Establishing a theoretical foundation for measuring global health security: a scoping review

BMC Public Health
(Accessed 20 Jul 2019)


Research article
Establishing a theoretical foundation for measuring global health security: a scoping review
Since the 2014–2016 West Africa Ebola epidemic, the concept of measuring health security capacity has become increasingly important within the broader context of health systems-strengthening, enhancing responses to public health emergencies, and reducing global catastrophic biological risks. Efforts to regularly and sustainably track the evolution of health security capabilities and capacities over time – while also accounting for political, social, and environmental risks – could help countries progress toward eliminating sources of health insecurity. We sought to aggregate evidence-based principles that capture a country’s baseline public health and healthcare capabilities, its health security system performance before and during infectious disease crises, and its broader social, political, security, and ecological risk environments…. We synthesized four foundational principles for measuring global health security: measurement requires assessment of existing capacities, as well as efforts to build core public health, healthcare, and biosecurity capabilities; assessments of national programs and efforts to mitigate a critical subset of priority threats could inform efforts to generate useful metrics for global health security; there are measurable enabling factors facilitating health security-strengthening efforts; and finally, measurement requires consideration of social, political, and ecological risk environments.
Authors: Sanjana J. Ravi, Diane Meyer, Elizabeth Cameron, Michelle Nalabandian, Beenish Pervaiz and Jennifer B. Nuzzo
Citation: BMC Public Health 2019 19:954
Published on: 17 July 2019