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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
One Health: Past Successes and Future Challenges in Three African Contexts
PLoS Neglected Tropical Diseases, Volume 8, No. 5, Article e2884, Year 2014
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Description
Background:The recent emergence of zoonotic diseases such as Highly Pathogenic Avian Influenza (HPAI) and Severe Acute Respiratory Syndrome (SARS) have contributed to dominant Global Health narratives around health securitisation and pandemic preparedness, calling for greater co-operation between the health, veterinary and environmental sectors in the ever-evolving One Health movement. A decade later, One Health advocates face increasing pressure to translate the approach from theory into action.Methodology/Principal Findings:A qualitative case study methodology was used to examine the emerging relationships between international One Health dialogue and its practical implementation in the African health policy context. A series of Key Informant Interviews (n = 32) with policy makers, government officials and academics in Nigeria, Tanzania and Uganda are presented as three separate case studies. Each case examines a significant aspect of One Health operationalisation, framed around the control of both emerging and Neglected Zoonotic Diseases including HPAI, Human African Trypanosomiasis and rabies. The research found that while there is general enthusiasm and a strong affirmative argument for adoption of One Health approaches in Africa, identifying alternative contexts away from a narrow focus on pandemics will help broaden its appeal, particularly for national or regionally significant endemic and neglected diseases not usually addressed under a "global" remit.Conclusions/Significance:There is no 'one size fits all' approach to achieving the intersectoral collaboration, significant resource mobilisation and political co-operation required to realise a One Health approach. Individual country requirements cannot be underestimated, dismissed or prescribed in a top down manner. This article contributes to the growing discussion regarding not whether One Health should be operationalised, but how this may be achieved. © 2014 Okello et al.
Authors & Co-Authors
Okello, Anna L.
United Kingdom, Edinburgh
Edinburgh Medical School
Bardosh, Kevin Louis
United Kingdom, Edinburgh
The University of Edinburgh
Smith, James M.
United Kingdom, Edinburgh
The University of Edinburgh
South Africa, Johannesburg
University of Johannesburg
Welburn, Susan Christina
United Kingdom, Edinburgh
Edinburgh Medical School
Statistics
Citations: 84
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1371/journal.pntd.0002884
ISSN:
19352727
e-ISSN:
19352735
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Case Study
Study Approach
Qualitative
Study Locations
Nigeria
Tanzania
Uganda