Operationalizing the One Health Approach in Uganda: Challenges and Opportunities.
One Health implementation
Uganda
low-income settings
multi-sectoral collaboration
public health threats
zoonotic diseases
Journal
Journal of epidemiology and global health
ISSN: 2210-6014
Titre abrégé: J Epidemiol Glob Health
Pays: Switzerland
ID NLM: 101592084
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
16
01
2020
accepted:
14
07
2020
pubmed:
4
10
2020
medline:
24
8
2021
entrez:
3
10
2020
Statut:
ppublish
Résumé
Uganda is considered as a 'hot spot' for emerging and re-emerging infectious disease epidemics. The country has experienced several epidemics including; Ebola, Marburg, plague, Rift Valley fever, yellow fever and Crimean Congo haemorrhagic fever. Epidemics overwhelm health systems, devastate economies and cause global health insecurity. These public health challenges arising from the interaction of humans-animals-environment link require a holistic approach referred to as One Health (OH). OH is the collaborative effort of multiple disciplines working locally, nationally, and globally, to attain optimal health for people, animals, and the environment. Given its situation, Uganda has embraced the OH approach in order to be able to predict, prepare and respond to these public health challenges effectively, though still in infancy stages. In this paper, we present major achievements and challenges of OH implementation, and make recommendations for systematic and sustainable OH implementation. Achievements include: formation of the National One Health (NOH) platform with a Memorandum of Understanding between sectors; a national priority list of zoonotic diseases, the NOH Strategic Plan and a One Health communication strategy to strengthen engagement across sectors and stakeholders. There have also been efforts to integrate OH in academia. The challenges are related to inadequate; coordination across sectors, government commitment, advocacy and awareness creation and research. For systematic and sustainable OH engagements, urgent efforts should be made through government support to address current and related future challenges.
Identifiants
pubmed: 33009732
pii: jegh.k.200825.001
doi: 10.2991/jegh.k.200825.001
pmc: PMC7758849
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
250-257Informations de copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Déclaration de conflit d'intérêts
The authors declare they have no conflicts of interest.
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