Ata Health supported a multilateral health organization to conduct a scoping review examining enablers and barriers to National Public Health Agency (NPHA) performance in emergency preparedness and response (EPR) within humanitarian and fragile settings. The objective was to better understand the institutional, governance, financing, and operational factors that impede or support NPHAs in delivering EPR functions under conditions of conflict, displacement, and system stress. We systematically reviewed peer-reviewed and grey literature, produced a comprehensive characterization of the evidence base, and synthesized key themes and lessons for policy and practice. The work culminated in a manuscript submitted for peer-reviewed publication, contributing to the global evidence base on strengthening public health institutions in complex emergency contexts.
