Learning from over ten years of implementing the One Health approach in the Democratic Republic of Congo: A qualitative study.

Autor:	Yambayamba MK; Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.; Department of Epidemiology and Biostatistics, University of Kinshasa School of Public Health, Kinshasa, DR Congo., Kazadi EK; Faculty of Veterinary Medicine, University of Kinshasa, Kinshasa, DR Congo.; Food and Agriculture Organization, Emergency Centre for Transboundary Animal Disease (ECTAD), DR Congo Country Office, Kinshasa, DR Congo., Ayumuna BM; Africa Field Epidemiology Network (AFENET), DR Congo Country Office, DR Congo., Kapepula PM; Faculty of Pharmaceutical Sciences, University of Kinshasa, Kinshasa, DR Congo.; Commission de Coordination Une Santé de la République Démocratique du Congo, Ministère de l'Enseignement Supérieur et Universitaire, Kinshasa, DR Congo., Kalemayi MN; Faculty of Pharmaceutical Sciences, University of Kinshasa, Kinshasa, DR Congo., Kangudie DM; Breakthrough ACTION, Johns Hopkins University Centre for Communication Programs, DR Country office, DR Congo., Masumu J; Institut National des Recherches Biomédicales (INRB), Kinshasa, DR Congo.; Université Pédagogique Nationale (UPN), Kinshasa, DR Congo., Marcel BO; Food and Agriculture Organization, Emergency Centre for Transboundary Animal Disease, Regional Office for Africa (RAF), Accra, Ghana., Nzietchueng ST; Food and Agriculture Organization, Emergency Centre for Transboundary Animal Disease, Eastern and Southern Africa, Nairobi, Kenya.; Faculty of Veterinary Medicine, University of Liege, Belgium., Astbury CC; School of Global Health, York University, Toronto, ON, Canada.; Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada., Penney TL; School of Global Health, York University, Toronto, ON, Canada.; Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada., Ngombe NK; Faculty of Pharmaceutical Sciences, University of Kinshasa, Kinshasa, DR Congo.; Commission de Coordination Une Santé de la République Démocratique du Congo, Ministère de l'Enseignement Supérieur et Universitaire, Kinshasa, DR Congo., Rüegg SR; Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Jazyk:	angličtina
Zdroj:	One health (Amsterdam, Netherlands) [One Health] 2024 Nov 15; Vol. 19, pp. 100934. Date of Electronic Publication: 2024 Nov 15 (Print Publication: 2024).
DOI:	10.1016/j.onehlt.2024.100934
Abstrakt:	Background: The Democratic Republic of Congo (DRC) has faced emerging infectious diseases such as Ebola, Mpox and Yellow fever, and antimicrobial resistance is a growing concern. To address these issues, in 2011 the country embarked on implementing the One Health (OH) approach at the national and provincial levels. This study investigates OH institutionalization and implementation in the DRC, describes the process of OH decentralization, and identifies the opportunities and challenges of sustaining these efforts. Methods: We conducted a qualitative study based on literature, document review and key informant interviews. The literature search targeted PubMed, Google Scholar and the document depository of the national One Health platform (NOHP). Key informant identified at the national level included ministry representatives, OH platform members and donors supporting OH implementation. These interviews were conducted in-person and online, recorded, transcribed, and imported into Dedoose software (version 9.2.006) for coding. Content analysis was performed to identify activities, processes, and achievements during the implementation of OH in DRC. Findings: Results of the literature and document review ( n  = 72) and analysis of stakeholder interviews ( n  = 24) indicate that a national OH platform, initiated in 2011, is hosted at the Ministry of Higher Education and coordinates other sectors. It comprises governmental departments, academic institutions, and civil society organizations working at the human, animal, and environment sectors. The governance structure includes a national coordinator, a permanent secretariat, technical working groups, and subnational entities at provincial and territorial levels. Following the establishment of the national OH platform, a structured process foresees to facilitate OH implementation at the provincial and territorial levels. Achievements up to today include the development of training programs, establishment of OH committees in some provinces, assessments of workforce needs, formulation of a national strategy, development of governance manuals, and support to the Mpox response coordination.Nevertheless, OH implementation in the DRC faces challenges, including leadership tensions at the national level, inadequate domestic funding, limited training and capacity building for professionals, and insufficient infrastructure for data collection and sharing. Strengthening leadership and coordination, advocating for domestic resource mobilization, and strengthening infrastructure for data collection and sharing while ensuring equity across sectors is essential for advancing the OH agenda and ensuring its efficacy. Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Simon R. Ruegg reports financial support was provided by Canadian International Development Research Centre. Tarra Penny and Chloe Clifford Astbury reports financial support was provided by Canadian Institutes of Health Research. Marc K. Yambayamba reports a relationship with Africa One Health University Network (AFROHUN) that includes: employment. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors. Published by Elsevier B.V.)
Databáze:	MEDLINE
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