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Fossouo VN, Mouliom MMM. From theory to practice: Analyzing factors that foster the successful implementation of the one health approach for enhancing health security in Cameroon. One Health 2024; 18:100738. [PMID: 38725961 PMCID: PMC11079392 DOI: 10.1016/j.onehlt.2024.100738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 04/21/2024] [Indexed: 05/12/2024] Open
Abstract
Background Multisectoral collaboration is crucial in effectively managing public health emergencies. The One Health approach, which emphasizes the interconnectedness of human, animal, and environmental health, has gained recognition as an effective strategy. This study analysis the factors influencing the implementation of the One Health approach in Cameroon and examines its effects on public health emergency management. Method A survey was conducted among 44 stakeholders from key sectors involved in implementing the "One Health approach" in Cameroon. Data were collected with a structured questionnaire using a self-administered approach. Statistical analysis using the Ki Square test was conducted to identify associations between variables. Results The findings revealed that stakeholders in Cameroon lacked prior training on the One Health approach, primarily due to its absence in their academic programs. However, ad hoc trainings during public health emergencies were effective in involving various sectors. Limited communication and collaboration between different sectors, often operating in silos, posed significant challenges. Stakeholders with previous collaborative experiences and existing relationships demonstrated a greater propensity for multisectoral collaboration. The involvement of environmental health professionals in collaboration activities was limited, highlighting the need for improved engagement. Strong leadership, supported by coordination structures and platforms, played a critical role in facilitating collaboration during public health emergencies. Communication channels, such as regular multisectoral meetings, were essential in fostering relationships and trust among stakeholders. However, financial constraints hindered cross-sector cooperation. Conclusion To enhance multisectoral collaboration in public health emergency management, there is a need to prioritize training on the One Health approach and promote cross-sector communication and collaboration. Strengthening coordination structures and platforms, improving resource allocation, and fostering a culture of accountability and trust are crucial for effective implementation. This study provides insights into the challenges and opportunities in implementing the One Health approach in Cameroon and offers valuable lessons for other countries seeking to enhance their multisectoral response to public health emergencies.
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Mor N. Organising for One Health in a developing country. One Health 2023; 17:100611. [PMID: 37588424 PMCID: PMC10425406 DOI: 10.1016/j.onehlt.2023.100611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 08/02/2023] [Accepted: 08/02/2023] [Indexed: 08/18/2023] Open
Abstract
Globally, zoonotic diseases pose an enormous and growing public health challenge, and developing countries like India are at the epicentre of it. Although there is general recognition of this reality, governments around the world have struggled to organise appropriately to respond to it. The widely held view is that organising for One Health requires effective cross-sectoral collaboration, but the prerequisites to enable such collaboration appear almost unattainable. Perhaps an entirely different approach is needed, which is over and above effective collaborations between competing government ministries. The approach would have to recognise that while any organisational response will need to be able to address identified zoonotic diseases and respond effectively to them in times of crises, it would also be required to have the ability to shape the response to megatrends such as climate change, deforestation, and the underlying development models of the country. The paper analyses the success and failures associated with the way in which India, Bangladesh, Kenya, and Rwanda have organised for One Health. It also studies the underlying pathways through which zoonotic spillovers take place, and epidemics gather momentum. Based on these critical analyses, the paper concludes that attempts to build single overarching units to address these challenges have only been partially effective. Given the scale and complexity of the challenge, it recommends that, even at the risk of duplication and the very real possibility that unaddressed gaps will remain, an approach, which builds multiple sharply focused units, would have a greater chance of success.
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Affiliation(s)
- Nachiket Mor
- Banyan Academy of Leadership in Mental Health, India
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3
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Gwakisa P, George J, Sindato C, Ngonyoka A, Nnko H, Assenga J, Kimera S, Nessele MO. Pillars for successful operationalization of one health as an ecosystem approach: experience from a human-animal interface in the Maasai steppe in Tanzania. ONE HEALTH OUTLOOK 2023; 5:11. [PMID: 37649116 PMCID: PMC10469404 DOI: 10.1186/s42522-023-00087-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 07/03/2023] [Indexed: 09/01/2023]
Abstract
BACKGROUND Solving complex public health challenges requires integrated approaches to health, such as One Health. A key element of the One Health approach is the interrelationship between human, animal and environmental health and the associated multistakeholder collaboration across many cultural, disciplinary, institutional and sectoral boundaries. Here we describe a pragmatic approach for One Health operationalisation basing on our long-term engagement with communities faced with health challenges in a human-livestock-wildlife interface in the Maasai steppe in northern Tanzania. METHODS Using a qualitative study design we performed an outcome mapping to document insights on results integration from our previous project. Data were collected through participatory community meetings, in-depth interviews and field observations. Field notes were coded and analysed using inductive thematic analysis. RESULTS We found that effective implementation of One Health interventions in complex ecosystems works best by understanding local conditions and their context and by working closely with the local people and relevant disciplinary players as one complex adaptive system. Community engagement, systems analysis, transdisciplinarity as well as political commitment played critical roles in successful operationalization of One Health. We have further emphasized that project ownership is as important to the local community as it is to the researchers. When used in combination, these elements (community engagement, systems analysis, transdisciplinarity) provide essential pillars for co-creation and maintaining collective action to set a common vision across disciplines, serving as inputs for a metrics-based toolbox for One Health operationalisation. CONCLUSION Considering the novelty and complexity of One Health operationalisation, there is need also to develop scorecard-based guidance for assessment of One Health programs at local and national level. This paper proposes a framework for the optimization of an ecosystems-based One Health approach for prevention and control of Vector-Borne Diseases implemented at the local, sub-national or national level.
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Affiliation(s)
- Paul Gwakisa
- College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Box 3019, Morogoro, Tanzania
| | - Janeth George
- College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Box 3019, Morogoro, Tanzania.
| | - Calvin Sindato
- National Institute for Medical Research, Tabora, Tanzania
| | | | | | | | - Sharadhuli Kimera
- College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Box 3019, Morogoro, Tanzania
| | - Moses Ole Nessele
- Food and Agriculture Organization of the United Nations (FAO), Country Office, Dodoma, United Republic of Tanzania
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Khurana MP, Essack S, Zoubiane G, Sreenivasan N, Cordoba GC, Westwood E, Dalsgaard A, Mdegela RH, Mpundu M, Scotini R, Matondo AB, Mzula A, Chanishvili N, Gogebashvili D, Beruashvili M, Tsereteli M, Sooronbaev T, Kjærgaard J, Bloch J, Isaeva E, Mainda G, Muuka G, Mudenda NB, Goma FY, Chu DH, Chanda D, Chirwa U, Yamba K, Kapolowe K, Fwoloshi S, Mwenge L, Skov R. Mitigating antimicrobial resistance (AMR) using implementation research: a development funder’s approach. JAC Antimicrob Resist 2023; 5:dlad031. [PMID: 36994233 PMCID: PMC10041058 DOI: 10.1093/jacamr/dlad031] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
Despite the escalating burden of antimicrobial resistance (AMR), the global response has not sufficiently matched the scale and scope of the issue, especially in low- and middle-income countries (LMICs). While many countries have adopted national action plans to combat AMR, their implementation has lagged due to resource constraints, dysfunctional multisectoral coordination mechanisms and, importantly, an under-recognized lack of technical capacity to adapt evidence-based AMR mitigation interventions to local contexts. AMR interventions should be tailored, context-specific, cost-effective and sustainable. The implementation and subsequent scale-up of these interventions require multidisciplinary intervention-implementation research (IIR). IIR involves both quantitative and qualitative approaches, occurs across a three-phase continuum (proof of concept, proof of implementation and informing scale-up), and across four context domains (inner setting, outer setting, stakeholders and the implementation process). We describe the theoretical underpinnings of implementation research (IR), its various components, and how to construct different IR strategies to facilitate sustainable uptake of AMR interventions. Additionally, we provide real-world examples of AMR strategies and interventions to demonstrate these principles in practice. IR provides a practical framework to implement evidence-based and sustainable AMR mitigation interventions.
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Affiliation(s)
- Mark P Khurana
- Corresponding author. E-mail: ; @markkhurana, @EssackSabiha, @RskSkov
| | | | - Ghada Zoubiane
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
| | - Nandini Sreenivasan
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
| | - Gloria Cristina Cordoba
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
| | - Erica Westwood
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
| | - Anders Dalsgaard
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg C, Denmark
| | - Robinson H Mdegela
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Mirfin Mpundu
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
- ReAct Africa, Lusaka, Zambia
| | | | - Augustine B Matondo
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Alexanda Mzula
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Nina Chanishvili
- George Eliava Institute of Bacteriophage Microbiology and Virology, Gotua Street 3, Tbilisi 0160, Georgia
| | | | - Maia Beruashvili
- Ministry of Environmental Protection and Agriculture of Georgia, Marshal Gelovani 6, Tbilisi 0159, Georgia
- The Faculty of Veterinary Medicine, European University, Tbilisi, Georgia
| | - Marika Tsereteli
- Department of Communicable Diseases, National Center for Disease Control and Public Health, Kakheti Highway 99, Tbilisi 0198, Georgia
| | - Talant Sooronbaev
- National Center of Cardiology and Internal Medicine named after academician M. Mirrakhimov, Togolok Moldo Str, 3, Bishkek 720040, Kyrgyzstan
| | - Jesper Kjærgaard
- Department of Children and Adolescents, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, Copenhagen 2100, Denmark
| | - Joakim Bloch
- Department of Children and Adolescents, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, Copenhagen 2100, Denmark
| | - Elvira Isaeva
- National Center of Maternity and Childhood Care, Akhunbaev Str, 190, Bishkek 720038, Kyrgyzstan
- Department of Public Health, The Research Unit for General Practice and Section of General Practice, University of Copenhagen, Øster Farimagsgade 5, Copenhagen 1354, Denmark
| | - Geoffrey Mainda
- Department of Veterinary Services, Ministry of Fisheries and Livestock, PO Box 50060, Lusaka, Zambia
| | - Geoffrey Muuka
- Department of Veterinary Services, Ministry of Fisheries and Livestock, PO Box 50060, Lusaka, Zambia
| | - Ntombi B Mudenda
- School of Veterinary Medicine, University of Zambia, PO Box 32379, Lusaka, Zambia
| | - Fusya Y Goma
- Department of Veterinary Services, Ministry of Fisheries and Livestock, PO Box 50060, Lusaka, Zambia
| | - Duc-Huy Chu
- Department of Animal Health, Ministry of Agriculture and Rural Development, Ha Noi 115-19, Viet Nam
| | - Duncan Chanda
- University Teaching Hospital, Box 17, UTH Post Office, Nationalist Rd., Lusaka, Zambia
- Ministry of Health, Ndeke House, Haile Selassie Avenue, PO Box 30205, Lusaka, Zambia
| | - Uchizi Chirwa
- University Teaching Hospital, Box 17, UTH Post Office, Nationalist Rd., Lusaka, Zambia
- Ministry of Health, Ndeke House, Haile Selassie Avenue, PO Box 30205, Lusaka, Zambia
| | - Kaunda Yamba
- School of Veterinary Medicine, University of Zambia, PO Box 32379, Lusaka, Zambia
- University Teaching Hospital, Box 17, UTH Post Office, Nationalist Rd., Lusaka, Zambia
| | - Kenneth Kapolowe
- University Teaching Hospital, Box 17, UTH Post Office, Nationalist Rd., Lusaka, Zambia
| | - Sombo Fwoloshi
- University Teaching Hospital, Box 17, UTH Post Office, Nationalist Rd., Lusaka, Zambia
- Ministry of Health, Ndeke House, Haile Selassie Avenue, PO Box 30205, Lusaka, Zambia
| | | | - Robert Skov
- ICARS, International Centre for Antimicrobial Resistance Solutions, Ørestads Boulevard 5, Copenhagen 2300, Denmark
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Nyokabi S, Moore H, Berg S, Lindahl J, Phelan L, Gimechu G, Mihret A, Wood J. Implementing a one health approach to strengthen the management of zoonoses in Ethiopia. One Health 2023. [DOI: 10.1016/j.onehlt.2023.100521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
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Mwatondo A, Rahman-Shepherd A, Hollmann L, Chiossi S, Maina J, Kurup KK, Hassan OA, Coates B, Khan M, Spencer J, Mutono N, Thumbi SM, Muturi M, Mutunga M, Arruda LB, Akhbari M, Ettehad D, Ntoumi F, Scott TP, Nel LH, Ellis-Iversen J, Sönksen UW, 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 2023; 401:605-616. [PMID: 36682370 DOI: 10.1016/s0140-6736(22)01596-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 07/14/2022] [Accepted: 08/11/2022] [Indexed: 01/21/2023]
Abstract
There has been a renewed focus on threats to the human-animal-environment interface as a result of the COVID-19 pandemic, and investments in One Health collaborations are expected to increase. Efforts to monitor the development of One Health Networks (OHNs) are essential to avoid duplication or misalignment of investments. This Series paper shows the global distribution of existing OHNs and assesses their collective characteristics to identify potential deficits in the ways OHNs have formed and to help increase the effectiveness of investments. We searched PubMed, Google, Google Scholar, and relevant conference websites for potential OHNs and identified 184 worldwide for further analysis. We developed four case studies to show important findings from our research and exemplify best practices in One Health operationalisation. Our findings show that, although more OHNs were formed in the past 10 years than in the preceding decade, investment in OHNs has not been equitably distributed; more OHNs are formed and headquartered in Europe than in any other region, and emerging infections and novel pathogens were the priority focus area for most OHNs, with fewer OHNs focusing on other important hazards and pressing threats to health security. We found substantial deficits in the OHNs collaboration model regarding the diversity of stakeholder and sector representation, which we argue impedes effective and equitable OHN formation and contributes to other imbalances in OHN distribution and priorities. These findings are supported by previous evidence that shows the skewed investment in One Health thus far. The increased attention to One Health after the COVID-19 pandemic is an opportunity to focus efforts and resources to areas that need them most. Analyses, such as this Series paper, should be used to establish databases and repositories of OHNs worldwide. Increased attention should then be given to understanding existing resource allocation and distribution patterns, establish more egalitarian networks that encompass the breadth of One Health issues, and serve communities most affected by emerging, re-emerging, or endemic threats at the human-animal-environment interface.
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Affiliation(s)
- Athman Mwatondo
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya; Royal Institute of International Affairs, London, UK.
| | - Afifah Rahman-Shepherd
- London School of Hygiene & Tropical Medicine, London, UK; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Royal Institute of International Affairs, London, UK
| | - Lara Hollmann
- Royal Institute of International Affairs, London, UK
| | - Scott Chiossi
- Royal Institute of International Affairs, London, UK
| | - Josphat Maina
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya
| | | | | | | | - Mishal Khan
- London School of Hygiene & Tropical Medicine, London, UK; Department of Community Health Sciences and Department of Pathology, Aga Khan University, Karachi, Pakistan; Royal Institute of International Affairs, London, UK
| | - Julia Spencer
- London School of Hygiene & Tropical Medicine, London, UK
| | - Nyamai Mutono
- Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya
| | - Samuel M Thumbi
- Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya; Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, UK
| | - Mathew Muturi
- Zoonotic Disease Unit, Ministry of Agriculture, Livestock, and Fisheries, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya
| | - Mumbua Mutunga
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
| | - Liã Bárbara Arruda
- Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK
| | - Melika Akhbari
- Clinical Academic Training Office, University of Cambridge, Cambridge, UK
| | - Dena Ettehad
- Academic Foundation Programme, Faculty of Medicine, Imperial College London, Imperial College Healthcare NHS Trust, London, UK
| | - Francine Ntoumi
- Fondation Congolaise pour la Recherche Médicale, Brazzaville, Democratic Republic of the Congo; Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany
| | | | - Louis H Nel
- Department of Biochemistry, Genetics, and Microbiology, University of Pretoria, Pretoria, South Africa
| | | | - Ute Wolff Sönksen
- National Centre for Antimicrobials and Infection Control, Statens Serum Institut, Copenhagen, Denmark
| | - Diana Onyango
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - Zuleka Ismail
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - Kebadu Simachew
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - David Wolking
- One Health Institute, University of California, Davis, CA, USA
| | - Rudovick Kazwala
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Zikankuba Sijali
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
| | - David Heymann
- Department of Infectious Disease Epidemiology, London, UK
| | - Richard Kock
- Royal Veterinary College, University of London, London, UK
| | - Alimuddin Zumla
- Department of Infection, Division of Infection and Immunity, University College London, London, UK; National Institute for Health and Care Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK
| | - Osman Dar
- Global Health Programme, Royal Institute of International Affairs, London, UK; Global Operations, UK Health Security Agency, London, UK
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Nzietchueng S, Kitua A, Nyatanyi T, Rwego IB. Facilitating implementation of the one health approach: A definition of a one health intervention. One Health 2023; 16:100491. [PMID: 36755741 PMCID: PMC9900431 DOI: 10.1016/j.onehlt.2023.100491] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 01/19/2023] [Accepted: 01/19/2023] [Indexed: 01/26/2023] Open
Abstract
The last two decades has witnessed a disruption of socio-economic, security and political foundation worldwide due to surging of health events arising at the ecosystem, animal and human interface. The unprecedent magnitude of these events has led to the adoption of One Health approach. Several theoretical definitions and an operational one were released to help common user to understand the approach. To provide evidence of the impact of implementing the One Health approach and to assess the process outputs, a definition of a One Health intervention is required. We are proposing a definition and characteristics of a One Health intervention which will complement the operational definition of the One Health approach by the One Health High-Level Expert Panel.
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Affiliation(s)
- Serge Nzietchueng
- Faculty of Veterinary Medicine, University of Liege, Belgium,Food and Agriculture Organization of United Nations, Kenya,Corresponding author at: Faculty of Veterinary Medicine, University of Liege, Belgium.
| | - Andrew Kitua
- Public Health and Environmental Interventions Enhancement (NGALAKERI NGO), Tanzania
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Mremi IR, Rumisha SF, Sindato C, Kimera SI, Mboera LEG. Comparative assessment of the human and animal health surveillance systems in Tanzania: Opportunities for an integrated one health surveillance platform. Glob Public Health 2023; 18:2110921. [PMID: 35951768 DOI: 10.1080/17441692.2022.2110921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 08/02/2022] [Indexed: 11/04/2022]
Abstract
Globally, there have been calls for an integrated zoonotic disease surveillance system. This study aimed to assess human and animal health surveillance systems to identify opportunities for One Health surveillance platform in Tanzania. A desk review of policies, acts and strategies addressing disease surveillance that support inter-sectoral collaboration was conducted. A semi-structured questionnaire was administered to key informants from the two sectors. Databases with potential relevance for surveillance were assessed. One Health-focused policies, acts, strategic plans and guidelines emphasising inter-sectoral collaboration strengthening were in place. Stable systems for collecting surveillance data with trained staff to implement surveillance activities at all levels in both sectors were available. While the human surveillance system was a mix of paper-based and web-based, the animal health system was mainly paper-based. The laboratory information system existed in both sectors, though not integrated with the epidemiological surveillance systems. Both the animal and human surveillance systems had low sensitivity to alert outbreaks. The findings indicate that individual, organisational, and infrastructure opportunities that support the integration of surveillance systems from multiple sectors exist. Challenges related to data sharing and quality need to be addressed for the effective implementation of the platform.
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Affiliation(s)
- Irene R Mremi
- SACIDS Foundation for One Health, Africa Centre of Excellence for Infectious Diseases of Human and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
- National Institute for Medical Research, Dar es Salaam, Tanzania
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Susan F Rumisha
- National Institute for Medical Research, Dar es Salaam, Tanzania
- Malaria Atlas Project, Geospatial Health and Development, Telethon Kids Institute, West Perth, Australia
| | - Calvin Sindato
- SACIDS Foundation for One Health, Africa Centre of Excellence for Infectious Diseases of Human and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
- National Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania
| | - Sharadhuli I Kimera
- SACIDS Foundation for One Health, Africa Centre of Excellence for Infectious Diseases of Human and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Leonard E G Mboera
- SACIDS Foundation for One Health, Africa Centre of Excellence for Infectious Diseases of Human and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
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Fasina FO, Bett B, Dione M, Mutua F, Roesel K, Thomas L, Kwoba E, Ayebazibwe C, Mtika N, Gebeyehu DT, Mtui-Malamsha N, Sambo M, Swai ES, Bebay C. One Health gains momentum in Africa but room exists for improvement. One Health 2022; 15:100428. [PMID: 36277101 PMCID: PMC9582571 DOI: 10.1016/j.onehlt.2022.100428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/09/2022] [Accepted: 08/09/2022] [Indexed: 11/26/2022] Open
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Fossouo VN, Mouiche MMM, Labat A, Wango RK, Tiwoda C, Tonga C, Ndongo CB, Kameni JMF, Nguefack-Tsague G, Djeunga HCN, Gnigninanjouena O, Njajou OT. Health Security Planning: Developing the Cameroon National Action Plan for Health Security. Health Secur 2022; 20:424-434. [DOI: 10.1089/hs.2022.0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Viviane Ndoungué Fossouo
- Viviane Ndoungué Fossouo, MPH, is an Epidemiologist and Head of Section, IHR Implementation Program, National Public Health Observatory, Ministry of Public Health, Yaoundé, Cameroon
| | - Mohamed Moctar Mouliom Mouiche
- Mohamed Moctar Mouliom Mouiche, DVM, PhD, is Country Team Lead, USAID Infectious Disease Detection and Surveillance Project, ICF Cameroon, Yaoundé, Cameroon
- Mohamed Moctar Mouliom Mouiche is also an Associate Professor, School of Veterinary Medicine and Sciences, University of Ngaoundéré, Ngaoundéré, Cameroon
| | - Aline Labat
- Aline Labat, MPH, is a Researcher and Lecturer, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium
| | - Roland Kimbi Wango
- Roland Kimbi Wango, MA, MPH, is a Technical Officer, Emergency Preparedness and Response Programme, World Health Organization Regional Office for Africa, Dakar Hub, Senegal
| | - Christie Tiwoda
- Christie Tiwoda is an Assistant Program Officer, Regulatory Unit, Legal Affairs and Litigation Division, Ministry of Public Health, Yaoundé, Cameroon
| | - Calvin Tonga
- Calvin Tonga, PhD, MSc, MPH, is Head of Planning, Monitoring and Evaluation Unit, Expanded Programme on Immunization, Ministry of Public Health, Yaoundé, Cameroon
| | - Chancelline Bilounga Ndongo
- Chancelline Bilounga Ndongo, MD, MPH, is Head, Epidemiological Surveillance Service, Department of Disease Control, Epidemic, and Pandemics, Ministry of Public Health, Yaoundé, Cameroon
- Chancelline Bilounga Ndongo is also a Lecturer, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Jean Marc Feussom Kameni
- Jean Marc Feussom Kameni, DVM, CES, MSc, is a Veterinary Epidemiologist, Animal Disease Epidemiology Surveillance Network (RESCAM), Ministry of Livestock, Fisheries, and Animal Industries, Yaoundé, Cameroon
| | - Georges Nguefack-Tsague
- Georges Nguefack-Tsague, PhD, is an Associate Professor of Biostatistics, Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Hugues C. Nana Djeunga
- Hugues C. Nana Djeunga, PhD, is a Research Scientist, Molecular Parasitology and Genetic Epidemiology Department, Centre for Research on Filariasis and Other Tropical Diseases, Yaoundé, Cameroon
| | - Oumarou Gnigninanjouena
- Oumarou Gnigninanjouena, MD, MPH, is Coordinator, National Public Health Observatory, Ministry of Public Health, Yaoundé, Cameroon
| | - Omer T. Njajou
- Omer T. Njajou, DSc, PhD, is an Epidemiologist, Tackling Deadly Diseases in Africa Program, DAI Global Health, London, UK
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Seffren V, Lowther S, Guerra M, Kinzer MH, Turcios-Ruiz R, Henderson A, Shadomy S, Baggett HC, Harris JR, Njoh E, Salyer SJ. Strengthening the global one health workforce: Veterinarians in CDC-supported field epidemiology training programs. One Health 2022; 14:100382. [PMID: 35686141 PMCID: PMC9171531 DOI: 10.1016/j.onehlt.2022.100382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 03/23/2022] [Accepted: 03/25/2022] [Indexed: 11/16/2022] Open
Abstract
Background Effective prevention, detection, and response to disease threats at the human-animal-environment interface rely on a multisectoral, One Health workforce. Since 2009, the U.S. Centers for Disease Control and Prevention (CDC) has supported Field Epidemiology Training Programs (FETPs) to train veterinarians and veterinary paraprofessionals (VPPs) alongside their human health counterparts in the principles of epidemiology, disease surveillance, and outbreak investigations. We aim to describe and evaluate characteristics of CDC-supported FETPs enrolling veterinarians/VPPs to understand these programs contribution to the strengthening of the global One Health workforce. Methods We surveyed staff from CDC-supported FETPs that enroll veterinarians and VPPs regarding cohort demographics, graduate retention, and veterinary and One Health relevant curriculum inclusion. Descriptive data was analyzed using R Version 3.5.1. Results Forty-seven FETPs reported veterinarian/VPP trainees, 68% responded to our questionnaire, and 64% reported veterinary/VPP graduates in 2017. The veterinary/VPP graduates in 2017 made up 12% of cohorts. Programs reported 74% of graduated veterinarians/VPPs retained employment within national ministries of agriculture. Common veterinary and One Health curriculum topics were specimen collection and submission (93%), zoonotic disease (90%) and biosafety practices (83%); least covered included animal/livestock production and health promotion (23%) and transboundary animal diseases (27%). Less than half (41%) of programs reported the curriculum being sufficient for veterinarians/VPPs to perform animal health specific job functions, despite most programs being linked to the ministry of agriculture (75%) and providing veterinary-specific mentorship (63%). Conclusions Our results indicate that FETPs provide valuable training opportunities for animal health sector professionals, strengthening the epidemiology capacity within the ministries retaining them. While veterinary/VPP trainees could benefit from the inclusion of animal-specific curricula needed to fulfill their job functions, at present, FETPs continue to serve as multisectoral, competency-based, in-service training important in strengthening the global One Health workforce by jointly training the animal and human health sectors. Global health security requires multisectoral epidemiology workforce capacity. FETPs with veterinarians/VPPs were linked to ministries of agriculture and health. Veterinary/VPP FETP trainees jointly train alongside public health epidemiologists. One Health and Zoonotic Diseases curriculum was offered by most FETPs. FETPs train in epidemiology and surveillance at human-animal-environment interface.
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Affiliation(s)
- Victoria Seffren
- PHI/CDC Global Health Fellowship Program, Atlanta, GA, USA
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
- Corresponding author at: Division of Parasitic Diseases and Malaria, Center for Global Health, U.S. Centers for Disease Control and Prevention. 1600 Clifton Rd., MS H24-3, Atlanta, GA 30333, USA.
| | - Sara Lowther
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Marta Guerra
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Michael H. Kinzer
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Reina Turcios-Ruiz
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Alden Henderson
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Sean Shadomy
- One Health Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Henry C. Baggett
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Julie R. Harris
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Eni Njoh
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Stephanie J. Salyer
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Arunga G, Ca T, Odero P, Bashir A, Somda SM, Adan F, Weiss M, Naidoo W, Benin FA, Malone T, LeGrand CA, Kitua AY. Experience in fostering regional collaboration and Coordination to use data for battling infectious diseases in sub-Saharan Africa. East Afr Health Res J 2022; 5:114-122. [PMID: 35036835 PMCID: PMC8751543 DOI: 10.24248/eahrj.v5i2.660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 10/14/2021] [Indexed: 11/20/2022] Open
Abstract
The emergence of COVID-19 highlights globalisation realties, where diseases may emerge from anywhere and rapidly spread globally. Lessons emphasise the necessity for strengthening regional and global collaboration and coordination to allow rapid risk identification, resource mobilisation and joint actions. We report the experience of the Regional Action through Data (RAD) partnership in fostering regional cooperation and collaboration to use data for battling infectious diseases and the effects of COVID-19. The Partnership comprised;BoadReach company, The West African Health Organization (WAHO) and the Intergovernmental Authority on Development (IGAD); Duke University Global Health Centre and the Jembi Health Systems, South Africa.
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Affiliation(s)
| | - Tome Ca
- West African Health Organization (WAHO)
| | | | - Ahmed Bashir
- Intergovernmental Authority on Development (IGAD)
| | | | - Fatuma Adan
- Intergovernmental Authority on Development (IGAD)
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Umeodum HC, Magayane FT, Nonga HE. Leadership and Self‐Help Initiatives: The Case of Water Supply Services in Morogoro, Tanzania. JOURNAL OF LEADERSHIP STUDIES 2021. [DOI: 10.1002/jls.21767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Henry C. Umeodum
- Department of Social SciencesJordan University CollegeKola Hill, MorogoroTanzania
| | - Flavianus T. Magayane
- Department of Agricultural Extension and Community DevelopmentSokoine University of AgricultureMorogoroTanzania
| | - Hezron E. Nonga
- Department of Veterinary Medicine and Public HealthSokoine University of AgricultureMorogoroTanzania
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Frumence G, Mboera LEG, Katale BZ, Sindato C, Kimera S, Durrance-Bagale A, Mshana SE, Clark TG, Rweyemamu MM, Legido-Quigley H, Matee M. Policy actors and human and animal health practitioners' perceptions of antimicrobial use and resistance in Tanzania: A qualitative study. J Glob Antimicrob Resist 2021; 25:40-47. [PMID: 33662643 PMCID: PMC8213539 DOI: 10.1016/j.jgar.2021.02.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 02/10/2021] [Accepted: 02/22/2021] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE To explore and describe the perceptions of policy actors and practitioners on antimicrobial use and resistance in human and animal health in Tanzania. METHODS This was an exploratory qualitative study, which involved semi-structured interviews with nine policy makers and 102 practitioners. RESULTS Improved multisectoral collaboration and coordination among experts from the animal and human sectors, government will, improved infrastructures, existence of public awareness campaigns on appropriate use of antimicrobials and existence of antimicrobial stewardship were identified as strengths for the implementation of National Action Plan on Antimicrobial Resistance (NAP-AMR) in Tanzania. Despite these strengths, insufficient public awareness of AMR, limited community engagement and inadequate human resources were among the reported weaknesses. A number of opportunities for the implementation of NAP-AMR were also reported including the presence of integrated disease surveillance and response strategy in health sector and development of a coordinated surveillance system. Furthermore, the inadequate laboratory capacity and poor resource mobilization were identified as challenges facing the implementation of NAP-AMR. CONCLUSION The future policies of AMR need to capitalize on the identified strengths and opportunities as well as design interventions to improve public awareness of AMR and community engagement, deployment of adequate human resources and ensure adequate resource mobilization to meet AMR needs.
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Affiliation(s)
- Gasto Frumence
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania.
| | - Leonard E G Mboera
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Bugwesa Z Katale
- Tanzania Commission for Science and Technology, Dar es Salaam, Tanzania
| | - Calvin Sindato
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; National Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania
| | - Sharadhuli Kimera
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Sokoine University of Agriculture, Morogoro, Tanzania
| | | | - Stephen E Mshana
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Catholic University of Health and Allied Sciences, Mwanza, Tanzania
| | - Taane G Clark
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Mark M Rweyemamu
- Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | | | - Mecky Matee
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania
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