1.4: Sensitize key stakeholders and assess interest
Once stakeholders who can effectively influence implementation of the 7-1-7 approach have been identified, their consistent and early engagement is required. Informal one-on-one meetings should be held to introduce the approach, address any concerns about implementation, and provide clarity where there may be uncertainty. These meetings can then also lay the groundwork for subsequent stakeholder convenings and implementation planning activities.
Retrospective reviews provide an additional approach to introducing stakeholders to the benefits of 7-1-7 implementation. To conduct a Retrospective Review, the coordination team applies the 7-1-7 approach to recent public health events and presents their findings to stakeholders, thereby directly demonstrating how the approach can be used to assess system performance and identify required remedial actions. The outcomes of these stakeholder engagements may then be used by the champion(s) and coordination team to revise their stakeholder mapping to reflect perceived levels of interest, inform consensus building and define implementation roles.
A Retrospective Review in Recife, Brazil
Recife, one of the ten largest municipalities in Brazil, conducted a Retrospective Review to introduce the 7-1-7 approach to a broad group of stakeholders. The Secretary of Health for Recife championed the event, while the Surveillance Department was chosen to coordinate the review. The Surveillance Department selected public health events from the prior two years and compiled 7-1-7 performance data for them. The Secretary of Health then convened a meeting to present the data to a broad group of laboratory, response, information technology, animal health, and environmental health stakeholders. The group discussed the 7-1-7 performance data and agreed on remedial actions that could improve epidemic preparedness. Reviewing public health event performance against the 7-1-7 target was found to be a valuable exercise and it was agreed to apply the 7-1-7 approach to future public health events.
Global health security is only as strong as the weakest link.
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