Practice of One Health approaches: Bridges and barriers in Tanzania
2014
Kayunze, Kim A.(Sokoine University of Agriculture) | Kiwara, Angwara(Muhimbili University of Health and Allied Sciences (MUHAS)) | Lyamuya, Eligius(Muhimbili University College of Health and Allied Sciences (MUHAS)) | Kambarage, Dominic M.(Sokoine University of Agriculture) | Rushton, Jonathan(Royal Veterinary College) | Coker, Richard(London School of Hygiene & Tropical Medicine) | Kock, Richard(Royal Veterinary College)
The practice of One Health approaches in human and animal health programmes is influenced by type and scope of bridges for and barriers to partnerships. It was thus essential to evaluate the nature and scope of collaborative arrangements among human, animal and wildlife health experts in dealing with health challenges which demand intersectoral partnership. The nature of collaborative arrangement was assessed, and the respective bridges and barriers over a period of 12 months (July 2011 - June 2012) were identified. The specific objectives were to: (1) determine the proportions of health experts who had collaborated with other experts of disciplines different from theirs, (2) rank the general bridges for and barriers to collaboration according to the views of the health experts, and (3) find the actual bridges for and barriers to collaboration among the health experts interviewed. It was found that 27.0% of animal health officers interviewed had collaborated with medical officers while 12.4% of medical officers interviewed had collaborated with animal health experts. Only 6.7% of the wildlife officers had collaborated with animal health experts. The main bridges for collaboration were instruction by upper level leaders, zoonotic diseases of serious impact and availability of funding. The main barriers to collaboration were lack of knowledge about animal or human health issues, lack of networks for collaboration and lack of plans to collaborate. This situation calls for the need to curb barriers in order to enhance intersectoral collaboration for more effective management of risks attributable to infectious diseases of humans and animals.
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