WHO Online Tool for Enhancing Health Emergency Preparedness in Urban Settings

Welcome to the online WHO Tool for Reviewing and Mapping Health Emergency Preparedness in Cities and Urban Settings. The Tool is part of a process to support countries and cities to strengthen their health emergency preparedness.         
       
The WHO Tool for Reviewing and Mapping Health Emergency Preparedness in Cities and Urban Settings is intended to support countries and cities in three key areas:

Urban Health Emergency Preparedness and Infrastructure Assessment

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Reviewing the level of urban health emergency preparedness and mapping relevant infrastructure at the city level.

Gaps in Urban Health Security and Emergency Preparedness

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Identifying gaps in policy, capacities and capabilities, and infrastructure for health security and health emergency.

Strengthening Urban Health Emergency Preparedness Through Collaboration and Innovative Tools

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Convening relevant authorities at both national and local levels to discuss and progress health security and health emergency preparedness at the city level. The tool comprises three sections:

  •  A self-review of health emergency preparedness in cities (requiring both national and sub-national authority engagement) Achieved through using this online platform 
     
  •  Mapping of health security infrastructure in a particular city (requiring sub national authority engagement) Achieved through using this online platform 
     
  •  Technical in-country workshop on Urban Health Emergency Preparedness (requiring both national and sub-national authority engagement) Follow up to use of this online platform 

     
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A Tool for Strengthening Urban Health Emergency Preparedness: Aligning with the Global Framework and International Health Regulations (2005)

The tool has been developed to support the implementation of the global  Framework for Strengthening Health Emergency Preparedness in Cities and Urban Settings . It is based on the operational  Guidance for national and local authorities . It aims to support countries achieve a greater level of health emergency preparedness, by focusing on the unique challenges and vulnerabilities that exist at the city level, and ultimately lead to better national application of the International Health Regulations (2005).  

Both these key technical documents were outcomes of the  Technical Working Group on Advancing Health Emergency Preparedness in Cities and Urban Settings , which was co-hosted by the World Health Organization and the Government of the Republic of Singapore and met 6 times from February to April 2021. The Technical Working Group consisted of over 70 members from all 6 WHO regions, representing authorities from national and local level, technical experts, key partners, as well as CSOs.

Objectives of the UMAP Tool

The WHO Tool for Reviewing and Mapping Health Emergency Preparedness in Cities and Urban Settings has been developed to support the implementation of the global Framework for Strengthening Health Emergency Preparedness in Cities and Urban Settings. It is based on the operational guidance for national and local authorities that accompanies the Framework.

It aims to support countries to achieve a greater level of health emergency preparedness, by focusing on the unique challenges and vulnerabilities that exist at the city level, and ultimately lead to better national application of the International Health Regulations (2005).

It is intended to support countries and cities in three key areas:

  • cityescapeReviewing the level of urban health emergency preparedness and mapping relevant infrastructure at the city level.
  • earthIdentifying gaps in policy, capacities and capabilities, and infrastructure for health security and health emergency preparedness at the city level.
  • userConvening relevant authorities at both national and local levels to discuss and progress health security and health emergency preparedness at the city level.
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The Expected Outcomes of applying the WHO Tool for Reviewing and Mapping Health Emergency Preparedness in Cities and Urban Settings within a country and/or city are:

The tool and the outcomes are intended to complement existing technical activities undertaken by WHO at both national and city level to strengthen health security and health emergency preparedness.

These include the Strategic Risk Assessments (STAR), IHR Monitoring and Evaluation Activities such as States Parties Annual Reporting (SPAR), Simulation exercises and reviews, voluntary reviews such as the Joint External Evaluation (JEE), National Action Planning for Health Security (NAPHS) and other capacity building, assessment and planning activities.

The results and outcomes from the Tool will feed in to complement these existing processes, their outcomes and follow up activities.

  1. 01 Identified technical priorities for urban preparedness, and gaps in associated policy, capacity, and capabilities, and infrastructure
  2. 02 Identification of areas to support IHR application and contribute to national planning processes for health security and health emergency preparedness
  3. 03 Facilitation of partnership and stakeholder dialogue for strengthening urban preparedness

Reviewing Urban Health Emergency Preparedness through the WHO Urban Preparedness Tool

Reviewing a city’s urban health emergency preparedness involves a structured process focused on its ability to prepare for, prevent, detect, and respond to health emergencies. This includes two key components which are included in this online tool:

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Urban Preparedness Review

Using WHO's Framework for strengthening Health Emergency Preparedness in Cities and Urban Settings and the core capacities of the International Health Regulations, questions are proposed for cities conduct a self-review of critical areas of urban preparedness, based on WHO’s global guides and tools. The process identifies strengths, gaps, and areas for improvement in health security systems at the urban level, including related infrastructure.    

The table outlines the scoring criteria that should be used throughout the application of the self-review stage of the tool. Generally, the levels refer to whether or not the actions and approaches in the statements occur, or the capacities needed in the context of each statement in the context of each statement are in place or not. A comment box is provided for each question, allowing for elaboration on the ranking. The more complementary information provided in this comment box, the better informed the discussions in the subsequent Technical Workshop will be, and the more appropriate the follow up actions identified, as well as the likelihood of their implementation.

Scoring criteria for use in the review and mapping tool

LEVELDESCRIPTION
Level 1Non-existent: This does not occur / the attributes of related capacities are not in place.
Level 2Limited: This occurs rarely / the attributes of related capacities are in the development stage (implementation may be planned, but is not yet in place).
Level 3Developed: This occurs occasionally / the attributes of related capacities are partially in place, however sustainability has not been ensured.
Level 4Demonstrated: This occurs frequently / the attributes of related capacities are in place.
Level 5Sustainable: This occurs sustainably / the attributes of related capacities are functional and sustainable.
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Urban Preparedness Infrastructure Mapping

Achieving improved urban health emergency preparedness requires a broad range of infrastructure, ranging from health facilities, laboratories, public shelters, supply chains, digital infrastructure, workforce capacity, infrastructure for other essential and supporting services and many others. This element of the online tool provides the ability to map and visualize physical infrastructure distribution, criteria related to operational and management aspects including public-private distribution, universal health coverage and accessibility, and the availability of critical services to address vulnerabilities.

Together, these two steps create a detailed profile of a city’s health emergency preparedness, supporting policymakers to build resilient, sustainable urban health emergency preparedness systems.

Frequently Ask Questions

What are the benefits of the WHO Urban Mapping Tool? +
The WHO Urban Mapping Tool empowers cities and sub-nations to create sustainable, health-conscious urban environments by providing data, fostering collaboration, and emphasizing the importance of health in policy decisions.
What health security plans can U-MAP assist with? +
The U-MAP tool hosted on the Strategic Partnership for Health Security and Emergency Preparedness (SPH) Portal is an interactive digital platform that facilitates the sharing and exchange of information regarding multisectoral health security investments, activities, and capacities at national, regional, and global levels.
How does a country request U-MAP support? +
The country should provide a request for resource mapping to the WHO country office. The request will be forwarded to the WHO regional office, which will inform WHO headquarters. The WHO regional office U-MAP focal point will coordinate the resource mapping process with WHO headquarters and the WHO country office, which will engage government ministries in collaboration.
How does U-MAP help partners? +
Often partners and countries do not have the full picture of the health security activities going on at national and subnational levels. Through the U-MAP tool, with country permission, partners are able to see the health security activities that are ongoing, therefore avoiding duplication of efforts and facilitating alignment.