Bordier Marion, Goutard Flavie Luce, Antoine-Moussiaux Nicolas, Pham-Duc Phuc, Lailler Renaud, Binot Aurelie
ASTRE, Univ Montpellier, CIRAD, INRAE, Montpellier, France.
CIRAD, UMR ASTRE, Montpellier, France.
Front Vet Sci. 2021 May 24;8:646458. doi: 10.3389/fvets.2021.646458. eCollection 2021.
Many One Health surveillance systems have proven difficult to enforce and sustain, mainly because of the difficulty of implementing and upholding collaborative efforts for surveillance activities across stakeholders with different values, cultures and interests. We hypothesize that only the early engagement of stakeholders in the development of a One Health surveillance system can create an environment conducive to the emergence of collaborative solutions that are acceptable, accepted and therefore implemented in sustainable manner. To this end, we have designed a socio-technical framework to help stakeholders develop a common vision of their desired surveillance system and to forge the innovation pathway toward it. We implemented the framework in two case studies: the surveillance of antimicrobial resistance in Vietnam and that of in France. The socio-technical framework is a participatory and iterative process that consists of four distinct steps implemented during a workshop series: (i) definition of the problem to be addressed, (ii) co-construction of a common representation of the current system, (iii) co-construction of the desired surveillance system, (iv) identification of changes and actions required to progress from the current situation to the desired situation. In both case studies, the process allowed surveillance stakeholders with different professional cultures and expectations regarding One Health surveillance to gain mutual understanding and to reconcile their different perspectives to design the pathway toward their common vision of a desired surveillance system. While the proposed framework is structured around four essential steps, its application can be tailored to the context. Workshop facilitation and representativeness of participants are key for the success of the process. While our approach lays the foundation for the further implementation of the desired One Health surveillance system, it provides no guarantee that the proposed actions will actually be implemented and bring about the required changes. The engagement of stakeholders in a participatory process must be sustained in order to ensure the implementation of co-constructed solutions and evaluate their effectiveness and impacts.
许多“同一健康”监测系统已被证明难以实施和维持，主要是因为难以在具有不同价值观、文化和利益的利益相关者之间开展和坚持监测活动的协作努力。我们假设，只有利益相关者在“同一健康”监测系统的开发过程中尽早参与，才能营造一个有利于产生可接受、被认可并因此得以可持续实施的协作解决方案的环境。为此，我们设计了一个社会技术框架，以帮助利益相关者就他们期望的监测系统形成共同愿景，并打造通向该愿景的创新路径。我们在两个案例研究中实施了该框架：越南的抗菌药物耐药性监测和法国的[此处原文缺失具体监测内容]监测。该社会技术框架是一个参与性的迭代过程，包括在一系列研讨会上实施的四个不同步骤：（i）确定要解决的问题，（ii）共同构建当前系统的共同表征，（iii）共同构建期望的监测系统，（iv）确定从当前状况迈向期望状况所需的变革和行动。在这两个案例研究中，该过程使对“同一健康”监测有着不同专业文化和期望的监测利益相关者能够相互理解，并调和他们不同的观点，以设计通向他们对期望监测系统的共同愿景的路径。虽然所提出的框架围绕四个基本步骤构建，但其应用可根据具体情况进行调整。研讨会的引导和参与者的代表性是该过程成功的关键。虽然我们的方法为进一步实施期望的“同一健康”监测系统奠定了基础，但它并不能保证所提议的行动会实际得到实施并带来所需的变革。必须持续让利益相关者参与参与性过程，以确保共同构建的解决方案得到实施，并评估其有效性和影响。
