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IHR monitoring framework

The framework has four complementary components: mandatory annual reporting, voluntary joint external evaluation, after-action review and simulation exercises.

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The framework has four complementary components: mandatory annual reporting, voluntary joint external evaluation, after-action review and simulation exercises.


In 2014, the IHR Review Committee recommended to move from exclusive self-evaluation to approaches that combine self-evaluation, peer review and voluntary external evaluation. This approach was also supported by the IHR Review Committee on the Ebola Outbreak and Response.

A concept note outlining a new approach for monitoring and evaluation of the IHR was presented to the regional committees in 2015 and later noted by the Sixty-ninth World Health Assembly.

Four components

The Framework has four complementary components:

  • the mandatory annual reporting by states parties
  • voluntary joint external evaluation
  • after-action review
  • simulation exercises

Of these four components, only annual reporting is compulsory, while the three other components are voluntary.

During 2016 and 2017, focus and progress has been on the joint external evaluation. WHO in collaboration with partners has developed a tool and process for these evaluations, and during 2016  several assessments has been conducted, covering all regions.

Joint External Evaluation Tool

 The IHR Joint External Evaluation Tool is intended to assess country capacity to prevent, detect and rapidly respond to public health threats independently of whether they are naturally, deliberate or accidental occurring. The tool was developed to provide an external mechanism to evaluate a country’s IHR capacity for ensuring health security. 

The tool draws on the original IHR core capacities and incorporates valuable content and lessons learned from tested external assessment tools and processes of several other multilateral and multisectoral initiatives that have supported the building of capacity to prevent, detect and respond to infectious disease threats. The purpose of the external evaluation process is to measure country specific status and progress in achieving the targets.

Core elements

The tool is arranged according to following core elements:

  • Preventing and reducing the likelihood of outbreaks and other public health hazards and events defined by IHR (2005) is essential.
  • Detecting threats early can save lives.
  • Rapid, effective response requires multi-sectoral, national and international coordination and communication.

The Global Health Preparedness Programme seeks to provide competence and share experiences to contribute to the global efforts to improve IHR (2005) capacity assessments, implementation, and prioritisation.

NIPH has participated in joint external assessments in several countries, contributed to develop and improve tools and processes for the joint external assessments and participated in the international effort to establish a new framework for monitoring and evaluation of IHR implementation.