乌干达兽医法规遵从率低的相关因素及其影响和提高绩效的质量管理方法

Wanderema S. N. Wesonga, Bosco Madasi, Esther Nambo
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引用次数: 9

摘要

乌干达有组织的兽医服务于1908年建立,并通过集中的兽医指挥链成功地在全国控制了动物疾病。这些服务是公益的,是法规强制规定的,也被称为“兽医管理服务”。然而,从1993年起;政策改革与国家动物卫生被动监测系统同时推出。尽管进行了改革,但观察到牲畜的持续损失,需要在上述监测系统的基础上进行纵向调查。研究结果将作为动物疾病控制改革的绩效指标。本研究的总体目的是:证实改革后疾病增加的假设;确定诱发因素;评估其影响,并提出建议,以改善服务提供。结果证实:地方政府兽医人员放权一年后减少90.61%;国家动物卫生报告提交率从平均81%下降到只有47.06%,相关性或负(-)关联为27.3%,尽管p值为0.05。p值< 0.05的相关性进一步证实:传染病和其他重大动物疾病病例增加46.1%;猪场蛔虫感染增加69.4%;现场动物疫苗供应随着时间的推移下降了(-)64.3%,证实人类死亡与疑似狂犬病动物咬伤数量之间呈正相关,为65.3%。回归证实,在其他因素保持不变的情况下;平均而言:在该国其他地区暴发的所有口蹄疫疫情中,69.5%起源于或依赖于在牛走廊中发现的相同疾病,而42.7%的人类狂犬病死亡归因于疑似患狂犬病的动物的咬伤。结论:动物疾病发病率的上升主要归因于改革政策,但其他兽医机构内部和外部/冲击因素混杂在一起。这需要进一步的政策改革和所有利益攸关方对国家动物卫生被动监测系统的审查,并通过一个以工作人员-管理人员-客户为重点的有效质量管理系统来完成和实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with a Low Veterinary Regulatory Compliance in Uganda, Their Impact and Quality Management Approaches to Improve Performance
Organized veterinary services in Uganda were established in year 1908 and successfully controlled animal diseases nationally through a centralized chain of veterinary command. Such services were of public good, mandatory by regulations and also referred to as the “veterinary regulatory services”. However, from 1993; policy reforms were introduced coincidentally at the same time with a national animal health passive surveillance system. Despite reforms, continued losses in livestock were observed necessitating a longitudinal survey based on the above surveillance system. Study findings were to serve as an indicator of performance for the reforms as regards animal disease control. Overall aim of the study was to: Confirm the assumed increase of disease after reforms; identify predisposing factors; gauge their impact and make recommendations to improve service delivery. Results confirmed that: Local government veterinary personnel reduced by 90.61% after the first year of decentralization; national animal health report submissions reduced from average of 81% to only 47.06% with a correlation or association of negative (-) 27.3% albeit at p-value > 0.05. Further, correlation at p-value < 0.05 confirmed that: Contagious and other major animal disease cases increased by 46.1%; roundworm infestation in pigs increased by 69.4%; field animal vaccine availability decreased by (-) 64.3% with time and a positive correlation of 65.3% was confirmed between human deaths and the number of bites by suspected rabid animals. Regression confirmed that with other factors held constant; on average: 69.5% of all Foot and Mouth Disease outbreaks in other areas of the country originated or depended on the same disease found in the cattle corridor while 42.7% human deaths from rabies was attributed to bites from suspected rabid animals. Conclusion was that: Increased animal disease prevalence was primarily attributed to the reform policies but confounded by other veterinary institution internal and external/shock factors. This requires further policy reforms and a review of the national animal health passive surveillance system by all stakeholders to be done through and implemented by an efficient quality management system which is: staff-management-client focused.
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