PDF(Pubmed)
Abstract：
UNASSIGNED: The WHO Emergency Medical Teams (EMT) Initiative coordinates the deployment of qualified medical teams who promptly respond to public health emergencies (PHEs) and provide quality service during emergencies whilst strengthening capacity. Globally, 40 EMTs have been classified between 2016 and the present (as of the writing of this article in December 2023) and are from across all the WHO regions except the WHO Africa Region (AFRO). However, WHO Africa has prioritised the implementation of EMTs in 10 priority countries to address the public health emergencies (PHEs) affecting the region.
UNASSIGNED: This article describes the development and progress of national EMTs in the WHO African Region over the past 7 years and elucidates the main lessons learned and the complexity and challenges in the process.
UNASSIGNED: This study employed a case study approach because of its appropriateness in examining a complex social phenomenon in a socio-political context in depth, using multiple lenses simultaneously. Data and information were obtained through document reviews and key informant interviews (KIIs) (n = 5) with the members of the EMT Initiative on shared field experiences. Data were systematically analysed using the Stages of Implementation Completion (SIC) framework, and the lessons learnt were presented using components of a framework from Adini et al.
UNASSIGNED: The Initiative commenced in the WHO African Region following its launch in December 2017 in Senegal. The assessments of the concept\'s engagement (involved learning and deciding), feasibility (reviewing expectation and capacity), and readiness planning (collaborating and preparing) showed that the context-specific (African context) challenges, lessons from different emergency response actions mainly guided the Initiative\'s pre-implementation phase in the region and prompted the WHO emergency leadership on the urgency and need for the EMT concept in the region. The assessment of the implementation processes showed progress in key areas, with staff demonstrating improved competency, EMT services maintaining high fidelity, effective consultation launching critical components, and ongoing services providing successful support and monitoring. Creating the N-EMTs and revitalising the EMT concept required an aligned strategy with other regional emergency programmes and a futuristic vision. Proposed sustainability and governance components include creating N-EMT, developing a coordination structure, collaborating with partners, and finalising the N-EMT.
UNASSIGNED: The Initiative is an imperative component that would allow better-targeted management of health emergencies in the region. The continuous refinement of the EMT initiative is crucial. There is a need to work on additional components, such as a context-specific framework for collaborations and partnerships that would enhance deployment and procurement modalities and the complementarity between other regional initiatives to improve the work. Emphasis should be placed on strengthening local health systems, enhancing training and capacity-building programmes, and fostering regional and international collaborations. Additionally, sustainable funding and resource allocation are essential to ensure the resilience of EMTs in the African region and their long-term success.
UNASSIGNED: This article describes the development and progress of national EMTs in the WHO African Region over the past 7 years and elucidates the main lessons learned and the complexity and challenges in the process.
UNASSIGNED: This study employed a case study approach because of its appropriateness in examining a complex social phenomenon in a socio-political context in depth, using multiple lenses simultaneously. Data and information were obtained through document reviews and key informant interviews (KIIs) (n = 5) with the members of the EMT Initiative on shared field experiences. Data were systematically analysed using the Stages of Implementation Completion (SIC) framework, and the lessons learnt were presented using components of a framework from Adini et al.
UNASSIGNED: The Initiative commenced in the WHO African Region following its launch in December 2017 in Senegal. The assessments of the concept\'s engagement (involved learning and deciding), feasibility (reviewing expectation and capacity), and readiness planning (collaborating and preparing) showed that the context-specific (African context) challenges, lessons from different emergency response actions mainly guided the Initiative\'s pre-implementation phase in the region and prompted the WHO emergency leadership on the urgency and need for the EMT concept in the region. The assessment of the implementation processes showed progress in key areas, with staff demonstrating improved competency, EMT services maintaining high fidelity, effective consultation launching critical components, and ongoing services providing successful support and monitoring. Creating the N-EMTs and revitalising the EMT concept required an aligned strategy with other regional emergency programmes and a futuristic vision. Proposed sustainability and governance components include creating N-EMT, developing a coordination structure, collaborating with partners, and finalising the N-EMT.
UNASSIGNED: The Initiative is an imperative component that would allow better-targeted management of health emergencies in the region. The continuous refinement of the EMT initiative is crucial. There is a need to work on additional components, such as a context-specific framework for collaborations and partnerships that would enhance deployment and procurement modalities and the complementarity between other regional initiatives to improve the work. Emphasis should be placed on strengthening local health systems, enhancing training and capacity-building programmes, and fostering regional and international collaborations. Additionally, sustainable funding and resource allocation are essential to ensure the resilience of EMTs in the African region and their long-term success.
摘要：
世卫组织应急医疗队（EMT）倡议协调部署合格的医疗队，这些医疗队迅速应对突发公共卫生事件（PHE）并在紧急情况下提供优质服务，同时加强能力。全球范围内,从2016年到现在（截至2023年12月撰写本文）已对40例EMT进行了分类，这些EMT来自世卫组织非洲区域（AFRO）以外的所有世卫组织区域。然而,世卫组织非洲优先在10个优先国家实施EMT，以应对影响该地区的突发公共卫生事件。
■本文介绍了世卫组织非洲区域国家EMT在过去7年中的发展和进展，并阐明了吸取的主要经验教训以及过程中的复杂性和挑战。
■这项研究采用了案例研究方法，因为它适合在社会政治背景下深入研究复杂的社会现象。同时使用多个镜头。数据和信息是通过与EMT倡议成员就共享的现场经验进行的文件审查和关键线人访谈（KII）（n=5）获得的。使用实施完成阶段(SIC)框架对数据进行了系统分析，并使用Adini等人的框架组件介绍了吸取的教训。
该倡议于2017年12月在塞内加尔启动后在世卫组织非洲区域启动。对概念参与的评估(涉及学习和决定)，可行性(审查预期和能力)，和准备计划(合作和准备)表明，特定环境(非洲环境)的挑战，不同应急行动的经验教训主要指导了该倡议在该地区的实施前阶段，并促使世卫组织应急领导认识到该地区EMT概念的紧迫性和必要性。对执行过程的评估显示了关键领域的进展，工作人员表现出更好的能力，EMT服务保持高保真度，有效的咨询启动关键组件，以及提供成功支持和监控的持续服务。创建N-EMT和振兴EMT概念需要与其他区域应急计划保持一致的战略和未来愿景。建议的可持续性和治理组件包括创建N-EMT，发展协调结构，与合作伙伴合作，完成N-EMT.
该倡议是一个必要的组成部分，可以更好地对该地区的突发卫生事件进行有针对性的管理。EMT计划的不断完善至关重要。需要在额外的组件上工作，合作和伙伴关系框架，以加强部署和采购模式，以及其他区域举措之间的互补性，以改进工作。应重视加强地方卫生系统,加强培训和能力建设方案，促进区域和国际合作。此外,可持续的资金和资源分配对于确保非洲区域EMT的复原力及其长期成功至关重要。
■本文介绍了世卫组织非洲区域国家EMT在过去7年中的发展和进展，并阐明了吸取的主要经验教训以及过程中的复杂性和挑战。
■这项研究采用了案例研究方法，因为它适合在社会政治背景下深入研究复杂的社会现象。同时使用多个镜头。数据和信息是通过与EMT倡议成员就共享的现场经验进行的文件审查和关键线人访谈（KII）（n=5）获得的。使用实施完成阶段(SIC)框架对数据进行了系统分析，并使用Adini等人的框架组件介绍了吸取的教训。
该倡议于2017年12月在塞内加尔启动后在世卫组织非洲区域启动。对概念参与的评估(涉及学习和决定)，可行性(审查预期和能力)，和准备计划(合作和准备)表明，特定环境(非洲环境)的挑战，不同应急行动的经验教训主要指导了该倡议在该地区的实施前阶段，并促使世卫组织应急领导认识到该地区EMT概念的紧迫性和必要性。对执行过程的评估显示了关键领域的进展，工作人员表现出更好的能力，EMT服务保持高保真度，有效的咨询启动关键组件，以及提供成功支持和监控的持续服务。创建N-EMT和振兴EMT概念需要与其他区域应急计划保持一致的战略和未来愿景。建议的可持续性和治理组件包括创建N-EMT，发展协调结构，与合作伙伴合作，完成N-EMT.
该倡议是一个必要的组成部分，可以更好地对该地区的突发卫生事件进行有针对性的管理。EMT计划的不断完善至关重要。需要在额外的组件上工作，合作和伙伴关系框架，以加强部署和采购模式，以及其他区域举措之间的互补性，以改进工作。应重视加强地方卫生系统,加强培训和能力建设方案，促进区域和国际合作。此外,可持续的资金和资源分配对于确保非洲区域EMT的复原力及其长期成功至关重要。
