A socio-economic approach to One Health policy research in southern Africa

One-health approaches have started being applied to health systems in some countries in controlling infectious diseases in order to reduce the burden of disease in humans, livestock and wild animals collaboratively. However, one wonders whether the problem of lingering and emerging zoonoses is more affected by health policies, low application of one-health approaches, or other factors. As part of efforts to answer this question, the Southern African Centre for Infectious Disease Surveillance (SACIDS) smart partnership of human health, animal health and socio-economic experts published, in April 2011, a conceptual framework to support One Health research for policy on emerging zoonoses. The main objective of this paper was to identify which factors really affect the burden of disease and how the burden could affect socio-economic well-being. Amongst other issues, the review of literature shows that the occurrence of infectious diseases in humans and animals is driven by many factors, the most important ones being the causative agents (viruses, bacteria, parasites, etc.) and the mediator conditions (social, cultural, economic or climatic) which facilitate the infection to occur and hold. Literature also shows that in many countries there is little collaboration between medical and veterinary services despite the shared underlying science and the increasing infectious disease threat. In view of these findings, a research to inform health policy must walk on two legs: a natural sciences leg and a social sciences one

'One Health' infectious diseases surveillance in Tanzania: Are we all on board the same flight?

Infectious diseases account for nearly 40% of the burden of human mortality and morbidity in low-income countries, of which 7% is attributable to zoonoses and 13% to recently emerging diseases from animals. One of the strategic approaches for effective surveillance, monitoring and control of infectious diseases compromising health in both humans and animals could be through a combination of multiple disciplines. The approach can be achieved through a joint effort from stakeholders comprising health professionals (medical and veterinary), social, economic, agricultural, environmental and other interested parties. With resource scarcity in terms of number of staff, skills and facility in low-income countries, participatory multi- sectoral and multidisciplinary approaches in limiting the burden of zoonotic diseases could be worthwhile. We review challenging issues that may limit the ‘One Health’ approach for infectious diseases surveillance in Tanzania with a focus on Health Policy and how best the human and animal health systems could be complemented or linked to suit the community in need for disease control under the theme’s context

Albinism: awareness, attitudes and level of albinos’ predicament in Sukumaland, Tanzania

Asian Journal of Applied Science and Engineering, 2014; 3 (4): 382-395In Tanzania, persons with albinism (PWA), continue to be less valued, rejected, attacked and killed for ritual purposes. This study examined the situation of PWA and their households resulting from killings and attacks on them. Specifically, the study assessed the level of awareness, attitudes towards albinism and PWA and level of predicament felt by members of households with PWA. An albinism understanding test and attitudinal scales (Likert and Semantic differential scales) were used to determine attitudes towards albinism and level of dilemma felt. A linear regression model was used to determine the impacts of various variables on the level of predicament. Knowledge on albinism was found to be moderate. Levels of awareness were significantly associated with respondents’ age (p = 0.004), sex (p = 0.017), education level (p < 0.0001), religion (p < 0.001) and ethnic group (p = 0.025). Four-fifths of the respondents (80%) had negative attitudes towards albinism and PWA. Unfavourable attitude was highly associated with education level and occupation (p < 0.001). Level of PWA predicament was higher among household members being significantly impacted positively by level of albinism awareness (β = 0.500), but negatively impacted by attitude towards albinism (β = -313) and age (β = -0.191). Age, education, sex and belief determined level of knowledge on albinism. Education level determined attitudes of respondents. Albinism awareness determined the level of predicament felt. The fight against negative beliefs and attitudes towards albinism requires properly designed albinism awareness creation programme

Albinism: awareness, attitudes and level of albinos’ predicament in Sukumaland, Tanzania

Asian Journal of Applied Science and Engineering, 2014; 3 (4): 382-395In Tanzania, persons with albinism (PWA), continue to be less valued, rejected, attacked and killed for ritual purposes. This study examined the situation of PWA and their households resulting from killings and attacks on them. Specifically, the study assessed the level of awareness, attitudes towards albinism and PWA and level of predicament felt by members of households with PWA. An albinism understanding test and attitudinal scales (Likert and Semantic differential scales) were used to determine attitudes towards albinism and level of dilemma felt. A linear regression model was used to determine the impacts of various variables on the level of predicament. Knowledge on albinism was found to be moderate. Levels of awareness were significantly associated with respondents’ age (p = 0.004), sex (p = 0.017), education level (p < 0.0001), religion (p < 0.001) and ethnic group (p = 0.025). Four-fifths of the respondents (80%) had negative attitudes towards albinism and PWA. Unfavourable attitude was highly associated with education level and occupation (p < 0.001). Level of PWA predicament was higher among household members being significantly impacted positively by level of albinism awareness (β = 0.500), but negatively impacted by attitude towards albinism (β = -313) and age (β = -0.191). Age, education, sex and belief determined level of knowledge on albinism. Education level determined attitudes of respondents. Albinism awareness determined the level of predicament felt. The fight against negative beliefs and attitudes towards albinism requires properly designed albinism awareness creation programme