The Value Proposition of the Global Health Security Index

BMJ Global Health, Vol. 5, Issue 10, 2020, e003648, 1-8. DOI No.: 10.1136/bmjgh-2020-003648.

Posted: 1 Nov 2020

See all articles by Sanjana J. Ravi

Sanjana J. Ravi

Johns Hopkins Center for Health Security

Kelsey Lane Warmbrod

Johns Hopkins Center for Health Security

Lucia Mullen

Johns Hopkins University

Diane Meyer

Johns Hopkins Center for Health Security

Elizabeth Cameron

Nuclear Threat Initiative

Jessica Bell

Nuclear Threat Initiative

Priya Bapat

Economist Newspaper Ltd. - Economist Intelligence Unit

Michael Paterra

Economist Newspaper Ltd. - Economist Intelligence Unit

Catherine Machalaba

EcoHealth Alliance

Indira Nath

All India Institute of Medical Sciences (AIIMS) - Department of Biotechnology

Lawrence O. Gostin

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law

Wilmot James

Columbia University - Institute for Social and Economic Research and Policy (ISERP)

Dylan George

In-Q-Tel

Simo Nikkari

Centre for Biothreat Preparedness

Ernesto Gozzer

Universidad Peruana Cayetano Heredia

Oyewale Tomori

Nigeria Academy of Sciences

Issa Makumbi

Republic of Uganda Ministry of Health

Jennifer Nuzzo

Johns Hopkins University - Bloomberg School of Public Health

Date Written: October 8, 2020

Abstract

Infectious disease outbreaks pose major threats to human health and security. Countries with robust capacities for preventing, detecting and responding to outbreaks can avert many of the social, political, economic and health system costs of such crises. The Global Health Security Index (GHS Index)—the first comprehensive assessment and benchmarking of health security and related capabilities across 195 countries—recently found that no country is sufficiently prepared for epidemics or pandemics. The GHS Index can help health security stakeholders identify areas of weakness, as well as opportunities to collaborate across sectors, collectively strengthen health systems and achieve shared public health goals. Some scholars have recently offered constructive critiques of the GHS Index’s approach to scoring and ranking countries; its weighting of select indicators; its emphasis on transparency; its focus on biosecurity and biosafety capacities; and divergence between select country scores and corresponding COVID-19-associated caseloads, morbidity, and mortality. Here, we (1) describe the practical value of the GHS Index; (2) present potential use cases to help policymakers and practitioners maximise the utility of the tool; (3) discuss the importance of scoring and ranking; (4) describe the robust methodology underpinning country scores and ranks; (5) highlight the GHS Index’s emphasis on transparency and (6) articulate caveats for users wishing to use GHS Index data in health security research, policymaking and practice.

Keywords: Global Health, Health Care Policy, Health Policy, Law & Medicine, Regulatory Agencies, Infectious Diseases

Suggested Citation

Ravi, Sanjana J. and Warmbrod, Kelsey Lane and Mullen, Lucia and Meyer, Diane and Cameron, Elizabeth and Bell, Jessica and Bapat, Priya and Paterra, Michael and Machalaba, Catherine and Nath, Indira and Gostin, Lawrence O. and James, Wilmot and George, Dylan and Nikkari, Simo and Gozzer, Ernesto and Tomori, Oyewale and Makumbi, Issa and Nuzzo, Jennifer, The Value Proposition of the Global Health Security Index (October 8, 2020). BMJ Global Health, Vol. 5, Issue 10, 2020, e003648, 1-8. DOI No.: 10.1136/bmjgh-2020-003648. , Available at SSRN: https://ssrn.com/abstract=3716395

Sanjana J. Ravi

Johns Hopkins Center for Health Security

621 East Pratt Street, Suite 210
Baltimore, MD 21202
United States

Kelsey Lane Warmbrod

Johns Hopkins Center for Health Security

621 East Pratt Street, Suite 210
Baltimore, MD 21202
United States

Lucia Mullen

Johns Hopkins University ( email )

Baltimore, MD 20036-1984
United States

Diane Meyer

Johns Hopkins Center for Health Security

621 East Pratt Street, Suite 210
Baltimore, MD 21202
United States

Elizabeth Cameron

Nuclear Threat Initiative

1776 Eye Street, NW
Suite 600
Washington, DC 20006

Jessica Bell

Nuclear Threat Initiative

1776 Eye Street, NW
Suite 600
Washington, DC 20006

Priya Bapat

Economist Newspaper Ltd. - Economist Intelligence Unit

United Kingdom

Michael Paterra

Economist Newspaper Ltd. - Economist Intelligence Unit

United Kingdom

Catherine Machalaba

EcoHealth Alliance

460 W 34th St.
Fl 17
New York, NY New York 10001
United States

Indira Nath

All India Institute of Medical Sciences (AIIMS) - Department of Biotechnology

Aurobindo Marg
Ansari Nagar East
New Delhi, New Delhi 110029
India

Lawrence O. Gostin (Contact Author)

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law ( email )

600 New Jersey Avenue, NW
Washington, DC 20001
United States
202-662-9038 (Phone)
202-662-9055 (Fax)

Wilmot James

Columbia University - Institute for Social and Economic Research and Policy (ISERP)

New York, NY
United States

Dylan George

In-Q-Tel

Arlington, VA
United States

Simo Nikkari

Centre for Biothreat Preparedness

Helsinki
Finland

Ernesto Gozzer

Universidad Peruana Cayetano Heredia

Lima
Peru

Oyewale Tomori

Nigeria Academy of Sciences ( email )

Issa Makumbi

Republic of Uganda Ministry of Health

Kampala
Uganda

Jennifer Nuzzo

Johns Hopkins University - Bloomberg School of Public Health ( email )

615 North Wolfe Street
Baltimore, MD 21205
United States

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