21–24 January 2019 Manila, Philippines
Meeting Report
WORKSHOP ON AFTER ACTION
REVIEWS AND SIMULATION EXERCISES
IN THE WESTERN PACIFIC REGION
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC
RS/2019/GE/01(PHL) English only
MEETING REPORT
WORKSHOP ON AFTER ACTION REVIEWS AND SIMULATION EXERCISES IN THE WESTERN PACIFIC REGION
Convened by:
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC
Manila, Philippines 21–24 January 2019
Not for sale
Printed and distributed by:
World Health Organization Regional Office for the Western Pacific
Manila, Philippines
June 2019
2
NOTE
The views expressed in this report are those of the participants of the Workshop on After Action Reviews and Simulation Exercises in the Western Pacific Region and do not necessarily reflect the policies of the conveners.
This report has been prepared by the World Health Organization Regional Office for the Western Pacific for Member States in the Region and for those who participated in the Workshop on After Action Reviews and Simulation Exercises in the Western Pacific Region in Manila, Philippines from 21 to 24 January 2019.
3 CONTENTS
SUMMARY ... 4
1. INTRODUCTION ... 5
1.1 Meeting organization ... 5
1.2 Meeting objectives ... 5
2. PROCEEDINGS ... 5
2.1 Strengthening health security systems ... 5
2.2 Role, planning and conduct of after action reviews ... 6
2.3 Role, planning and conduct of simulation exercises ... 6
2.4 Next steps and future plans ... 7
3. CONCLUSIONS AND RECOMMENDATIONS ... 7
3.1 Conclusions ... 7
3.2 Recommendations... 7
3.2.1 Recommendation for Member States ... 7
3.2.2 Recommendation for WHO ... 8
ANNEXES
Annex 1. List of participants Annex 2. Programme of activities
Keywords
Emergency medical services / Disease outbreaks / Simulation training / Public Health practice
4 SUMMARY
The Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III) serves as a regional action framework to advance implementation of the International Health Regulations, or
IHR (2005), for health security. Focus area 8: monitoring and evaluation of APSED III includes the IHR (2005) Monitoring and Evaluation Framework, which has four components: annual reporting, Joint External Evaluations, after action reviews and simulation exercises. For continuous learning and improvement after a public health response, it is critical to assess actions taken in order to capitalize on best practices, identify actions for improvement, and promote individual and collective learning. Simulation exercises can help develop, practise and assess the functional capabilities of emergency systems, procedures and mechanisms to respond to outbreaks and public health emergencies.
The Workshop on After Action Reviews and Simulation Exercises in the Western Pacific Region was held in Manila, Philippines from 21 to 24 January 2019.
The overall objective of the meeting was to contribute to health security system strengthening toward country goals. By the end of the workshop, participants were expected to be able to:
(1) plan and organize after action reviews to inform further improvement of health security systems;
and
(2) design and facilitate simulation exercises for response to public health emergencies.
WHO country office staff, alongside their national counterparts, discussed and deliberated on the overall vision and goals of their national action plans for health security (or equivalent) and how after action reviews and simulation exercises may be used to strengthen their health security system for continuous improvement towards their goals. Discussion and mutual sharing covered best practices and approaches as well as
individual country priorities. Country teams established tentative plans for conducting an after action review or simulation exercise in the coming year.
The workshop participants concluded the following:
(1) After action reviews and simulation exercises should be focused on continuous improvement for health security system strengthening.
(2) Good planning begins with the end in mind (backcasting) as has been used in APSED III.
(3) After action reviews and simulation exercises are not merely diagnostic tools, but also useful approaches to identify ways to strengthen health security systems.
(4) Clarifying the purposes for conducting after action reviews and simulation exercises is critical before starting to design them.
(5) Planning for after action reviews and simulation exercises should be guided by specific objectives to inform health system strengthening using a context-tailored approach.
Members States are encouraged to operationalize planning of after action reviews and simulation exercises to inform specific aspects of health security systems.
WHO is requested to continue to provide technical support in planning after action reviews and simulation exercises and facilitate continuous improvement tailored to the country context.
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1. INTRODUCTION
1.1 Meeting organization
The Workshop on After Action Reviews and Simulation Exercises in the Western Pacific Region was held in Manila, Philippines from 21 to 24 January 2019. The Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III) serves as a regional action framework to advance implementation of the International Health Regulations, or IHR (2005), for health security. WHO country office staff, alongside their national counterparts, discussed and deliberated on the overall vision and goals of their national action plans for health security (or equivalent strategic document) and how after action reviews and simulation exercises can be used to strengthen their health security system and progress towards achieving their goals.
1.2 Meeting objectives
The overall objective of the meeting was to contribute to health security system strengthening to progress toward country goals. By the end of the workshop, participants were expected to be able to:
(1) plan and organize after action reviews to inform further improvement of health security systems; and (2) design and facilitate simulation exercises for response to public health emergencies.
2. PROCEEDINGS
2.1 Strengthening health security systems
The session opened with a presentation on strengthening health security systems through APSED III. For the past decade, the Asia Pacific Strategy for Emerging Diseases (APSED) has provided a common framework for action in Asia and the Pacific for the development and strengthening of country core capacities as
required under IHR (2005). Implementing APSED III is the priority action of the World Health Organization (WHO) Health Emergencies Programme (WHE) in the Western Pacific Region. APSED III is used as a guide to strengthen core public health systems, particularly health security surveillance and response systems, as well as many key health system functions necessary for public health emergency preparedness, risk mitigation and response operations such as the public health workforce, service delivery, information and technology systems, and governance, to support a more resilient health system.
The next agenda item in this session focused on the use of backcasting to achieve goals. Backcasting is one of the key operational shifts of the Regional Director's White Paper on WHO work in the Western Pacific Region. That document describes backcasting as both an approach to long-term planning and a way of thinking that allows groups to move beyond past practices to “spark creativity, identify innovative solutions and inspire teams to work towards a common goal”. Backcasting includes having a long-term goal or vision, a series of identified actions for achieving the goal, and a process for ensuring that other activities do not distract along the way. This approach can be described as “beginning with the end in mind”.
Participants, grouped by country, applied the backcasting approach to their national action plans for health security or an equivalent strategic document to identify the end goal of the plan and the top three objectives to achieve that goal. Rather than focusing only on the immediate issues, they took the opportunity to reinforce existing plans and reflect on the most efficient way to progress toward meeting the objectives.
Groups diagrammed their discussions and then presented them in plenary answering the questions: How do you know how well your system is performing to achieve your strategic objectives? How can you identify additional opportunities for improvement? This then led into a group discussion of the role played by monitoring and evaluation in effectively implementing strategic plans.
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Following the plenary, country participants regrouped to discuss and identify one event that they could tentatively propose for an after action review, which would give insight and momentum toward achieving the strategic objectives identified in their national action plan for health security. If there was no appropriate event available, groups were encouraged to devise a simulation exercise that they could conduct to highlight one area of the health security system that will be built up through the strategic plan. The simulation exercise could also be used to identify gaps in the current system that may then be addressed in future planning.
Country groups were also encouraged to identify topics for potential after action reviews and simulation exercises if they considered them appropriate for the development of health security systems under the existing national action plan for health security. Most of the participating countries identified topics for both after-action reviews and simulation exercises to be conducted in the near future.
2.2 Role, planning and conduct of after action reviews
In the context of strategic plans, the overall objectives of after action reviews were presented along with the conceptualization of the process. An after action review is a qualitative review of actions taken to respond to an emergency as a means of identifying gaps, lessons and best practices. These reviews create a space for collective learning by bringing together relevant individuals to critically and systematically analyse actions taken to respond to an emergency. They become a constructive, collective learning opportunity, where stakeholders of an emergency response within the health sector or among sectors, can find common ground on how to improve preparedness and response capability. Overall principles of after action reviews were discussed, namely: participative; open and honest spirit; space for experience sharing and mutual learning;
analysis of systems and processes; oriented towards the identification of solutions; and a compilation of participants’ perceptions. Types of after action reviews were described and an overview of the steps in conducting a review was presented. Discussion centred on the unique capabilities that after action reviews have for evaluating health security systems for continuous improvement.
The next agenda item focused on best practices for realizing the incremental steps in conducting an after action review. These steps include identifying: what was in place before the response; what happened during the response; what went well, less well and why; what can be done to improve for next time; and the way forward. Participants discussed group discussion techniques that allow for achieving consensus as well as ensuring each voice is heard. In groups, participants applied the techniques discussed to the event they had selected for an after action review and then reconvened in plenary to discuss lessons learnt and best practices.
The last agenda item in this session covered the skills needed for effective facilitation. Best practices highlighted included: remain calm, impartial and confident; keep control of the situation; make the project aims clear; help the group to stay focused on the task; clarify and summarize key points; be prepared (including technically); communicate effectively and listen; work as a team; be encouraging and inclusive;
look for the “real” solution; be flexible and nonjudgmental; and be sensitive to the cultural environment.
Throughout the workshop, participants were given opportunities to exhibit and discuss these skills.
2.3 Role, planning and conduct of simulation exercises
Simulation exercises are not merely a diagnostic tool. This session focused on the purpose of simulation exercises and how they can contribute to strengthening health security systems as a unique component of the IHR (2005) Monitoring and Evaluation Framework. In order to keep the discussion pragmatic, this session focused solely on the tabletop type of simulation exercise. A tabletop exercise uses a progressive simulated scenario, together with a series of scripted injects, to enable participants to consider the impact of a potential health emergency on existing capacities. A tabletop exercise simulates an emergency situation in an
informal, safe environment to strengthen levels of readiness against a health emergency through a series of facilitated group discussions that bring together senior management and decision-makers. Discussion progressed around the components of a well-run exercise, what may be the expected output, and how this might be used to inform strategic planning and development.
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The next agenda item incorporated the exercise roadmap including: planning, material development, set-up, conduct, results and follow-up. Defining the purpose and scope of the exercise was emphasized and
techniques for pre-exercise planning and assembling the exercise management team were discussed.
Participants were then divided into groups and given the opportunity to test their approaches through a scaled-down version of a tabletop exercise, which they created and facilitated with another group standing in as recipients. This included post-exercise discussion to identify effective methods for achieving the stated objectives. The discussion continued further in plenary to identify key conclusions and recommendations for maximizing simulation exercises to benefit national health security.
2.4 Next steps and future plans
In the final session, participants revisited their initial country-specific discussions from the first session.
The topic of backcasting was presented again as an approach for addressing complex long-term problems, and when producing incremental change is insufficient. It can also help to rationalize choices between competing priorities, based on what contributes to longer-term objectives. Country groups presented their plans to each other, focusing on any adjustments they had made from the previous iteration. They then presented their revised plans in plenary and indicated what assistance they may require from WHO or other partners.
Participants were presented with a description of available WHO resources at regional and headquarters levels, as well as the current regional focus on pandemic preparedness and how these activities may contribute. During an opinion-gathering activity, participants were asked to answer questions such as: How will you measure success after you return to your country? What would you like to learn more about to support your planning? What is your key take-home message? Responses were summarized and discussed in a plenary session with all participants.
3. CONCLUSIONS AND RECOMMENDATIONS
3.1 Conclusions
The workshop participants concluded the following:
(1) After action reviews and simulation exercises should be focused on continuous improvement for health security system strengthening.
(2) Good planning begins with the end in mind (i.e. backcasting), as has been used in APSED III.
(3) After action reviews and simulation exercises are not merely diagnostic tools, but also useful approaches to identify ways to strengthen health security systems.
(4) Clarifying the purposes for conducting after action reviews and simulation exercises is critical before starting to design them.
(5) Planning for after action reviews and simulation exercises should be guided by specific objectives to inform system strengthening using a context-tailored approach.
3.2 Recommendations
3.2.1 Recommendation for Member States
Members States are encouraged to operationalize planning of after action reviews and simulation exercises to inform specific aspects of health security systems.
8 3.2.2 Recommendation for WHO
WHO is requested to continue to provide technical support in planning after action reviews and simulation exercises and facilitate continuous improvement tailored to the country context.
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ANNEX 1
PROVISIONAL LIST OF PARTICIPANTS AND SECRETARIAT MEMBERS
PARTICIPANTS WESTERN PACIFIC REGION
Dr Alice Lai Swee Chean, Specialist and Head, Occupational Health Division, Public Health Services, Ministry of Health, Commonwealth Drive, Bandar Seri Begawan BB3910, Brunei Darussalam. Tel. No.: (238) 1640, email: alice.lai@moh.gov.bn
Ms Julita binti Abd Fata, Nursing Officer, Department of Medical Services, Ministry of Health, Commonwealth Drive, Bandar Seri Begawan BB3910, Brunei Darussalam.
Tel. No.: (673) 81973, email: julita.fata@moh.gov.bn
Dr Teng Srey, Deputy Director, Department of Communicable Disease and Control Ministry of Health, #80 Samdech Penn Nouth Boulevard, Angkat Boeungkak 2, Tuol Kork District, Phnom Penh. Tel No. (855) 89 17133, email: tengsrey72@gmail.com
Dr Pho Sothea, Senior Officer, Division of Communicable Disease Control, Ministry of Health, #80 Samdech Penn Nouth Boulevad, Angkat Boeungkak 2, Tuol Kork District, Phnom Penh,
Cambodia. Tel No. (855) 12 938218, email: sotheapho1975@gmail.com
Dr
Zhong Chongli, Deputy Director, Office of Health Division Emergency of Health Emergency Preparedness, National Health Commission, No.1 Xizhimenwai South Road, Xicheng District, Beijing 100044, People’s Republic of China.Tel No. (8610) 687 92582,
email: zhongchongli@sina.com
Dr Chen Lei, Deputy Director, Division of Surveillance and Early-warning, Office of Health Emergency, National Health Commission, No. 1 Xizhimenwai South Road, Xicheng District,
Beijing 100044, People’s Republic of China.
Tel No. (8610) 687 92975, email: chenlei@163.com
Dr Pathoumphone Sitaphone, Technical Staff and Secretary of Emergency Operation Center, Ministry of Health, Simeuang District, Thadeua Road, Vientiane Capital, Lao People’s Democratic Republic.
Tel No. (856) 21 840768, email: pathoumphone.sitaphone@yahoo.fr
Dr Malyvanh Vongpanya, Technical Staff, Surveillance Division, Department of Communicable Diseases Control, Ministry of Health, Simoung Road, Sisatanak District, Vientiane Capital, Lao People’s Democratic Republic.
Tel No. (856) 21 214002, email: vmalyvanh@gmail.com
Dr Salmiah Baharuddin, Senior Principal Assistant Director, International Health Sector, Disease Control Division, Block E10, Complex E, Federal Government Administrative Centre, Ministry of Health, 62590 Putrajaya, Malaysia.
Tel No. (603) 8883 4380, email: drsalmiah_b@moh.gov.my
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Dr Esah Md Ali, Head, Laboratory Improvement & Regulation Section, National Public Health Laboratory, Lot 1853 Kampung Melayu, 4700 Sungai Buloh, Selangor, Malaysia.
Tel No. (603) 6126 1200 ext 1229, email: dr_esah@moh.gov.my; esah_md@yahoo.com
Dr Ambaselmaa Amarjargal, Head, Department of Infectious Disease Surveillance and Prevention of Communicable Diseases, Nam-Yan-Ju Street, Bayanzurkh District, Ulaanbaatar 210648, Mongolia.Tel No. (976) 11 463971, email: a.ambuu@yahoo.com
Dr Baigalmaa Jantsansengee, Head, Mongolia Field Epidemiology Field Programme, National Centre for Communicable Diseases, Nam-Yan-Ju Street 31/2, Bayanzurkh District, Ulaanbaatar 210648, Mongolia.
Tel No. (976) 990 80218, email: baigalmaa@gmail.com
Dr Sibauk Vivaldo Bieb, Executive Manager, Public Health, Secretary of Health, National Department of Health, P.O. Box 807, Waigani NCD, Papua New Guinea.
Tel No. (675) 313 3707,
email: svbieb@gmail.com
Mr Berry Ropa, Manager, Disease Control and Surveillance/Program Officer, Surveillance and Emergency Response, IHR Focal Person, Department of Health, P.O. Box 807, Waigani NCD, Papua New Guinea. Tel No. (675) 712 91609, email: bropa2013@gmail.com
Ms Richelle P. Abellera, Nurse V, Epidemiological Bureau, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Philippines.
Tel No. (639) 651 7800 local 2930, email:
richelleabellera@yahoo.com
Ms Maria Carissa Luna Ocampo, Health Programme Officer II, Health Emergency Management Bureau, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz. Manila, Philippines
Tel No. (632) 651 7800 local 2202, email: assirac.opmaco@gmail.com
Dr Ngu Duy Nghia, Deputy Head, Communicable Diseases Prevention and Control, National Institute of Hygiene and Epidemiology, No.1 Yersin Street, Hanoi, Viet Nam.
Tel No. (844) 906 270275 email: ndn@nihe.org.vu
Dr Hoang Van Ngoc, Expert, General Dpartment of Preventive Medicine, Ministry of Health, 135 Alley, Nui Truc Street, Ba Dinh Street, Hanoi, Viet Nam. Tel No. (844) 384 64415
email: ngocdhy2000@gmail.com
11 SECRETARIAT
Dr Li Ailan, Regional Emergency Director, WHO Health Emergencies Programme (WHE) and Director, Health Security and Emergencies, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9730 email: lia@who.int
Dr Masaya Kato, Programme Area Manager, Country Health Emergency Preparedness and IHR (CPI), WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9828 email: katom@who.int
Dr Heather Papowitz, Programme Area Manager, Emergency Operations (EMO), WHO HealthEmergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O.
Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9949 email: papowitzh@who.int
Mr Thomas Hiatt, Technical Officer, Monitoring and Evaluation, Country Health Emergency Preparedness and IHR (CPI), WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9732 email: hiatt@who.int
Dr Tigran Avagyan, Technical Officer, Expanded Programme on Immunization, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9725 email: avagyant@who.int
Mr Hitesh Chugh, Consultant, Infectious Hazard Management, WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9783, email: chughh@who.int
Dr Anthony Eshofonie, Epidemiologist, Country Health Emergency Preparedness and IHR (CPI), WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9948,
email: eshifoniea@who.int
Mr Jan Erik Larsen, Technical Officer, Emergency Operations, WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 9932, email: larsenj@who.int
Dr Karen Nahapetyan,
Technical Officer (Laboratory), Country Health Emergency Preparedness and IHR (CPI), WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.Tel No. (632) 528 9948, email:
nahapetyank@who.int
Mr Mark Shapiro, World Health Organization, Regional Office for the Western Pacific,
P.O. Box 2932, 1000 Manila, Philippines.
Tel No. (632) 528 8001, email: mshapiro@who.int
Ms Zhao Weili, Technical Officer (IHR),
Country Health Emergency Preparedness and IHR (CPI), WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.Tel No. (632) 528 9915, email: zhaow@who.int
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Dr Chin Kei Lee, Medical Officer, Office of the WHO Representative,
World Health Organization, 401 Dongwai Diplomatic Office Building, 23, Dongzhimenwai Dajie, Chaoyang District, 100600 Beijing, People’s Republic of China.Tel No. (8610) 65327190, email: leec@who.int
Dr Manilay Phengxay, Technical Officer (Communicable Diseases), Emerging Disease
Surveillance and Response, Office of the WHO Representative,
World Health Organization, 125 Saphanthong Road, Unit 5, Ban Saphangthongtai, Sisattanak District, Vientiane Capital, Lao People’s Democratic Republic.Tel No. (856) 21 35392, email: phengxaym@who.int
Dr Ariuntuya Ochirpurev, Technical Officer,
Emerging Disease Surveillance and Response, Office of the WHO Representative,
World Health Organization, Government Building No. 8, Ulaanbaatar, Mongolia.Tel No. (976) 1132 0183, email: ochirpureva@who.int
Dr Zhang Zaixing, Team Coordinator,
Office of the WHO Representative,
World Health Organization, 4F AOPI Centre, Waigani Drive, Port Moresby, Papua New Guinea.Tel No. (675) 325 7827,
email: zhangz@who.int
Mrs Sacha Bootsma, Technical Officer,
Office of the WHO Representative,
World Health Organization, Ground Floor, Building 3, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Manila,.Philipines.
Tel No. (632) 528 9773, email: bootsma@who.int
Ms Julie Villadolid, Project Coordinator,
Office of the WHO Representative,
World Health Organization, Ground Floor, Building 3, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Manila,.Philipines.
Tel No. (632) 528 9765, email: villadolidj@who.int
Mr Sean Casey, Health Cluster Coordinator,
Office of the WHO Representative/Director (Pacific Technical Support Division),
World Health Organization, Level 4, Provident Plaza One, Downtown Boulevard, 33 Ellery Street, SuvaTel No. (679) 3304600, email: scasey@who.int
Dr Thi Hong Hien Do, Epidemiologist, Office of the WHO Representative, World Health Organization, 304 Kim Ma Street, Hanoi, Viet Nam. Tel No. (844) 38 500 286,
email: doh@who.int
Dr Landry Mayigane, Technical Officer, HQ/CME Core Capacity Assessment, Monitoring and Evaluation, Country Health Emergency Preparedness and IHR, World Health Organization, Avenue Appia 20, 1211 Geneva 27. Switzerland.
Tel No. (4122) 791 1575,email: mayiganel@who.int
Mr Denis Charles, HQ/CME Core Capacity Assessment, Monitoring and Evaluation, Country Health Emergency Preparedness and IHR, World Health Organization, Avenue Appia 20, 1211 Geneva 27.
Switzerland.
Tel No. (4122) 791 2111,email: denis.a.charles@gmail.com
Dr Pei Yingxin,
Technical Officer, HQ/CME Core Capacity Assessment, Monitoring and Evaluation, Country Health Emergency Preparedness and IHR, World Health Organization, Avenue Appia 20, 1211 Geneva 27. Switzerland.Tel No. (4122) 791 4360,email: peiy@who.int
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ANNEX 2
PROGRAMME OF ACTIVITIES Day 1 – Monday, 21 January 2019
08:30 – 09:00 Registration 09:00 – 09:20 Opening session
Welcome and opening remarks
- Dr Li Ailan, Regional Emergency Director, WHO Health Emergencies
Programme and Director, Health Security and Emergencies, (RED/DSE), WHO Regional Office for the Western Pacific (WPRO)
Self-introductions
Overview of objectives and agenda Administrative announcements Workshop group work
Our planning context
09:20 – 09:40 Strengthening health security systems through the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III)
- Dr Masaya Kato, Programme Area Manager, Country Health Emergency Preparedness and International Health Regulations (CPI), WHO/WPRO
09:40 – 10:10 Group photo/Coffee break 10:10 – 10:20 Strategic shift: Backcasting
- Dr Li Ailan, RED/DSE, WHO/WPRO
10:20 – 12:15 Discussion: Strengthening our health security system towards our goals Group discussion, followed by plenary discussion - Mr Tom Hiatt,
Technical Officer, WHO/WPRO
12:15 – 13:15 Lunch
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13:15 – 13:45 Discussion: Strengthening our health security system towards our goals - Mr Tom Hiatt, Technical Officer, WHO/WPRO
Understanding and planning: After Action Review (AAR)
Facilitation by WHO Headquarters (WHO/HQ) and WHO/WPRO 13:45 – 14:45 AAR: Overall objectives
14:45 – 15:15 Coffee break
15:15 – 16:15 AAR: Conceptualization
16:15 – 17:15 How to conduct an AAR: overview and steps 1 and 2 17:45 – 19:30 Welcome reception
Day 2 – Tuesday, 22 January 2019
08:00 – 08:30 Recap from Day 1
08:30 – 09:30 AAR: Steps 3 – What went well, what went less well 09:30 – 10:30 AAR: Step 3 – Root cause analysis (world café) 10:30 – 11:00 Coffee break
11:00 – 12:30 AAR: Step 4 – What can we improve for next time?
12:30 – 13:30 Lunch
13:30 – 14:30 AAR: Step 5 – Prioritization process and way forward 14:30 – 15:15 AAR: Soft skills for facilitation
15:15 – 15:30 AAR: Planning summary 15:30 – 15:45 Coffee break
Understanding and planning: Simulation Exercises Facilitation by WHO/HQ and WHO/WPRO
15:45 – 17:00 SimEx: Introduction, different types for different purposes, exercise type section
15 Day 3 – Wednesday, 23 January 2019
08:00 – 08:30 Recap of day 2
08:30 – 10:00 SimEx: Introduction to the case study and conceptualisation 10:00 – 10:30 SimEx: Development of material for a TTX
10:30 – 11:00 Coffee break
11:00 – 12:30 SimEx case study: Development of material for a TTX
12:30 – 13:30 Lunch
13:30 – 15:00 SimEx case study: Development of material for a TTX
15:00 – 15:30 Coffee break
15:30 – 17:30 SimEx case study: TTX setup and final preparation
Day 4 – Thursday, 24 January 2019 08:00 – 08:30 Recap of day 3
08:30 – 10:00 SimEx case study: Mini practice simulation session 1 10:00 – 10:15 Coffee break
10:15 – 11:45 SimEx case study: Mini practice simulation session 2 11:45 – 12:15 Post simulation theory and discussion
12:15 – 12:45 AAR and Simex Planning
Global IHR monitoring and evaluation framework (IHR MEF) Country guide for inclusion in IHR MEF and reporting tools
Planning and implementation resources available at regional and HQ level 13:00 – 14:00 Lunch
Planning: Next steps
Facilitation by WHO/WPRO
14:00 – 15:00 Using AAR and SimEx as opportunities for our health security system strengthening
- Mr Tom Hiatt, Technical Officer, WHO/WPRO 15:00 – 15:20 Coffee break
15:20 – 16:15 Using AAR and SimEx as opportunities for our health security system strengthening (continued)
Plenary discussion
Group activity (“4 corners”) 16:15 – 16:30 Closing session
- Dr Li Ailan, RED/DSE, WHO/WPRO
