一个健康的实施:一个系统的范围审查,使用四部分"一个健康"联合行动计划
Adriana Milazzo1, Jingwen Liu1, Priyanka Multani1
1School of Public Health, The University of Adelaide, South Australia 5000, Australia.
本研究综合了使用OH联合行动计划 (OH JPA) 的One Health (OH) 实施方案. 大多数节目都集中在人与动物领域,强调了强有力的合作,但环境整合有限.
科学领域:
- 公共卫生 公共卫生
- 兽医医学 兽医医学 兽医医学
- 环境科学 环境科学
背景情况:
- 一个健康 (OH) 强调人,动物和环境健康的相互联系.
- OH联合行动计划 (OH JPA) 指导了当前OH实施的综合.
- 本文审查了全球,区域,国家和地方层面的OH倡议.
研究的目的:
- 综合目前在各个层面实施的One Health (OH) 实施方案.
- 评估OH联合行动计划 (OH JPA) 在实践中的应用.
- 确定OH计划设计和执行的优势和改进领域.
主要方法:
- 应用了OH JPA的变化理论,有三条路径和六条行动轨道.
- 在PubMed,Embase和Scopus进行了系统的文献搜索.
- 包括在Prisma-ScR的指导下,在人-动物-环境接口的至少两个部门中对OH实施的研究.
主要成果:
- 从54项研究中确定了77个独特的OH计划.
- 54.5%的项目仅涉及人类和动物部门;没有包括环境部门.
- 路径2 (能力建设,参与,协调) 是最普遍的 (96.1%),其次是路径1 (政策,融资) (90.9%),以及路径3 (数据,证据) (60%).
结论:
- 途径2是OH实施的基础.
- 有机会加强社区参与,监测和评估以社区为中心的解决方案.
- 加强对环境问题的关注和环境部门的能力建设对于全面实施OH至关重要.
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