Audit of Strong & Resilient National Public Health Systems (linked to SDG 3.d)


The entire world is facing an unprecedented health, humanitarian and economic crisis due to the global outbreak of COVID-19. As nations respond to this crisis, the crucial role played by national public health systems, their ability to detect and respond to national and global health risks assume great significance.

The immense relevance of strong and resilient public health systems, the importance of an integrated approach, the sharpening of inequalities during such pandemics and fears of vulnerable sections being left behind are issues that require SAI enquiry.

One of the ways in which SAIs could provide a relevant audit response, would be to examine government efforts to strengthen capacities for early warning, risk reduction and management of national and global health risks (SDG target 3.d).

INTOSAI Development Initiative (IDI), INTOSAI Knowledge Sharing Committee (KSC) and INTOSAI Regions (ASOSAI, ARABOSAI and CAROSAI) have agreed to partner with other key stakeholders to support a cooperative audit of strong and resilient national public health systems (linked to SDG target 3.d).


The main objective of this audit is to contribute to strong and resilient national public health systems that lead to good health and wellbeing for all. Within this overall objective, one of the key outcomes would be to see more equitable access to public health systems and prioritization of vulnerable sections e.g. women, people with disabilities, the poor, etc.

Participating SAIs

ASOSAI: Bangladesh, Bhutan, Indonesia, Lao PDR, Malaysia, Mongolia, Myanmar, Nepal, Pakistan, Philippine, Sri Lanka, Tajikistan, Thailand, Vietnam
PASAI: Fiji, Tonga
ARABOSAI: Algeria, Egypt, Iraq, Palestine, Libya, Morocco, Oman, Syria, Tunisia, Sudan
CAROSAI: Aruba, Bahamas, British Virgin Islands, Belize, Dominica, Grenada, Guyana, Jamaica, Montserrat, Saint Lucia, Saint Vincent &the Grenadines, Turks & Caicos Islands, Trinidad and Tobago




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