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The Global Health Security Agenda

The Global Health Security Agenda (GHSA) is a unified effort to accelerate progress toward a world safe and secure from infectious disease threats and to promote global health security as an international priority.


The Global Health Security Agenda (GHSA) is a unified effort to accelerate progress toward a world safe and secure from infectious disease threats and to promote global health security as an international priority.

The GHSA also contributes to spurring progress toward full implementation of other global health security frameworks. Examples are the International Health Regulations 2005 (IHR) from the World Health Organization (WHO), the Performance of Veterinary Services (PVS) pathway from the World Organization for Animal Health (OIE) and other relevant global health. 

Norway has been a partner of this collaboration from its inception in 2014. The support from the Global Health Preparedness Programme is a part of the Norwegian contribution to the initiative.

Ten packages

The Action Packages concept was developed by GHSA stakeholders to facilitate regional and global collaboration toward specific GHSA objectives and targets. Countries that support the GHSA are welcome to participate in one or more Action Packages and are asked to consider specific commitments across these areas on a national, regional or global basis.

The GHSA is structured as ten “Action Packages”, which fall under three categories – Prevent, Detect and Respond.  The GHSA Action Packages are:

  • Prevent 1: Antimicrobial Resistance
  • Prevent 2: Zoonotic Disease
  • Prevent 3: Biosafety and Biosecurity
  • Prevent 4: Immunization
  • Detect 1: National Laboratory System
  • Detect 2 & 3: Real-Time Surveillance
  • Detect 4: Reporting
  • Detect 5: Workforce Development
  • Respond 1: Emergency Operations Centers
  • Respond 2: Linking Public Health with Law and Multisectoral Rapid Response
  • Respond 3: Medical Countermeasures and Personnel Deployment Action Package

Norwegian participation in the GHSA action packages

The Antimicrobial Resistance action package

Norway is a contributing country to the action package on Antimicrobial Resistance (AMR) as well as the action package on Real-time Surveillance. The Action Package on AMR is among the most active Action Packages and has made important progress over the last two years.

The Five-Year Target is to support the work coordinated by WHO, FAO, and OIE to develop an integrated and global package of activities to combat antimicrobial resistance, spanning human, animal, agricultural, food and environmental aspects (i.e. a one-health approach). Each country should work towards having its own national comprehensive plan to combat antimicrobial resistance and to strengthen surveillance and laboratory capacity for AMR at the national and international level. 

Another part of the Action Package 5-year target is improved conservation of existing treatments and collaboration to support the sustainable development of new antibiotics, alternative treatments, preventive measures and rapid, point-of-care diagnostics, including systems to preserve new antibiotics. 

The Real-Time Surveillance action package

Norway’s GHPP also contributes to the action package for Real-Time Surveillance that is lead by Georgia and supported by 20 countries. The Real-Time Surveillance systems Five-Year Target is to support work to establish efficient real-time indicator-and event-based surveillance systems in accordance with IHR and OIE standards for detection of significant events for public health, animal health and health security.

Also, the Action Package members are working towards improving communication and collaboration across sectors and between sub-national, national and international levels. In addition, they are working, towards improving country and regional capacity to analyse and link data from and between real-time electronic surveillance systems.

Through the GHPP, Norway was supporting Georgia in organising an Action Package meeting in the fall of 2017. The focus was on the sharing of best practices for surveillance activities between the member countries.