Investing in global health security: Estimating cost requirements for country-level capacity building.

The COVID-19 pandemic has highlighted critical gaps in global capacity to prevent, detect, and respond to infectious diseases. To effectively allocate investments that address these gaps, it is first necessary to quantify the extent of the need, evaluate the types of resources and activities that re...

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Main Authors: Stephanie Eaneff, Ellie Graeden, Amanda McClelland, Rebecca Katz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0000880
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author Stephanie Eaneff
Ellie Graeden
Amanda McClelland
Rebecca Katz
author_facet Stephanie Eaneff
Ellie Graeden
Amanda McClelland
Rebecca Katz
author_sort Stephanie Eaneff
collection DOAJ
description The COVID-19 pandemic has highlighted critical gaps in global capacity to prevent, detect, and respond to infectious diseases. To effectively allocate investments that address these gaps, it is first necessary to quantify the extent of the need, evaluate the types of resources and activities that require additional support, and engage the global community in ongoing assessment, planning, and implementation. Which investments are needed, where, to strengthen health security? This work aims to estimate costs to strengthen country-level health security, globally and identify associated cost drivers. The cost of building public health capacity is estimated based on investments needed, per country, to progress towards the benchmarks identified by the World Health Organization's Joint External Evaluation (JEE). For each country, costs are estimated to progress to a score of "demonstrated capacity" (4) across indicators. Over five years, an estimated US$124 billion is needed to reach "demonstrated capacity" on each indicator of the JEE for each of the 196 States Parties to the International Health Regulations (IHR). Personnel costs, including skilled health, public health, and animal health workers, are the single most influential cost driver, comprising 66% of total costs. These findings, and the data generated by this effort, provide cost estimates to inform ongoing health security financing discussions at the global level. The results highlight the significant need for sustainable financing mechanisms for both workforce development and ongoing support for the health and public health workforce.
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spelling doaj.art-78ece0c706f94baf8ddd675be2ecf12b2023-09-03T08:50:21ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-01212e000088010.1371/journal.pgph.0000880Investing in global health security: Estimating cost requirements for country-level capacity building.Stephanie EaneffEllie GraedenAmanda McClellandRebecca KatzThe COVID-19 pandemic has highlighted critical gaps in global capacity to prevent, detect, and respond to infectious diseases. To effectively allocate investments that address these gaps, it is first necessary to quantify the extent of the need, evaluate the types of resources and activities that require additional support, and engage the global community in ongoing assessment, planning, and implementation. Which investments are needed, where, to strengthen health security? This work aims to estimate costs to strengthen country-level health security, globally and identify associated cost drivers. The cost of building public health capacity is estimated based on investments needed, per country, to progress towards the benchmarks identified by the World Health Organization's Joint External Evaluation (JEE). For each country, costs are estimated to progress to a score of "demonstrated capacity" (4) across indicators. Over five years, an estimated US$124 billion is needed to reach "demonstrated capacity" on each indicator of the JEE for each of the 196 States Parties to the International Health Regulations (IHR). Personnel costs, including skilled health, public health, and animal health workers, are the single most influential cost driver, comprising 66% of total costs. These findings, and the data generated by this effort, provide cost estimates to inform ongoing health security financing discussions at the global level. The results highlight the significant need for sustainable financing mechanisms for both workforce development and ongoing support for the health and public health workforce.https://doi.org/10.1371/journal.pgph.0000880
spellingShingle Stephanie Eaneff
Ellie Graeden
Amanda McClelland
Rebecca Katz
Investing in global health security: Estimating cost requirements for country-level capacity building.
PLOS Global Public Health
title Investing in global health security: Estimating cost requirements for country-level capacity building.
title_full Investing in global health security: Estimating cost requirements for country-level capacity building.
title_fullStr Investing in global health security: Estimating cost requirements for country-level capacity building.
title_full_unstemmed Investing in global health security: Estimating cost requirements for country-level capacity building.
title_short Investing in global health security: Estimating cost requirements for country-level capacity building.
title_sort investing in global health security estimating cost requirements for country level capacity building
url https://doi.org/10.1371/journal.pgph.0000880
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