Global Health Protection Programme

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Global Health Protection Programme
Global Health Protection Programme
Infectious disease outbreaks occur on a regular basis and respect no borders as they take their
toll. Epidemics threaten population health, creating enormous human suffering and potentially
causing devastating economic losses. It is therefore crucial for societies – in Germany and across
the world – to be able to rely on resilient health systems that can respond effectively to popula-
tion needs, both under normal circumstances and in the event of outbreaks.

In 2016, the German Federal Ministry of Health estab-          All of the institutions involved with the GHPP ­contribute
lished the Global Health Protection Programme (GHPP).          valuable expertise in the area of Global Health to the
Since then, several institutions operating in the field of     ­realisation of international projects. These projects are
health have been supporting partners across the world in        complementary to the development cooperation activi-
preventing and fighting disease outbreaks. In doing so,         ties of the Federal Ministry of Economic Cooperation
the GHPP contributes to achieving the United Nations            and Development, the humanitarian aid projects of the
Sustainable Development Goal 3, which aims to “Ensure           Federal Foreign Office and research promotion by the
healthy lives and promote well-being for all at all ages”.      Federal Ministry of Education and Research. The thematic
                                                                focus of the GHPP with particular importance to global
                                                                health protection is presented below:

Managing health crises together
             Provide 24/7 expertise to fight­                                   Being ready to act
              disease outbreaks worldwide                                       in health crises
                                                                                Implement WHO International
                                                                                Health Regulations worldwide
      Acting globally
         Strengthen global
 health order and ­promote
                                                                                Securing the quality
 international cooperation                                                      of medicines
                                                                                Improve the safety of blood
                                                                                and blood products, medicines
                                                                                and vaccines worldwide

                                                                   Preventing hospital-acquired infections
                                                                   Strengthen infection prevention and control and fight
                                                                   antimicrobial resistance worldwide

                                            Generating evidence for better health protection
                                            Close knowledge gaps through research and promote young researchers
                                            worldwide
Project overview

                                                         GERMANY
                                                          5 15 17 22
                           WHO/EUROPE
                                   10                    MONTENEGRO
                                                             11

                                      WHO                         ROMANIA         GEORGIA
                   8    9 12 14 30 34 35                          26                 9

                                               ALBANIA            KOSOVO
                                                    11            11

                                                    NORTH MACEDONIA
                                                           11
                       GUINEA
                        20 21

                                  MALI
                                   29
          SENEGAL
             7                               NIGERIA
                                         1   1 3 16 18
THE GAMBIA
      24 25

SIERRA LEONE
  6 20 24 25

       LIBERIA                                 CAMEROON
      20 24 25                                     6                              RWANDA
                                                                                   7 28
CÔTE D‘IVOIRE                         DEMOCRATIC REPUBLIC                         TANZANIA
     2 21 31                                OF THE CONGO
                                                                                   3
                                                       31
BURKINA FASO
                                                  ZAMBIA
     2 7 31
                                                    3 6
                                  GHANA                                           MOZAMBIQUE
                                3 24 25 29                                        27

                                              NAMIBIA
                                              19 27 33                      ESWATINI
                                                                            27
                                         SOUTH AFRICA
                                                   31

                                                                     ZIMBABWE
                                                                 3    4 6 24 25
GHPP Projects
                                                                            [Programme partners in Germany]
           Managing health
            crises together                      Being ready to act
                                                 in health crises       1   AfroLabNet Modul 1 [BNITM] 2016–2021
                                                                            Strengthening national capacity for outbreak and
    Acting globally
                                                 Securing the quality       ­crisis management in Africa
                                                 of medicines
                                                                        1   AfroLabNet Modul 2 [BNITM] 2016-2021
                                          Preventing hospital-              Strengthening national capacity for outbreak and
                                          acquired infections
                                                                            ­crisis management in Africa (mobile)
                          Generating evidence for better
                          health protection
                                                                        2   ARGOS [RKI] 2016–2021
                                                                            Support in developing AMR surveillance systems

                                                                        3   BloodTrain [PEI] 2016–2021
         KYRGYZSTAN                                                         Availability, Safety and Quality of Blood and Blood
         27                                                                 Products

                                                                        4   CPA [BfArM] 2016–2021
                                                                            Combating antimicrobial resistance –
                                                                            ­Scientific ­training on rational anti-infective use
           WHO/SOUTH EAST ASIA
           23                                   VIETNAM                 5   D:APS [RKI] 2016–2021
                                                   32                       Support of the RKI emergency teams

     BANGLADESH                                                         6   DQA [BfArM] 2016–2021
             32                                                             Training of African quality control laboratories in
                                                                            quality assurance and management in the context
                                                                            of a global action plan on combating antimicrobial
                              CAMBODIA                                      resistance
                                    32
                                                                        7   EFFO [RKI] 2014–2021
                                                                            Efficiency by Edification: transcultural Train-the-
                                                                            Trainer-Network for the Management of biological
                                                                            events in hospitals and clinics

         SRI LANKA                                                      8   EMIL [RKI] 2020–2021
             13                                                             Development of standards for mobile laboratories for
                                                                            field use in disease outbreak and emergency contexts
                                INDONESIA
                                                                        9   EMT TT [RKI] 2019–2021
                                       9
                                                                            Establishing partnerships between EMTs from
                                                                            ­Germany and partner countries, training for EMT
                                                                             ­coordination activities

Further GHPP activities of smaller scope take place in                  10 EURO NITAGs [RKI] 2020–2021
partnership with the following countries:                                  Strengthening national immunization technical
                                                                           ­advisory groups in middle- and low-income countries
•
     1   1 Benin                    •
                                        6 Namibia                           of the WHO European Region

•
     6 Botswana                     •
                                        6 Nigeria                       11 GETPrepaReD [RKI] 2016–2021
     6 Burkina Faso                     27 Republic of Moldova             Strengthening national Epidemiological Capabilities
                                                                           of Partner Countries in Outbreak and Crisis
•                                   •

     6 Ethiopia                         6 Senegal
•                                   •

                                                                           ­Management
     6 Ghana                            1 Togo
                                                                        12 GOPA [RKI] 2020–2021
•                                   •

     1   1 Guinea                       4 Zambia
•                                   •

                                                                           Strengthening of the collaboration between the
•
     4   6 Malawi                                                          GOARN and the PAE
13 IDEA [RKI] 2016-2021                                     26 RoGer-TB [DZK, FZB, RKI] 2020-2021
   Strengthening the capacities for diagnosing infectious      Cross-border migration and tuberculosis between
   diseases in Sri Lanka                                       ­Romania and Germany

14 IHR-PVS Toolbox [FLI] 2019-2021                          27 SeqMDRTB_NET [FZB] 2019-2021
   Supporting WHO in the development of toolboxes for          Network for the application of sequencing technolo-
   bridging IHR and PVS                                        gies for the fight against (resistant) tuberculosis in
                                                               high incidence settings
15 IHR Summer School [RKI] 2016-2021
   Strengthening the IHR core capacities to improve         28 SicoR [RKI] 2020-2021
   preparedness and response to health crises caused by        Strengthening infection prevention and control in
   infectious diseases                                         health care settings towards HCID in Rwanda

16 Lassa-Nigeria [BNITM] 2019-2021                          29 Stand-AMR [BNITM] 2019-2021
   Capacity building for rapid containment of ­Lassa           Development of a standardized laboratory for
   ­fever outbreaks and development of medical                 AMR surveillance in sub-Saharan Africa
    ­countermeasures in Nigeria
                                                            30 SYSVAC [RKI] 2019-2020
17 LEARN [BfArM] 2020-2021                                     Global registry of systematic reviews to strengthen
   Cross-project inquiry into e-learning concepts              national immunisation programmes and
   ­towards supporting sustainable capacity building           ­decision-making processes
    in the context of GHPP
                                                            31 TRICE [RKI] 2016-2021
18 NiCaDe [RKI] 2019-2021                                      Strengthening Expertise to Examine Outbreaks
   Nigeria Centre for Disease Control: Capacity                of Haemorrhagic Fever and Antibiotic-Resistant
   ­development for preparedness and response for              ­Organisms
    ­infectious diseases
                                                            32 TuNDRA [RKI] 2016-2021
19 OneHealth Namibia [FLI] 2019-2021                           Disease burden of viral and bacterial infections
   Field study for oral immunisation of dogs in the            in children in Asia, including antibiotic resistance
   ­context of the Namibian rabies control and work-           profiles
    shops on AMR monitoring systems
                                                            33 TwiNit [RKI] 2020-2021
20 ORDER-HC [BNITM, RKI] 2016-2021                             Twinning Project for the establishment of a national
   Organise response to disease epidemics maintaining          Institute for Public Health in Namibia
   routine health care
                                                            34 WHOCC-AMR [RKI] 2020-2021
21 PASQUALE [RKI] 2019-2021                                    Coordinating the global WHO AMR Surveillance
   Partnership to Improve Patient Safety and Quality           and Quality Assessment Collaborating Centre
   of Care                                                     ­Network to reduce antimicrobial resistance

22 PPE [RKI] 2016-2021                                      35 WHOCC-GOARN [RKI] 2019-2021
   Postgraduate Partnership in Education                       Operationalization of WHO Collaboration Center
                                                               for GOARN
23 ProTECt [RKI] 2020-2021
   Development and implementation of a training
   ­concept to strengthen health emergency operations
    centres
                                                                AMR     Antimicrobial resistance
24 RegTrain-PharmTrain [BfArM] 2019-2021                        EMT     Emergency Medical Teams
                                                                GOARN   Global Outbreak Alert and Response Network
   Regulatory training and consulting: Pharmaceuticals
                                                                HCID    High consequence infectious diseases
                                                                IHR     International Health Regulations
25 RegTrain-VaccTrain [PEI] 2016-2021                           PAE     Postgraduiertenausbildung für Angewandte Epidemiologie
   Regulatory training and consulting: Vaccines and             PVS     Performance of Veterinary Services
   ­biomedical therapeutics                                     WHO     World Health Organization
Bouaké, July 2017 © Susanne Köhler

Together for global health protection
Project areas and objectives                                  Programme structure
Health crises can rapidly put significant strain on fragile   Currently, 35 projects are being implemented under the
health systems. Under such circumstances, rapid expert        management of the Federal Ministry of Health, in coor-
deployment is crucial to ensure necessary epidemiologi-       dination with seven German institutions and numerous
cal investigations, the implementation of infection con-      partner institutions across 39 countries with a focus on
trol measures, adequate laboratory diagnostics, patient       Africa, South-East Asia and South-East Europe. The
support and accompanying research studies (e.g. to assess     scope of measures adopted in the programme countries
the efficacy of the vaccines and medicines administered).     varies significantly from one project to another, ranging
The GHPP supports the expansion of international              from tailored training courses for selected, specialised
­cooperation capacities at global level, joining forces       health personnel to comprehensive capacity-building on
 with relevant international stakeholders, in particular      site. Of particular importance is the joint development
 the World Health Organization (WHO) and other actors         and implementation of projects based on the assessment
 such as the International Association of National Public     of local needs. Activities focus on closing existing gaps so
 Health Institutes (IANPHI). Strengthening epidemic           as to strengthen healthcare ­systems and effectively fight
 prevention is central to health systems’ ability to detect   health crises.
 outbreaks at an early stage and rapidly contain them.
 Within the GHPP, the focus is on the following targets:      Timeline
                                                              » First phase: 2016 - 2021
(1) Strengthening the implementation of the Interna-          » Second phase: from 2022
    tional Health Regulations (IHR) (e.g. disease reporting
    systems, emergency action plans, building crisis          Programme partners in Germany
    management capacity);                                     » BNITM Bernhard Nocht Institute for Tropical
(2) Expansion of regulatory competence for medicines,           ­Medicine (www.bnitm.de/en)
    vaccines and blood products;                              » BfArM Federal Institute for Drugs and Medical
(3) Infection prevention and control and combating               ­Devices (www.bfarm.de/en)
    ­antimicrobial resistance;                                » DZK German Central Committee against Tuberculosis
(4) Closure of knowledge gaps through cooperative re-             (www.dzk-tuberkulose.de/en)
     search efforts, coupled with support and promotion       » FLI Friedrich Loeffler Institute (www.fli.de/en)
     of next-generation researchers.                          » FZB Research Center Borstel – Leibniz Lung Center
                                                                  (www.fz-borstel.de)
                                                              » PEI Paul Ehrlich Institute (www.pei.de/en)
                                                              » RKI Robert Koch Institute (www.rki.de/en)
Contact

GHPP-Office
Centre for International Health Protection
Robert Koch Institute
Nordufer 20
13353 Berlin · Germany
+49 (0)30 18754-3520
ghpp@rki.de
www.ghpp.de/en

                                             © GHPP 12/2020
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