A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance

Rooted in the recognition that emerging infectious diseases occur at the interface of human, animal, and ecosystem health, the Southern African Centre for Infectious Disease Surveillance (SACIDS) initiative aims to promote a trans-sectoral approach to address better infectious disease risk managemen...

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Main Authors: Marie C. E. Hanin, Kevin Queenan, Sara Savic, Esron Karimuribo, Simon R. Rüegg, Barbara Häsler
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-03-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fvets.2018.00033/full
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author Marie C. E. Hanin
Kevin Queenan
Sara Savic
Esron Karimuribo
Simon R. Rüegg
Barbara Häsler
author_facet Marie C. E. Hanin
Kevin Queenan
Sara Savic
Esron Karimuribo
Simon R. Rüegg
Barbara Häsler
author_sort Marie C. E. Hanin
collection DOAJ
description Rooted in the recognition that emerging infectious diseases occur at the interface of human, animal, and ecosystem health, the Southern African Centre for Infectious Disease Surveillance (SACIDS) initiative aims to promote a trans-sectoral approach to address better infectious disease risk management in five countries of the Southern African Development Community. Nine years after SACIDS’ inception, this study aimed to evaluate the program by applying a One Health (OH) evaluation framework developed by the Network for Evaluation of One Health (NEOH). The evaluation included a description of the context and the initiative, illustration of the theory of change, identification of outputs and outcomes, and assessment of the One Healthness. The latter is the sum of characteristics that defines an integrated approach and includes OH thinking, OH planning, OH working, sharing infrastructure, learning infrastructure, and systemic organization. The protocols made available by NEOH were used to develop data collection protocols and identify the study design. The framework relies on a mixed methods approach by combining a descriptive and qualitative assessment with a semi-quantitative evaluation (scoring). Data for the analysis were gathered during a document review, in group and individual interviews and in an online survey. Operational aspects (i.e., OH thinking, planning, and working) were found to be balanced overall with the highest score in the planning dimension, whereas the infrastructure (learning infrastructure, systemic organization, and sharing infrastructure) was high for the first two dimensions, but low for sharing. The OH index calculated was 0.359, and the OH ratio calculated was 1.495. The program was praised for its great innovative energy in a difficult landscape dominated by poor infrastructure and its ability to create awareness for OH and enthuse people for the concept; training of people and networking. Shortcomings were identified regarding the balance of contributions, funds and activities across member countries in the South, lack of data sharing, unequal allocation of resources, top-down management structures, and limited horizontal collaboration. Despite these challenges, SACIDS is perceived to be an effective agent in tackling infectious diseases in an integrated manner.
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spelling doaj.art-60f9a52ae58c480199be8af5d89c3a562022-12-22T00:18:57ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692018-03-01510.3389/fvets.2018.00033327581A One Health Evaluation of the Southern African Centre for Infectious Disease SurveillanceMarie C. E. Hanin0Kevin Queenan1Sara Savic2Esron Karimuribo3Simon R. Rüegg4Barbara Häsler5Department of Pathobiology and Population Sciences, Veterinary Epidemiology Economics and Public Health Group, Royal Veterinary College, London, United KingdomDepartment of Pathobiology and Population Sciences, Veterinary Epidemiology Economics and Public Health Group, Royal Veterinary College, London, United KingdomScientific Veterinary Institute Novi Sad, Novi Sad, SerbiaSokoine University of Agriculture, Morogoro, TanzaniaVetsuisse Faculty, University of Zurich, Zurich, SwitzerlandDepartment of Pathobiology and Population Sciences, Veterinary Epidemiology Economics and Public Health Group, Royal Veterinary College, London, United KingdomRooted in the recognition that emerging infectious diseases occur at the interface of human, animal, and ecosystem health, the Southern African Centre for Infectious Disease Surveillance (SACIDS) initiative aims to promote a trans-sectoral approach to address better infectious disease risk management in five countries of the Southern African Development Community. Nine years after SACIDS’ inception, this study aimed to evaluate the program by applying a One Health (OH) evaluation framework developed by the Network for Evaluation of One Health (NEOH). The evaluation included a description of the context and the initiative, illustration of the theory of change, identification of outputs and outcomes, and assessment of the One Healthness. The latter is the sum of characteristics that defines an integrated approach and includes OH thinking, OH planning, OH working, sharing infrastructure, learning infrastructure, and systemic organization. The protocols made available by NEOH were used to develop data collection protocols and identify the study design. The framework relies on a mixed methods approach by combining a descriptive and qualitative assessment with a semi-quantitative evaluation (scoring). Data for the analysis were gathered during a document review, in group and individual interviews and in an online survey. Operational aspects (i.e., OH thinking, planning, and working) were found to be balanced overall with the highest score in the planning dimension, whereas the infrastructure (learning infrastructure, systemic organization, and sharing infrastructure) was high for the first two dimensions, but low for sharing. The OH index calculated was 0.359, and the OH ratio calculated was 1.495. The program was praised for its great innovative energy in a difficult landscape dominated by poor infrastructure and its ability to create awareness for OH and enthuse people for the concept; training of people and networking. Shortcomings were identified regarding the balance of contributions, funds and activities across member countries in the South, lack of data sharing, unequal allocation of resources, top-down management structures, and limited horizontal collaboration. Despite these challenges, SACIDS is perceived to be an effective agent in tackling infectious diseases in an integrated manner.http://journal.frontiersin.org/article/10.3389/fvets.2018.00033/fullSouthern African Centre for Infectious Disease SurveillanceOne Healthevaluationcapacitysurveillance
spellingShingle Marie C. E. Hanin
Kevin Queenan
Sara Savic
Esron Karimuribo
Simon R. Rüegg
Barbara Häsler
A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
Frontiers in Veterinary Science
Southern African Centre for Infectious Disease Surveillance
One Health
evaluation
capacity
surveillance
title A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
title_full A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
title_fullStr A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
title_full_unstemmed A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
title_short A One Health Evaluation of the Southern African Centre for Infectious Disease Surveillance
title_sort one health evaluation of the southern african centre for infectious disease surveillance
topic Southern African Centre for Infectious Disease Surveillance
One Health
evaluation
capacity
surveillance
url http://journal.frontiersin.org/article/10.3389/fvets.2018.00033/full
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