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The Joint External Evaluation (JEE) team would like to express its appreciation to the United States of America for volunteering to conduct a second joint evaluation using the third version of the JEE tool. This revised edition of the tool includes relevant lessons learned from the COVID-19 pandemic and other public health emergencies.
The JEE team greatly appreciates the efforts of US to meet the requirements of the JEE process, and the warm hospitality extended to the JEE team. All countries making efforts to undergo the Joint External Evaluation process should be commended for the transparency they have demonstrated in the service of strengthening global health security.
Results of the joint external evaluation
During the joint assessment mission, which took place in Washington, D.C., and Atlanta, Georgia, from September 18 to 25, 2024, U.S. capabilities in 19 technology areas were assessed through a peer consultation process. This process brought together a cross-sectoral group of national experts on the subject and a multi-national, multi-disciplinary JEE panel of experts for a week of discussion, interaction and selected site visits.
After a week of collaborative talks, this process led to consensus on the outcomes, as well as joint external evaluation recommendations on priority actions in the 19 technical areas.
The assessment also resulted in eight broader, comprehensive recommendations that, if implemented, will advance the progress the United States has made and remove bottlenecks that may impede implementation of agreed-upon priority actions. These recommendations, outlined below, address cross-cutting challenges affecting U.S. capabilities across many different technical areas that were explored in greater depth in the JEE process.
Comprehensive recommendations issued by JEE
Structures: Continue to improve the harmonization and harmonization of political, legal and technical frameworks in all regions and regions. and expanding preparedness to include state, local, tribal and territorial (SLTT) jurisdictions, ensuring that any capacity gaps in these frameworks are addressed. Preparedness, prevention, detection and response are rooted at the local level. Workforce: Ensure careful monitoring of workforce investments in the $7 billion American Rescue Plan and other initiatives to strengthen the public health workforce of the future, and address declining trends in workforce numbers and the high percentage of employees considering leaving the public sector. Funding: Sustain investment in preparedness through existing agencies and programs and consider reviewing the cost-effectiveness of how funds are currently being used, with a particular focus on addressing fragmentation and duplication. Trust: Strengthening community engagement in improving the impact of emergency responses, with a focus on building trust – and ensuring the inclusion of communities that are hard to reach, or have diverse needs. Enhancing trust in data, services and systems. Equity: Continue measures to ensure health security for all US residents, address existing inequalities and work to expand essential health care coverage through federal initiatives, more and better partnerships, and improvement. Health literacy and research. Solidarity: Continue the United States' remarkable contributions to global health security and solidarity, and maintain a desire to share the benefits of its high capacity through deployment of personnel to other parts of the world, training, capacity building, and engagement. Of knowledge and best practices.
Previous JEE Assignment: June 2016