It is advisable to refer to the publisher's version if you intend to cite from the work.http://dx.doi.org/10.1037/cep0000101For more information about UCLan's research in this area go to http://www.uclan.ac.uk/researchgroups/ and search for
The ongoing coronavirus disease 2019 (COVID-19) pandemic threatens global health thereby causing unprecedented social, economic, and political disruptions. One way to prevent such a pandemic is through interventions at the human-animal-environment interface by using an integrated One Health (OH) approach. This systematic literature review documented the three coronavirus outbreaks, i.e. SARS, MERS, COVID-19, to evaluate the evolution of the OH approach, including the identification of key OH actions taken for prevention, response, and control. The OH understandings identified were categorized into three distinct patterns: institutional coordination and collaboration, OH in action/implementation, and extended OH (i.e. a clear involvement of the environmental domain). Across all studies, OH was most often framed as OH in action/implementation and least often in its extended meaning. Utilizing OH as institutional coordination and collaboration and the extended OH both increased over time. OH actions were classified into twelve sub-groups and further categorized as classical OH actions (i.e. at the human-animal interface), classical OH actions with outcomes to the environment, and extended OH actions. The majority of studies focused on human-animal interaction, giving less attention to the natural and built environment. Different understandings of the OH approach in practice and several practical limitations might hinder current efforts to achieve the operationalization of OH by combining institutional coordination and collaboration with specific OH actions. The actions identified here are a valuable starting point for evaluating the stage of OH development in different settings. This study showed that by moving beyond the classical OH approach and its actions towards a more extended understanding, OH can unfold its entire capacity thereby improving preparedness and mitigating the impacts of the next outbreak.
Background:There are multiple risk factors during adolescence, which become precursors of various diseases and injuries inflicting high morbidity, mortality, and disability. There are several gaps in adolescent health research in India; one among them is that programs targeting adolescent health are constrained by the absence of rigorous interventional research informing interventions for improving adolescent health. This study aims to document the effectiveness of intervention on adolescent health and knowledge change on the risk factors among adolescents in one of the selected districts in Gujarat, India.Methods:This was an interventional study with quasi-experimental design executed in one of the blocks of Gujarat. Baseline was conducted in 2013–2014 followed by intervention and the end line during 2016–2017. A structured validated questionnaire after pilot testing was executed to collect information on sociodemographic profile, nutrition status, menstrual hygiene practices, reproductive and sexual health, substance abuse, program awareness and utilization, and empowerment through life skills of adolescents in baseline and end line survey. Data analysis was carried out using IBM SPSS Statistics for Windows, Version 20.0. (Armonk, NY: IBM Corp).Results:This study documented increased awareness regarding anemia, knowledge about STD and HIV/AIDS, reduced addiction to tobacco, improved practices during menstrual hygiene and engagement with adolescent services/schemes in the intervention site.Conclusion:This study concludes that evidence-based interventions lead to increase in knowledge and practices; however, some improvements have also been documented in the nonintervention site. Therefore, changes due to interventions could not be attributed completely for improving adolescent health. Further long term interventional studies are required to develop a robust evidence on improving health of adolescents in India.
Water, sanitation and hygiene (WASH) is important to improve and maintain the quality of health care services. Improving and managing WASH services require strong and consistent monitoring mechanisms to measure progress and direct efforts where needs are greatest. Although several tools are available to assess WASH in health care facilities (HCFs), there is always a dilemma among the program managers to select an appropriate tool for the assessment of WASH. Thus, it was aimed to perform a descriptive review of all available WASH assessment tools and assist in reaching a consensus for an optimal tool to assess WASH in HCFs. For this descriptive review, PubMed, ScopeMed and Google Scholar were used to search all available tools for the assessment of WASH. All the tools available online since 1991 till July 2018 were included in the review. Globally, nine different WASH assessment tools were retrieved. The majority of them have their self-limitations on the basis of 11 selected indicators and were examined in all the retrieved tools. There are variability and overlapping components within the specific tools. Very few survey instruments including human resource (HR), supply, budget, patient/staff satisfaction and documentation for appropriateness of WASH were found to be neglected. The majority of instruments were based on the subjective assessment of WASH validating with microbiological surveillance and photo documentation. The descriptive review suggests that various tools are available for the assessment of WASH but none of them seem to be complete with all indicators and to have consensus for the elements. Therefore, there is a need to develop a robust and comprehensive tool for the assessment of WASH in HCFs.
Background and Aim: Out of all global microbial pathogens, 61% are zoonoses. Zoonotic diseases (Z/D/S) are responsible for a large burden on the public health, livestock economies, and wildlife of India. Data on burden and knowledge about Z/D/S among animal handlers are limited for urban and peri-urban areas of India. The present study aimed to estimate the prevalence of self-reported selected Z/D/S and knowledge about those diseases among animal handlers in the urban area of Ahmedabad city, India. Materials and Methods: This cross-sectional study was conducted among 170 animal handlers from three zones of Ahmedabad city, India, from February to May 2017. Data were collected on sociodemographic, different exposure, knowledge, practices about animal handling, and self-reported Z/D/S condition. Results: Majority of study participants were females. Participants had numbers of animals, and it ranged from 1 to 70. However, the majority of them were cattle. Average experience and hours/day spent for handling animal were reported 22±15 years and 5±2 h, respectively. From all participants, about one-third perceived that handling animal could be a cause of disease. Average knowledge on the mode of transmission of Z/D/S was found 4.1%. Most common high risk and preventive practices found consumption of raw milk (72%) and handwashing (83%). The proportion of self-reported Z/D/S in the past 5 years was found to be 23% among respondents and 17% among family members. However, the proportion of existing self-reported Z/D/S or symptomatic Z/D/S was 17% among respondents and 18% among family members. Most common self-reported Z/D/S were vector-borne, animal bite, and respiratory disorders. Conclusion: The knowledge and prevalence of Z/D/S were found low as compared to other studies from India. Further awareness and screening of animal handlers can be useful to increase the reporting and prevention and control of Z/D/S among them.
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