Center for Development Research (ZEF), University of Bonn, Bonn, Germany.
Global Health, Institute for Hygiene and Public Health (IHPH), University Hospital Bonn, Bonn, Germany.
Yale J Biol Med. 2021 Jun 30;94(2):259-269. eCollection 2021 Jun.
One Health (OH) is emphasized globally to tackle the (re)emerging issues at the human-animal-ecosystem interface. However, the low awareness about zoonoses remain a challenge in global south, thus this study documented the health system contact and its effect on the awareness level of zoonoses in the urban community of Ahmedabad, India. A community-based household survey was conducted between October 2018 and July 2019. A total of 460 households (HHs) were surveyed from two zones and 23 wards of the city through cluster sampling. A structured, pilot-tested, and researcher-administered questionnaire in the vernacular language was used to collect the information on demographic details, socio-economic details, health-seeking behavior for both the humans and their animals, human and animal health system contact details and the participants' awareness on selected zoonotic diseases based on the prioritization (rabies, brucellosis, swine flu, and bird flu). Out of 460 surveyed households, 69% of HHs and 59% of HHs had a health system contact to the human and animal health system respectively at the community level. There are multiple health workers active on the community level that could potentially serve as One Health liaisons. The investigation of the knowledge and awareness level of selected zoonotic diseases revealed that 58.5%, 47.6%, and 4.6% know about rabies, swine and/or bird flu, and brucellosis, respectively. The mixed-effect linear regression model indicates that there is no significant effect on the zoonotic disease awareness score with the human health system contact; however, a minimal positive effect with the animal health system contact was evident.
One Health (OH) 被强调在全球范围内用于解决人类-动物-生态系统界面的新发和再发问题。然而，在全球南方，人们对人畜共患病的认识仍然较低，因此本研究记录了在印度艾哈迈达巴德市城市社区的卫生系统接触及其对人畜共患病认识水平的影响。这项社区为基础的家庭调查于 2018 年 10 月至 2019 年 7 月进行。通过整群抽样，从该市的两个区和 23 个区共调查了 460 户家庭（HHs）。使用以当地语言编写的经过预试验和研究人员管理的结构化问卷收集了人口统计细节、社会经济细节、人和动物的求医行为、人类和动物卫生系统接触细节以及参与者对选定人畜共患病的认识信息，这些信息是根据优先事项（狂犬病、布鲁氏菌病、猪流感和禽流感）确定的。在调查的 460 户家庭中，有 69%的家庭和 59%的家庭分别在社区层面上与人类和动物卫生系统有卫生系统接触。有多名卫生工作者在社区层面上活跃，他们可以作为 One Health 的联络人。对选定人畜共患病的知识和认识水平的调查显示，分别有 58.5%、47.6%和 4.6%的人了解狂犬病、猪流感和/或禽流感和布鲁氏菌病。混合效应线性回归模型表明，人类卫生系统接触对人畜共患病意识评分没有显著影响，但与动物卫生系统接触有微小的积极影响。
