Regional Health Emergency Preparedness & Response Framework 2024–2030
Dr. Benedict Mushi, Dr. Yohannes Dugasa ·
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✓ Curated · ECSA-HCUpdated Feb 2025Open access · CC-BY-4.0Version 1
A single regional framework aligning the 11 MPA countries to the 7-1-7 target and a common preparedness architecture.
Brief
This framework operationalises the HEPRR-MPA Project Development Objective across the eleven participating countries. It defines the shared results architecture — from the primary indicator (percentage of detected health events for which the country reaches the 7-1-7 target) down to country-level operational milestones — and harmonises the way preparedness, detection and response capacities are planned, financed and measured. The framework is organised around five capability domains: early detection and surveillance, laboratory confirmation, rapid response and case management, points-of-entry and cross-border coordination, and the enabling systems of workforce, digital health and governance. For each domain it specifies minimum regional standards, a maturity ladder, and the assessment instruments (JEE, SPAR, STAR and after-action reviews) that feed the regional dashboard. By anchoring every country plan to one measurable objective, the framework lets ECSA-HC compare progress fairly, target technical assistance where gaps are widest, and tell one coherent regional story to financiers and ministers.
Purpose & scope
The framework provides a common reference for the eleven MPA countries to plan, deliver and measure health-emergency preparedness between 2024 and 2030. It does not replace national plans; it aligns them to a shared results architecture so that regional progress can be aggregated and compared.
The 7-1-7 anchor
The primary indicator — the percentage of detected public-health events for which a country meets the 7-1-7 performance target (detect within 7 days, notify within 1 day, respond within 7 days) — is the spine of the framework. Every capability domain is justified by its contribution to this timeline.
Capability domains
Five domains structure investment: (1) early detection and event-based surveillance; (2) laboratory confirmation and specimen referral; (3) rapid response, EMTs and case management; (4) points of entry and cross-border coordination; and (5) enabling systems — workforce, digital health, IPC/AMR and governance.
Measurement & the regional dashboard
Country self-assessments (SPAR), external evaluations (JEE), simulation exercises and after-action reviews feed a shared indicator set. Results are published to the regional preparedness dashboard so that gaps are visible and technical assistance is routed to where it matters most.
