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走向一个健康制度化:利用利益相关者网络作为加强利比亚健康安全的杆
Asma Saidouni1, Ramy Mohamed Ghazy2,3, Abdulaziz Zorgani4,5
1World Health Organization, Tripoli, Libya.
Frontiers in public health
|December 8, 2025
概括
利比亚 利比亚 利比亚 利比亚
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
- 社交网络分析 社交网络分析
背景情况:
- 利比亚面临复杂的健康威胁,包括动物传播疾病,抗菌素耐药性 (AMR) 和气候变化影响.
- 弱的部门间协调阻碍了有效应对这些相互关联的挑战.
- 对利比亚的健康安全来说,制度化"一健康"的方法至关重要.
研究的目的:
- 绘制和分析利比亚的利益相关者网络.
- 为制定国家"一个健康"治理框架提供信息.
- 加强卫生安全的多部门协调.
主要方法:
- 这是一种混合方法的方法,结合了Net-Map利益相关者映射,社交网络分析 (SNA) 和SWOT分析.
- 对11个核心机构的网络指标 (程度,间距,自向量中心性,模块化) 的分析.
- 与42名多部门专家进行了全国咨询研讨会.
主要成果:
- 利益相关者网络在结构上具有凝聚力,但在功能上被分为三个不同的集群.
- 国家动物健康中心 (NCAH) 和国家疾病控制中心 (NCDC) 成为了中央枢纽.
- 主要优势包括技术专长,而分散的协调和政治不稳定被认为是主要的限制.
结论:
- 网络知情的利益相关者参与催化了利比亚第一个全国性的"一健康"谅解备忘录.
- 这项研究为脆弱环境中的One Health制度化提供了一个可复制的模型.
- 人类,动物和环境卫生部门的综合治理提高了对未来威胁的抵御力.
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