25th September 2017

Global Health Security Agenda (GHSA) in India

West Africa pandemic necessitated US Congress to appropriate an emergency fund to support the Ebola affected countries and also develop capacity to detect, prevent and respond to partner countries.

The U.S. Centers for Disease Control & Prevention (CDC) has received the funding to support the GHSA partner countries to implement the GHSA action package. A high level delegation from US CDC visited India on June 8- 10, 2015 and had meeting with Secretary Health & Family Welfare, GOI and other senior leadership in the Health Ministry. Delegation presented GHSA action package and funding opportunity for partner institutions. Partner agencies have applied for the funding announcement before September 30, 2015.

Funding was very competitive through Cooperative Agreement (Ca-ag) mechanism and has stringent process for funds tracking and expenditure. 15 partner agencies have received 30M$ funds for next 3 years.

India being a member of GHSA Steering Committee and leading two action packages AMR & Immunization have been working on all action packages.

The President of the United States of America, Barack Obama visit India on 25-27 January 2015. The joint statement released by both the leaders reaffirmed their commitment to the Global Health Security Agenda (GHSA) and announced specific actions at home and abroad to prevent the spread of infectious diseases, including a CDC –Ministry of Health Ebola and GHSA preparedness training, expansion of the India Epidemic Intelligence Service, and development of a roadmap to achieve the objectives of the GHSA within three years.

The Prime Minister Shri Narendra Modi visited U.S. in June 2016 and met President Mr. Barack Obama at White House. The joint statement released by both the sides and both the leaders reaffirmed their commitment to the Global Health Security Agenda and timely implementation of its objectives. The Prime Minister noted India's role on the Steering Group and its leadership in the areas of antimicrobial resistance and immunization. The President noted the United States’ commitment to support, undergo, and share a Joint External Evaluation in collaboration with the World Health Organization.

This was also recently evidenced by the high level delegation which visited India in August 2016. In the joint statement on India-U.S. Strategic and Commercial Dialogue, the two sides noted their broad and expanding collaboration on infectious diseases and the Global Health Security Agenda (GHSA). They welcomed the establishment of the GHSA Cell within the Ministry of Health and Family Welfare. The two sides also discussed expansion of the India Epidemic Intelligence Service (IEIS) – a postgraduate field training program initiated in 2012 with CDC technical assistance. The sides further acknowledged that discussions are underway to initiate programs on vaccines for TB, dengue, and respiratory syncytial virus (RSV) with public-private partnerships mode under the U.S.-India Vaccine Action Program.

To carry out this agenda of GHS and IHR (2005), U.S. CDC has granted $ 30M to 17 governments, private, non- government and international organizations.

It has been decided and approved by Ministry of Health and Family to have the following governing mechanism for GHSA projects in India:

  • To set up a Technical Committee under the chairmanship of Director General of Health Services to oversee the technical, administrative and financial matters related to all GHSA projects funded by CDC. This Committee will meet every quarter to review all the GHSA projects.
  • To set up a Steering Committee under the chairmanship of Secretary, Health and Family Welfare to review all the GHSA projects in India annually or as on when required, and
      To establish a GHSA Cell in the Directorate General of Health Services to provide support to the Technical Committee.

To establish a GHSA Cell in the Directorate General of Health Services to provide support to the Technical Committee.