1. Evolution of Health Security
1.1. Terminology and Colonial Euphemism
1.2. Health System Strengthening and Resilience
2. Lessons from COVID-19
2.1. Lack of Strategic Response
2.2. Broader, Long-term Consequences
2.3. Pandemic Fatigue
2.4. Political and Economic Influence
3. Perspectives on Existing Indicators
3.1. Data Accuracy Challenges with GHSI
3.2. Strengths and Weaknesses of JEE
3.3. Reliability of SPAR
4. Limitations of Current Frameworks
4.1. Developmental Challenges
4.1.1. Lack of Specificity and Clear Objectives
4.1.2. Missing Aspects
4.1.2.1. Trust and Transparency Indicators
4.1.2.2. Communication & Community Engagement
4.1.2.3. Standards and Benchmarks
4.1.2.4. Leadership and Governance Indicators
4.1.2.5. Predictive Power
4.1.2.6. Collaboration
4.1.2.7. Dynamic Measures
4.1.2.8. Equity and Access Indicators
4.1.2.9. Proxy Indicators
4.1.2.10. Real-world Responsiveness
4.2. Implementation Challenges
4.2.1. Political Influence
4.2.1.1. Political Will
4.2.2. Subjectivity and Bias
4.2.3. Complexity and Time Consumption
4.2.4. Contextual Sensitivity
4.2.5. Data Collection
4.2.6. Limited Funding
4.2.7. Lack of Perceived Benefits and Outcomes
5. Recommendations for Improvement
5.1. Framework and Indicator Design
5.1.1. Adaptability to Different Contexts
5.1.2. Dynamic Indicators
5.1.3. Shift to Qualitative Indicators
5.1.4. Streamline Indicators
5.1.5. Update and Modify Existing Tools
5.2. Governance
5.2.1. Independent Review Process
5.2.2. Governance and Leadership Indicators
5.2.3. Transparency
5.3. Operational and Strategic Improvements
5.3.1. Design Thinking Approach
5.3.2. Monitoring and Evaluation
5.4. Collaboration and Engagement
5.4.1. Community Engagement
5.4.2. Multisectoral Collaboration
5.4.3. Integration of Public Health and Healthcare