Cheptoyek Levi, Kikuvi Gideon, Gachohi John
P.O. Box 62000-00200, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Open Res Eur. 2024 Sep 2;4:103. doi: 10.12688/openreseurope.17583.2. eCollection 2024.
Zoonoses are naturally transmissible between humans and animals. Globally, they account for more than 60% of human infections, 75% of emerging infections, 2.7 million human deaths, and 10% of the total DALYs lost yearly in Africa. In the last three decades, Kenya has had sporadic outbreaks of zoonoses. To increase the speed of reporting and efficiencies in detection and control, a multi-sectoral collaboration in zoonotic disease surveillance (MZDS) between human and animal health workers is essential. In an effort, Zoonotic disease unit (ZDU) in Kenya has been established at national and county levels.
A cross sectional study was carried out to determine the level of utilization of multisectoral collaboration and its associated determinants in zoonotic disease surveillance among animal and human healthcare workers in Nakuru County. Quantitative data was gathered from 102 participants and qualitative data from 5 key informants. To test for significant differences, Chi-square and independent t-test were used.
MZDS utilization level was 16% and the factors associated with MZDS utilization include; knowing what MZDS entails, education level, sector affiliation, trainings, supportive infrastructure, budget allocation and data storage. Lack of financing and poor coordination are hindrances to MZDS.
There is need to finance MZDS activities, strengthen coordination mechanisms, carry out more sensitization and trainings among animal and human healthcare workers.
人畜共患病可在人类和动物之间自然传播。在全球范围内,它们占人类感染病例的60%以上、新发感染病例的75%、导致270万人死亡,以及非洲每年损失的伤残调整生命年总数的10%。在过去三十年中,肯尼亚曾零星爆发过人畜共患病。为了提高报告速度以及检测和控制效率,人类和动物卫生工作者之间开展人畜共患病监测多部门协作(MZDS)至关重要。为此,肯尼亚已在国家和县级设立了人畜共患病防治单位(ZDU)。
开展了一项横断面研究,以确定纳库鲁县动物和人类医护人员在人畜共患病监测中多部门协作的利用水平及其相关决定因素。从102名参与者收集了定量数据,从5名关键信息提供者收集了定性数据。使用卡方检验和独立t检验来检验显著差异。
MZDS的利用水平为16%,与MZDS利用相关的因素包括;了解MZDS的内容、教育水平部门隶属关系、培训、支持性基础设施、预算分配和数据存储。资金不足和协调不力是MZDS的障碍。
需要为MZDS活动提供资金,加强协调机制,在动物和人类医护人员中开展更多宣传和培训。