This article is part of the supplement: Disease surveillance, capacity building and implementation of the International Health Regulations [IHR(2005)]
Strengthening public health surveillance and response using the health systems strengthening agenda in developing countries
1 Field Epidemiology and Laboratory Training Program and Systems (Africa) Branch, Division of Public Health Systems and Workforce Development, Center for Global Health, CDC, Atlanta GA, USA
2 Global AIDS Program, Center for Global Health, CDC, Atlanta GA, USA
3 International Laboratory Branch Global AIDS Program, Center for Global Health, CDC, Atlanta GA, USA
4 African Field Epidemiology Network, Kampala, Uganda
5 Bureau for Global Health, U.S. Agency for International Development, Washington DC, USA
BMC Public Health 2010, 10(Suppl 1):S5 doi:10.1186/1471-2458-10-S1-S5Published: 3 December 2010
There is increased interest in strengthening health systems for developing countries. However, at present, there is common uncertainty about how to accomplish this task. Specifically, several nations are faced with an immense challenge of revamping an entire system. To accomplish this, it is essential to first identify the components of the system that require modification. The World Health Organization (WHO) has proposed health system building blocks, which are now widely recognized as essential components of health systems strengthening.
With increased travel and urbanization, the threat of emerging diseases of pandemic potential is increasing alongside endemic diseases such as human immunodeficiency virus (HIV), tuberculosis (TB), malaria, and hepatitis virus infections. At the same time, the epidemiologic patterns are shifting, giving rise to a concurrent increase in disease burden due to non-communicable diseases. These diseases can be addressed by public health surveillance and response systems that are operated by competent public health workers in core public health positions at national and sub-national levels with a focus on disease prevention.
We describe two ways that health ministries in developing countries could leverage President Obama’s Global Health Initiative (GHI) to build public health surveillance and response systems using proven models for public health systems strengthening and to create the public health workforce to operate those systems. We also offer suggestions for how health ministries could strengthen public health systems within the broad health systems strengthening agenda. Existing programs (e.g., the Global Vaccine Alliance [GAVI] and the Global Fund Against Tuberculosis, AIDS, and Malaria [GFTAM]) can also adapt their current health systems strengthening programs to build sustainable public health systems.