Updated National Action Plan for Health Security : A Shared Opportunity for Sustainable implementation of IHR (2005) - Updated Federal Level Costing Plan (English)

International Health Regulations (2005) are a binding instrument of international law with the purpose and scope 'to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade'. IHR (2005) set the tone for member states to build, strengthen and maintain health security at the national and global level. It also emphasized the importance of mobilizing the resources needed to prevent, detect, and respond to the international spread of diseases, infections, or contamination, within five years after signing the regulations. Pakistan signed IHR (2005) on June 15, 2007. Initially, Pakistan's performance in achieving the core capacities was not exemplary, but momentum was built in early 2014 when MONHSRC notified the IHR focal persons, and Diseases Surveillance and Response Units (DSRUs) were established. This report aims to document progress made in the implementation of NAPHS over the last three and half years and update cost data as needed. In so doing, the report also highlights challenges in the execution of NAPHS, posits suggestions for why such challenges have not been addressed, and which reforms are required to overcome these challenges. Besides that, this report presents the result-based monitoring of JEE technical indicators after the updated costing. Further, the report also highlights the need to rationalize the NAPHS costing and document the results of rationalization activities.