Abstract:
BACKGROUND:The international community strongly advocates the implementation of multi-sectoral surveillance policies for an effective approach to antibiotic resistance, in line with the One Health concept. To comply with these international recommendations, the Vietnamese government has issued an inter-ministerial surveillance strategy for antibiotic resistance, including an integrated surveillance system. However, one may question the ability and willingness of surveillance stakeholders to implement the collaborations required. To assess the feasibility of operationalising this strategy within the national context, we explored the role of key stakeholders in the strategy, as well as their abilities to comply with it. METHODS:We conducted a qualitative approach based on an iterative stakeholder mapping and analysis, in three distinct steps: (1) a description of the structure of the national surveillance strategy (literature review, key informant interviews); (2) an analysis of the key stakeholders' positions regarding the strategy (semi-structured interviews); (3) the identification of factors influencing the operationalisation of the collaborative surveillance strategy (comparison of data collected at the first and second steps). RESULTS:The mapping of the surveillance system, as well as the characterisation of key stakeholders according to organisational and functional attributes, underlined that inter-sectoral surveillance initiatives do exist, but that the organisation of the national surveillance system remains highly silo-oriented. Based on stakeholder perspectives, we identified seven factors that may influence the implementation of the One Health strategy at national level: governance and operational frameworks, divergence of institutional cultures, level of knowledge, technical capacities, allocation of resources, conflicting commercial interests and influence of international partners. CONCLUSIONS:The study suggests that the operationalisation of the collaborative surveillance strategy requires the full adhesion of stakeholders and the provision of appropriate resources. Based on these findings, we have proposed a guidance framework together with recommendations to move towards a more suitable governance and operational model for One Health surveillance of antibiotic resistance in Vietnam. To lever and promote successful inter-sectoral collaboration, a participatory "learning by doing" process could be applied to guide, frame and mentor stakeholders through the identification of appropriate levels of collaboration, depending on the expected positive impacts on the value of surveillance.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Bordier M,Binot A,Pauchard Q,Nguyen DT,Trung TN,Fortané N,Goutard FLdoi
10.1186/s12889-018-6022-4subject
Has Abstractpub_date
2018-09-24 00:00:00pages
1136issue
1issn
1471-2458pii
10.1186/s12889-018-6022-4journal_volume
18pub_type
杂志文章abstract:BACKGROUND:Mobility limitations in older adults are associated with poor clinical outcomes including higher mortality and disability rates. A decline in mobility (including physical function and life-space) is detectable and should be discovered as early as possible, as it can still be stabilized or even reversed in ea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-8069-2
更新日期:2019-12-19 00:00:00
abstract:BACKGROUND:It is globally agreed that a well-designed health system deliver timely and convenient access to health services for all patients. Many interventions aiming to reduce waiting times have been implemented in Chinese public tertiary hospitals to improve patients' satisfaction. However, few were well-documented,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4667-z
更新日期:2017-08-22 00:00:00
abstract:BACKGROUND:Vaccination is one of the cost effective strategies reducing childhood morbidity and mortality. Further improvement of immunization coverage would halt about 1.5 million additional deaths globally. Understanding the level of immunization among children is vital to design appropriate interventions. Therefore,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7356-2
更新日期:2019-07-30 00:00:00
abstract:BACKGROUND:The International Physical Actvity Questionnaire (IPAQ) is a validated tool for physical activity assessment used in many countries however no Arabic version of the long-form of this questionnaire exists to this date. Hence, the aim of this study was to cross-culturally adapt and validate an Arabic version o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4599-7
更新日期:2017-07-24 00:00:00
abstract:BACKGROUND:Effective interventions to prevent overweight and obesity in children are urgently needed especially in inner-city neighbourhoods where prevalence of overweight and inactivity among primary school children is high. A school based intervention was developed aiming at the reduction of overweight and inactivity...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-8-257
更新日期:2008-07-25 00:00:00
abstract:BACKGROUND:The global coverage rate of birth registration is only around 65% for the population of children under five although birth registration secures protection and access to health services that are fundamental rights for all babies. This study aimed to perform a basic analysis of the accessibility to birth regis...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-5009-x
更新日期:2018-01-08 00:00:00
abstract:BACKGROUND:The obesity epidemic is associated with rising rates of cardiovascular disease (CVD) among adults, particularly in countries undergoing rapid urbanisation and nutrition transition. This study explored the perceptions of body size, obesity risk awareness, and the willingness to lose weight among adults in a r...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3028-7
更新日期:2016-04-29 00:00:00
abstract:BACKGROUND:Social understandings of sexually transmitted infections and associated symptoms and care-seeking behaviour continue to lag behind advancements in biomedical diagnostics and treatment, perpetuating the burden of disease. There is a lack of research linking perceptions, experiences and care-seeking for sexual...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3261-0
更新日期:2016-07-11 00:00:00
abstract:BACKGROUND:Cooking over open fires using solid fuels is both common practice throughout much of the world and widely recognized to contribute to human health, environmental, and social problems. The public health burden of household air pollution includes an estimated four million premature deaths each year. To be effe...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-1414-1
更新日期:2015-02-12 00:00:00
abstract:BACKGROUND:In recent years some studies have been published supporting the efficacy of light exposure, physical activity, sleep control and a Mediterranean diet pattern on the improvement or prevention of depression. However, to our knowledge, there have been no studies using all these measures together as an adjuvant ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-404
更新日期:2010-07-09 00:00:00
abstract:BACKGROUND:The NHS Health Check (NHSHC) is a national programme for the prevention of non-communicable diseases. Patients aged 40-74 without an existing cardiovascular-related condition should be invited quinquennially. Uptake is lower than anticipated. We assessed the impact on uptake of two new behaviourally-enhanced...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-7754-5
更新日期:2019-11-14 00:00:00
abstract:BACKGROUND:Racial disparities in cardiovascular disease (CVD) have been attributed in part to negative psychosocial factors. Prior studies have demonstrated associations between individual psychosocial factors and CVD risk factors, but little is known about their cumulative effects. METHODS:Using the Jackson Heart Stu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08573-0
更新日期:2020-04-28 00:00:00
abstract:BACKGROUND:For some adolescents feeling lonely can be a protracted and painful experience. It has been suggested that engaging in health risk behaviours such as substance use and sexual behaviour may be a way of coping with the distress arising from loneliness during adolescence. However, the association between loneli...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-366
更新日期:2014-04-16 00:00:00
abstract:BACKGROUND:It is widely believed that corporate actors exert substantial influence on the making of public health policy, including in the alcohol field. However, the industry is far from being monolithic, comprising a range of producers and retailers with varying and diverse interests. With a focus on contemporary deb...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-483
更新日期:2012-06-26 00:00:00
abstract:BACKGROUND:Diabetes is a leading cause of morbidity and mortality in Mexico and understudied among indigenous populations. This study aimed to determine the prevalence and identify correlates of Type 2 diabetes mellitus (Type 2 DM) and metabolic syndrome (MetS) in a rural, indigenous community in Northwestern Mexico. ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6276-x
更新日期:2018-12-20 00:00:00
abstract:BACKGROUND:Universal childhood vaccination programmes form a core component of child health policies in most countries, including the UK. Achieving high coverage rates of vaccines is critical for establishing 'herd immunity' and preventing disease outbreaks. Evidence from the UK has identified several groups of childre...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7106-5
更新日期:2019-06-13 00:00:00
abstract:BACKGROUND:Cholera is an acute diarrheal disease caused by the bacterium, Vibrio cholerae. A cholera epidemic occurred in Cameroon in 2010. After a cholera-free period at the end of 2010, new cases started appearing in early 2011. The disease affected 23,152 people and killed 843, with the South West Region registering...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2485-8
更新日期:2015-11-14 00:00:00
abstract:BACKGROUND:Cervical cancer is the sixth most common cause of cancer among Korean women and is one of the most preventable cancers in the world. This study aimed to investigate the change in cervical cancer screening rates, the level of socioeconomic disparities in cervical cancer screening participation, and whether th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-553
更新日期:2013-06-06 00:00:00
abstract:BACKGROUND:South Africa's maternal mortality ratio remains high although it has substantially declined in the past few years. Numerous studies undertaken in South Africa on maternal mortality have not paid much attention to how the causes are distributed in different socio-demographic groups. This study assesses and an...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8179-x
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:There is a need for effective population-based physical activity interventions. The internet provides a good platform to deliver physical activity interventions and reach large numbers of people at low cost. Personalised advice in web-based physical activity interventions has shown to improve engagement and ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-738
更新日期:2014-07-21 00:00:00
abstract:BACKGROUND:Studies have shown that terrorist attacks affect the mental and physical health of persons exposed to terrorism. When terror strikes at the workplace where people spend much time, and should feel safe, the health consequences for those affected might be severe. The aim of the study was to determine whether p...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08465-3
更新日期:2020-03-30 00:00:00
abstract:BACKGROUND:In France, 2-15% of the population is affected annually by influenza, which causes significant socioeconomic disruption. Nevertheless, despite its importance for policy makers, few published studies have evaluated the impact of influenza B. Therefore, we assessed the costs associated with influenza B during ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-56
更新日期:2014-01-20 00:00:00
abstract:BACKGROUND:Obesity is a major cause of preventable death in Australia with prevalence increasing at an alarming rate. Of particular concern is that approximately 68% of men are overweight/obese, yet are notoriously difficult to engage in weight loss programs, despite being more susceptible than women to adverse weight-...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-701
更新日期:2010-11-16 00:00:00
abstract:BACKGROUND:Sexual difficulties (SD) are common among men of all ages and can have considerable impact on quality of life and indications for future health. SD are associated with mental and physical wellbeing and with relationship satisfaction, yet they are rarely discussed with medical professionals who are often ill ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3705-6
更新日期:2016-10-31 00:00:00
abstract:BACKGROUND:Global obesity prevalence is increasing and population health programs are required to support changes to modifiable lifestyle risk factors. Such interventions benefit from mass-communications to promote their use. The Get Healthy Information and Coaching Service ® (GHS) utilised mass-reach media advertising...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-762
更新日期:2012-09-11 00:00:00
abstract:BACKGROUND:Despite the significant investments to control malaria infection rates over the past years, infection rates remain significant in sub-Saharan Africa. This study investigates the association with use of large-scale malaria interventions such as: Indoor Residual Spraying (IRS), Insecticide Treated bed-Nets (IT...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5428-3
更新日期:2018-04-23 00:00:00
abstract:BACKGROUND:Helping tobacco smokers to quit during a medical visit is a clinical and public health priority. Research suggests that most health professionals engage their patients in at least some of the '5 A's' of the brief cessation intervention recommended in the U.S. Public Health Service Clinical Practice Guideline...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2798-2
更新日期:2016-02-11 00:00:00
abstract:BACKGROUND:Screening of pregnant women carrying human T-lymphotropic virus type 1 (HTLV-1) has a crucial role in reducing the number of HTLV-1 carriers. A national HTLV-1 screening program for pregnant women was started in 2011 in Japan. The purpose of this study is to report on the implementation of this nationwide sc...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09258-4
更新日期:2020-07-22 00:00:00
abstract::Hypertension is a major contributor to worldwide cardiovascular mortality, however, only one-third of patients with hypertension have their blood pressure treated to guideline recommended levels. To improve hypertension control, there may need to be a fundamental shift in care delivery, one that is population-based an...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-257
更新日期:2006-10-19 00:00:00
abstract:BACKGROUND:When communicating risks to the general population, the format of the epidemiological results may affect individual reactions. In environmental epidemiology, no study has compared the use of different statistical formats in communicating results to the population. The aim of this paper is to investigate whet...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-7003-y
更新日期:2019-06-11 00:00:00