印度尼西亚西加里曼丹省在全国和地方层面发起的控制狂犬病的一体化健康方法。
Nationally and locally-initiated One Health approach in controlling rabies in West Kalimantan, Indonesia.
作者信息
Aptriana Cut Desna, Sudarnika Etih, Basri Chaerul
机构信息
Directorate of Veterinary Public Health, Ministry of Agriculture Republic Indonesia, Jakarta 12550, Indonesia.
Student in Majoring Veterinary Public Health, Postgraduate School, IPB University, Bogor 16680, Indonesia.
出版信息
Vet World. 2022 Dec;15(12):2953-2961. doi: 10.14202/vetworld.2022.2953-2961. Epub 2022 Dec 28.
BACKGROUND AND AIM
Rabies is one of the prioritized zoonoses in Indonesia and West Kalimantan is one of the rabies-endemic provinces in the country. This study aimed to evaluate a locally-initiated One Health approach to implement rabies prevention and control programs in Pontianak City and Sanggau District (through a bottom-up approach), and the central government initiated a program in Ketapang District (through a top-down approach).
MATERIALS AND METHODS
Data were collected using three focused group discussions involving public health and animal health/veterinary sectors from each district or city. This study collected data from the rabies control program in West Kalimantan from 2014 to 2020.
RESULTS
The evaluation results of the rabies prevention and control program in Pontianak City and Sanggau District that used the local initiative approach were considered effective in reducing the number of rabies cases in these areas, and they overcame the challenges, for example, limited resources, in this area. Pontianak City and Sanggau District initiatives' approach was a bottom-up policy. Thus, this program had better sustainability than the One Health approach in the Ketapang District, which used a top-down implementation. The approach in Ketapang District was also considered adequate to reduce the number of rabies cases in the area. However, the reshuffle of animal health officers and health workers in 2020, which was not followed by training on One Health for the new officers, became a challenge in implementing One Health in Ketapang District.
CONCLUSION
National and local initiatives' One Health approach implemented by Ketapang District, Sanggau District, and Pontianak City involved multiple sectors and was considered effective in preventing and controlling rabies in these areas. However, the sustainability of this program in the Ketapang District requires commitment and support from the local government.
背景与目的
狂犬病是印度尼西亚重点关注的人畜共患病之一，西加里曼丹省是该国狂犬病流行省份之一。本研究旨在评估在坤甸市和桑高县（通过自下而上的方式）由地方发起的“同一健康”方法在实施狂犬病预防和控制项目中的效果，以及中央政府在凯塔庞县发起的项目（通过自上而下的方式）的效果。
材料与方法
通过三场焦点小组讨论收集数据，参与讨论的人员来自各个县或市的公共卫生和动物卫生/兽医部门。本研究收集了2014年至2020年西加里曼丹省狂犬病控制项目的数据。
结果
坤甸市和桑高县采用地方发起方式的狂犬病预防和控制项目评估结果显示，该方法在减少这些地区狂犬病病例数量方面有效，并且克服了该地区资源有限等挑战。坤甸市和桑高县的倡议方法是一种自下而上的政策。因此，该项目的可持续性优于凯塔庞县采用自上而下实施方式的“同一健康”方法。凯塔庞县的方法也被认为足以减少该地区的狂犬病病例数量。然而，2020年动物卫生官员和卫生工作者的人员调动，且未对新官员进行“同一健康”培训，这成为凯塔庞县实施“同一健康”的一个挑战。
结论
凯塔庞县、桑高县和坤甸市实施的国家和地方倡议的“同一健康”方法涉及多个部门，在这些地区预防和控制狂犬病方面被认为是有效的。然而，凯塔庞县该项目的可持续性需要地方政府的承诺和支持。
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