This document discusses the challenges of implementing One Health/EcoHealth approaches at the project level. It describes the EcoZD project which aims to build capacity around emerging infectious diseases in Southeast Asia. Some of the key implementation challenges discussed include identifying appropriate human resources, determining the proper scope of projects, and overcoming differences between biomedical and social science approaches. The document also outlines some of the solutions utilized by the EcoZD project to address these challenges, such as establishing EcoHealth resource centers and identifying in-country champions.
The challenges of implementation of One Health/EcoHealth at project level
1. The challenges of implementation
of One Health/EcoHealth
at project level
Jeffrey Gilbert, ILRI
c/o CIAT-Asia, Vientiane
Presented at a technical training and planning workshop on
cross-border coordinated response to infectious diseases
Chiang Mai , Thailand, 31 May 2011
2. EcoZD: Overview
‘EcoHealth Approaches to the Better Management of
Zoonotic Emerging Infectious Diseases in the Southeast
Asia Region’
Increase the knowledge, skills and capacity of research and
infectious disease control personnel in Southeast Asia to
understand the risks and impacts of Emerging Infectious
Diseases and how feasible options can best be implemented and
adapted;
‘Learning by Doing’ approach; (for JG also!)
4 years 2008 – 2012; extended by 18months to Aug 2013
6 countries in SEA region;
Cambodia, China (Yunnan), Laos, Viet Nam, Indonesia, Thailand
One of IDRC’s EcoHealth initiatives in SE Asia: APAIR/APEIR,
EcoEID, BECA, FBLI
3. EcoZD: Components
Country Teams:
Cambodia: zoonotic risks for acute dysentery
Yunnan: Brucellosis & Toxoplasmosis
Indonesia: Rabies - Bali
Lao PDR: pig zoonoses
Thai-Viet: hygiene in small-scale poultry
slaughterhouses
Viet Nam: zoonoses priority ranking
EcoHealth Resource Centres:
Chiang Mai University
University of Gadjah Mada
4. What language are we talking?
Lingua franca
Eg Latin America/ EcoSalud
‘Lost in translation’
Biomedical v Social Sciences
Medics & Vets (clinical / lab / epi)
Quantitative v Qualitative (ranking, dual health burden)
Researchers, Decision Makers, Communities
Novel approaches to holistic integrated approaches
One Health
One Medicine
EcoHealth
Inexact / broad interpretation v H5N1
Case studies & publications
5. EcoZD start-up issues
Human Resources
Supply & Demand
Language
Technical – including prop.writing/ meth/ analysis /paper
Market forces operating
Identifying Champions (incl. to implement & to mentor)
Level of counterparts (senior/junior)
Scope of EcoZD
‘Carte blanche’ v prescriptive
Learning by doing
Priority zoonoses +/- EID
EcoHealth approach – new ‘paradigm’
Two-dimensional capacity-building requirement
Greek temple analogy
EHRC concept
6. EcoZD: Some of the Solutions
EHRCs: regional champions of the future – EcoHealth
Centres of Excellence, academic buy-in, networking, regional
capacity building; language; (challenge in technical support)
Cambodia: champions identified, Govt senior level support
China: silo syndrome, local expert to provide technical
assistance, EH training materials in Chinese
Indonesia: multiple champions, finding niche - focus on dog
ecology, complementing other initiatives
Lao PDR: pooling inputs/outputs with ACIAR project
Thai-Viet: reduced to 2 countries, local experts identified to
provide technical assistance, link to EHRC-CMU
Viet Nam: 3 research contracts and individual priorities,
difficulties deciding on priority, change approach/angle
More time to do the research! – 18months no-cost extension
Appreciate medium to LONG term aim; not a fix-all
7. International Livestock Research Institute
Better lives through livestock
Animal agriculture to reduce poverty, hunger and
environmental degradation in developing countries
www.ilri.org
e-mail: J.Gilbert@CGIAR.ORG