Avian and Human Influenza (AHI): Consolidated Action Plan for Contributions of the UN System and Partners - Revised Activities and Financial Requirements up to December 2007

Report
from UN Office for the Coordination of Humanitarian Affairs
Published on 24 Nov 2006
Produced on behalf of FAO, ICAO, ILO, IOM, OCHA, OIE, UNDP, UNHCR, UNICEF, UNWTO, WFP and WHO by UN System Influenza Coordinator (UNSIC), UN Development Group

INTRODUCTION

In July 2006, the UN Secretary General prefaced the first issue of the UN Consolidated Action Plan for Avian and Human Influenza (AHI) with reference to our collective responsibility for ensuring that all countries -- rich and poor -- are adequately protected and prepared. He pledged the UN System's support to countries in their efforts to respond to the threats posed by highly pathogenic avian influenza and any future influenza pandemic. He committed the combined strength and expertise of UN System agencies, funds and programmes in support of this outcome and called on the international community to provide them with adequate backing.

The collective goal of the UN System is to help national authorities implement programmes that are characterized by high technical quality (right actions, in the right place at the right time), with strong national ownership and adequate resources. The UN System expects to do this with a high degree of inter-agency coherence and synergy, whether working at country, regional or global levels. To make this happen, the UN System has established a high level Steering Committee (chaired by the UN Deputy Secretary General), appointed a Senior Coordinator, and is engaging in joint operations with the World Bank, World Organisation for Animal Health and the Red Cross Movement. The UN System has established functional links with the International Partnership on Avian and Pandemic Influenza, with regional political organisations, and with many private sector groups, voluntary bodies and donor agencies. The UN System produced, in June 2006, a UN Consolidated Action Plan that describes the ways in which agencies, funds and programmes are working together.

The Plan builds on the AHI action plans developed and implemented by each of the concerned UN agencies, funds and programmes. It reflects the common objectives, strategic directions, and results to be attained by different parts of the UN System together with their international and regional partners. It also lists financial requirements for the different objectives to be realized.

AHI threats are changing over time. So are the needs of countries and the assistance that is requested from the UN System and its partners. The present document complements the initial UN Consolidated Action Plan by reflecting these changes. It provides an overview of overall progress achieved during the last six months against the seven common objectives the UN System has set for itself, presents the UN System contributions to AHI in a comprehensive Logical Framework and informs on revised financial requirements for 2007. I am particularly pleased that this revision of the Action Plan introduces the critical work being undertaken by the International Labour Organisation, the International Organisation for Migration, the International Civil Aviation Organisation, the World Tourism Organisation and the World Organisation for Animal Health. The Federation of Red Cross and Red Crescent Societies and major international NGOs are currently working on ways to complement the UN Action Plan.

David Nabarro
UN System Senior Coordinator for Avian and Human Influenza

Summary of Central Features of the UN Consolidated Action Plan

S1 This version of the plan should be read as a revision of the Version released in July 2006. It has five sections.

S2 The global, regional and national response to the ongoing epizootic of highly pathogenic avian influenza and the threats posed by an influenza pandemic have evolved in the last six months. Most countries have concentrated on interlinked yet distinct areas of action, all of which require a long term commitment and each of which contributes to the better overall functioning of the health, livestock and crisis preparedness sectors.

S3 The five areas of action include: _ Healthy livestock production systems and animal health services capable of responding to highly pathogenic avian influenza, _ Functioning human public health systems (that can detect, respond to and contain serious infections, including avian and pandemic influenza), _ Social mobilisation activities that include communication for behaviour change _ Crisis preparedness efforts that include contingency planning for influenza pandemics, _ Institutional arrangements for co-coordinated financial and technical support for effective national implementation of integrated influenza programmes

S4 The UN as a whole contributes to work in these areas through support for seven objectives. The support is described in Section I of this Action Plan revision, disaggregated by the following objectives

Short Title
Detailed Objective
1. Animal Health and Bio-Security Ensuring, through a global, cohesive framework in response to avian influenza in poultry, that animal health is safeguarded, bio-security is brought up to standard, and capacity is there, when needed, for scaling up veterinary services to detect early and stamp out rapidly new avian infections through prompt movement restrictions and culling, and for sustaining vaccination of poultry and other interventions when they are indicated. Clarifying how the emergence of pandemic agents, food and agricultural practices, land use and ecosystem management are related.
2. Sustaining Livelihoods Ensuring that the economic and poverty impact of avian influenza as well as related control measures are monitored and rectified; limiting any adverse repercussions on the Millennium Development Goals; seeking fair and equitable compensation for those whose livelihoods are endangered by avian influenza and control measures.
3. Human Health Strengthening public health infrastructure, including surveillance systems, to (i) reduce human exposure to the H5N1 virus; (ii) strengthen early warning systems, including early detection and rapid response to human cases of avian influenza; (iii) intensify rapid containment operations and responses for a newly emerging human influenza virus; (iv) build capacity to cope with a pandemic, including surge capacity for a pandemic; and (v) coordinate global science and research, particularly as this pertains to the availability of a pandemic vaccine and antiviral drugs. Strengthening community based treatment of acute respiratory infections, including pre-positioning of medical supplies in peripheral areas to enhance capacity to respond as well as to enhance nutrition security and access to micronutrients to minimise the impact of infection on susceptible populations.
4. Coordination of National, Regional
and International Stakeholders
Ensuring that national government ministries work together in a focused way, bringing in civil society and private sector groups, in pursuit of sound strategies for avian influenza control and pandemic preparedness.
5. Public Information and communication to support behaviour change Strategic communication to provide clear and unambiguous risk and outbreak information to the general public and key groups of people with the highest potential for stemming the spread and impact of the disease. This will include communicating with the public, households and communities to involve and mobilise them to adopt appropriate behaviours to reduce risks and mitigate the impact of any outbreaks or pandemic.
6. Continuity under Pandemic Conditions Ensuring the continuity of essential social, economic and governance services, and effective implementation of humanitarian relief, under pandemic conditions.
7. Humanitarian Common Services Support Ensuring that - in the event that national capacity is overwhelmed by pandemic conditions - agreed emergency operating procedures are invoked and benefit from information technology and logistics capacity set up and made operational beforehand

The relationship between these objectives and integrated national planning is shown in the diagram on the following page.

S5 There is a brief summary, under section II, of arrangements for implementing the Consolidated Action Plan which stresses that each agency is responsible for ensuring the implementation of activities for which it has taken responsibility within the context of this Action Plan, and accounting for those activities to those who provide funds. The most frequently used route for moving funds to agencies will be through bilateral agreements between donor organisations and the agencies concerned. However, in line with the present emphasis within the UN System on agencies, funds and programmes working together when addressing major global themes, and "delivering as one", the UN System established a central financing mechanism for influenza action (CFIA) in November 2006, and this is described within paragraph 30 .

S6 A new feature in the plan is a Logical Framework which indicates, in tabular form, how the different elements of this action plan dovetail together and help countries yield the outcome to which their governments have - individually and collectively - committed. This is presented in Section III.

S7 Section IV summarizes the requirements of the different agencies, funds, and programmes and other organisations for 2007, expressing them in relation to the Action Plan's seven objectives.

S8 Financial requirements for the UN System with breakdowns according to individual agencies and objectives are summarized in Section V.

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