Strengthening Global Health Security by implementation of the International Health Regulations (IHR) (2005) and the Global Health Security Agenda in Nigeria

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Opportunity ID: 322553
Opportunity Number: CDC-RFA-GH20-2126
Opportunity Title: Strengthening Global Health Security by implementation of the International Health Regulations (IHR) (2005) and the Global Health Security Agenda in Nigeria
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Cooperative Agreement
Category of Funding Activity: Health
Category Explanation:
CFDA Number(s): 93.318
Eligible Applicants: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled “Additional Information on Eligibility”
Additional Information on Eligibility:
Agency Code: HHS-CDC-CGH
Agency Name: Department of Health and Human Services
Centers for Disease Control – CGH
Posted Date: Nov 15, 2019
Last Updated Date: Nov 15, 2019
Estimated Synopsis Post Date: Jan 11, 2020
Fiscal Year: 2020
Award Ceiling: $0
Award Floor: $0
Estimated Total Program Funding: $35,000,000
Expected Number of Awards: 4
Description: Nigeria has a projected estimated population size of 203,452,505 (July 2018), which makes Nigeria the most populous nation in Africa. The country’s National Health Act 2014 (NHA 2014) was signed into law on October 31, 2014 and provides a legal framework for the regulation and management of Nigeria’s national health system, however, much work is needed to operationalize the law. Monitoring and mitigating recurring infectious disease outbreaks, as well as detecting and controlling emerging infectious diseases, will be impacted by multiple factors that include inadequate surveillance and response systems, weakened or non-existent infrastructure and health systems and poor coordination among stakeholder agencies. Nigeria is a major gateway to many global destinations. In July 2014, the index case in the Nigeria Ebola Virus disease outbreak arrived at the international airport in Lagos, Nigeria. This index patient potentially exposed 72 persons at the airport and the hospital where he was admitted. The Federal Ministry of Health (FMoH), with guidance from the Nigeria Centre for Disease Control (NCDC), declared an Ebola emergency and rapidly implemented a response using all available public health assets and resources. An Ebola Incident Management Center (a precursor to the current Emergency Operations Center) was established to rapidly respond to the 2014 outbreak. Using an Incident Management System (IMS) to coordinate the response and consolidate decision making, largely contributed to helping contain the Nigeria outbreak early. In 2017, the WHO Joint External Evaluation (JEE) of International Health Regulations (2005) core capacities, a voluntary, collaborative and multi sectoral process to assess the country’s capacity to prevent, detect and rapidly respond to public health risks, was conducted in Nigeria. Findings from the JEE highlighted strengths and weaknesses that currently exist in preparedness and response to public health emergencies in Nigeria across 19 technical areas. A National Action Plan for Health Security (NAPHS), a 5-year strategic plan developed collaboratively with relevant Ministries, Departments and Agencies (MDAs) in Nigeria and based on the principles of ‘One Health’, was developed in 2019 and seeks to strengthen IHR core capacities based on gaps identified by the JEE and other health security assessments conducted in Nigeria. The NAPHS covers all the 19 technical areas of the JEE required to effectively prevent, detect, and respond to public health threats. The JEE exercise identified the priorities for the improvement and development of Nigeria’s health security capacities as follows: The passage and implementation of the NCDC Bill;The establishment of a multi-sectoral One Health coordination mechanism at Federal, State, and LGA levels;Strengthening of laboratory capacity;Scaling up implementation of the integrated disease surveillance and response (IDSR) program;Development and implementation of a comprehensive public health workforce strategy;Enhancing the EOC/incident management system at the federal level and strengthening sub-national rapid response teams;Designation of points of entry
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