One Health prevention and preparedness to vector-borne diseases: how should we deal with a multisectoral, multilevel and multigroup governance?

IF 3.8 Q2 INFECTIOUS DISEASES
Claudia Robbiati, Alessia Milano, Silvia Declich, Maria Grazia Dente
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Abstract

Introduction: Multifactorial determinants of vector presence, distribution and ability of transmitting diseases, demand holistic approaches that consider eco-biosocial factors, such as One Health (OH), and engage institutions and communities to reduce vulnerability to vector-borne diseases (VBDs). Although the importance of multisectoral, multilevel and multigroup collaboration for prevention and preparedness to VBDs has been promoted by international guidance, evidence about practical experiences adopting a OH approach needs to be gathered and enabling factors for a successful governance highlighted.

Methods: This study included a rapid literature review coupled with a stakeholder consultation process.

Results: The peer-reviewed literature search identified 1674 articles and 13 articles were finally included in the review. The collaboration and coordination of different sectors and stakeholders allowed to focus resources, and share knowledge and perspectives. To support coordination and collaboration among the stakeholders synergistic interaction mechanisms were created, such as working groups and committees, and connection agents emerged as the main link between institution and communities. These synergies allowed to target the multidimensional drivers of VBDs, supported transversal capacity building and an holistic monitoring evaluation framework, and improved effectiveness and sustainability of the interventions.

Conclusion: A OH model highlighting enabling factors for multisectoral, multilevel and multigroup interventions for VBDs prevention and preparedness was developed to support decision-makers and key stakeholders to deal with a OH governance.

一个健康 预防和防备病媒传染的疾病:我们应如何应对多部门、多层次和多群体的治理?
导言:病媒的存在、分布和传播疾病的能力是由多种因素决定的,这就要求采取综合方法,考虑生态-生物-社会因素,如 "同一健康"(OH),并让机构和社区参与进来,以降低易受病媒传播疾病(VBDs)影响的程度。尽管多部门、多层次和多群体合作对于预防和防备病媒生物传播疾病的重要性已得到国际指导意见的倡导,但仍需收集有关采用 "一体健康 "方法的实际经验的证据,并强调成功治理的有利因素:本研究包括快速文献综述和利益相关者咨询过程:结果:经同行评审的文献检索发现了 1674 篇文章,最终有 13 篇文章被纳入审查范围。不同部门和利益相关者之间的合作与协调有助于集中资源、共享知识和观点。为支持利益相关者之间的协调与合作,建立了协同互动机制,如工作组和委员会,并建立了连接机构,作为机构与社区之间的主要纽带。这些协同作用有助于针对脆弱性和生物多样性的多维驱动因素,支持横向能力建设和整体监测评估框架,并提高干预措施的有效性和可持续性:为支持决策者和主要利益相关者应对 OH 治理,开发了一个 OH 模型,该模型强调了多部门、多层次和多群体干预措施的有利因素,以预防和防备脆弱性和生物多样性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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