IHR Monitoring and Evaluation Framework

The IHR Monitoring and Evaluation Framework  provides an overview of approaches to review implementation of country core public health capacities under the IHR (2005). The Framework ensures the mutual accountability of States Parties and the Secretariat for global public health security through transparent reporting and dialogue.

The framework comprises four components:

  1. States Parties Self-Assessment Annual Reporting
  2. After Action Review
  3. Simulation Exercises
  4. Joint External Evaluation

States Parties Self-Assessment Annual Reporting

Under the International Health Regulations(IHR) 2005 all States Parties are required to have or develop and maintain minimum core public health capacities to implement the IHR (2005), and report the status of implementation annually, as stipulated in Article 54 of the Regulations.

The formal submission of data from State Parties to the WHO via the IHR annual reports is very important and will be used as the basis for:

  • reporting to the World Health Assembly, on the status of implementation of these Regulations;
  • informing the GPW 13 indicator on emergency preparedness; and
  • informing UN SDG Goal 3 for indicator 3.d.1 – International Health Regulations (IHR) capacity and health emergency preparedness.

Detailed information on 2019 and previous years up to 2010 of the IHR annual reporting by State Parties are primarily published and available on e-SPAR platform and also at the WHO Global Health Observatory website

Joint External Evaluation

The Joint External Evaluation (JEE) is part of the IHR Monitoring and Evaluation Framework and is a voluntary, multi-sectoral process to assess country capacity to prevent, detect, and rapidly respond to public health risks. The JEE allows countries to identify the most urgent needs within their health security system; to prioritize opportunities for enhanced preparedness, detection and response capacity, including setting national priorities; and to allocate resources based on the findings.

List of JEE Reports

Simulation Exercises

Simulation exercises are training and quality assurance tools, which provide an evidence-based assessment for the monitoring, testing and strengthening of functional capacities to respond to outbreaks and public health emergencies. As a training tool, they allow participants to learn and practice emergency response procedures in a safe and controlled environment. As a quality assurance tool, exercises test and evaluate emergency policies, plans and procedures.

After Action Review

An After Action Review (AAR) is a qualitative review of actions taken to respond to an event as a means of identifying best practices, lessons and gaps in capacity as part a process of continuous improvement and learning. An AAR seeks to identify what worked well and how best practices can be institutionalized and shared with relevant stakeholders; and what areas need strengthening though implementing corrective actions.

IHR Monitoring and Evaluation Tools

Roster of Experts Process and Overview
WHO Simulation Exercise Manual 2017