Policy Brief for the Legal Framework on Infection Prevention and Control

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Policy Brief for the Legal Framework on Infection Prevention and Control

1. INTRODUCTION
The Infection Prevention and Control (IPC) Legal Framework comes before the Specialized Technical Committee on Health and Drug Control for adoption and endorsement. The IPC Legal Framework is designed to guide Member States in the review and strengthening of laws and policies that support IPC at both the national level and in healthcare facilities. In developing this IPC Legal Framework, the Africa Centres for Disease Control and Prevention (Africa CDC)
is furthering its mandates to harmonize disease control and prevention policies and promote the prevention and control of diseases by building capacity of public health institutions in Members States.

2. RATIONALE FOR THE IPC LEGAL FRAMEWORK
In October 2017, Africa CDC officially launched its Framework for Antimicrobial Resistance (AMR) Control, 2018-2023. One major component of this strategy involves decreasing the burden of antimicrobial resistance, particularly in healthcare settings. In April 2018, Africa CDC held a workshop with Member States and partners to define priorities for implementing the Africa CDC Framework for Antimicrobial Resistance Control. A major recommendation was that Africa CDC should define minimum for Infection, Prevention and Control (IPC) standards for healthcare facilities. The minimum standards should include the implementation of IPC structures and processes at the national, sub-national, and facility level, including a system for surveillance of healthcare–associated infections and antimicrobial resistance. In April 2019, Africa CDC and World Health Organization, held a technical consultation with Member states to develop the minimum standards and guidelines for health care facilities and developed a plan for IPC for African Union member states. A key outcome of the meeting was to develop a legal framework that would guide and underpin IPC operations within Africa and would capture areas such as accountability mechanisms and resources required for implementation, leadership structure, monitoring and evaluation. Accordingly, Africa CDC initiated a project to develop a legal framework for IPC that will guide the development or strengthening of IPC programmes in Member States and contribute to the establishment of a socio-professional environment adapted to the requirements in this area.

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EXECUTIVE SUMMARY:

The Africa Centres for Disease Control and Prevention (Africa CDC) launched its Southern Africa Regional Collaborating Centre (SA-RCC) on 31st March 2021, from 9:00 am to 1:00 pm at Mulungushi Conference Centre in Lusaka, Zambia. The lunch was organised by the Southern Africa RCC in collaboration with the Ministry of Health (MoH) of the Republic of Zambia under the auspices of Dr. Kennedy Malama, Permanent Secretary of the MOH of the Republic of Zambia, and Chair of the organizing committee.

The overall objective of the launch was to highlight the technical support and planned initiatives for the Southern Africa Region that include Health Security, information sharing, policy dialogue, regional collaboration and partnership, and challenges affecting the Member States, as well as coordination across borders in the context of COVID-19 and beyond.

The launch was well attended, and officially declared open by Her Excellency, Mrs. Inonge Mutukwa Wina, the Vice President of the Republic of Zambia, and supported by His Excellency Moussa Faki Mahamat, Chairperson of the African Union Commission, represented by Mrs. Josefa Leonel Correia Sacko, the Commissioner for Rural Economy & Agriculture. Other participants in attendance include Hon. Dr. Jonas Chanda, MP, Minister of Health of the Republic of Zambia; Ministers from the Southern Africa Region; Her Excellency, Amira Elfadil Mohammed Elfadil, Acting Commissioner for Health, Humanitarian Affairs and Social Development, – and over 6,000 persons who attended the launch, majority of them virtually via Africa CDC Twitter Handle and Facebook page. Also in attendance were representatives from WHO, UNICEF, US-CDC, AU-SARO, RECs and SADC, Public Health England, World Bank, COMESA, AMERA, and EFENET in Zambia (See ANNEX 3).

The meeting concluded by requesting the Southern Africa RCC to present the findings of the Role of Regional public health institutions in improving disease surveillance and response in the region; introduce the framework of the Regional Integrated Surveillance and Laboratory Networks (RISLNET); organize a high-level regional meeting to improve cross border surveillance in the context of health security; organize a Technical Advisory Committee (TAC) meeting, and encourage African Union Member States that don’t have National Public Health Institute to establish one (See the table on agreed action points in No. 9 below)

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