Favretto, ANNA ROSA

Tomassone, Laura

English

Institutional Research Information System University of Turin

15 October 2023AperTO - Archivio Istituzionale Open Access dell'Università di TorinoOriginal Citation:One-Health evaluation on West Nile virus integrated Surveillance in Northern Italy, 2016Terms of use:Open Access(Article begins on next page)Anyone can freely access the full text of works made available as "Open Access". Works made availableunder a Creative Commons license can be used according to the terms and conditions of said license. Useof all other works requires consent of the right holder (author or publisher) if not exempted from copyrightprotection by the applicable law.Availability:This is the author's manuscriptThis version is available http://hdl.handle.net/2318/1841800 since 2022-02-18T11:09:26ZOH evaluation on West Nile virus integrated Surveillance in Northern Italy, 2016G Paternoster, L Tomassone , M Tamba, M Chiari, A Lavazza, M Piazzi, AR Favretto, G Balduzzi, B Vogler1Trans-Domain COST Action TD1404 (NEOH) Workshop16-17/01/2017, Valletta, Malta2WNVPrimary Transmission CycleIncidental(mammal) hoste.g. humanse.g. horse20%  febrile sickness<1%  CNS symptoms (“Neuroinvasive Disease”)0.1%  fatalities10% febrile sickness to CNS symptoms3% fatalities(Vaccination available)- blood transfusions- organ transplantations- breast feedingholistic approach to understand and manipulate the transmission systemAnimal HealthINTRODUCTION (1)3Entomological traps in Po river valley (source:  Emilia-Romagna WNV surveillance plan 2016)Italy: national plan for the surveillance of human vector-borne diseasesRegional integrated surveillance plans: detecting WNV circulation and reducing the risk of infection in horse and human populationsEvaluation of regionalsurveillance in Emilia-Romagna, Lombardy, and Piedmont regions, 2016INTRODUCTION (2)Evaluation questions1. OH-ness evaluationUse of NEOH handbook to score OH - thinkingOH - planning OH - sharingOH - workingOH - learning4METHODS OF EVALUATION (1)Detect the strength of OH approach2. process evaluation5METHODS OF EVALUATION (2)Specific Questions1. Fidelity2. Reach3. Dose deliveredFocus group- One for each region- Maximun 8 participants- ‘privileged observers’ – participatingin the surveillance system- 90’Detect strengths and weaknesses of how the initiative is implementedInstitutional systemIdentification of the systemRESULTS OF EVALUATION (1)M. Aragrande7Long-term goal 1:↓ risk of WNV-Infection in people.Long-term goal 2:↓ health-cost for government(less hospitalization etc.)↓ loss of revenue…Model for similar surveillancesystemsInput:- Previous knowledge- Funding- Actors: veterinarians, medical doctors, entomologists (funding, availability, education, training)- General stakeholders: general public, horse owners (informed and cooperating)- Platform for communication and interaction between stakeholdersOutput/results:- Timely detection of WNV-circulation in mosquitoes/birds- Increased networking- Added knowledgeOutcome:Early warning!( = more targeted health system)Research methods:«surveillance system» (sampling of mosquitoes, birds, horses, humans etc.)Actors (Vet, MD, Entom)Other stakeholders (gen pub, horse owners)Theory of ChangeRESULTS OF EVALUATION (2)Identification of the variables required to reach the desired impact8OH Thinking: 0.90OH Planning: 0.89OH Working: 0.77OH Learning: 0.69OH Sharing: 0.83ScoresRESULTS (3)OH-ness evaluationOF EVALUATION (3)Good scores, highlighting critical issues related to communication and learning gapsSpider diagram0.000.200.400.600.801.00OH ThinkingOH PlanningOH WorkingOH LearningOH SharingMean9first insights and outlook- 12/12/16 FG in Piedmont- 22/12/16 FG in Emilia-Romagna- 12/01/17 FG in LombardyPreliminary results- Some differences among Regions- Critical points• Communication• FundingRESULTS OF EVALUATION (4)Process evaluation10Implementation of the evaluation process: problems encountered, limitationsOH-ness evaluationIn general- Assessment tools were in the validation phase - Vocabulary not always clear- Room for subjective interpretation of questions- We had to remember to evaluate the overall system, not the success/output of the systemIn particular- OH thinking: quite hard to compile- OH learning: has to be answered by actors involved in the initiative, very difficult as external evaluatorsProcess evaluationThe help of sociologists is essentialConclusions- Evaluation process iterative and time-consuming, but very rewarding by providing deeper insights- OH-ness evaluation enabled to detect critical points- Deeper insights expected from the qualitative process evaluation11 basis for the development of shared recommendations to fine-tune and implement the initiative in a more OH oriented perspective

One-Health evaluation on West Nile virus integrated Surveillance in Northern Italy, 2016

https://iris.unito.it/bitstream/2318/1841800/1/2017-01-16_NEOH_Malta_WNV.pdf

One-Health evaluation on West Nile virus integrated Surveillance in Northern Italy, 2016

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