一个健康网络的全球分析和一个健康合作的扩散
Athman Mwatondo1, Afifah Rahman-Shepherd2, Lara Hollmann3
1Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya; Royal Institute of International Affairs, London, UK.
Lancet (London, England)
|January 22, 2023
概括
全球一健康网络 (OHN) 的投资和关注度不均,尤其是在COVID-19之后. 解决利益关方多样性和资源公平分配的缺陷对于有效的"健康计划"合作至关重要.
科学领域:
- 全球卫生安全
- 流行病学
- 公共卫生政策
背景情况:
- 随着COVID-19大流行,人们越来越意识到人类与动物之间存在的威胁.
- 预计将增加对One Health合作的投资,需要对One Health网络 (OHN) 进行监测.
- 了解现有的OHN的分布和特征对于优化未来投资和避免重复工作至关重要.
研究的目的:
- 绘制现有的一个健康网络 (OHN) 的全球分布图.
- 评估OHN的集体特征,以确定它们的形成和运行方面的缺陷.
- 引导一个健康计划的更有效和公平的投资.
主要方法:
- 系统地搜索PubMed,谷歌,谷歌学者和会议网站以确定OHN.
- 分析了全球184个已确定的OHN.
- 开发四个案例研究以说明主要发现和最佳实践.
主要成果:
- 与前一个十年相比,在过去十年建立了更多的OHN,但投资仍然分布不公平.
- 欧洲有最多的OHN;新出现的感染是主要焦点,忽视了其他健康安全威胁.
- 职业保障机构中利益相关者和部门的代表性存在重大缺陷,阻碍了公平的形成和分配.
结论:
- 目前的"一个健康网络" (OHN) 呈现出显著的地理和主题不平衡.
- 解决缺乏多元化的利益相关者代表是有效和公平的OHN发展的关键.
- 后COVID-19的关注为重新分配资源提供了一个机会,用于服务不足的地区和面临各种健康威胁的社区.
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