How can we realise the full potential of animal health systems for delivering development and health outcomes?
How can we realise the full potential of animal health systems for delivering development and health outcomes?
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DOI：
10.20506/rst.40.2.3239
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发表时间：
2021-08-01
影响因子：
0.6
通讯作者：
Cleaveland, S.
中科院分区：
文献类型：
--
作者：
Auty, H.;Swai, E. S.;Cleaveland, S.
动物健康服务在支持畜牧业生产方面发挥着至关重要的作用，有可能应对饥饿、贫困、健康、社会正义和环境健康等挑战，这是实现联合国2030年议程中定义的可持续发展目标（SDG）的一部分。然而，提供动物保健服务的资金仍然长期不足。尽管“不让任何人掉队”的愿望是可持续发展目标议程的核心，但动物健康服务的提供仍然无法满足许多最贫困牲畜所有者的基本需求。本次审查主要借鉴了坦桑尼亚的经验，并强调了公平提供动物卫生服务的障碍，以及确定改进的机会。依靠所有者支付服务费用的提供模式，无论是通过私营部门还是公私伙伴关系，对于对动物饲养者具有明显经济重要性的疾病都是有效的，特别是在更加以市场为导向的生产系统中，但目前受到获取、负担能力、可用性和质量问题的限制。在试图控制对动物或人类健康造成重大负担但不太被认识到的疾病时，以及在提供兽医公共卫生或其他公益干预措施时，仍然存在重大挑战。在这里，作者提出了解决方案，重点是：提高对动物卫生服务的潜力的认识，以实现可持续发展目标，特别是那些涉及公共和环境卫生的目标;将这一点与增加投资的宣传更明确地联系起来;确保听到利益相关者的声音，特别是农村贫困人口的声音;并拥抱动物健康服务的跨领域和扩展愿景，以支持畜牧系统更具适应性的发展。
Animal health services play an essential role in supporting livestock production, with the potential to address the challenges of hunger, poverty, health, social justice and environmental health as part of the path towards the Sustainable Development Goal (SDG) defined in the United Nations, 2030 Agenda. However, the provision of animal health services remains chronically underfunded. Although the aspiration that 'no one will be left behind' is core to the SDG agenda, animal health service provision still fails to meet the basic needs of many of the poorest livestock owners. This review draws largely on experience from Tanzania and highlights the obstacles to equitable provision of animal health services, as well as identifying opportunities for improvement. Delivery models that rely on owners paying for services, whether through the private sector or public-private partnerships, can be effective for diseases that are of clear economic importance to animal keepers, particularly in more market-orientated production systems, but are currently constrained by issues of access, affordability, availability and quality. Substantial challenges remain when attempting to control diseases that exert a major burden on animal or human health but are less well recognised, as well as in the delivery of veterinary public health or other public good interventions. Here, the authors propose solutions that focus on: improving awareness of the potential for animal health services to address the SDGs, particularly those concerning public and environmental health; linking this more explicitly with advocacy for increased investment; ensuring that the voices of stakeholders are heard, particularly those of the rural poor; and embracing a cross-cutting and expanded vision for animal health services to support more adaptive development of livestock systems.