中国血吸虫病防治杂志 ›› 2023, Vol. 35 ›› Issue (6): 545-556.

• 论著 • 上一篇    下一篇

基于全健康理念的犬源型内脏利什曼病综合治理能力评估指标体系的构建

刘婧姝1，2△，周正斌3△，张晓溪1，2，黄璐璐3，罗卓韦4，陈胜林3，张仪3，李石柱1，2，3*   

  1. 1 上海交通大学医学院⁃国家热带病研究中心全球健康学院（上海 200025）；2 上海交通大学⁃爱丁堡大学全健康研究中心（上海 200025）；3 中国疾病预防控制中心寄生虫病预防控制所（国家热带病研究中心）、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、国家级热带病国际联合研究中心（上海 200025）；4 北京市疾病预防控制中心
  • 出版日期:2023-12-20 发布日期:2024-02-06
  • 作者简介:刘婧姝，女，硕士研究生。研究方向：全健康治理、卫生政策研究 周正斌，男，硕士，副研究员。研究方向：内脏利什曼病防治研究
  • 基金资助:
    国家自然科学基金（32161143036，32311540013）；国家重点研发计划（2021YFC2300800， 2021YFC2300804）；“一带一路”澜湄热带病防控联合实验室项目（21410750200）；上海市加强公共卫生体系建设三年行动计划（2023—2025年）重点学科项目

Construction of an evaluation index system for the capability of comprehensive control of mountain⁃type zoonotic visceral leishmaniasis based on the One Health concept

LIU Jingshu1, 2△, ZHOU Zhengbin3△, ZHANG Xiaoxi1, 2, HUANG Lulu3, LUO Zhuowei4, CHEN Shenglin3, ZHANG Yi3, LI Shizhu1, 2, 3*   

  1. 1 School of Global Health, Chinese Center for Tropical Diseases Research and Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 2 One Health Center, Shanghai Jiao Tong University and The University of Edinburgh, Shanghai 200025, China; 3 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), National Health Commission Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; 4 Beijing Center for Disease Control and Prevention, China
  • Online:2023-12-20 Published:2024-02-06

PDF

摘要： 目的　基于全健康理念构建犬源型内脏利什曼病（mountain⁃type zoonotic visceral leishmaniasis, MT⁃ZVL）综合治理能力评估指标体系，从全健康的整体视角探索遏制该病疫情回升的切入点，以促进其控制与消除。方法　在文献分析基础上，结合课题组讨论、现场调查等初步构建指标体系。在北京、河北、山西、河南、四川、陕西、甘肃7个MT⁃ZVL流行省（直辖市）的省级疾病预防控制中心，选择33名专家开展两轮专家咨询，对指标进行筛选，并计算专家积极系数、专家意见集中程度、专家意见协调程度、专家权威程度，采用层次分析法计算各指标归一化权重。结果　两轮专家咨询法问卷回收率均为100.00%（33/33），专家权威系数分别为0.86和0.88，指标合理性、重要性、可操作性的专家意见协调系数分别为0.392、0.437、0.258和0.364、0.335、0.263（[P] 均< 0.05）。经过筛选，最终形成的指标体系包括3个一级指标、17个二级指标、50个三级指标。“外部环境”、“内部支持”、“综合治理” 3个一级指标归一化权重分别为16.98%、38.73%、44.29%；“外部环境”的二级指标中,“自然环境”权重最高（66.67%）；“内部支持”的二级指标中，“内脏利什曼病防治科学研究”权重最低（8.26%），其他指标权重在12.42%～13.38%；“综合治理”的二级指标中，各指标权重均为16.67%。结论　构建了基于全健康理念的MT⁃ZVL综合治理能力评估指标体系。该指标体系在兼顾传统MT⁃ZVL防治效果评估的同时，综合考虑了顶层设计、组织管理和防治措施落实的重要性，纳入了多部门协作相关指标。

关键词: 犬源型内脏利什曼病, 全健康, 综合治理, 能力评估, 指标体系, 专家咨询法, 层次分析法

Abstract: Objective　To construct an evaluation index system for the capability of comprehensive control of mountain⁃type zoonotic visceral leishmaniasis based on the One Health concept, so as to provide insights into the control and elimination of mountain⁃type zoonotic visceral leishmaniasis using the One Health approach. Methods　A preliminary evaluation index system was constructed based on literature review, panel discussions and field surveys. Thirty⁃three experts were selected from 7 provincial disease control and prevention centers in Beijing Municipality, Hebei Province, Shanxi Province, Henan Province, Sichuan Province, Shaanxi Province and Gansu Province where mountain⁃type zoonotic visceral leishmaniasis was endemic, and two rounds of expert consultations were conducted to screen the indicators. The positive coefficient, degree of concentration, degree of coordination, and authority of the experts were calculated, and the normalized weights of each index were calculated with the analytic hierarchy process. Results　The response rates of questionnaires during two rounds of expert consultation were both 100.00% (33/33), and the authority coefficients of the experts were 0.86 and 0.88, respectively. The coefficients of coordination among experts on the rationality, importance, and operability of the indicators were 0.392, 0.437, 0.258, and 0.364, 0.335, 0.263, respectively (all P values < 0.05). Following screening, the final evaluation index system included 3 primary indicators, 17 secondary indicators, and 50 tertiary indicators. The normalized weights of primary indicators “external environment”, “internal support” and “comprehensive control” were 16.98%, 38.73% and 44.29%, respectively. Among the secondary indicators of the primary indicator “external environment”, the highest weight was seen for natural environment (66.67%), and among the secondary indicators of the primary indicator “internal support”, the lowest weight was seen for the scientific research for visceral leishmaniasis control (8.26%), while other indicators had weights of 12.42% to 13.38%. Among the secondary indicators of the primary indicator “comprehensive control”, the weight was 16.67% for each indicator. Conclusions　An evaluation index system has been constructed for the capability of comprehensive control of mountain⁃type zoonotic visceral leishmaniasis based on the One Health concept. In addition to assessment of the effect of conventional mountain⁃type zoonotic visceral leishmaniasis control measures, this index system integrates the importance of top⁃level design, organizational management, and implementation of control measures, and includes indicators related to multi⁃sectoral cooperation.

Key words: Mountain?type zoonotic visceral leishmaniasis, One Health, Comprehensive control, Capability evaluation, Index system, Expert consultation method, Analytic hierarchy process

中图分类号: 

 苏公网安备32021102001651   苏ICP备11056399号-2
版权所有 © 江苏省血吸虫病防治研究所
地址：江苏省无锡市梅园杨巷117号　邮编：214064
电话：0510-68781021、68781022　 传真：0510-85510263　 Email：xfbjb@vip.163.com
技术支持：北京玛格泰克科技发展有限公司