Region
European Region
Country
Montenegro
Date
-
Status
Assessment Date
P.3.1 National IHR Focal Point functions
2
P.6.1 Surveillance of foodborne diseases and contamination
2
P.5.2 Response to zoonotic diseases
1
P.5.1 Surveillance of zoonotic diseases
3
P.4.2 Surveillance of AMR
3
P.4.1 Multisectoral coordination on AMR
3
P.3.4 Antimicrobial stewardship activities
2
P.3.3 Strategic planning for IHR, preparedness or health security
2
P.3.2 Multisectoral coordination mechanisms
2
P.2.1 Financial resources for IHR implementation
2
P.7.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities
1
P.1.3 A financing mechanism and funds are available for timely response to public health emergencies
2
P.1.2 Gender equity and equality in health emergencies
2
P.1.1 Legal instruments
3
D.4.4 FETP or other applied epidemiology training programme in place
3
D.4.3 In-service trainings are available
2
D.4.2 Human resources are available to effectively implement IHR
3
D.4.1 An up-to-date multi-sectoral workforce strategy is in place
2
P.6.2 Response and management of food safety emergencies
2
P.7.2 Biosafety and biosecurity training and practices in all relevant sectors (including human, animal and agriculture)
4
D.2.2 Event verification and investigation
3
Recommendation P6
Develop a list of dangerous pathogens and toxins and a licensing procedure to regulate and control pathogens of concern in all relevant sectors.
Implement national biosafety and biosecurity licensing requirements for all laboratories working with agents defined in the list.
Provide systematic and effective education and training on biosafety and biosecurity management at a national level.
Establish a joint biosafety and biosecurity body at the national level, which would cover activities in all sectors, both public and private.
Recommendation Re1
Organize and promote simulation exercises to test responses to radiological emergencies at the national and local levels.
Develop a joint programme with exercises to respond to different scenarios involving participants from relevant institutions at the national and local levels.
Strengthen administrative and technical capacities and procedures including improving the mechanism for information collection and exchange.
Identify healthcare facilities and personnel and equip them to respond to radiological emergency situations.
Recommendation R5
Formalize SOPs for the Intersectoral Team for Crisis Communication and improve internal communication.
Use all communication channels, including social media, to disseminate information.
Increase the number of staff available for risk communication as well as overall formal and informal education and promotion of spokespersons skills in the emergency response services.
Recommendation R4
Identify health care facilities and equipment to ensure first response for mass casualty events.
Develop a plan with defined procedures for the deployment of medical staff during a public health emergency.
Develop guidelines for case management of all IHR-related hazards.
Recommendation R2
Develop a comprehensive Emergency Preparedness and Response Plan for all participants in protection and rescue for relevant risks at national and local levels.
Improve capacity of municipal protection and rescue services by equipping and training them to respond to different types of risks, particularly in chemical, biological, radiological and nuclear protection (CBRN).
Increase the number of employees in CBRN protection.
Develop a programme and plan of exercises at national and local levels in the protection and rescue system.
Establish the National Training Centre for Protection and Rescue.
Recommendation R1
Develop a national disaster risk assessment.
Develop local disaster risk assessments.
Develop national protection and rescue plans for different types of risks.
Develop a national plan of readiness and response in the health system.
Map resources at the national level in public health, veterinary and other relevant sectors.
Recommendation POE1
Finalize the designation of one airport in line with IHR (2005) requirements.
Designate one port in line with IHR (2005) requirements and develop SOPs and guidelines to manage cross-border public health threats in the designated port.
Develop a plan for ongoing training in public health emergencies, and implement exercises at PoEs to improve multi-sectoral preparedness, communication and response.
Continue establishing appropriate facilities aligned with the core capacity requirements under Annex 1B of the IHR (2005).
Recommendation P7
Increase coverage of all vaccines from the Immunization Programme, with special emphasis
on the measles, mumps and rubella (MMR) vaccine, by developing a communication strategy or social mobilization strategy focusing on vaccine promotion.
Implement an Effective Vaccine Management (EVM) study with related action plan for capacity building and improved practices for vaccines storage and distribution.
Introduce a remuneration system for providers who are effective in increasing immunization uptake and adherence to the immunization schedule.
Recommendation P5
Finalize and implement a national food safety emergency plan.
Appoint a designated Emergency Contact Point for the International Network of Food Safety Authorities (INFOSAN).
Expand rapid risk assessment capacity by attracting specialists through adequate job facilities, continuing education and yearly simulation exercises.
Improve SOPs, instructions, procedures and guides required for management, information exchange and communication to an effective response to foodborne diseases.
R.1.1 Emergency risk assessment and readiness
2
Recommendation p4
Strengthen human resources for surveillance and control of zoonoses in human and veterinary sectors through training and simulations.
Develop an IT interface between human and animal health surveillance and reporting on zoonotic diseases.
Implement activities for surveillance of zoonoses in line with legislation, based on epidemiological factors in the risk assessment and develop SOPs and manuals
Recommendation P3
Establish a national committee to develop a list of recommended antibiotics and national guidelines for rational use of antibiotics in public health.
Establish a national laboratory for AMR surveillance of animal and food isolates.
Extend the National Action Plan for AMR to include agriculture and environmental protection.
Develop a national strategy for the prevention and control of hospital infections.
Recommendation P2
Develop SOPs for coordination between the National IHR Focal Point and relevant sectors.
Strengthen the IHR implementation structure
by appointing the chair of the national IHR team as National IHR Focal Point, appointing a vicechair, regularly updating the list of members of the multi-sectoral working group for IHR implementation and organizing regular meetings of the national IHR team.
Organize a yearly table-top or simulation exercise of a public health emergency of international concern (PHEIC) and use the outcomes to update SOPs.
Recommendation P1
Calculate the funding requirements of regular IHR activities for all relevant institutions and include them as separate budget lines used exclusively for IHR.
Create the legal mandate that defines intersectoral coordination and cooperation for implementation of IHR.

Strengthen communication and intersectoral cooperation around IHR obligations between decision-makers and implementers.
R.3.1 Case management
3
R.2.3 Emergency Operations Program
3
R.2.2 Emergency Operations Center Operating Procedures and Plans
4
R.2.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or
4
R.1.2 Public health emergency operations centre (PHEOC)
2
D.2.3 Analysis and information sharing
4
D.2.1 Early warning surveillance function
4
D.1.4 Effective national diagnostic network
3
R4: Average Capacities Score(%)
60
R5: Average Capacities Score(%)
64
PoE: Average Capacities Score(%)
40
CE: Average Capacities Score(%)
40
RE: Average Capacities Score(%)
80
Recommendation Ce1
Establish a poison control centre according to WHO guidelines.
Strengthen administrative capacities to respond to different types of chemical event.
Ensure collection, evaluation and availability of information needed to assess chemical risks, including rapid risk assessment for all stakeholders involved in management of acute chemical events.
Establish a mechanism for coordination and cooperation in managing chemical events, including participation in chemical or toxicological networks.
Recommendation D1
Adopt a set of standard diagnostic methods and develop national diagnostic algorithms.
Adopt a set of standard diagnostic methods and develop national diagnostic algorithms.
Adopt a set of standard diagnostic methods and develop national diagnostic algorithms.
Create a national specimen referral network and transportation system.
Establish national EQA system and strengthen participation in international EQA programmes.
Assessment End Date
Recommendation D3
Raise public awareness on the implementation of the One Health approach and the all-hazard approach, including development of agreed protocols and SOPs.
Improve communication between human and veterinary sectors by exchanging best practices, training and exercises with all partners involved in detecting and reporting relevant events.
Establish an electronic system to support the reporting of a potential PHEIC in the veterinary sector.
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JOINT EXTERNAL EVALUATION OF IHR CORE CAPACITIES of MONTENEGRO
Recommendation D4
Ensure jobs are filled with high-quality personnel in public health and animal health sectors through positive selection of personnel and prevention of employee turnover.
Improve the quality of postgraduate education and continuing professional education.
Develop a multidisciplinary and multi-sectoral approach to support teamwork in the fields of surveillance, prevention and control of infectious diseases.
CE.1 Mechanisms are established and functioning for detecting and responding to chemical events or emergencies
2
R.4.1 IPC programmes
4
Recommendation R3
Map out needs for human and material resources, and increase capacity accordingly.
Organize simulation exercises at national and local levels with international assistance.
Develop multi-sectoral SOPs or formal agreements for information sharing to respond to public health threats.
D.3.1 Multisectoral workforce strategy
3
R.4.2 HCAI surveillance
3
D.3.2 Human resources for implementation of IHR
3
R.4.3 Safe environment in health facilities
2
Recommendation D2
Integrate electronic data from clinical centres, specialized hospitals and private health facilities within the established surveillance system.
Establish an electronic notification system for communicable diseases in animals, including foodborne diseases.
Integrate electronic data from laboratory diagnostics within the established surveillance system at local and national levels.
R.5.1 RCCE systems for emergencies
2
R.5.2 Risk communication
3
R.5.3 Community engagement
4
R.5.4 Communication Engagement with Affected Communities
4
R.5.5 Dynamic Listening and Rumour Management
3
D.1.1 Specimen referral and transport system
3
D.1.2 Laboratory quality system
2
D.1.3 Laboratory testing capacity modalities
2
RE.2 Enabling environment in place for management of radiological and nuclear emergencies
4
RE.1 Mechanisms are established and functioning for detecting and responding to radiological and nuclear emergencies.
4
PoE.1 Core capacity requirements at all times for PoEs (airports, ports and ground crossings)
2
PoE.2 Public health response at PoEs
2
P1: Average Capacities Score(%)
46
P2: Average Capacities Score(%)
40
P3: Average Capacities Score(%)
40
P4: Average Capacities Score(%)
40
P5: Average Capacities Score(%)
40
P6: Average Capacities Score(%)
40
P7: Average Capacities Score(%)
50
D1: Average Capacities Score(%)
50
D2: Average Capacities Score(%)
73
D3: Average Capacities Score(%)
60
D4: Average Capacities Score(%)
50
R1: Average Capacities Score(%)
40
R2: Average Capacities Score(%)
73
R3: Average Capacities Score(%)
60
Overview