Fortifying national preparedness capacity through the Universal Health and Preparedness Review (UHPR): a case study from Central African Republic (CAR)

Overview

The Central African Republic (CAR) became the first country globally to engage in the Universal Health and Preparedness Review (UHPR), conducting its high-level national review in December 2021 under the leadership of the President of the Republic. The process mobilized senior government officials, representatives of multiple sectors, development partners and civil society organizations to strengthen national preparedness and resilience to health emergencies.

This country case study documents CAR's pioneering experience in implementing the UHPR, highlighting the importance of high-level political commitment, national solidarity and community participation in strengthening health security. Key achievements include expanding emergency coordination mechanisms, strengthening the public health emergency operations centre, scaling up field epidemiology training and extending community engagement initiatives beyond the capital. The UHPR also contributed to aligning national health security priorities with the country's health development planning.

The case study examines challenges related to resource mobilization, health workforce limitations and sustaining stakeholder engagement during follow-up. It presents lessons learned and recommendations for strengthening country ownership, multisectoral collaboration and accountability. CAR's experience offers valuable insights for other Member States seeking to leverage the UHPR to advance sustainable preparedness and international solidarity.