Process evaluation of integrated West Nile virus surveillance in northern Italy: an example of a One Health approach in public health policy |
| |
| Affiliation: | 1. Department of Veterinary Sciences, University of Turin, Largo Braccini 2, 10050, Grugliasco, Italy;4. Scotland’s Rural College, 10 Inverness Campus, IV2 5NA, Inverness, UK;1. Department of Veterinary Sciences, University of Turin, Largo Braccini 2, 10050, Grugliasco, Italy;2. Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 270, 8057, Zurich, Switzerland;3. Department of Jurisprudence and Political, Economic and Social Sciences, University of Eastern Piedmont, Via Cavour 84, 15121, Alessandria, Italy;4. Scotland’s Rural College, 10 Inverness Campus, IV2 5NA, Inverness, UK;1. Research Group on Health Inequalities, Environment, Employment Conditions Knowledge Network, Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain;2. Johns Hopkins University - Pompeu Fabra University Public Policy Center, Barcelona, Catalonia, Spain;3. Research Group of Epidemiology, National School of Public Health ‘Héctor Abad Gómez’, University of Antioquia, Medellín, Colombia;4. Transdisciplinary Research Group on Socioecological Transitions (GinTRANS2), Universidad Autónoma, Madrid, Spain;1. RTI International, 307 Waverly Oaks Road, Waltham, MA, 0245, USA;2. Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA, USA;1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada;2. Faculty of Medicine and Dentistry, University of Alberta; Faculty of Education and Health Sciences, University of Limerick, Ireland;3. Faculty of Nursing, University of Navarra and IdiSNA, Navarra Institute for Health Research, Spain |
| |
| Abstract: | West Nile virus (WNV) is endemic in the Po valley area in northern Italy. Regional health authorities have implemented integrated WNV surveillance following a One Health approach, based on collaboration between human, animal and environmental health institutions. We evaluated this integrated WNV surveillance system in Emilia-Romagna, Lombardy and Piedmont regions by means of a process evaluation. We examined the system’s implementation fidelity, dose delivered and received, reach, and we identified strengths and weaknesses in the system. Qualitative and semi-quantitative data were obtained from three regional focus groups. Data were discussed in a follow up focus group, where participants suggested recommendations for improving the surveillance system.Inter-institutional and interdisciplinary integration and the creation of a 'community of practice' were identified as key elements for effective surveillance. We identified differences in the degree of interdisciplinary integration in the three regions, likely due to different epidemiological situations and years of experience in surveillance implementation. Greater collaboration and sharing of information, public engagement and economic assessments of the integrated surveillance approach would facilitate its social recognition and guarantee its sustainability through dedicated funding. We demonstrate that a transdisciplinary research approach based on process evaluation has value for designing and fine-tuning integrated health surveillance systems. |
| |
| Keywords: | West Nile Virus Surveillance One Health Process evaluation Surveillance system evaluation |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
