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8 Closing Comments
Pages 105-108

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From page 105...
... Tomori and Elias noted that it would be insufficient because there is a need for reform at the regional and national levels, which cannot be solved through changes in international governance structures. Tomori especially called for a focus on national ownership and reform, and Elias advocated for building strong systems on the ground level, with national political and technical leadership.
From page 106...
... However, even the creation of the UN Mission for Ebola Emergency Response, a temporary creation in response to Ebola, caused unnecessary layers of coordination challenges, he said. Additionally, López-Acuña disagreed that a separate entity could solve IHR compliance, because of the difficult issues of independent, national sovereignty and the challenges that international officials have with overstepping that sovereignty.
From page 107...
... Likewise, he observed, some discussants recommended the creation of a committee for response assessment that would be responsible to the World Health Assembly or some other group of member states, rather than to the WHO secretariat. "If part of the core objective is strengthening capacity of the WHO to carry out the core functions that we are describing, I can well appreciate the merit of a distinctive independent evaluation mechanism that would report to the states or to the states group," he stated.
From page 108...
... Moreover, because evaluative measurements could also be used to identify needs for investment, performance measurements should occur both before and after funding is provided, he concluded. One might also evaluate the process of creating a unified global health risk framework, and the framework itself, Relman observed, suggesting that this effort may not be successful unless there is evidence of meaningful impact.


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