Implementing a one health approach to strengthen the management of zoonoses in Ethiopia
In East Africa, a region with many endemic and emerging zoonoses, and in countries such as Ethiopia in particular, One Health (OH) approaches are increasingly seen as effective ways, to mitigate the risk of zoonoses at the interface between human, animal and the environment. The OH approach promotes...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | One Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352771423000411 |
| _version_ | 1797805835687034880 |
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| author | Ndungu S. Nyokabi Henrietta Moore Stefan Berg Johanna Lindahl Lisette Phelan Gizachew Gimechu Adane Mihret James L N Wood |
| author_facet | Ndungu S. Nyokabi Henrietta Moore Stefan Berg Johanna Lindahl Lisette Phelan Gizachew Gimechu Adane Mihret James L N Wood |
| author_sort | Ndungu S. Nyokabi |
| collection | DOAJ |
| description | In East Africa, a region with many endemic and emerging zoonoses, and in countries such as Ethiopia in particular, One Health (OH) approaches are increasingly seen as effective ways, to mitigate the risk of zoonoses at the interface between human, animal and the environment. The OH approach promotes interdisciplinary cooperation and collaboration between researchers and practitioners from the disciplines of human, animal and environmental health. Moreover, it advocates for the establishment of a public health sector model which recognises the imperative to holistically address diseases that occur in the human, animal and environmental health arena.Key informant interviews were conducted with human and animal health practitioners and academic researchers in Ethiopia to collect data on the implementation of the OH approach to manage zoonotic diseases at the human and animal health interface. Participants' observations were undertaken within animal and human health clinics and government laboratories to gather additional data. Environmental health was not considered in this study as it is not yet fully integrated into the OH approach in Ethiopia.The results reveal a lack of interdisciplinary cooperation, collaboration, and coordination between animal and human health practitioners in operationalising the OH framework in Ethiopia. Professionals in academic and non-academic institutions and organisations are interested in implementing the OH approach, however, an organisational “silo” culture constrains collaboration between institutions dealing with animal and human health. Understaffing and underfunding of institutions were also cited as major challenges to the implementation of a OH approach. Lack of interdisciplinary training for animal and human health practitioners hinders collaboration in the management of zoonoses.Policymakers need to go beyond the rhetoric to a genuine focus on reform of health management and implement policies that bridge human, animal and environmental health. There is a need for multidisciplinary and transdisciplinary training in human, animal and environmental health and collaborative research for the management of zoonoses. |
| first_indexed | 2024-03-13T05:58:06Z |
| format | Article |
| id | doaj.art-89ff3d5f0cd44cf899dff9a3e9d1a25e |
| institution | Directory Open Access Journal |
| issn | 2352-7714 |
| language | English |
| last_indexed | 2024-03-13T05:58:06Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | One Health |
| spelling | doaj.art-89ff3d5f0cd44cf899dff9a3e9d1a25e2023-06-13T04:12:23ZengElsevierOne Health2352-77142023-06-0116100521Implementing a one health approach to strengthen the management of zoonoses in EthiopiaNdungu S. Nyokabi0Henrietta Moore1Stefan Berg2Johanna Lindahl3Lisette Phelan4Gizachew Gimechu5Adane Mihret6James L N Wood7Institute for Global Prosperity, University College London, United Kingdom; Corresponding author.Institute for Global Prosperity, University College London, United KingdomBernhard Nocht Institute for Tropical Medicine, Hamburg, GermanyInternational Livestock Research Institute (ILRI), P.O. Box 30709, Nairobi 00100, Kenya; Department of Medical Biochemistry and Microbiology, Uppsala University, P.O. Box 582, 75123 Uppsala, Sweden; Department of Clinical Sciences, Swedish University of Agricultural Sciences, P.O. Box 7054, 75007 Uppsala, SwedenSchool of Geography, University of Leeds, United KingdomArmauer Hansen Research Institute (AHRI), EthiopiaArmauer Hansen Research Institute (AHRI), EthiopiaDepartment of Veterinary Medicine, University of Cambridge, United KingdomIn East Africa, a region with many endemic and emerging zoonoses, and in countries such as Ethiopia in particular, One Health (OH) approaches are increasingly seen as effective ways, to mitigate the risk of zoonoses at the interface between human, animal and the environment. The OH approach promotes interdisciplinary cooperation and collaboration between researchers and practitioners from the disciplines of human, animal and environmental health. Moreover, it advocates for the establishment of a public health sector model which recognises the imperative to holistically address diseases that occur in the human, animal and environmental health arena.Key informant interviews were conducted with human and animal health practitioners and academic researchers in Ethiopia to collect data on the implementation of the OH approach to manage zoonotic diseases at the human and animal health interface. Participants' observations were undertaken within animal and human health clinics and government laboratories to gather additional data. Environmental health was not considered in this study as it is not yet fully integrated into the OH approach in Ethiopia.The results reveal a lack of interdisciplinary cooperation, collaboration, and coordination between animal and human health practitioners in operationalising the OH framework in Ethiopia. Professionals in academic and non-academic institutions and organisations are interested in implementing the OH approach, however, an organisational “silo” culture constrains collaboration between institutions dealing with animal and human health. Understaffing and underfunding of institutions were also cited as major challenges to the implementation of a OH approach. Lack of interdisciplinary training for animal and human health practitioners hinders collaboration in the management of zoonoses.Policymakers need to go beyond the rhetoric to a genuine focus on reform of health management and implement policies that bridge human, animal and environmental health. There is a need for multidisciplinary and transdisciplinary training in human, animal and environmental health and collaborative research for the management of zoonoses.http://www.sciencedirect.com/science/article/pii/S2352771423000411One healthOne health frameworkZoonosesIntegrated service deliveryCommunity health workersHealth practitioners |
| spellingShingle | Ndungu S. Nyokabi Henrietta Moore Stefan Berg Johanna Lindahl Lisette Phelan Gizachew Gimechu Adane Mihret James L N Wood Implementing a one health approach to strengthen the management of zoonoses in Ethiopia One Health One health One health framework Zoonoses Integrated service delivery Community health workers Health practitioners |
| title | Implementing a one health approach to strengthen the management of zoonoses in Ethiopia |
| title_full | Implementing a one health approach to strengthen the management of zoonoses in Ethiopia |
| title_fullStr | Implementing a one health approach to strengthen the management of zoonoses in Ethiopia |
| title_full_unstemmed | Implementing a one health approach to strengthen the management of zoonoses in Ethiopia |
| title_short | Implementing a one health approach to strengthen the management of zoonoses in Ethiopia |
| title_sort | implementing a one health approach to strengthen the management of zoonoses in ethiopia |
| topic | One health One health framework Zoonoses Integrated service delivery Community health workers Health practitioners |
| url | http://www.sciencedirect.com/science/article/pii/S2352771423000411 |
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