Using research to shape policy and practice Dr Athman Mwatondo
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
Objectives: Strategic Plan for Implementing OH in Kenya, 2012-2017 Strengthen surveillance, prevention and control of zoonoses Establish structures and partnerships to promote OH Conduct and Promote Applied Research To download visit WWW.ZDUKenya.org
Health Sector Planning Framework GLOBAL HEALTH DEVELOPMENT AGENDA Global health commitments VISION 2030 Country Development vision and commitments KENYA HEALTH POLICY (2014-2030) 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
Kenya Health Policies Vision 2030 Kenya Health Policy 2014-2030 Kenya Health Sector Strategic and Investment Plan 2014-2018
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
Policy Objectives(2014-2030) 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
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
MOH and Research Ministry of Health KEMRI MOH department/units Universities Division of Research
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
Key Advisory Groups Zoonotic Disease Technical Working Group Kenya National Immunisation Technical Advisory Group Professional Medical Associations Disease specific Technical Advisory groups
Packaging of research Evidence Publications Provide summary to policy makers Involve local scientists Local Dissemination Conferences Ministerial meetings Advisory group meetings
One Health as an example of Science influencing Policy
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?
Priority Zoonotic Disease List 2015 1 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
Risk map of RVF for Kenya
National Rabies Elimination Strategy: 2014-2030 Launched on the World Rabies Day - 28th September, 2014 Available at www.zdukenya.org
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
Brucellosis Sero Prevalence Marsabit Human=44% Animal = 14% Kiambu Human=1% Animal = <1% Kajiado Human=14% Animal = 3%
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
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
Regional Conference on Zoonotic Diseases Held on 9 th -12 th March 2015 Participants from 8 regional countries Over 60 abstracts presented
Thank You