印度建立具有韧性的卫生系统的“同一健康”合作:全球倡议的经验教训

One health collaboration for a resilient health system in India: Learnings from global initiatives.

作者信息

Yasobant Sandul, Bruchhausen Walter, Saxena Deepak, Falkenberg Timo

机构信息

Center for Development Research (ZEF), University of Bonn, Germany.

Faculty of Medicine, University of Bonn, Germany.

出版信息

One Health. 2019 Jun 10;8:100096. doi: 10.1016/j.onehlt.2019.100096. eCollection 2019 Dec.

Abstract

Inter-sectoral collaborations are now recognized as key importance for health system strengthening and health system integration, globally; however, its application in the domain of One Health remains unclear. Over time, as the complexity of the health system has increased within the domain of One Health approach, there is an urgent need for developing collaboration for successful implementation of the One Health. This review focuses on the global One Health collaboration strategies and discusses which type of collaboration might work for the health system of India. We conducted a review in the following three steps: identification of key One Health Collaboration strategies, documentation of the global initiatives and scoping into the initiatives of India in the domain of One Health. We found three major types of collaborations discussed in the One Health literature: level-based collaboration (individual, population or research), solution-based collaboration, and third-party-based collaboration. Twenty-five key global and six Indian One Health initiatives or collaboration strategies are documented in the present review. Although, many initiatives are being undertaken globally for disease prevention and control from the viewpoint of One Health; however, in India, solution-based approaches during emergencies and outbreaks and some sort of level-based collaborations are in place. It is high time to develop a sustainable level-based collaboration integrated with third-party based collaboration within the larger domain of One Health for a resilient health system.

摘要

跨部门合作如今在全球范围内被视为加强卫生系统和实现卫生系统整合的关键要素;然而,其在“同一健康”领域的应用仍不明确。随着时间推移,在“同一健康”方法领域内,卫生系统的复杂性不断增加,迫切需要开展合作以成功实施“同一健康”。本综述聚焦于全球“同一健康”合作策略,并探讨哪种合作类型可能适用于印度的卫生系统。我们按以下三个步骤进行了综述:确定关键的“同一健康”合作策略、记录全球倡议以及审视印度在“同一健康”领域的倡议。我们发现“同一健康”文献中讨论了三种主要的合作类型:基于层面的合作(个人、群体或研究层面)、基于解决方案的合作以及基于第三方的合作。本综述记录了25项关键的全球“同一健康”倡议以及6项印度“同一健康”倡议或合作策略。尽管从“同一健康”的角度来看,全球正在开展许多疾病预防和控制倡议;然而,在印度,针对紧急情况和疫情的基于解决方案的方法以及某种程度的基于层面的合作已经存在。现在是时候在更大的“同一健康”领域内发展一种可持续的、将基于层面的合作与基于第三方的合作相结合的合作方式,以建立一个有韧性的卫生系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f8b/6606562/9a348aca5799/gr1.jpg

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