多部门合作在肯尼亚基苏木实施控制人畜共患病的“一种卫生办法”方面的有效性

Nobert D. Onyango, D. Onguru, Ochung’ Angeline Atieno
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摘要

目的:同一个健康(OH)整合了地方、国家和全球多个学科的努力,以实现人类、动物和环境的最佳健康。人、动物、植物和环境之间不断变化的相互作用导致了人口向新的地理区域的增长和扩张。靠近家畜和野生动物、气候变化和土地利用扭曲了环境,导致人畜共患病扩大的机会。在国家、地方和项目一级实施卫生保健方法仍然有限,因为缺乏实际的和经过测试的实施和评估的操作方法。在肯尼亚,卫生保健方法由人畜共患疾病股(ZDU)带头。本研究评估了卫生保健合作伙伴的比例、方法和影响多部门合作的因素,以确认其在基苏木县控制人畜共患病方面的有效性。方法:采用横断面描述性研究设计,以产生有关多部门合作在实施OH方法控制人畜共患病方面的有效性的信息。描述性统计确定和评估影响多部门合作的性质、程度和因素。结果:基苏木控制人畜共患病的多部门合作有限,主要由公共卫生官员(PHOs)推动。在怀疑人畜共患病时,通过联合致敏和通报加强了合作。对一个部门以外的专门知识的需求、促进卫生保健的愿望以及将卫生保健作为一项政府政策主流化的要求促使了多部门合作。结论:由于卫生保健政策不足,需要改进多部门合作,因此需要进行审查,以优化培训和基础设施发展的有限资金,解决人员需求,并建立一个强大的数据共享信息管理系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of multisectoral collaboration in implementation of One Health Approach for control of zoonoses in Kisumu, Kenya
Aim: One health (OH) integrates the efforts of multiple disciplines working locally, nationally, and globally to achieve optimal health for people, animals, and the environment. Changing interactions between people, animals, plants, and the environment have resulted in the growth and expansion of human populations into new geographic areas. The proximity to domestic and wild animals, climate changes, and land use distort the environment leading to opportunities for the amplification of zoonoses. Implementing the OH approach at the national, local, and project level remains limited due to the lack of practical and tested operational methods for implementation and evaluation. In Kenya, the OH approach is spearheaded by the Zoonotic Disease Unit (ZDU). This study assessed the proportion of partners collaborating for OH, the methods, and the factors affecting multisectoral collaboration to confirm its effectiveness in controlling zoonoses in Kisumu County. Methods: A cross-sectional descriptive study design was used to generate information regarding the effectiveness of multisectoral collaboration in implementing the OH approach in the control of zoonoses. Descriptive statistics determined and assessed the nature, extent, and factors that affected multisectoral collaboration. Results: Multisectoral collaboration to control zoonoses in Kisumu was limited and driven mainly by public health officers (PHOs). Collaboration was enhanced through joint sensitizations and notifications whenever a zoonosis was suspected. The need for expertise outside one sector, the desire to promote OH, and the requirement to mainstream OH as a government policy prompted multisectoral collaboration. Conclusion: Multisectoral collaboration needed to be improved owing to a deficient OH policy hence the need for review to optimize the limited funding for training and infrastructure development, addressing staffing requirements, and setting up a robust information management system for data sharing.
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