坦桑尼亚独立六十年有效提供保健服务的"同一保健办法"

None Mikidadi M. Muhanga, None Edwin E. Ngowi
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引用次数: 0

摘要

2021年是坦桑尼亚独立60周年。坦桑尼亚经历了不同的发展阶段,并尝试了无数干预措施,包括一系列消除贫穷、饥饿和传染病的"发展替代方案"。这些旨在提供有效卫生服务的努力分别对待人类、动物和环境卫生。由于人类、牲畜、野生动物和环境相互作用的增加,这些努力没有产生预期的健康结果。这促使政府寻找替代方案。认识到这一点,政府提出了"一个健康方针",承认健康是一体的,在人、动物和环境健康之间没有分界线。因此,本文分析了(i)独立后六十年推进有效卫生服务提供的辩论;㈡在人类、动物和环境卫生方面开展跨学科合作的新办法,被认为有可能有效提供卫生服务;(三)行政管理局在尽量减少人类、牲畜和野生动物相互作用对健康的不良影响方面的相关性。采用文献分析法(文献研究法)收集研究资料。ohha还处于起步阶段,尽管这一举措标志着在处理人类、动物和环境汇合所反映的与卫生有关的挑战方面的一个重要里程碑。这一里程碑意义重大,因为它有助于建立公共卫生方面的基本能力,特别是根据《国际卫生条例》的防范和应对能力。OHA强调需要人类、牲畜、野生动物和环境卫生专业人员共同努力,以实现最佳的人类、动物和环境卫生。有必要提高OHA的水平,并进一步了解相互作用对人类、动物和环境最佳健康的影响。因此,它传达了这样一种观点,即有必要扩大和加强OHA,以及理解人类、动物和环境的福祉相互作用的含义的重要性。
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“One Health Approach” Towards Effective Health Services Delivery in Sixty Years of Independent Tanzania
The year 2021 marked sixty years of Tanzania’s independence. Tanzania passed through different phases of development and attempted innumerable interventions, including a series of "development alternatives" to fight poverty, hunger, and infectious diseases. These efforts towards effective health services provision treated humans, animals, and environmental health separately. Due to the increase in human, livestock, wildlife, and environment interactions, the efforts did not result in the anticipated health outcomes. This prompted the government to search for an alternative approach. Cognizant of this, the government introduced the "One Health Approach (OHA)", which recognizes health as one, without a dividing line between humans, animals, and environmental health. This paper, therefore, analyzes (i) the debates for advancing effective health services delivery sixty years after independence; (ii) an emerging approach for interdisciplinary collaboration for human, animal, and environmental health, which is considered to have the potential for effective delivery of health services; and, (iii) the relevance of the OHA towards minimizing the undesirable impacts of human, livestock, and wildlife interactions on health. A documentary analysis (documentary research method) was employed to gather the information for the study. OHA is at its infancy stage, though this initiative signifies an essential landmark towards dealing with health-related challenges reflected at the convergence of humans, animals, and the environment. The milestone is outstanding as it leads to building fundamental capacities concerning public health, particularly regarding preparedness and response as per International Health Regulations. The OHA underscores the need for collaborative working efforts involving human, livestock, wildlife, and environmental health professionals for optimal human, animal, and environmental health attainment. There is a need to upscale the OHA and further understand the consequences of the interactions for optimum human, animal, and environmental health. Therefore, it conveys the idea that it is necessary to expand and enhance the OHA and the importance of comprehending the implications of the interactions for the well-being of humans, animals, and the environment.
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