufficient isolation of cases.
C10 - Risk Communication 1. Intersectoral communication with relevant stakeholders involved.
2. Existing communication structure or system in place.
3. Information sharing with media and public.
1. Poor community engagement.
2. Inefficient or inadequate information sharing.
3. Limited support from partners.
  1. AAR after action review, SimEx simulation exercise, WHO World Health Organization