Monitoring compliance with IHR obligations is carried out through the IHR Monitoring and Evaluation Framework, which includes annual States Parties Self-Assessment Reports (SPAR), voluntary Joint Externa lEvaluations (JEE), and other tools. The Cook Islands submits its annual e-SPAR report and underwent its first JEE in May 2025, which assessed 19 IHR core capacities. While the evaluation noted strong capacities such as immunization, it also identified areas requiring critical attention
Health security is the foundation of protecting our people, sustaining our economy, and ensuring that no island or community is left behind. A resilient health security system ensures that emergencies are detected early, responded to effectively, and managed in ways that preserve essential services and maintain public trust.
 
				