Richards, Shauna

Shyaka, A.

CGSpace

Better lives through livestockOne Health in action: Perspectives from 10 years in the field Shauna Richards1 and Anselme Shyaka21Postdoctoral fellow, Animal and Human Health program, International Livestock Research Institute2University of Global Health Equity, RwandaVirtual seminar at Acadia University, Wolfville Nova Scotia, Canada, 26 October 20232Overview• Introductions• Background• Why (and why not) One Health works• Examples: Multi-country project, Rwanda governance3ILRI is co-hosted by both the governments of Ethiopia and Kenya, with offices in 8 other countries in Africa (Burkina Faso, Burundi, Mali, Nigeria, Senegal, Tanzania, Uganda and Zimbabwe); 4 countries in Asia (China, India, Nepal and Vietnam).ILRI has approximately 600 permanent staff (with a gender breakdown of 40% female and 60% male).ILRI offices and staff worldwideEXAMPLES of ONE HEALTHfffBetter lives through livestock6COHESA Overall ObjectiveThe project aims to generate an inclusive Research & Innovation ecosystem, facilitating rapid uptake, adaption and adoption of solutions to One Health (OH) issues, with the OH concept embedded across society in Eastern and Southern Africa (ESA), working for healthy humans, animals and environments using a systems approach to learning.7Duration 48 Months –December 2021 – 2025CountriesEA Ethiopia, Kenya, Rwanda, Somalia, Tanzania, UgandaSA Botswana, Namibia, Malawi, Mozambique,Zambia, ZimbabweBold Deep Dive, Standard Italics, rest are focussedConsortiumILRI – International Livestock Research InstituteCIRAD – French Agricultural Research Centre for International DevelopmentISAAA AfriCentre –International Service for the Acquisition of Agri-biotech ApplicationsUniversity of Pretoria assist as partnerCOHESA Consortium and Countries8DonorThis project is supported by the European Commission OACPS Research and Innovation Programme: ACP-EU initiative, co-founded through ILRI and CIRAD9o Increased relevance of OH research and policies in Easternand Southern Africa (ESA)o Enhanced national and subregional cross-sectoralcollaboration between government entities with OHmandates and OH stakeholders across societyo Educational and research institutes equipped to train thenext generation workforce in tackling OH issueso Increased capacity of government and non-governmentalstakeholders to identify and deliver OH solutions to finalbeneficiariesObjectives10Work PackagesWP1 - Understanding OH capacity, knowledge and information sharing- All countriesWP2 - Promoting national and regional OH collaboration and governance- All countriesWP3 - Building the future OH workforce- Deep Dive, limited in Standard and Focussed programmeWP4 - Delivering OH solutionsDeep Dive, little in Standard and Focussed programmeWP5 – Project managementConsortium led by ILRI, CIRAD, ISAAA11Project Design – Led by Consortium & Delivered by Multipliers12BOTSWANA ETHIOPIA KENYA MOZAMBIQUE NAMIBIA RWANDATANZANIAMALAWI UGANDAZAMBIA ZIMBABWE SOUTH AFRICA(partner)Project Design – Led by Consortium & Delivered by MultipliersDr. Yusuf HaradSOMALIA13Baseline: To perform a baseline & endline assessments with key informants on One Health topics on the following:1. One Health national challenges, gaps, and capacities2. Understand current One Health Research and Innovationlandscape to identify strengths and weaknesses3. Identify rapid approaches to identify key One Health issues4. Assess sectoral performance in One Health, capacity, andbottlenecks5. Avail baseline and endline data to evaluate performanceand impact of COHESA projectOnline Observatory & Net-mappingWork Package 1 – One Health Status 14o Promote National and regional OH collaboration and governanceo Training and learning support government entities on OH collaborationo Strengthen the operation of existing or new OH platforms that involve cross government collaborationo Training and learning support to government entities on addressing gaps and weaknesses in existing OH goals, strategies, action plans, and policiesWork Package 2 – One Health Governance 15Work Package 3 – Future OH WorkforceOne Health outreachOne Health capacity building materialBench-marking curriculaBaseline survey on One Health education needs16Capacitate Research Institutes to identify, develop,adapt, and deliver OH solutions for OH focal topicso Develop and submit research proposalo Review OH adaption and delivery mechanismsrelated to focal topicWork Package 4 – One Health Implementation17Summary- One Health needed to face the major challenges of our time- COHESA seeks to capacitate countries to face these challenges- 12 countries in Eastern and Southern Africa - 4 years – 2022-25- Consortium delivers project through in-country multipliers to national and local stakeholdersi.e. Government, Education, Research, Service providers- Build on and collaborate with other One Health initiativesEXAMPLES of ONE HEALTHfffOH Governance RwandaOH Policy frameworkOH structureOH Governance in Diseases ManagementTheme I: One Health Policy FrameworkRwanda• Small, landlocked, highly populated• 26,338 Km2 (~ 10,169 sq. mi)• 571 per Km2 (1,480 people per mi2)• Various zoonotic diseases• Rift Valley fever• Anthrax• Brucellosis• Bovine Tuberculosis• Cysticercosis• Hotspot of emerging Infectious Diseases• Ebola, Marburg, Zika, Chikungunya,etc.Timeline for the creation of Rwanda’s OH Governance frameworkRBC: Rwanda Biomedical Council, RAB: Rwanda Agriculture Board, RDB: Rwanda Development Board2011: OH Steering Committee (RBC, RAB, RDB)12014: OH Strategic Plan (2014 – 2018)22021: OH Strategic Plan (2021 – 2026)32021: OH Policy adopted4Rwanda’s OH Policy & Strategic Plan (2021 – 2026)Objective 1: Create an effective OH platformObjective 2: Put in place a Joint Surveillance SystemObjective 3: Develop OH workforce capacityObjective 4: Promote applied research at interface human-animal-environmentObjective 5: Strengthen national awareness mechanisms on OH issuesObjective 6: Sustainable mobilization of resourcesTheme II: Rwanda’s One Health StructureTheme II: Rwanda’s OH structureTechnical Working Group #1Office of the PMSocial ClusterOH Multisectoral Coordination Mechanism (OH-MCM)OH SecretariatTechnical Working Group #2Technical Working Group #3Technical Working Group #4Social cluster: MoH, Min. of Agric., MoE, Min. Educ., Min. of Emerg. MangmntOH-MCM: DG RBC, RAB, RDB and VC - URIn reality…• MoH and RBC: Coordinates all activities• Broken Linkages with other line Ministries and stakeholders- Rabies: Ministry of Agriculture and Animal Resources/RAB- AMR: Ministry of Agriculture and Animal Resources/RAB- No clear linkage with MoE/REMA- Broken linkages with Development Partners and Academia• Insufficient Involvement of Other line Ministries- Don’t feel empowered- Feel underestimated - RBC feels left alone with all the activitiesTheme III: OH Governance in Diseases ManagementTheme III: OH Governance in Diseases Management• A total of 1339 confirmed cases of RVF between 31March 2022 and 31 December 2022• 1285 (96%) were reported in cattle• 34 (3%) in goats and 20 (1%) in sheep• A total of 516 deaths (38.5%)• Up to 1254 abortions in animals (all speciescombined)• No official counts for human’s casesOH Governance in Diseases Management• Robust One Health response to reduce the disease impact- Enhanced surveillance was in place (humans and animal cases)- PCR testing for animal samples supported by hospitals- Control measures at farm and abattoir level:- All herds were sprayed using a pyrethroid insecticide (Permapy Plus © 5L), by veterinarians, para-veterinarians and community health workers (CHW)- In total 105 080 animals were sprayed up to 13 May 2022 - Intensive vaccination was widely conducted - The use of Zipline drones facilitated delivery respecting the cold chain. - 1.3 million cattle had been vaccinated (87% of the target population), 1.4 million goats (93%) and 0.3 million sheep (75%)OH Governance in Diseases ManagementDistrict Command Post(30 districts)National Command PostData collected :(Suspect cases or confirmed ) Directives (Vaccination, testing methods) SuppliesCommunity (14,837 villages)Local Government OfficialsPublic Health ExpertsVeterinariansEpidemiologistsData managers (Hospitals)Security OrgansConclusion1) Rwanda has adopted OH approach to handle complex challenges2) OH Governance in Rwanda is well defined- Policy documents establishing a working framework- OH structure not yet fully operational- Need to strengthen collaboration between key stakeholders- Need to have OH education that graduate a workforce aware of OH approach3) OH approach has been successfully tested in various zoonotic outbreaks- Need to keep the momentum in period without outbreaks34Questions?All images are ILRI sourced or stock images via MS PowerPoint unless specially referenced otherwise

One Health in action: Perspectives from 10 years in the field

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One Health in action: Perspectives from 10 years in the field

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