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Social mobilization and One Health:
collaboration between local, national,
      and international partners
     Presented at the 1st International One Health Congress, Melbourne, 14-16th February 2011
                       st                                                    th




Asiya Odugleh-Kolev, Project Lead, Social Mobilization/COMBI, Global Alert and
                     Response Department, WHO Geneva
    Anthony Burnett, Advocacy and Communication Coordinator, FAO Rome
 Ben Hickler, Assistant Professor, Department of Environmental and Population
                             Health, Tufts University




FAO Risk Communication Seminar, 14 April 2011
Direct economic impact, selected infectious
        disease outbreaks, 1990-2003




FAO Risk Communication Seminar, 14 April 2011
FAO/F. Jufri




FAO Risk Communication Seminar, 14 April 2011
FAO/S. Dokubo




FAO Risk Communication Seminar, 14 April 2011
FAO/R. Zakaria




FAO Risk Communication Seminar, 14 April 2011
FAO/E. Abd al Latif




FAO Risk Communication Seminar, 14 April 2011
Epidemic risk is
                                                increasing and
                                                driven by
                                                complex factors


                                                Human behaviour
                                                is a common
                                                denominator and
                                                our challenge has
                                                been how to
                                                understand and
                                                influence it

FAO Risk Communication Seminar, 14 April 2011
Rift valley fever outbreak alert and response
                       Animal outbreak
                       Human outbreak
                                                  Early
                         Forecasting             Detection
                          Readiness                                     Rapid
                  90                                                                        Control
                                          Vector
                                                                       Response
                  80                                                                       Opportunity
                                         Control ?
                  70
Number of Cases




                  60                 Mass Animal
                  50                 Vaccination
                                                       Amplification
                  40
                  30
                  20
                  10
                   0

                                                                       10

                                                                            15

                                                                                 20
                                                                                      25

                                                                                           30

                                                                                                35
                                                                                                     40
                    0

                    5
                    0

                    5

                    0
                    5

                    0



                                                             0

                                                                 5
                                                      -5
                  -4

                  -3
                  -3

                  -2

                  -2
                  -1

                  -1




                                                        TIME

            FAO Risk Communication Seminar, 14 April 2011
General strategy for controlling outbreaks
                  Traditional        Medical                 Barrier      Triage       Clinical
    COMBI *                                                  nursing
                    healers        Anthropology                          IN / OUT       trials

     Posters   Behavioural                        Psycho
    Radio - TV
                Social Mobilization
                  and                              Social   Case Management              Burial
                                                                                         Team
        SocialHealth Education
                 Interventions
                                                  support        Funerals
   Discussion                                                Infection control         Water and
   Community                                                                          Sanitation



       Media                                                                 Environment
    Information                               Coordination                  Vector control

    Lodging                                                                            Follow-up
                                                                                       Of contacts
     Food
                    Logistics                                Epidemiological
                     Security                                 investigation           Active search
     roads                                                                              for cases
     police       Communications                              Surveillance
                                                               Laboratory
                                                                                       Analysis
   Mobile teams        Finances                              Database    Search for    Samples
                                     Transports
     Epi + Soc          salaries                              analysis   the source    Results
                                      Vehicles



FAO Risk Communication Seminar, 14 April 2011
The pressure to develop messages, materials
and global templates are enormous…




FAO Risk Communication Seminar, 14 April 2011
"Shifting from "communication
                                       simple" to "communication
                                      complex" is part of the same
                                        shift that moves us from
                                     Newtonian physics to Quantum
                                      Mechanics and the Theory of
                                                 Relativity"


                                    Professor John Parrish-Sprowl, Co-Director
                                         Global Health Communications Center
                                           Indiana University Purdue University




FAO Risk Communication Seminar, 14 April 2011
To develop effective and
                                          appropriate control measures we
                                          need to "listen to the consumer"
                                          to understand what control
                                          measures are feasible, realistic,
                                          appropriate and technically-
                          WHO/D. Pollet   sound

                                          To help people take up
                                          control measures we need
                                          to offer a solution to an
                                          existing need, want or desire



FAO Risk Communication Seminar, 14 April 2011
Focusing on behavioural and social interventions…




                                                WHO/P. Formenty   WHO/P. Formenty




   …helps us see the links between existing response
         strategies and expands our range of options

FAO Risk Communication Seminar, 14 April 2011
Enhance capacities and skills in strategic places

                                                        Sub-national and national outbreak
                                                        Sub-national and national outbreak
                                                         investigation and rapid response
                                                          investigation and rapid response
                                                                      teams
                                                                       teams
                                                        Country staff: Health Promotion and
                                                        Country staff: Health Promotion and
                                                        Communication (MoH, MoAg, FAO,
                                                         Communication (MoH, MoAg, FAO,
                                                                 UNICEF, WHO)
                                                                 UNICEF, WHO)
                                                          Training Programmes EPIET,
                                                           Training Programmes EPIET,
                                                          Veterinary Services, GOARN,
                                                          Veterinary Services, GOARN,
                                                            Response Partners (IFRC)
                                                            Response Partners (IFRC)
iStockphoto




        FAO Risk Communication Seminar, 14 April 2011
We essentially have
                                                        to turn public health
                                                             on its head


iStockphoto




        FAO Risk Communication Seminar, 14 April 2011
Strong local level
                                      ownership and response
                                      supported by national and
                                      international partners




FAO Risk Communication Seminar, 14 April 2011
In Summary….

  Disease outbreaks can have huge economic costs and
  equally devastating social costs. Understanding behaviour
  and society is critical

  We must shift how we understand and apply
  "communications" and embed a "communication
  perspective" into behavioural and social interventions as a
  key pillar in outbreak response strategies

  We need to build capacity at critical points to support a
  more informed, participatory, coordinated and appropriate
  response



FAO Risk Communication Seminar, 14 April 2011
Wash your
               hands
               Keep away
              from dead
              animals and
              birds                             We must look beyond technical
             Report sick                        accuracy to behavioural efficacy,
             animals and                        otherwise we may end up with
             humans                             what a colleague at WHO called,
            Cook food                           “a shopping list of control
            thoroughly                          measures but no understanding
            before eatin
                         g                      of how to implement them.”




FAO Risk Communication Seminar, 14 April 2011

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WHO - Social mobilization and One Health: collaboration between local, national, and international partners

  • 1. Social mobilization and One Health: collaboration between local, national, and international partners Presented at the 1st International One Health Congress, Melbourne, 14-16th February 2011 st th Asiya Odugleh-Kolev, Project Lead, Social Mobilization/COMBI, Global Alert and Response Department, WHO Geneva Anthony Burnett, Advocacy and Communication Coordinator, FAO Rome Ben Hickler, Assistant Professor, Department of Environmental and Population Health, Tufts University FAO Risk Communication Seminar, 14 April 2011
  • 2. Direct economic impact, selected infectious disease outbreaks, 1990-2003 FAO Risk Communication Seminar, 14 April 2011
  • 3. FAO/F. Jufri FAO Risk Communication Seminar, 14 April 2011
  • 4. FAO/S. Dokubo FAO Risk Communication Seminar, 14 April 2011
  • 5. FAO/R. Zakaria FAO Risk Communication Seminar, 14 April 2011
  • 6. FAO/E. Abd al Latif FAO Risk Communication Seminar, 14 April 2011
  • 7. Epidemic risk is increasing and driven by complex factors Human behaviour is a common denominator and our challenge has been how to understand and influence it FAO Risk Communication Seminar, 14 April 2011
  • 8. Rift valley fever outbreak alert and response Animal outbreak Human outbreak Early Forecasting Detection Readiness Rapid 90 Control Vector Response 80 Opportunity Control ? 70 Number of Cases 60 Mass Animal 50 Vaccination Amplification 40 30 20 10 0 10 15 20 25 30 35 40 0 5 0 5 0 5 0 0 5 -5 -4 -3 -3 -2 -2 -1 -1 TIME FAO Risk Communication Seminar, 14 April 2011
  • 9. General strategy for controlling outbreaks Traditional Medical Barrier Triage Clinical COMBI * nursing healers Anthropology IN / OUT trials Posters Behavioural Psycho Radio - TV Social Mobilization and Social Case Management Burial Team SocialHealth Education Interventions support Funerals Discussion Infection control Water and Community Sanitation Media Environment Information Coordination Vector control Lodging Follow-up Of contacts Food Logistics Epidemiological Security investigation Active search roads for cases police Communications Surveillance Laboratory Analysis Mobile teams Finances Database Search for Samples Transports Epi + Soc salaries analysis the source Results Vehicles FAO Risk Communication Seminar, 14 April 2011
  • 10. The pressure to develop messages, materials and global templates are enormous… FAO Risk Communication Seminar, 14 April 2011
  • 11. "Shifting from "communication simple" to "communication complex" is part of the same shift that moves us from Newtonian physics to Quantum Mechanics and the Theory of Relativity" Professor John Parrish-Sprowl, Co-Director Global Health Communications Center Indiana University Purdue University FAO Risk Communication Seminar, 14 April 2011
  • 12. To develop effective and appropriate control measures we need to "listen to the consumer" to understand what control measures are feasible, realistic, appropriate and technically- WHO/D. Pollet sound To help people take up control measures we need to offer a solution to an existing need, want or desire FAO Risk Communication Seminar, 14 April 2011
  • 13. Focusing on behavioural and social interventions… WHO/P. Formenty WHO/P. Formenty …helps us see the links between existing response strategies and expands our range of options FAO Risk Communication Seminar, 14 April 2011
  • 14. Enhance capacities and skills in strategic places Sub-national and national outbreak Sub-national and national outbreak investigation and rapid response investigation and rapid response teams teams Country staff: Health Promotion and Country staff: Health Promotion and Communication (MoH, MoAg, FAO, Communication (MoH, MoAg, FAO, UNICEF, WHO) UNICEF, WHO) Training Programmes EPIET, Training Programmes EPIET, Veterinary Services, GOARN, Veterinary Services, GOARN, Response Partners (IFRC) Response Partners (IFRC) iStockphoto FAO Risk Communication Seminar, 14 April 2011
  • 15. We essentially have to turn public health on its head iStockphoto FAO Risk Communication Seminar, 14 April 2011
  • 16. Strong local level ownership and response supported by national and international partners FAO Risk Communication Seminar, 14 April 2011
  • 17. In Summary…. Disease outbreaks can have huge economic costs and equally devastating social costs. Understanding behaviour and society is critical We must shift how we understand and apply "communications" and embed a "communication perspective" into behavioural and social interventions as a key pillar in outbreak response strategies We need to build capacity at critical points to support a more informed, participatory, coordinated and appropriate response FAO Risk Communication Seminar, 14 April 2011
  • 18. Wash your hands Keep away from dead animals and birds We must look beyond technical Report sick accuracy to behavioural efficacy, animals and otherwise we may end up with humans what a colleague at WHO called, Cook food “a shopping list of control thoroughly measures but no understanding before eatin g of how to implement them.” FAO Risk Communication Seminar, 14 April 2011