Comparison of JEE and outbreak review in Ethiopia
| JEE domain/indicator | JEE score | Major JEE recommendation | Outbreak response capacity | Degree of correspondance |
| IHR Coordination P.2.1 | 3 | Coordination mechanisms planned to be established but not yet in place across sectors | Coordination between health and water authorities was weak. | M H H |
| National Lab System D.1.1 | 4 | System strong at the national level but poor supply chain and staff turnover | Nearly all cases received a clinical diagnosis only; laboratory services were weak. More laboratory specialists were desired but funds to bring internationals were inadequate. | L M H |
| Surveillance D.2.3 | 3 | Plans to develop, national commitment in place and skill but not strong at state level | Case finding and active surveillance to identify clusters of cases was strong. | M L M |
| Workforce D.4.1 | 3 | Need more staff and FETP resident advisor; WHO role key | FETP staff key in regional level coordination. | H H H |
| Preparedness R.1.2 | 2 | Risk assessments done but mapping of resources lacking | Equipment, supplies and training not ready for the outbreak. | H H H |
| Emergency Operations Activation R.2.1 | 2 | No manager and lack of permanent staff | Regional coordination good; national level was inadequate and frustrating,. Emergency Operations Centre (EOC) not activated until August. | H H H |
| Emergency Operations Function R.2.3 | 2 | No specific training for staff | Regional coordination good; national level was inadequate and frustrating,. EOC not activated until August. | H H H |
| Emergency Operations Case Management R.2.4 | 2 | Cholera guidelines exist | Training done rapidly for staff when outbreak hit a new area. Guidelines were essential. | H H H |
| Medical Countermeasures R.4.1 | 4 | No warehouse, weak logistics, no established international agreements | Regional Health Bureau led the response to 100 treatment centres, with good WHO support. UN Children’s Fund (UNICEF), WHO, Medecins Sans Frontieres (MSF), Oxford Famine Relief) Oxfam, CDC, Islamic Relief among other non-governmental organisations very involved. Not adequate for Water, Sanitation and Hygiene activities. | M M L |
| Risk Communication R.5.4 | 3 | Dedicated local staff in place | Epi identification of cases was used to tailor social mobilisation and education activities in some areas. Weaker in nomadic areas. | H H H |
CDC, Centers for Disease Control and prevention; FETP, Field Epi Training Programme; JEE, joint external evaluation.