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Alliance for Health Security Cooperation Monday 17 June 2019 at 13.00 – 14.00 CET, Sydney, AustraliaCo-ChairsPeter Versegi, Ambassador for Health Security, Australian Department of Foreign Affairs and TradeP?ivi Sillanaukee, Permanent Secretary, Ministry of Social Affairs and Health, Finland AgendaDiscussion on the work of the Alliance for Health Security Cooperation (AHSC)The Co-Chairs welcomed participants to the meeting of the Alliance for Health Security Cooperation (previously the JEE Alliance). The Co-Chairs reiterated that the aim of the meeting was to give an update on the streams of work that the Alliance has focused on in 2018-2019, discuss how to best make use of these efforts in particular in view of synergies with other processes, and how to take the work forward. P?ivi Sillanaukee (Finland) noted that the panel discussion on research and development for health security demonstrated again the importance of cooperation among the public sector, private sector and the civil society for sustainable capacity building. Coordination between actors is necessary, but not a mandate of any one organization. The AHSC can facilitate multistakeholder dialogue on common areas of interest. Thematic dialogues The Co-Chairs gave an update on the different thematic streams of work outlined in the AHSC workplan: financing preparedness, One Health, and health workforce. FinancingOuti Kuivasniemi (Finland) recalled the expert roundtable “Mobilizing financing for national preparedness” and the public event “Investing for a Rainy Day: How to finance outbreak preparedness?” held in cooperation with the Graduate Institute, May 2018, Geneva. The events highlighted that there is significant activity to mobilize financing at national and international levels, assess existing resources, accurately cost funding needs and track activities. However, there is a need for data, prioritization and better understanding of the relationships between processes, especially health system strengthening and investment in preparedness. One HealthIn November 2018, a panel on One Health in Bali highlighted different national experiences in developing and strengthening a comprehensive approach to the health of humans, animals and the environment. Members recognized that strengthening One Health cooperation at all levels, and more discussion and exchange of experiences and practices is needed. Workforce DevelopmentCaitlyn McKenzie (Australia) gave an update on the Field Epidemiology Roadmap implementation meeting held on 13 -15 February 2019 in Geneva. The focused on the implementation of the proposed roadmap for improving the development of global Field Epidemiology Training Programs (FETP). One participant raised five questions that are most challenging to field epidemiology training programs:Who is a field epidemiologist?What is a career path of a field epidemiologistIn many countries qualification titles are based on academic institution – How can we ensure consistency in training and qualification?In hiring civil servants, who makes the decision?How can a sustainable workforce of field epidemiologists be resourced and called on when needed?It was acknowledged that a policy paper has been produced, or is in development, from all but the One Health event. Financing was recognized as an area where further work is timely and needed, and follow-up discussion on One Health was also welcomed. Should there be interest among the Alliance to address specifically resource identification and mobilization, it could be one of the topics of the next thematic meetings.Action Points: Alliance to continue discussion the topics and follow up with policy papers. Regional efforts The Co-Chairs updated on two regional aspects of work. Kaisa L?hdepuro (Finland) recounted AHSC participation in the WHO Second Africa Health Forum in March 2019, Cabo Verde. Country participants expressed strong commitment to strengthen efforts to achieve UHC and health security in the region. WHO organized a successful event that brought countries, donors and partners together to exchange information about the concrete gaps and successes in the national action plans. Sillanaukee noted that in Cabo Verde, new partnerships were established with African Development Bank and the Africa Risk Capacity, among others. The African Union is a very relevant partner in the region. During its Presidency of the EU Council, Finland will host a follow-up briefing to EU Member States on the Cabo Verde meeting in Brussels, July 2019. Caitlyn McKenzie highlighted that Ministers of Health of the Pacific and the Caribbean met at the World Health Assembly this year to discuss opportunities for cooperation and exchange regarding good practices including resilient health systems, regulatory frameworks, and health security. It was identified that mutual exchange of information among the regions could continue and yield success. Action Points: Propose and develop a thematic dialogue on regional concerns. Mapping and mobilizing resources Sillanaukee noted that one of the challenges is identification of the existing resources, and that WHO and the World Bank have worked in this area. Stella Chungong (WHO) described the web-based tool that supports mapping, prioritisation and steering of both technical and financial resources. Countries can review and see linkages between different national plans, and their linkages to the NAPHS. The WHO resource mapping exercise has been conducted in four countries, with 10 countries in the pipeline. Mapping is not disease specific, but links vertical disease funding with resources provided through system capability approaches. According to Chungong, in one country, US$50 million was found and reprogrammed based on resource mapping. It was noted that some areas draw less financing than other and more systematic mapping gives clarity and raises awareness about the gaps. Action Points: Alliance to host a further dialogue on financing and / or resource mapping. Contribution of the Alliance to other processes Versegi noted the importance of linking the Alliance’s work to other processes, such as the Global Preparedness Monitoring Board (GPMB) and GHSA Action Packages. The Co-Chairs sought views from participants on how to maximize the impact of discussion and policy papers produced. It was noted that the Alliance can amplify messages of GPMB, SDG3 action plan and others.One aspect raised was knowledge management in the area of health security cooperation. Systematic documenting, storing and disseminating the lessons learned, success stories, was recognised as a long-standing gap. It was questioned whether knowledge management would be the role of the Alliance, or whether the Alliance could encourage organizations to enhance this aspect. Participants highlighted a willingness to support the process of resource mapping. They also raised mobilization of members of the Alliance, who have willingness and resources and often presence in countries. Chungong gave an update on the work of the GPMB, which has seven areas of work: financing preparedness, governance and accountability, Ebola response in DRC, R&D for preparedness, community engagement, and preparedness against airborne pathogens. WHO is producing the chapter on preparedness. The level of preparedness varies significantly across countries. Thirty-four per cent of countries have demonstrated or sustainable capacities. The report’s development has focussed on the integration of data from different sources, a comprehensive approach with all relevant stakeholders; and enhanced community consultation. The first annual report will be released in September 2019.It was proposed that the value of the Alliance could be to give a strong support to GPMB work. In terms of technical work and advocacy, the GPMB report could provide a roadmap for the Alliance.EcoHealth Alliance proposed the Alliance co-host a side event during the September UNGA meeting in New York, offering a different outreach and perhaps a space for a thematic discussion. Events alongside the Asian development bank board meeting in May 2020 in Incheon and the One Health platform in June 2020 in Edinburgh were also discussed.Next steps As the next steps, the Co-Chairs will consult members regarding the next thematic discussions, including appetite for a working group to prepare the content of proposed thematic meetings. ................
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