Cross-sector collaboration; Environmental governance; Health system governance; Integration; One health; Social network analysis; Stakeholder engagement; Geography, Planning and Development; Management, Monitoring, Policy and Law
Abstract :
[en] Madagascar, a globally recognised biodiversity hotspot, faces escalating biodiversity loss and zoonotic disease risks. Weak response systems and fragmented governance further exacerbate these threats. This study identifies key conservation and health actors and analyses their connections to understand decision-making and information flow. The findings emphasise the need to integrate One Health into conservation strategies to address interconnected public health and biodiversity challenges. Following the Laumann-Marsden-Prensky framework, a social network analysis (SNA) survey was conducted between March 14 and June 24, 2022. The study involved 30 senior leaders (≥5 years experience) in biodiversity conservation and health in Madagascar. Key network metrics, indegree, outdegree, and eigenvector centrality, identified influential actors, while network density and centralisation assessed structural cohesion. Participants listed collaborators in conservation and health projects and funding sources. The strength of One Health integration and interaction was quantified. Among 287 identified actors, 54.4 % are international entities. SNA shows that foreign organisations dominate collaboration and funding networks in conservation and public health governance, while local government bodies have limited involvement. Only a few stakeholders have effectively integrated the One Health approach into their conservation and health governance practices. These findings highlight a reliance on international actors, primarily due to funding access, with limited local participation. While international support provides crucial resources, greater national and local leadership is essential for the sustainable implementation of One Health. This study provides insights to enhance local involvement in conservation governance.
Disciplines :
Social & behavioral sciences, psychology: Multidisciplinary, general & others
Author, co-author :
Mahefarisoa, Karine L. ✱; MicrobiomeEcoEvo Unit, Interdisciplinary Research Facility Life Sciences, Engineering & Technology Group, KU Leuven KULAK, Kortrijk, Belgium ; KU Leuven One Health Institute, Leuven, Belgium ; Division Ecology, Evolution and Biodiversity Conservation, Biology Department, KU Leuven, Leuven, Belgium
Ratsimbazafy, Hajaniaina A. ✱; Systems Ecology and Resource Management Research Unit (SERM), Department of Organism Biology, Université Libre de Bruxelles - ULB, Brussels, Belgium ; Dorsch Impact GmbH, Essen, Germany
Decaestecker, Ellen; MicrobiomeEcoEvo Unit, Interdisciplinary Research Facility Life Sciences, Engineering & Technology Group, KU Leuven KULAK, Kortrijk, Belgium ; KU Leuven One Health Institute, Leuven, Belgium ; Division Ecology, Evolution and Biodiversity Conservation, Biology Department, KU Leuven, Leuven, Belgium
Delpy, Leo; Lille Centre for Sociological and Economic Studies and Research (Clersé), UMR 8019, Université de Lille, Lille, France
Hugé, Jean ; Systems Ecology and Resource Management Research Unit (SERM), Department of Organism Biology, Université Libre de Bruxelles - ULB, Brussels, Belgium ; Department of Environmental Sciences, Open University of the Netherlands, Heerlen, Netherlands ; Biology Department, Vrije Universiteit Brussel, Brussels, Belgium ; Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium
Antoine-Moussiaux, Nicolas ✱; Université de Liège - ULiège > Département de gestion vétérinaire des Ressources Animales (DRA) > Biostatistique, économie, sélection animale
Aerts, Raf ✱; KU Leuven One Health Institute, Leuven, Belgium ; Division Ecology, Evolution and Biodiversity Conservation, Biology Department, KU Leuven, Leuven, Belgium
✱ These authors have contributed equally to this work.
Language :
English
Title :
Social network analysis of conservation and one health governance in Madagascar
Among the 15 health sector stakeholders, 12 demonstrate a strong commitment to the OH approach, including three national institutions (DSV, MSP, and POH) and nine international organisations. The POH is led by the Prime Minister's office and supported by FAO, WHO, WOAH, and UNEP with USAID funding. DSV, WCS, and the Indian Ocean Commission (COI) exhibit the highest eigenvector centrality within the network.Madagascar's environmental governance exemplifies this dynamic. Organisations like the Madagascar National Parks (MNP) operate as private entities, funded by Conservation International, the World Bank, and WWF, with support from international consulting firms such as AHT Group ( Gardner et al., 2018 ). This structure represents Harrison's (2004) concept of \"political post-conditionality\", where external networks redefine sovereignty boundaries by framing and influencing environmental policies, contrasting with earlier direct political conditionality that tied aid to specific reforms ( Harrison, 2004 ). Madagascar's status as a biodiversity hotspot has intensified this external involvement. Extensive donor and NGO engagement has become deeply embedded in national governance structures ( Ralimanana et al., 2022 ). While the WHO interviewee emphasises the \"binding nature of the IHR\" and positions international funding as driving cross-disciplinary approaches, this narrative must be understood in a context of profound structural inequalities in global health governance that may maintain dependency rather than build autonomous capacity. In practice, bilateral donors, international financial institutions, and environmental NGOs collaborate in ways that often relegate the Malagasy government to a secondary role. Global actors such as WWF, Conservation International, and the Global Environment Facility (GEF) hold significant influence, creating a governance system heavily dependent on transnational networks that effectively supplant state authority in key environmental decision-making areas.
Aborode, A.T., dos Santos Costa, A.C., Mohan, A., Goyal, S., Rabiu, A.T., Tsagkaris, C., Uwishema, O., Outani, O., Ahmad, S., Essar, M.Y., Epidemic of plague amidst COVID-19 in Madagascar: efforts, challenges, and recommendations. Trop. Med. Health, 49, 2021, 56, 10.1186/s41182-021-00349-5.
Albery, G.F., Kirkpatrick, L., Firth, J.A., Bansal, S., Unifying spatial and social network analysis in disease ecology. J. Anim. Ecol. 90 (2021), 45–61, 10.1111/1365-2656.13356.
Antoine-Moussiaux N., Carmo L.P., Léger A., Simões M. Inter- and Transdisciplinarity in One Health. In: CAB International 2025. Principles of One Health for a better planet (eds B. Häsler, A. Tvarijonaviciute and S. Savić). DOI: 10.1079/9781800623002.0004.
Bardosh, K.L., Scoones, J.C., Grace, D., Kalema-Zikusoka, G., Jones, K.E., de Balogh, K., Waltner-Toews, D., Bett, B., Welburn, S.C., Mumford, E., Dzingirai, V., Engaging research with policy and action: what are the challenges of responding to zoonotic disease in Africa?. Philos. Trans. R. Soc. B Biol. Sci., 372, 2017, 20160172, 10.1098/rstb.2016.0172.
Berardo, R., Heikkila, T., Gerlak, A.K., Interorganizational engagement in collaborative environmental management: evidence from the south florida ecosystem restoration task force. J. Public Adm. Res. Theory 24 (2014), 697–719, 10.1093/jopart/muu003.
Biehl, J., Petryna, A., When People Come First: Critical Studies in Global Health, STU-Student edition, 2013, Princeton University Press.
Billé, R., Mermet, L., Sectoralization of an integrated coastal management programme: a case study in Madagascar. J. Environ. Plan. Manag 45 (2002), 913–926, 10.1080/0964056022000024406.
Bodin, Ö., Prell, C., (eds.) Social Networks and Natural Resource Management: Uncovering the Social Fabric of Environmental Governance, 2011, Cambridge University Press, Cambridge, 10.1017/CBO9780511894985.
Brinkerhoff, D.W., Coordination issues in policy implementation networks: an illustration from Madagascar's environmental action plan. World Dev. Implement. Policy Change 24 (1996), 1497–1510, 10.1016/0305-750X(96)00046-0.
Brooks, T.M., Mittermeier, R.A., da Fonseca, G.A.B., Gerlach, J., Hoffmann, M., Lamoreux, J.F., Mittermeier, C.G., Pilgrim, J.D., Rodrigues, A.S.L., Global biodiversity conservation priorities. Science 313 (2006), 58–61, 10.1126/science.1127609.
Chevalier, V., Andres, G., 2023. Lancement officiel du projet AfriCam Madagascar,2023. 〈https://www.ird.fr/sites/ird_fr/files/2023-05/CP-AfriCAM-Madagascar-2504_SG.pdf〉 (accessed 21.03.2024).
Csárdi, G., Nepusz, T., Müller, K., Horvát, S., Traag, V., Zanini, F., Noom, D., Igraph for R: r interface of the igraph library for graph theory and network analysis (v2.1.4). Zenodo, 2025, 10.5281/zenodo.14736815.
Culloch-Jones, S.M., Novellie, P., Roux, D.J., Currie, B., Social network analysis of a landscape-scale conservation initiative in South Africa. South Afr. J. Sci., 118, 2022, 10.17159/sajs.2022/11703.
Dahdouh-Guebas, F., Mafaziya Nijamdeen, T.W.G.F., Hugé, J., Dahdouh-Guebas, Y., Di Nitto, D., Hamza, A.J., Kodikara Arachchilage, S., Koedam, N., Mancilla García, M., Mohamed, M.O.S., Mostert, L., Munga, C.N., Poti, M., Satyanarayana, B., Stiers, I., Van Puyvelde, K., Vanhove, M.P.M., Vande Velde, K., Ratsimbazafy, H.A., The mangal play: a serious game to experience multi-stakeholder decision-making in complex mangrove social-ecological systems. Front. Mar. Sci., 9, 2022, 909793, 10.3389/fmars.2022.909793.
Danasekaran, R., One health: a holistic approach to tackling global health issues. Indian J. Community Med. Off. Publ. Indian Assoc. Prev. Soc. Med. 49 (2024), 260–263, 10.4103/ijcm.ijcm_521_23.
Destoumieux-Garzón, D., Mavingui, P., Boetsch, G., Boissier, J., Darriet, F., Duboz, P., Fritsch, C., Giraudoux, P, Le Roux, F., Morand, S., Paillard, C., Pontier, D., Sueur, C., Voituron, Y., The One Health Concept: 10 Years Old and a Long Road Ahead. Front Vet Sci., 5(14), 2018, 10.3389/fvets.2018.00014 PMID: 29484301; PMCID: PMC5816263.
Estrada, E., 2011. 4 Fragments (subgraphs) in complex networks, in: Estrada, E. (Ed.), The Structure of Complex Networks: Theory and Applications. Oxford University Press, p. 0. https://doi.org/10.1093/acprof:oso/9780199591756.003.0004.
Everard, M., Johnston, P., Santillo, D., Staddon, C., The role of ecosystems in mitigation and management of Covid-19 and other zoonoses. Environ. Sci. Policy 111 (2020), 7–17, 10.1016/j.envsci.2020.05.017.
FAO, UNEP, WHO, W.H.O., WOAH, 2022. One Health Joint Plan of Action, 2022–2026. FAO; UNEP; WHO; World Organisation for Animal Health (WOAH) (founded as OIE); Rome. https://doi.org/10.4060/cc2289en.
Francis, J.J., Johnston, M., Robertson, C., Glidewell, L., Entwistle, V., Eccles, M.P., Grimshaw, J.M., What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychol. Health 25 (2010), 1229–1245, 10.1080/08870440903194015.
Freeman, L.C., Centrality in social networks conceptual clarification. Soc. Netw. 1 (1978), 215–239, 10.1016/0378-8733(78)90021-7.
Fritz-Vietta, N., Ferguson, B., Stoll-Kleemann, S., Ganzhorn, J., 2011. Conservation in a Biodiversity Hotspot: Insights from Cultural and Community Perspectives in Madagascar. pp. 209–233. https://doi.org/10.1007/978-3-642-20992-5_12.
Gardner, C.J., Nicoll, M.E., Mbohoahy, T., Oleson, K.L.L., Ratsifandrihamanana, A.N., Ratsirarson, J., de Roland, L.-A.R., Virah-Sawmy, M., Zafindrasilivonona, B., Davies, Z.G., Protected areas for conservation and poverty alleviation: experiences from Madagascar. J. Appl. Ecol. 50 (2013), 1289–1294.
Gardner, C.J., Nicoll, M.E., Birkinshaw, C., Harris, A., Lewis, R.E., Rakotomalala, D., Ratsifandrihamanana, A.N., The rapid expansion of Madagascar's protected area system. Biol. Conserv 220 (2018), 29–36.
Garg, S., Banerjee, B., One world, one health. Indian J. Community Med. Off. Publ. Indian Assoc. Prev. Soc. Med. 46 (2021), 581–583, 10.4103/ijcm.ijcm_1230_21.
Goodman, S.M., Raherilalao, M.J., Wohlhauser, S. (Eds.), 2022. The Terrestrial Protected Areas of Madagascar: Their History, Description, and Biota, Volume 1: Introduction, Terrestrial Protected Areas of Madagascar. Association Vahatra in Antananarivo. https://doi.org/10.1515/9780691229409.
Guest, G., Namey, E., Chen, M., A simple method to assess and report thematic saturation in qualitative research. PLOS ONE, 15, 2020, e0232076, 10.1371/journal.pone.0232076.
Gunawan, H., Yeny, I., Karlina, E., Suharti, S., Murniati, Subarudi, Mulyanto, B., Ekawati, S., Garsetiasih, R., Pratiwi, Sumirat, B.K., Sawitri, R., Heriyanto, N.M., Takandjandji, M., Widarti, A., Surati, Desmiwati, Kalima, T., Effendi, R., Martin, E., Ulya, N.A., Sylviani, Nurlia, A., Integrating social forestry and biodiversity conservation in Indonesia. Forests, 13, 2022, 2152, 10.3390/f13122152.
Gunawan, H., Setyawati, T., Atmoko, T., Subarudi, Kwatrina, R.T., Yeny, I., Yuwati, T.W., Effendy, R., Abdullah, L., Mukhlisi, Lastini, T., Arini, D.I.D., Sari, U.K., Sitepu, B.S., Pattiselanno, F., Kuswanda, W., A review of forest fragmentation in Indonesia under the DPSIR framework for biodiversity conservation strategies. Glob. Ecol. Conserv, 51, 2024, e02918, 10.1016/j.gecco.2024.e02918.
Harrison, G., The World Bank and Africa: The Construction of Governance States. 2004, Routledge, London, 10.4324/9780203500644.
Herrera, J.L., Srinivasan, R., Brownstein, J.S., Galvani, A.P., Meyers, L.A., Disease surveillance on complex social networks. PLOS Comput. Biol., 12, 2016, e1004928, 10.1371/journal.pcbi.1004928.
Herz, A., Peters, L., Truschkat, I., How to do qualitative strukturale analyse? Die qualitative interpretation von netzwerkkarten und erzählgenerierenden interviews. Forum Qual. Soz. Forum Qual. Soc. Res, 16, 2015, 10.17169/fqs-16.1.2092.
Hitziger, M., Esposito, R., Canali, M., Aragrande, M., Häsler, B., Rüegg, S., Knowledge integration in one health policy formulation, implementation and evaluation. Bull. World Health Organ 96 (2018), 211–218, 10.2471/BLT.17.202705.
Hough, J., Institutional constraints to the integration of conservation and development: a case study from Madagascar. Soc. Nat. Resour. 7 (1994), 119–124, 10.1080/08941929409380850.
Iyadi, L., Madagascar Multi-Partner trust fund (MPTF) project: addressing the growing global threat of antimicrobial resistance using a one health approach. WOAH Afr., 2023 〈https://rr-africa.woah.org/en/news/madagascar-multi-partner-trust-fund-mptf-project-addressing-the-growing-global-threat-of-antimicrobial-resistance-using-a-one-health-approach/〉 accessed 5.30.25.
Kamradt-Scott, A., 2019. The International Health Regulations (2005). https://doi.org/10.1163/15723747-01602002.
Kemarau, R.A., Sakawi, Z., Eboy, O.V., Anak Suab, S., Ibrahim, M.F., Rosli, N.N. binti, Md Nor, N.N.F., Planetary boundaries transgressions: a review on the implications to public health. Environ. Res., 260, 2024, 119668, 10.1016/j.envres.2024.119668.
Khan, M.H., Political settlements and the analysis of institutions. Afr. Aff. 117 (2018), 636–655, 10.1093/afraf/adx044.
Kumar, R., Novak, J., Tomkins, A., Structure and evolution of online social networks. Proc. 11th ACM SIGKDD Int. Conf. Knowl. Discov. Data Min., 2006, 611–617, 10.1145/1150402.1150476.
Laumann, E. 0, Marsden, P.V., Prenskv, D., The boundary specification problem in network analysis. Appl. Netw. Anal. A Methodol. Introd., 1983, 18–34.
Ma, T., Jia, L., Zhong, L., Gong, X., Wei, Y., Governance of China's potatso national park influenced by local community participation. Int. J. Environ. Res. Public. Health, 20, 2023, 807, 10.3390/ijerph20010807.
Miller, D.C., Agrawal, A., Roberts, J.T., Biodiversity, governance, and the allocation of international aid for conservation. Conserv. Lett. 6 (2013), 12–20, 10.1111/j.1755-263X.2012.00270.x.
Ministère de la Santé Publique, Madagascar, Projet de Préparation aux pandémies et renforcement des services de bases (PPSB). 2022, World Bank.
Ministère de la Santé Publique, Madagascar, Ministère de L'environnement et du Développement Durable, 2014. Plan National d'Actions Conjointes en Santé et Environnement. 〈http://www.sante.gov.mg/organigrammes/assets/uploads/files/documents_officiels/22e81-plan-national-action-conjointe-en-sante-environnement_2014_-dps_ssenv.pdf〉 (accessed 21.03.2024).
Mwatondo, A., Rahman-Shepherd, A., Hollmann, L., Chiossi, S., Maina, J., Kurup, K.K., Hassan, O.A., Coates, B., Khan, M., Spencer, J., Mutono, N., Thumbi, S.M., Muturi, M., Mutunga, M., Arruda, L.B., Akhbari, M., Ettehad, D., Ntoumi, F., Scott, T.P., Nel, L.H., Ellis-Iversen, J., Sönksen, U.W., Onyango, D., Ismail, Z., Simachew, K., Wolking, D., Kazwala, R., Sijali, Z., Bett, B., Heymann, D., Kock, R., Zumla, A., Dar, O., A global analysis of one health networks and the proliferation of one health collaborations. Lancet 401 (2023), 605–616, 10.1016/S0140-6736(22)01596-3.
Neugarten, R., Honzák, M., Carret, P., Koenig, K., Andriamaro, L., Cano, C., Grantham, H., Hole, D., Juhn, D., McKinnon, M., Rasolohery, A., Steininger, M., Wright, T., Turner, W., Rapid assessment of ecosystem service co-benefits of biodiversity priority areas in Madagascar. PLoS ONE, 11, 2016, 10.1371/journal.pone.0168575.
Pollini, J., The difficult reconciliation of conservation and development objectives: the case of the Malagasy environmental action plan. Hum. Organ 70 (2011), 74–87.
Poudyal, M., Ramamonjisoa, B.S., Hockley, N., Rakotonarivo, O.S., Gibbons, J.M., Mandimbiniaina, R., Rasoamanana, A., Jones, J.P.G., Can REDD+ social safeguards reach the ‘right’ people? Lessons from Madagascar. Glob. Environ. Change 37 (2016), 31–42, 10.1016/j.gloenvcha.2016.01.004.
Provan, K.G., Milward, H.B., A preliminary theory of interorganizational network effectiveness: a comparative study of four community mental health systems. Adm. Sci. Q. 40 (1995), 1–33, 10.2307/2393698.
Pusparini, W., Cahyana, A., Grantham, H.S., Maxwell, S., Soto-Navarro, C., Macdonald, D.W., A bolder conservation future for Indonesia by prioritising biodiversity, carbon and unique ecosystems in sulawesi. Sci. Rep., 13, 2023, 842, 10.1038/s41598-022-21536-2.
Ralimanana, H., Perrigo, A.L., Smith, R.J., Borrell, J.S., Faurby, S., Rajaonah, M.T., Randriamboavonjy, T., Vorontsova, M.S., Cooke, R.S.C., Phelps, L.N., Sayol, F., Andela, N., Andermann, T., Andriamanohera, A.M., Andriambololonera, S., Bachman, S.P., Bacon, C.D., Baker, W.J., Belluardo, F., Birkinshaw, C., Cable, S., Canales, N.A., Carrillo, J.D., Clegg, R., Clubbe, C., Crottini, A., Damasco, G., Dhanda, S., Edler, D., Farooq, H., de Lima Ferreira, P., Fisher, B.L., Forest, F., Gardiner, L.M., Goodman, S.M., Grace, O.M., Guedes, T.B., Hackel, J., Henniges, M.C., Hill, R., Lehmann, C.E.R., Lowry, P.P., Marline, L., Matos-Maraví, P., Moat, J., Neves, B., Nogueira, M.G.C., Onstein, R.E., Papadopulos, A.S.T., Perez-Escobar, O.A., Phillipson, P.B., Pironon, S., Przelomska, N.A.S., Rabarimanarivo, M., Rabehevitra, D., Raharimampionona, J., Rajaonary, F., Rajaovelona, L.R., Rakotoarinivo, M., Rakotoarisoa, A.A., Rakotoarisoa, S.E., Rakotomalala, H.N., Rakotonasolo, F., Ralaiveloarisoa, B.A., Ramirez-Herranz, M., Randriamamonjy, J.E.N., Randrianasolo, V., Rasolohery, A., Ratsifandrihamanana, A.N., Ravololomanana, N., Razafiniary, V., Razanajatovo, H., Razanatsoa, E., Rivers, M., Silvestro, D., Testo, W., Torres Jiménez, M.F., Walker, K., Walker, B.E., Wilkin, P., Williams, J., Ziegler, T., Zizka, A., Antonelli, A., Madagascar's extraordinary biodiversity: threats and opportunities. Science, 378, 2022, eadf1466, 10.1126/science.adf1466.
Rechciński, M., Tusznio, J., Grodzińska-Jurczak, M., Protected area conflicts: a state-of-the-art review and a proposed integrated conceptual framework for reclaiming the role of geography. Biodivers. Conserv 28 (2019), 2463–2498, 10.1007/s10531-019-01790-z.
Richardson, K., Steffen, W., Lucht, W., Bendtsen, J., Cornell, S.E., Donges, J.F., Drüke, M., Fetzer, I., Bala, G., von Bloh, W., Feulner, G., Fiedler, S., Gerten, D., Gleeson, T., Hofmann, M., Huiskamp, W., Kummu, M., Mohan, C., Nogués-Bravo, D., Petri, S., Porkka, M., Rahmstorf, S., Schaphoff, S., Thonicke, K., Tobian, A., Virkki, V., Wang-Erlandsson, L., Weber, L., Rockström, J., Earth beyond six of nine planetary boundaries. Sci. Adv., 9, 2023, eadh2458, 10.1126/sciadv.adh2458.
Rigo, A., Andriollo, E., Pisani, E., Intermediary organizations in nature conservation initiatives: the case of the EU-Funded LIFE programme. Sustainability, 2022, 10.3390/su14137618.
Romanelli, C., Hd, C., Bf, de S.D., The integration of biodiversity into one health. Rev. Sci. Tech. 33:2 (2014), 487–496, 10.20506/RST.33.2.2291.
Roser, M., Ortiz-Ospina, E., Arriagada, P., 2019. Poverty. Our World Data. 〈https://ourworldindata.org/poverty〉 (accessed 21.03.2025).
Sodjinou, V.D., Nimpa, M.M., Douba, A., Masembe, Y.V., Randria, M., Ndiaye, C.F., Challenges related to resources mobilization for measles outbreak response: Madagascar experience during the 2018-2019 measles outbreak. Pan Afr. Med. J., 36, 2020, 10.11604/pamj.2020.36.304.24514.
Valente, T.W., Pumpuang, P., Identifying opinion leaders to promote behavior change. Health Educ. Behav. Off. Publ. Soc. Public Health Educ. 34 (2007), 881–896, 10.1177/1090198106297855.
Valente, T.W., Coronges, K., Lakon, C., Costenbader, E., How correlated are network centrality measures?. Connect. Tor. Ont. 28 (2008), 16–26 PMID: 20505784; PMCID: PMC2875682.
Veerapa-Mangroo, L.P., Issack, M.I., Cardinale, E., Zientara, S., Ranaivomialy, L.M., Randriamampionona, H., Ranoaritiana, D.B., Arlette Drack, S.P., Iyaloo, D.P., Andria Mananjara, D.E., Razafindraibe, N.P., Nelly, J., Ramiandrasoa, S., Rakotoarinoro, M., Rakotoarison, V.C., Raliniaina, M., Donadeu, M., Lightowlers, M.W., Ndjakani, Y.D., Ndakala, N.G., Rasamoelina Andriamanivo, H., 2024. Réseau de surveillance épidémiologique et de gestion des alertes (SEGA-One Health): un exemple concret de mise en œuvre de l'approche « One Health » dans l'Indianocéanie. J. Epidemiol. Popul. Health, Xème Congrès International Francophone Épidémiologie et Santé publique « Les nouvelles transitions épidémiologiques » 72, 202742. https://doi.org/10.1016/j.jeph.2024.202742.
Waeber, P.O., Wilmé, L., Mercier, J.-R., Camara, C., Ii, P.P.L., How effective have thirty years of internationally driven conservation and development efforts been in Madagascar?. PLOS ONE, 11, 2016, e0161115, 10.1371/journal.pone.0161115.
Ward, M.D., Stovel, K., Sacks, A., Network analysis and political science. Annu. Rev. Polit. Sci. 14 (2011), 245–264, 10.1146/annurev.polisci.12.040907.115949.
Wardani, J., Bos, J.J., Ramirez-Lovering, D., Capon, A.G., Towards a practice framework for transdisciplinary collaboration in planetary health. Glob. Sustain, 7, 2024, 10.1017/sus.2024.6.
Wasserman, S., Faust, K., Social Network Analysis: Methods and Applications, Structural Analysis in the Social Sciences. 1994, Cambridge University Press, Cambridge, 10.1017/CBO9780511815478.
WHO, 2022. Quadripartite Memorandum of Understanding (MoU) signed for a new era of One Health collaboration [WWW Document]. 〈https://www.who.int/news〉. URL 〈https://www.who.int/news/item/29-04-2022-quadripartite-memorandum-of-understanding〉 〈-(mou)-signed-for-a-new-era-of-one-health-collaboration〉 (accessed 5.30.25).
WHO, R.O. of E., 2021. Nature, Biodiversity and health: an overview of interconnections. ISBN: 9789289055581. 〈https://www.who.int/europe/publications/i/item/9789289055581〉 (accessed 21.03.25).
World Bank, 2024. The World Bank in Madagascar. 〈https://www.worldbank.org/en/country/madagascar/overview〉 (accessed 21.03.25).