CHAPTER V. CONCLUSION & RECOMMENDATION

(1)

CHAPTER V. CONCLUSION & RECOMMENDATION Conclusions

1) The existing strategy to implement OH guideline and approach is by strongly committing to have harmonious relationship that started by mutual cross-sectoral trust (specifically during AI and anthrax outbreak).

2) There are barriers for OH adoption such as unsupporting regulation, formal governance, lack of funding, sectoral ego, and lack of technical capacity from relevant sector that need to be more involvement (environmental health).

3) The enablers are strong commitment from each sector, the pre-existing harmonious relationship, the close relationship with reference national laboratory and university (specifically during AI and anthrax outbreak).

4) The feasible intervention that need to be considered for the district/local government to formalize a working group or committee for zoonotic diseases.

This intervention is expected to provide appropriate and clear-cut responses for detection, prevention before and during the outbreak of infectious diseases. This formal committee or working group will also expected to work on neglected zoonotic diseases that still lingering in Kulon Progo district. Cross-sectoral meeting for joint-program and funding allocation should be taken into the discussion, to provide better planning and execution of the program to tackle public health issues, specifically zoonotic diseases (both NZDs and EIDs).

Recommendations

The study provides insight about the barrier and challenges to adopt OH guideline at the district level, especially regarding zoonotic and emerging infectious diseases in Kulon Progo. Another recommendation is to conduct cross-sectoral OH mentorship program, and if culturally possible using reverse mentorship approach.

Universitas Gadjah Mada, 2020 | Diunduh dari http://etd.repository.ugm.ac.id/

(2)

BIBLIOGRAPHY

Belay, E. D., Kile, J. C., Hall, A. J., Barton-Behravesh, C., Parsons, M. B., Salyer, S., &

Walke, H. (2017). Zoonotic disease programs for enhancing global health security.

Emerging Infectious Diseases, 23(December), S65–S70.

https://doi.org/10.3201/eid2313.170544

Binot, A., Duboz, R., Promburom, P., Phimpraphai, W., Cappelle, J., Lajaunie, C., … Roger, F. L. (2015). A framework to promote collective action within the One Health community of practice: Using participatory modelling to enable interdisciplinary, cross-sectoral and multi-level integration. One Health, 1, 44–48.

https://doi.org/10.1016/j.onehlt.2015.09.001

Cheung, K.K., Mirzaei, M., Leeder, S. (2010). Health policy analysis: a tool to evaluate in policy documents the alignment between policy statements and intended outcomes.

Australian Health Review. 34: 405-413.

Chin, W., et al., (1965). A Naturally acquited quotidian-type malaria in man transferable to monkeys. Science. 149: p. 865.

Coker, R., Hunter, B.M., Rudge, J.W., Liverani, M., Hanvoravongchai, H. (2011).

Emerging infectious diseases in southeast Asia: regional challenges to control. Lancet.

377: 599–609. DOI:10.1016/S0140-6736(10)62004-1

Coker, R., Rushton, J., Mounier-Jack, S., et al. (2011). Towards a conceptual framework to support one-health research for policy on emerging zoonoses. Lancet Infect Dis.11:

326–31.DOI:10.1016/S1473-3099(10)70312-1

Degeling, C., Johnson, J., Kerridge, I., Wilson, A., Ward, M., Stewart, C., & Gilbert, G.

(2015). Implementing a One Health approach to emerging infectious disease:

Reflections on the socio-political, ethical and legal dimensions. BMC Public Health, 15(1), 1–11. https://doi.org/10.1186/s12889-015-2617-1

Dixon, M.A., Dar, O.A., Heyman, D.L. (2014). Emerging infectious diseases:

opportunitities at the human-animal-environment interface. Veterinary Record. 174:

546-551.

Essack, S. Y. (2018). Environment: the neglected component of the One Health triad. The Lancet Planetary Health, 2(6), e238–e239. https://doi.org/10.1016/S2542- 5196(18)30124-4

Faburay, B. (2015). The case for a ‘one health’ approach to combating vector-borne diseases. Infection Ecology and Epidemiology. 5: 28132- http://dx.doi.org/10.3402/iee.v5.28132

Falzon, L.C. et al. (2018). Quantitative Outcomes of a One Health approach to study global health challenges. EcoHealth 15, 209–227. https://doi.org/10.1007/s10393-017-1310- 5

Gale et al., (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology 2013 13:117.

Gebreyes, W.A., Dupouy-Camet, J., Newport, M.J, Oliveira, C.J.B., Schlesinger, L.S, et al. (2014). The global one health paradigm: challenges and opportunities for tackling infectious diseases at the human, animal, and environment interface in low-resource settings. PLoS Neglected Tropical Diseases 8(11): e3257. doi:10.1371/journal.

Gopichandran, V., et al., (2016). Developing the ethics of implementation research in health. Implementation Science.11:161 DOI 10.1186/s13012-016-0527-y

NOVRA ARYA SANDI, dr. Elsa Herdiana Murhandarwati, M.Kes., Ph.D; dr. Ari Natalia Probandari, MPH., Ph.D

(3)

Kagaya, W., Gitaka, J., Chan, C.W. et al. (2019). Malaria resurgence after significant reduction by mass drug administration on Ngodhe Island, Kenya. Sci Rep 9, 19060 doi:10.1038/s41598-019-55437-8

Karesh, W. B., Dobson, A., Lloyd-Smith, J. O., Lubroth, J., Dixon, M. A., Bennett, M., … Heymann, D. L. (2012). Ecology of zoonoses: Natural and unnatural histories. The Lancet, 380 (9857), 1936–1945. https://doi.org/10.1016/S0140-6736(12)61678-X Kelly, T. R., Karesh, W. B., Johnson, C. K., Gilardi, K. V. K., Anthony, S. J., Goldstein,

T., … Zimmerman, D. (2017). One Health proof of concept: Bringing a transdisciplinary approach to surveillance for zoonotic viruses at the human-wild animal interface. Preventive Veterinary Medicine, 137, 112–118.

https://doi.org/10.1016/j.prevetmed.2016.11.023

Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan (KEMENKO PMK). (2018). Pedoman Koordinasi Lintas Sektor Menghadapi Kejadian Luar Biasa (KLB)/Wabah Zoonosis dan Penyakit Infeksi Emerging (PIE).

Khan, M.S., Rothman-Ostrow, P., Spencer, J., Hasan, N., et al. (2018). The growth and strategic functioning of One Health networks: a systematic analysis. Lancet Planet Health. 2: e264–73.

Leung, Z., Middleton, D., & Morrison, K. (2012). One Health and EcoHealth in Ontario:

A qualitative study exploring how holistic and integrative approaches are shaping public health practice in Ontario. BMC Public Health, 12(1), 1.

https://doi.org/10.1186/1471-2458-12-358

Moullin, J.C., Sabater-Hernandez, D., Fernandez-Llimos, F., Benrimoj, S.I. (2015). A systematic review of implementation frameworks of innovations in healthcare and resulting generic implemention framework. Health Research Policy and Systems. 13- 16 DOI 10.1186/s12961-015-0005-z

Nyatanyi, T., Wilkes, M., McDermott, H, et al. (2017). Implementing One Health as an integrated approach to health in Rwanda. BMJ Global Health. 2: e000121.

doi:10.1136/bmjgh-2016-000121

OHSEA. (2018). One Health Network South East Asia.

http://www.onehealthsea.org/ohsea/our-network (accessed June 26, 2019).

Okello, A.L., Bardosh, K., Smith, J., Welburn, S.C. (2014). One Health: past successes and future challenges in three African contexts. PLoS Neglected Tropical Diseases 8(5):

e2884. doi:10.1371/journal.pntd.0002884

Patz, J. A., Campbell-Lendrum, D., Holloway, T., & Foley, J. A. (2005). Impact of regional climate change on human health. Nature, 438(7066), 310–

317.doi:10.1038/nature04188

Patz, J.A., Hahn, M.B. (2013). Climate change and human health: a one health approach.

Current Topics in Microbiology and Immunology. 366: 141–17 1 141 DOI:

10.1007/82_2012_27

Pieracci, E.G., Hall, A.J., Gharpure, R., Haile, A., Walelign, E., Deressa, A., et al. (2016).

Prioritizing zoonotic diseases in Ethiopia using a One Health approach. One Health:

2 : 13 ;1-5.

Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A. (2011).

Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 38:65–76.

Rahayujati, T.B. (2018). Upaya pencegahan dan pengendalian penyakit tular vector dan

(4)

zoonotik di Kabupaten Kulon Progo. Dinas Kesehatan Kulon Progo.

Shearer, F.M., Huang, Z., Weiss, D.J, Wiebe, A., Gibson, H.S, Battle, K.E, et al. 2016.

Estimating geographical variation in the risk of zoonotic Plasmodium knowlesi infection in countries eliminating malaria. PLoS Neglected Tropical Diseases.10(8):e0004915. doi:10.1371/journal.pntd.0004915

Singh, B., et al., (2004). A large focus of naturally acquired Plasmodium knowlesi infections in human beings. Lancet. 363(9414): p. 1017-1024

Sommanustweechai, A., Iamsirithaworn, S., Patcharanarumol, W., Kalpravidh, W., &

Tangcharoensathien, V. (2017). Adoption of One Health in Thailand’s National strategic plan for emerging infectious diseases. Journal of Public Health Policy, 38 (1), 121–136. https://doi.org/10.1057/s41271-016-0053-9

Sudarsono, I., Poermadjaja, B., Apriliana, U.I., Handoko, A., Yuriati. (2018). Investigasi Outbreak Anthrax di Kabupaten Kulon Progo Tahun 2017. Proc. of the 20th FAVA Congress & The 15^th KIVNAS PDHI. Bali, Indonesia. p439-442.

The FAO-OIE-WHO Collaboration. (2010). Sharing responsibilities and coordinating global activities to address health risks at the animal-human-ecosystems interfaces. A

tripartite concept note. Available at:

https://www.who.int/foodsafety/zoonoses/final_concept_note_Hanoi.pdf. Accessed 22 March 2019.

The FAO-OIE-WHO Collaboration. (2019). Taking a Multisectoral, One Health Approach: a tripartite guide to addression zoonotic diseases in countries.

http://www.oie.int/fileadmin/Home/eng/Media_Center/docs/EN_TripartiteZoonoses Guide_webversion.pdf. Accessed 22 March 2019.

Utarini, A., Winkvist, A., Ulfa, F.M. (2003). Rapid assessment procedures of malaria in low endemic countries: community perceptions in Jepara district, Indonesia. Social Science & Medicine. 56: 701–712.

Valido, E.M., Laksanawati, I.S., Utarini, A. (2018). Acceptability of the dengue vaccination among parents in urban poor communities of Quezon City, Philippines before and after vaccine suspension. BMC Res Notes. 11:661 https://doi.org/10.1186/s13104-018-3766-y

Valeix, S.F. (2018). One Health Integration: a proposed framework for a study on veterinarians and zoonotic disease management in ghana. Frontier Veterinary Science 5:85. doi: 10.3389/fvets.2018.00085

Webster, J.P., Gower, C.M., Knowles, S.C.L., Molyneux, D.H., & Fenton, A., (2016). One health - an ecological and evolutionary framework for tackling Neglected Zoonotic Diseases. Evol. Appl. 9: 313–333. doi:10.1111/eva.12341

WHO-WPRO. (2011). Informal consultation on the public health importance of Plasmodium knowlesi. WHO-WPRO Meeting Report. p 1-36.

WHO. (2014). Implementation Research Toolkit.

http://www.who.int/tdr/publications/topics/irtoolkit/en/

WHO-WPRO. (2017). Expert consultation on Plasmodium knowlesi malaria to guide malaria elimination strategies. WHO-WPRO Meeting Report. p 1-33.

WHO. (2018). Joint External Evaluation of IHR Core Capacities of the Republic of Indonesia. Mission Report. p 3-6

Widiasih, D.W., Artama, W.T., Sumiarto, B., Husodo, A.H., Kutanegara, P.M. (2013).

Implementation of an EcoHealth Approach for a Better Management of Leptospirosis

NOVRA ARYA SANDI, dr. Elsa Herdiana Murhandarwati, M.Kes., Ph.D; dr. Ari Natalia Probandari, MPH., Ph.D

(5)

in Kulon Progo District, Yogyakarta Special Province, Indonesia. Proceeding of 10^th Year Anniversary of Veterinary Public Health Centre for Asia Pacific. Chiang Mai, Thailand. p177-181.

Woods, A., and Bresalier, M. (2014). One health, many histories. Veterinary Record.

174:650–654.

World Bank. (2012). People, Pathogens and Our Planet. Volume 2, The Economics of One Health. World Bank Report (#69145-GLB). Washington (D.C.): World Bank. p12-26.

World Bank and EcoHealth Alliance. (2018). One Health: Operational Framework for Strengthening Human, Animal and Environmental Public Health Systems at Their Interface. Washington (D.C.): World Bank. p11-12; 94.

Yasobant, S., Bruchhausen, W., Saxena, D., & Falkenberg, T., 2019. One health collaboration for a resilient health system in India: Learnings from global initiatives.

One Heal. 8. doi:10.1016/j.onehlt.2019.100096

Zinsstag, J., Crump, L., Schelling, E., Hattendorf, J., Maidane, Y.O., Ali, K.O., Muhummed, A……..Cisse, G. (2018). Climate change and One Health. FEMS Microbiology Letters. 365, 2018, fny085. doi: 10.1093/femsle/fny085