Establishing National Multisectoral Coordination and collaboration mechanisms to prevent, detect, and respond to public health threats in Guinea, Liberia, and Sierra Leone 2016-2018.
Establishing National Multisectoral Coordination and collaboration mechanisms to prevent, detect, and respond to public health threats in Guinea, Liberia, and Sierra Leone 2016-2018.
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DOI：
10.1186/s42522-019-0004-z
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发表时间：
2019
影响因子：
4.9
通讯作者：
Kitua A
中科院分区：
文献类型：
--
作者：
Agbo S;Gbaguidi L;Biliyar C;Sylla S;Fahnbulleh M;Dogba J;Keita S;Kamara S;Jambai A;Harris A;Nyenswah T;Seni M;Bhoye S;Duale S;Kitua A
几内亚、利比里亚和塞拉利昂政府承认，薄弱的卫生系统和工作协调不力阻碍了2014-2016年埃博拉疫情应对的有效性。埃博拉疫情应对的惨痛经历是加强努力遵守世界卫生组织（世卫组织）《国际卫生条例》（《2005年国际卫生条例》）、兽医服务绩效途径能力和全球卫生安全议程目标的重要催化剂。2016年11月，在塞内加尔达喀尔举行了一次部际会议，三国正式承诺通过制定区域战略路线图，使“同一个健康”方针制度化，加强对健康威胁的抵御能力。自那时以来，各国与国际伙伴合作，在建立国家统一健康平台以协调卫生安全干预措施方面取得了重大进展。本文概述了2016年6月至2019年1月期间这些努力的方法和结果，特别关注美国国际开发署（USAID）资助的准备与响应（P&R）项目支持的活动。为支持西非卫生组织2016年11月的“同一个健康”方针制度化区域战略路线图，防范和应对项目与几内亚、利比里亚和塞拉利昂的国家伙伴协调工作，建立了多部门“同一个健康”协调机制。美国国际开发署资助的全球P&R项目于2014年启动，以支持实现这一目标，并于2016年开始与几内亚、利比里亚和塞拉利昂的合作伙伴协调，调整其多步骤概念框架，以适应各国利益相关者的优先事项和运营限制。该框架分协作（建立关键关系）、正规化（确定和建立协调结构）和实施（利用新发现的协调来产生更好的卫生安全成果）三个阶段组织，其步骤包括提高国家多部门利益攸关方对“同一个健康”的认识，制定“同一个健康”平台的职权范围和其他操作准则，以及将这些工具应用于疫情期间的技术援助协调。在几内亚、利比里亚和塞拉利昂，在不到3年的时间里，卫生安全行动的跨部门协调有了显著改善。这三个国家都通过了立法，建立了本文件所称的永久性多部门协调机制，即“国家一个健康平台”或简称“平台”；建立年度机制，评估这些平台的能力和绩效，以领导卫生安全行动；并已采取关键步骤，制定和更新真正反映新出现疾病威胁多部门性质的国家防范和应对计划。然而，多部门协调仍在进行中：政府利益攸关方及其国际伙伴继续共同努力，进一步加强国家对新建立的平台的所有权和投资。在几内亚、利比里亚和塞拉利昂新建立的平台为协调卫生安全行动提供了一个长期结构。然而，由于其正式实施的时间较短，它们依赖于持续的国家、区域和国际资源，以最近的进展为基础，进一步提高能力和绩效。世界银行加强区域疾病监测系统（REDISSE）项目等区域性项目对于保持这一势头至关重要。迄今突出的进展和产出为继续对平台进行长期投资提供了理由和动力。
The governments of Guinea, Liberia, and Sierra Leone have acknowledged that weak health systems and poor coordination of efforts hampered effectiveness of the 2014–2016 Ebola outbreak response. The bitter experience of the Ebola outbreak response served as an important catalyst for increased efforts to comply with World Health Organization (WHO) International Health Regulations (IHR 2005), Performance of Veterinary Services (PVS) Pathway capacities, and Global Health Security Agenda (GHSA) goals. In November 2016, an interministerial meeting held in Dakar, Senegal, resulted in formalized commitments from the three nations to strengthen resilience to health threats by establishing a Regional Strategic Roadmap to institutionalize the One Health approach. Since then, each country has made significant progress towards establishing National One Health Platforms to coordinate health security interventions, in collaboration with international partners. This paper outlines the methodology and results of these efforts for the period June 2016–January 2019, with a specific focus on activities supported by the US Agency for International Development (USAID)-funded Preparedness & Response (P&R) project. In support of the West African Health Organization’s November 2016 Regional Strategic Roadmap for institutionalization of the One Health approach, the Preparedness & Response (P&R) project worked in coordination with national partners in Guinea, Liberia, and Sierra Leone to establish multisectoral, One Health coordinating mechanisms. The global USAID-funded P&R project was launched in 2014 to support the achievement of this objective, and began coordinating with partners in Guinea, Liberia, and Sierra Leone in 2016 to tailor its multi-step conceptual framework to fit the priorities and operating constraints of national stakeholders. Organized in phases of Collaboration (building key relationships), Formalization (defining and establishing a coordination structure), and Implementation (using newfound coordination to produce better health security outcomes), the framework features steps such as One Health sensitizations for multisectoral national stakeholders, development of One Health platform terms of reference and other operating guidelines, and application of these tools to coordination of technical assistance during outbreaks. In Guinea, Liberia, and Sierra Leone, in less than 3 yrs there has been a marked improvement in cross-sectoral coordination on health security actions. All three countries have passed legislation establishing permanent multisectoral coordination mechanisms referred to in this document as National One Health Platforms, or simply Platforms; instituted an annual mechanism for assessing capacity and performance of these platforms to lead health security actions; and have undertaken key steps towards developing and updating National Preparedness & Response Plans which truly reflect the multisectoral nature of emerging disease threats. However, multisectoral coordination is a work in progress: government stakeholders and their international partners continue to work together to further strengthen national ownership and investment in the newly established Platforms. Newly established Platforms in Guinea, Liberia, and Sierra Leone offer a long-term structure for coordinating health security actions. However, given the short period of time since their formalization, they depend on continued national, regional, and international resources to build from recent progress and further improve capacity and performance. Regional programs such as the World Bank Regional Disease Surveillance Systems Enhancement (REDISSE) project are of critical importance in keeping the momentum going. The highlighted progress and outputs to date provide reasons and motivation for continued, longer-term investment in the Platforms.
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DOI：
10.1016/j.onehlt.2018.01.001
发表时间：
2018-06
期刊：
One health (Amsterdam, Netherlands)
影响因子：
--
作者：
Rostal MK;Ross N;Machalaba C;Cordel C;Paweska JT;Karesh WB
通讯作者：
Karesh WB
影响因子：
3.8
作者：
Okello, Anna L.;Bardosh, Kevin;Welburn, Susan C.
通讯作者：
Welburn, Susan C.
DOI：
10.11604/pamj.supp.2017.28.1.13275
发表时间：
2017
期刊：
The Pan African medical journal
影响因子：
--
作者：
Mwatondo A;Munyua P;Gura Z;Muturi M;Osoro E;Obonyo M;Bitek A;Oyas H;Mbabu M;Kioko J;Njenga K;Lowther S;Thumbi SM
通讯作者：
Thumbi SM
影响因子：
4.5
作者：
Munyua, Peninah M.;Njenga, M. Kariuki;Widdowson, Marc-Alain
通讯作者：
Widdowson, Marc-Alain
DOI：
10.1016/s0140-6736(15)60858-3
发表时间：
2015-05-09
期刊：
Lancet (London, England)
影响因子：
--
作者：
Heymann DL;Chen L;Takemi K;Fidler DP;Tappero JW;Thomas MJ;Kenyon TA;Frieden TR;Yach D;Nishtar S;Kalache A;Olliaro PL;Horby P;Torreele E;Gostin LO;Ndomondo-Sigonda M;Carpenter D;Rushton S;Lillywhite L;Devkota B;Koser K;Yates R;Dhillon RS;Rannan-Eliya RP
通讯作者：
Rannan-Eliya RP