干旱区生态环境知识资源中心(Arid): A One Health framework for integrated service delivery in Turkana County, Kenya

Arid

DOI	10.1186/s13570-020-00161-6
	A One Health framework for integrated service delivery in Turkana County, Kenya
	Griffith, Evan F.; Kipkemoi, Job Ronoh; Robbins, Alison H.; Abuom, Tequiero O.; Mariner, Jeffrey C.; Kimani, Tabitha; Amuguni, Hellen
通讯作者	Griffith, EF
来源期刊	PASTORALISM-RESEARCH POLICY AND PRACTICE
ISSN	2041-7136
出版年	2020
卷号	10 期号:1
英文摘要	Pastoralists in sub-Saharan Africa have limited access to public services due to their mobile lifestyle, economic and political marginalization, and the limited health infrastructure that is common to arid and semi-arid lands (ASALs) where they primarily reside. This often results in poor health outcomes, including increased rates of maternal, neonatal, and under-5 mortality. One Health approaches that integrate human and animal health service delivery can help to improve pastoralists' health through increased vaccine coverage and improved access to services. Kenya has institutionalized One Health at the national level; however, progress at the subnational level has been limited due to sustainability concerns, competing priorities, and insufficient coordination platforms. To address this gap, this paper presents a One Health framework (OHF) to aid in the implementation of integrated human and animal health policies in Turkana County, which can act as a model for other ASALs. Utilizing a grounded theory design, we conducted semi-structured interviews and focus group discussions with human health, animal health, and pastoralist stakeholders. Inadequate engagement with the public sector was identified as a major limitation by community members. Factors that contributed to this include distance to health facilities and restricted department capacities such as availability of vehicles, personnel, and cold chain maintenance. Our proposed OHF harnesses the existing structure of service delivery in Turkana and establishes an official coordination mechanism to implement One Health activities, through the form of mobile "One Health Huduma Centres", offering a range of public services. This innovative framework is supported by stakeholders in Turkana and can improve service delivery constraints thereby improving the health of Turkana pastoralists.
英文关键词	One Health One Health framework One Health Huduma Centre Turkana County Integrated service delivery Grounded theory
类型	Article
语种	英语
开放获取类型	DOAJ Gold
收录类别	ESCI
WOS记录号	WOS:000529946100001
WOS关键词	ANIMAL VACCINATION DELIVERY ; NOMADIC PASTORALISTS
WOS类目	Environmental Sciences ; Environmental Studies
WOS研究方向	Environmental Sciences & Ecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/334327
作者单位	[Griffith, Evan F.; Robbins, Alison H.; Mariner, Jeffrey C.; Amuguni, Hellen] Tufts Univ, Cummings Sch Vet Med, North Grafton, MA 01536 USA; [Kipkemoi, Job Ronoh] Turkana Cty Govt Directorate Vet Serv, Lodwar, Kenya; [Abuom, Tequiero O.] Univ Nairobi, Dept Clin Studies, Fac Vet Med, Nairobi, Kenya; [Kimani, Tabitha] Food & Agr Org United Nations, Nairobi, Kenya
推荐引用方式 GB/T 7714	Griffith, Evan F.,Kipkemoi, Job Ronoh,Robbins, Alison H.,et al. A One Health framework for integrated service delivery in Turkana County, Kenya[J],2020,10(1).
APA	Griffith, Evan F..,Kipkemoi, Job Ronoh.,Robbins, Alison H..,Abuom, Tequiero O..,Mariner, Jeffrey C..,...&Amuguni, Hellen.(2020).A One Health framework for integrated service delivery in Turkana County, Kenya.PASTORALISM-RESEARCH POLICY AND PRACTICE,10(1).
MLA	Griffith, Evan F.,et al."A One Health framework for integrated service delivery in Turkana County, Kenya".PASTORALISM-RESEARCH POLICY AND PRACTICE 10.1(2020).