Fite Johanna, Baldet Thierry, Ludwig Antoinette, Manguin Sylvie, Saegerman Claude, Simard Frédéric, Quénel Philippe
ANSES, Risk Assessment Department, 14 rue Pierre et Marie-Curie, 94700 Maisons-Alfort, France.
ASTRE, Cirad, INRAE, Univ. Montpellier, Plateforme Technologique CYROI, Sainte-Clotilde, Réunion, France.
One Health. 2024 Dec 18;20:100954. doi: 10.1016/j.onehlt.2024.100954. eCollection 2025 Jun.
The French Agency for Food, Environmental and Occupational Health & Safety (Anses) has set up a multidisciplinary working group (WG) to develop an innovative One Health approach for the monitoring and evaluation of an integrated vector management system (IVMS) on a territorial scale. Four existing evaluation guidelines and methods have been combined into a semi-quantitative evaluation approach that takes into account all the dimensions of an integrated process. We propose a set of 34 criteria divided into three sections (objectives and management, implementation, integration) that correspond to the main functional components of an IVMS. Each criterion is assigned a score based on the results of a scoring questionnaire completed by the system's stakeholders, and two graphical outputs are generated using a specific combination of these scores. An overview of the system's performance is provided through a series of pie charts synthesizing the scores for each of the three sections and the corresponding eleven subsections. A radar chart further combines the results according to eight attributes chosen to characterize the qualities of the system. Our approach was tested for the invasive mosquito a main vector of arboviruses, in two French territories with contrasting dengue epidemiology. This approach is intended to be generic and usable in all territories that are at risk of being affected by arboviruses, whether in tropical or temperate regions. Beyond a conventional assessment of the various components of an IVMS, our interdisciplinary and multisectoral approach aims to gain a better understanding of such a system in its environment, its overall functioning and its mechanisms for adapting to contextual change. It also aims to identify avenues for improvement as part of a continuous quality process, and to facilitate comparisons between territories and the cross-fertilization of knowledge between stakeholders.
法国食品、环境与职业健康安全局（Anses）成立了一个多学科工作组（WG），以制定一种创新的“同一健康”方法，用于在区域层面监测和评估综合病媒管理系统（IVMS）。现有的四项评估指南和方法已被整合为一种半定量评估方法，该方法考虑了综合流程的所有维度。我们提出了一套34项标准，分为三个部分（目标与管理、实施、整合），对应于IVMS的主要功能组件。根据系统利益相关者填写的评分问卷结果为每个标准赋予一个分数，并使用这些分数的特定组合生成两个图形输出。通过一系列饼图对系统性能进行概述，这些饼图综合了三个部分以及相应的十一个子部分的分数。雷达图进一步根据选择用来表征系统质量的八个属性对结果进行整合。我们的方法在法国两个登革热流行病学情况不同的地区，针对侵入性蚊子（虫媒病毒的主要病媒）进行了测试。这种方法旨在具有通用性，可用于所有有受虫媒病毒影响风险的地区，无论是热带地区还是温带地区。除了对IVMS的各个组成部分进行常规评估外，我们的跨学科和多部门方法旨在更好地了解这样一个系统在其环境中的情况、其整体功能以及其适应环境变化的机制。它还旨在确定作为持续质量改进过程一部分的改进途径，并促进不同地区之间的比较以及利益相关者之间的知识交流。
