Laboratory Systems Development Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
BMC Public Health. 2010 Dec 3;10 Suppl 1(Suppl 1):S6. doi: 10.1186/1471-2458-10-S1-S6.
The international community continues to define common strategic themes of actions to improve global partnership and international collaborations in order to protect our populations. The International Health Regulations (IHR[2005]) offer one of these strategic themes whereby World Health Organization (WHO) Member States and global partners engaged in biosecurity, biosurveillance and public health can define commonalities and leverage their respective missions and resources to optimize interventions. The U.S. Defense Threat Reduction Agency's Cooperative Biological Engagement Program (CBEP) works with partner countries across clinical, veterinary, epidemiological, and laboratory communities to enhance national disease surveillance, detection, diagnostic, and reporting capabilities. CBEP, like many other capacity building programs, has wrestled with ways to improve partner country buy-in and ownership and to develop sustainable solutions that impact integrated disease surveillance outcomes. Designing successful implementation strategies represents a complex and challenging exercise and requires robust and transparent collaboration at the country level. To address this challenge, the Laboratory Systems Development Branch of the U.S. Centers for Disease Control and Prevention (CDC) and CBEP have partnered to create a set of tools that brings together key leadership of the surveillance system into a deliberate system design process. This process takes into account strengths and limitations of the existing system, how the components inter-connect and relate to one another, and how they can be systematically refined within the local context. The planning tools encourage cross-disciplinary thinking, critical evaluation and analysis of existing capabilities, and discussions across organizational and departmental lines toward a shared course of action and purpose. The underlying concepts and methodology of these tools are presented here.
国际社会继续确定共同的战略行动主题，以改善全球伙伴关系和国际合作，从而保护我们的人群。《国际卫生条例（2005）》提供了这样一个战略主题，世界卫生组织（世卫组织）成员国和参与生物安保、生物监测和公共卫生的全球伙伴可以在此主题下确定共同之处，并利用各自的使命和资源优化干预措施。美国国防威胁降低局的合作生物参与计划（CBEP）与临床、兽医、流行病学和实验室领域的伙伴国家合作，加强国家疾病监测、检测、诊断和报告能力。CBEP 与许多其他能力建设计划一样，一直在努力寻找提高伙伴国参与度和所有权的方法，并制定可持续的解决方案，以影响综合疾病监测结果。设计成功的实施策略是一项复杂而具有挑战性的工作，需要在国家一级进行强有力和透明的合作。为了解决这一挑战，美国疾病控制与预防中心（CDC）的实验室系统发展处和 CBEP 合作创建了一套工具，将监测系统的主要领导汇集到一个精心设计的系统设计过程中。该过程考虑到现有系统的优势和局限性、各组成部分之间的相互连接和相互关系，以及如何在当地背景下系统地改进这些组成部分。本文介绍了这些工具的基本概念和方法。
