Asaaga Festus A, Young Juliette C, Srinivas Prashanth N, Seshadri Tanya, Oommen Meera A, Rahman Mujeeb, Kiran Shivani K, Kasabi Gudadappa S, Narayanaswamy Darshan, Schäfer Stefanie M, Burthe Sarah J, August Tom, Logie Mark, Chanda Mudassar M, Hoti Subhash L, Vanak Abi T, Purse Bethan V
UK Centre for Ecology & Hydrology, Wallingford, United Kingdom.
Agroécologie, INRAE, Institut Agro, Univ. Bourgogne, Univ. Bourgogne Franche-Comté Dijon, France.
PLOS Glob Public Health. 2022 Mar 24;2(3):e0000075. doi: 10.1371/journal.pgph.0000075. eCollection 2022.
There is increased global and national attention on the need for effective strategies to control zoonotic diseases. Quick, effective action is, however, hampered by poor evidence-bases and limited coordination between stakeholders from relevant sectors such as public and animal health, wildlife and forestry sectors at different scales, who may not usually work together. The OneHealth approach recognises the value of cross-sectoral evaluation of human, animal and environmental health questions in an integrated, holistic and transdisciplinary manner to reduce disease impacts and/or mitigate risks. Co-production of knowledge is also widely advocated to improve the quality and acceptability of decision-making across sectors and may be particularly important when it comes to zoonoses. This paper brings together OneHealth and knowledge co-production and reflects on lessons learned for future OneHealth co-production processes by describing a process implemented to understand spill-over and identify disease control and mitigation strategies for a zoonotic disease in Southern India (Kyasanur Forest Disease). The co-production process aimed to develop a joint decision-support tool with stakeholders, and we complemented our approach with a simple retrospective theory of change on researcher expectations of the system-level outcomes of the co-production process. Our results highlight that while co-production in OneHealth is a difficult and resource intensive process, requiring regular iterative adjustments and flexibility, the beneficial outcomes justify its adoption. A key future aim should be to improve and evaluate the degree of inter-sectoral collaboration required to achieve the aims of OneHealth. We conclude by providing guidelines based on our experience to help funders and decision-makers support future co-production processes.
全球和各国越来越关注制定有效的人畜共患病控制策略的必要性。然而，快速、有效的行动受到证据基础薄弱以及不同层面的公共卫生、动物卫生、野生动物和林业等相关部门利益攸关方之间协调有限的阻碍，这些部门通常不会协同工作。“同一健康”方法认识到，以综合、全面和跨学科的方式对人类、动物和环境卫生问题进行跨部门评估，以减少疾病影响和/或降低风险具有重要价值。知识共同生产也得到广泛倡导，以提高跨部门决策的质量和可接受性，在人畜共患病方面可能尤为重要。本文将“同一健康”与知识共同生产结合起来，通过描述为了解印度南部一种人畜共患病（基孔肯雅森林病）的溢出情况并确定疾病控制和缓解策略而实施的一个过程，反思未来“同一健康”共同生产过程中吸取的经验教训。共同生产过程旨在与利益攸关方共同开发一个决策支持工具，我们用一个关于研究人员对共同生产过程系统层面结果期望的简单回顾性变化理论来补充我们的方法。我们的结果表明，虽然“同一健康”中的共同生产是一个困难且资源密集的过程，需要定期进行迭代调整并具备灵活性，但有益的结果证明采用它是合理的。未来的一个关键目标应该是改进和评估实现“同一健康”目标所需的跨部门合作程度。我们最后根据经验提供指导方针，以帮助资助者和决策者支持未来的共同生产过程。
