Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco; Fundamental and Applied Research for Animals and Health (FARAH), Faculty of Veterinary Medicine, University of Liege, Belgium.
Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco.
Prev Vet Med. 2021 Jan;186:105227. doi: 10.1016/j.prevetmed.2020.105227. Epub 2020 Dec 3.
Cystic echinococcosis (CE) is a major zoonosis in Morocco. Despite a national hydatidosis control programme (NHCP) established in 2005, CE burden is still high nationwide. The aim of this study was to carry out an NHCP stakeholders' analysis to identify weak points and propose improvement strategies. In total, 164 semi-structured interviews were carried out with national and local stakeholder representatives, and one stakeholders' workshop was organized. Classical categories of stakeholder analysis (i.e. involvement, interest, importance, influence, priority, and power) were semi-quantified. Based on these categories, an analytical framework was proposed, by selecting elements from the stakeholder analysis, to structure the assessment around three criteria: measure appropriation, political agency, and socio-technical agency. Besides specific weak points of the NHCP, the analysis highlighted the complexity of implementing a zoonotic disease control programme due to the involvement of many different stakeholders. Finally, this study provides a simplified stakeholder analysis method that could be used to assess other health programmes targeting zoonotic diseases, in Morocco and in similar countries.
包虫病（CE）是摩洛哥的一种主要人畜共患病。尽管 2005 年制定了国家包虫病控制计划（NHCP），但全国的 CE 负担仍然很高。本研究的目的是进行 NHCP 利益相关者分析，以确定薄弱环节并提出改进策略。共对国家和地方利益相关者代表进行了 164 次半结构化访谈，并组织了一次利益相关者研讨会。对利益相关者分析的经典类别（即参与度、利益、重要性、影响力、优先级和权力）进行了半定量分析。在此基础上，通过从利益相关者分析中选择要素，提出了一个分析框架，围绕三个标准来构建评估：措施的采用、政治机构和社会技术机构。除了 NHCP 的具体弱点外，分析还强调了由于涉及许多不同的利益相关者，实施人畜共患病控制计划的复杂性。最后，本研究提供了一种简化的利益相关者分析方法，可用于评估摩洛哥和类似国家针对人畜共患病的其他卫生计划。
