Using research to shape policy and practice. Dr Athman Mwatondo

Transcription

1 Using research to shape policy and practice Dr Athman Mwatondo

2 Background Human population 45 million (projected) Livestock populations (2009 census) Cattle 18 million Sheep 18 million Goats 28 million Camels 3 million Wildlife Rich in diversity and numbers

3 Objectives: Strategic Plan for Implementing OH in Kenya, Strengthen surveillance, prevention and control of zoonoses Establish structures and partnerships to promote OH Conduct and Promote Applied Research To download visit

4 Health Sector Planning Framework GLOBAL HEALTH DEVELOPMENT AGENDA Global health commitments VISION 2030 Country Development vision and commitments KENYA HEALTH POLICY ( ) Long Term policy directions HEALTH SECTOR STRATEGIC PLAN (5 YEARS) Medium Term Objectives, Investments, and Programs Ministry/Program strategic plans County strategic plans SAGA strategic plan INVESTMENT PLANS (5 YEARS) Counties, and National Referrals ANNUAL / MID TERM SECTOR BUDGET ANNUAL SECTOR TARGETS National Operation al Plan County Operational Plan Program / SAGA Operational Plan Facility Operational Plan CONSTITUTION, LEGAL & REGULATORY FRAMEWORK

5 Kenya Health Policies Vision 2030 Kenya Health Policy Kenya Health Sector Strategic and Investment Plan

6 Policy Making Process Extensive stakeholder consultations- need for new policy Critical analysis of the status, trends Develop new policy objectives, time frame Draft framework- Shared with all stakeholders Consensus policy document presented to Cabinet and National Assembly

7 Policy Objectives( ) 1. Eliminate communicable conditions 2. Halt and reverse the rising burden of noncommunicable conditions and mental disorders 3. Reduce the burden of violence and injuries 4. Provide essential healthcare 5. Minimise exposure to health risk factors 6. Strengthen collaboration with private and other sectors that have an impact on health

8 Devolution of Health Services Country divided into 47 Counties Counties receive 15% of National Budget Health and Veterinary Services totally devolved to counties MOH role to formulate policy and regulate services Consultation between Counties and National Offices

9 MOH and Research Ministry of Health KEMRI MOH department/units Universities Division of Research

10 Pathways of Influence Ministerial and County Buy-in Address local priorities Involve MOH before research conceptualization Identify appropriate policy audience Emphasis on institutional involvement(not individuals) Participate in national policy/guidelines development Forge lasting Partnerships Funding Expertise/capacity building

11 Key Advisory Groups Zoonotic Disease Technical Working Group Kenya National Immunisation Technical Advisory Group Professional Medical Associations Disease specific Technical Advisory groups

12 Packaging of research Evidence Publications Provide summary to policy makers Involve local scientists Local Dissemination Conferences Ministerial meetings Advisory group meetings

13 One Health as an example of Science influencing Policy

14 Gaps/opportunities in One Health Implementation Burden of most zoonotic Diseases Unknown Weak Surveillance for Zoonotic Diseases Inadequate diagnostics for Zoonotic Diseases Devolved governance structure How do we use collaborations/partnerships to address these gaps/opportunities?

15 Priority Zoonotic Disease List Anthrax 2 Trypanosomiasis 3 Rabies 4 Brucellosis 5 Rift Valley fever 6 Echinococcosis (Hydatidosis) 7 Non typhi Salmenollosis 8 Q fever 9 Mycobacterium species 10 Influenza and pandemics Steps Review of the list of zoonotic diseases occurring locally Development of measurable criteria for ranking Pairwise comparison of the criteria- assign weights to each disease scoring each disease based on the criteria aggregation of scores on weighted criteria

16 Risk map of RVF for Kenya

17 National Rabies Elimination Strategy: Launched on the World Rabies Day - 28th September, 2014 Available at

18 Process Rabies control identified as a priority Presentation of evidence of rabies eliminations and methods by SMEs Assessment of strategy and implementation framework Development of draft strategy Stakeholder engagement and finalization Implementation started in the pilot counties

19 Brucellosis Sero Prevalence Marsabit Human=44% Animal = 14% Kiambu Human=1% Animal = <1% Kajiado Human=14% Animal = 3%

20 Progress and process ZDU in collaboration with research institutions (CDC/KEMRI) wrote and got an grant Study jointly designed, executed and analyzed by ZDU and the collaborators High prevalence recorded in one county Local government and NGOs started intervention of brucellosis public education Studies to identify species circulating ongoing

21 Other research collaborations ZooLinK project in western Kenya with ILRI MERS_COV research and surveillance with various stakeholders Rift valley fever vector surveillance Zoonotic influenza studies

22 Regional Conference on Zoonotic Diseases Held on 9 th -12 th March 2015 Participants from 8 regional countries Over 60 abstracts presented

23 Thank You