Identifying features of sustainability in global health security assessment tools – A document analysis of the IHR JEE and the WOAH PVS

Osman A. Dar , Max Claron , Hadjer Nacer
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Abstract

Objectives

This study evaluates the incorporation of sustainability as a concept within global health security capacity assessment tools from a One Health perspective. Focusing on the International Health Regulations Joint External Evaluation and the World Organization for Animal Health Performance of Veterinary Services—the most widely used and standardized health security capacity assessment tools worldwide—we conducted a study to identify and categorize explicit and implicit references to sustainability.

Methods

Using the principles of a content analysis approach, we identified and characterized references to sustainability in the International Health Regulations Joint External Evaluation and the World Organization for Animal Health Performance of Veterinary Services tools. The READ (ready materials, i.e. document selection and identifying data, extracting data, analyzing data, distilling findings) approach for document analysis was used to provide a framework and guiding questions to systematically extract relevant text, analyze data, and draw conclusions from the two documents.

Results

Our findings indicate that sustainability is inconsistently defined and applied across technical and core competency areas. Most references to sustainability are related to organizational capacity, notably, in biosafety, biosecurity, and laboratory systems, and lack comprehensive measures for wildlife and ecosystem/environment health, community engagement, and multisectoral partnerships.

Conclusions

This study underscores the necessity for a standardized, holistic integration of sustainability as a concept within health security assessment frameworks, adhering to One Health principles, to enhance the long-term effectiveness and resilience of health systems and foster intersectoral collaboration for improved global health security.
确定全球卫生安全评估工具的可持续性特征--对国际卫生条例 JEE 和世界卫生组织 PVS 的文件分析
本研究从“同一个健康”的角度评估将可持续性作为一个概念纳入全球卫生安全能力评估工具的情况。以《国际卫生条例》和世界动物卫生组织兽医服务绩效联合外部评估(世界上使用最广泛和标准化的卫生安全能力评估工具)为重点,我们进行了一项研究,以确定和分类对可持续性的明确和隐含参考。方法采用内容分析方法的原则,我们在《国际卫生条例》联合外部评估和世界动物卫生组织兽医服务绩效工具中识别并描述了可持续性的参考文献。采用READ (ready materials,即文献选择与识别数据、提取数据、分析数据、提炼发现)方法进行文献分析,为系统地从两篇文献中提取相关文本、分析数据、得出结论提供框架和指导性问题。结果我们的研究结果表明,可持续性在技术和核心竞争力领域的定义和应用并不一致。对可持续性的大多数提及都与组织能力有关,特别是在生物安全、生物安保和实验室系统方面,缺乏野生动物和生态系统/环境健康、社区参与和多部门伙伴关系方面的综合措施。本研究强调,必须遵循“一个健康”原则,将可持续性作为一个概念标准化、全面地纳入卫生安全评估框架,以增强卫生系统的长期有效性和复原力,并促进部门间合作,以改善全球卫生安全。
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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