Develop comprehensive legislation and the associated set of regulations for managing biosafety and biosecurity, encompassing human, animal, and environmental health.

Finalize the draft Emergency Response Plan for responding to incidents concerning biosafety and biosecurity.

Conduct a training needs assessment and develop a training program on biosafety and biosecurity that includes development of curricula and a plan for the training of trainers.

Finalize the draft national policy for the management of waste, including dangerous pathogens.

Develop options and a national policy for the vaccination of laboratory health workers especially those dealing with dangerous pathogen (e.g. Hepatitis B, among others).

Establish better local population estimates to calculate a more accurate coverage and reduce stock-outs due to poor forecasting.

Investigate reasons for children not being immunized and address these obstacles to reach the target coverage in all districts.

Review existing funding streams and create contingency plans to deal with the potential loss of external funding sources.

Reduce staff turnover by, for example, motivation packages (timely promotions, recognition of good work, performance awards).

Assure funding for maintenance of cold-chain.

Review and update food and food safety legislation which is outdated; and develop a national policy and strategy on food safety.

Enhance capacity of relevant sectors dealing with food safety by: - Timely recruitment, training, and retention of skilled personnel. - Participation of key stakeholders in international food safety fora. - Provision of logistic and operational support to enhance capacity for surveillance, lab diagnostics and responding to food safety emergencies. - Development of an integrated information management system and ensuring international accreditation of laboratories responsible for food safety.

Develop and implement operational frameworks based on the existing OIE PVS Gap Analysis that specify the actions necessary to promote safety of food products of animal origin.

Develop appropriate terms of reference and an MoU to facilitate and enhance coordination among agencies dealing with food safety.

Institutionalization of multisectoral collaboration to address zoonotic diseases by: - Establishing the “One Health” approach as formal policy in the country to cover all relevant aspects of the IHR including zoonotic diseases, food safety, and AMR. - Strengthening zoonotic committees at the various levels, and securing adequate and sustainable funding so that they function efficiently in supporting surveillance, lab activities, and a coordinated response through joint RRTs. - Develop an MoU between the ministries of health, agriculture and environment that document a ‘concept of operations’ and specify actions necessary to promote the One Health approach.

Establish an integrated information management system for systematic and timely information sharing and exchange between all relevant sectors.

Establish attractive recruitment and retention schemes for personnel trained and experienced in the One Health approach, especially veterinarians at the district level.

Implement the Zimbabwe National Action Plan on AMR prioritizing awareness creation, AMR surveillance, antimicrobial stewardship, and healthcare associated infection prevention programs.

Initiate the process of formally reporting surveillance data from all nationally designated surveillance sources/sites to the WHO Global Antimicrobial Resistance Surveillance System (GLASS), as well as to relevant national entities within Zimbabwe as required.

Consider expanding AMR surveillance to additional pathogens (beyond the two currently under surveillance) as recommended by GLASS, through development of a costed plan for progressively expanding the number and scope of pathogens and surveillance sites, including antimicrobial residue testing of food animals meant for domestic consumption.

Share the recommended priority actions identified by the OIE Performance of Veterinary Services (PVS), and the OIE Gap Analysis and associated Action Plan, with all key actors and proceed to implement the recommended actions.

Identify and resolve bottle-necks and barriers to implementation of an integrated One Health surveillance system, including strengthening quality assurance and proficiency certification of all designated surveillance laboratories.

Based on findings from the Zimbabwe AMR situation analysis, establish working baselines, time-bound targets, and develop strategies for effective implementation of public awareness, professional education, and antimicrobial stewardship programs/campaigns.

Developing clear terms of reference and standard operating procedures to facilitate and guide the coordination, communication, and partnership-strengthening functions of the NFP with all relevant sectors and entities.

Develop a costed plan to ensure adequate government budget allocation to enable full functionality of the office of the IHR National Focal Point (NFP).

Develop an advocacy plan to ensure the active engagement and collaboration of all key stakeholders involved in the implementation of IHR (2005).

Develop a comprehensive roster of experts from agencies working on the various components of IHR, to draw on their expertise as needed.

Conduct a systematic and formal assessment of all relevant existing legislation, administrative arrangements, and regulations towards adjusting and aligning current laws, policies, and administrative arrangements to enable compliance with, and the full implementation of, IHR (2005).

Facilitate and expedite Parliament approval and enactment of the new Public Health Bill (2017), which includes provisions to support the implementation of IHR (2005).

Review and identify options for the possibility of creating a statutory instrument that will enable designation of the Inter-Agency Coordination Committee for Health (IACCH) as an empowered entity for facilitating full implementation of the IHR (2005) across all sectors.