World Health Organization, Geneva, Switzerland.
World Organisation for Animal Health (OIE), Paris, France.
PLoS One. 2021 Jun 1;16(6):e0245312. doi: 10.1371/journal.pone.0245312. eCollection 2021.
Collaborative, One Health approaches support governments to effectively prevent, detect and respond to emerging health challenges, such as zoonotic diseases, that arise at the human-animal-environmental interfaces. To overcome these challenges, operational and outcome-oriented tools that enable animal health and human health services to work specifically on their collaboration are required. While international capacity and assessment frameworks such as the IHR-MEF (International Health Regulations-Monitoring and Evaluation Framework) and the OIE PVS (Performance of Veterinary Services) Pathway exist, a tool and process that could assess and strengthen the interactions between human and animal health sectors was needed. Through a series of six phased pilots, the IHR-PVS National Bridging Workshop (NBW) method was developed and refined. The NBW process gathers human and animal health stakeholders and follows seven sessions, scheduled across three days. The outputs from each session build towards the next one, following a structured process that goes from gap identification to joint planning of corrective measures. The NBW process allows human and animal health sector representatives to jointly identify actions that support collaboration while advancing evaluation goals identified through the IHR-MEF and the OIE PVS Pathway. By integrating sector-specific and collaborative goals, the NBWs help countries in creating a realistic, concrete and practical joint road map for enhanced compliance to international standards as well as strengthened preparedness and response for health security at the human-animal interface.
合作的、大健康的方法支持政府有效地预防、检测和应对新兴的健康挑战,如人畜共患病,这些挑战出现在人类-动物-环境的界面上。为了克服这些挑战,需要有操作性和面向结果的工具,使动物卫生和人类卫生服务专门针对其合作开展工作。虽然存在国际能力和评估框架,如《国际卫生条例监测和评估框架》(IHR-MEF)和世界动物卫生组织(OIE)绩效兽医服务途径(PVS),但需要有一种工具和流程来评估和加强人畜卫生部门之间的互动。通过一系列六阶段的试点,开发和完善了《国际卫生条例绩效兽医服务国家衔接研讨会》(NBW)方法。NBW 流程汇集了人类和动物卫生利益攸关方,并遵循七个会议,分三天进行。每次会议的成果都为下一次会议奠定了基础,遵循一个从差距识别到联合规划纠正措施的结构化过程。NBW 流程使人类和动物卫生部门的代表能够共同确定支持合作的行动,同时推进通过 IHR-MEF 和 OIE PVS 途径确定的评估目标。通过整合特定部门和协作目标,NBW 有助于各国为加强对国际标准的遵守以及加强在人类-动物界面的卫生安全方面的准备和应对工作,制定出切合实际、具体和切实可行的联合路线图。