Application of a healthy food markets guide to two Indonesian markets to reduce transmission of 'avian flu'.
Problem The World Health Organization (WHO) developed a guideline with 10 control measures to reduce transmission of A(H5N1) avian influenza virus in markets in low-resource settings. The practical aspects of guide implementation have never been described. Approach WHO's guideline was implemented in...
| Publicado en: | Bulletin of the World Health Organization Vol. 90; no. 4; pp. 295 - 301 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Apr2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104556700&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104556700 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Apr2012 vid: 90 iid: 4 pid: 437 pub: World Health Organization artinfo: ui: 104556700 104556700 2011528908 10.2471/BLT.11.090829 NLM22511826 PMC3324864 104556700 ppf: 295 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Application of a healthy food markets guide to two Indonesian markets to reduce transmission of 'avian flu'. aug: au: Samaan, Gina Hendrawati, Ferra Taylor, Trevor Pitona, Tangguh Marmansari, Dini Rahman, Ratna Lokuge, Kamalini Kelly, Paul M. affil: National Centre for Epidemiology and Population Health, College of Medicine, Biology & Environment, Australian National University, Canberra, ACT, 0200, Australia. sug: subj: Influenza, Avian Transmission Food Services Trends Funding Source Human Indonesia Action Research Descriptive Statistics Questionnaires Surveys Chi Square Test Fisher's Exact Test P-Value Health Knowledge Evaluation ab: Problem The World Health Organization (WHO) developed a guideline with 10 control measures to reduce transmission of A(H5N1) avian influenza virus in markets in low-resource settings. The practical aspects of guide implementation have never been described. Approach WHO's guideline was implemented in two Indonesian markets in the city of Makassar to try to reduce transmission of the A(H5N1) virus. The guideline was operationalized using a participatory approach to introduce a combination of infrastructural and behavioural changes. Local setting Avian influenza is endemic in birds in Makassar. Two of the city's 22 dilapidated, poorly-run bird markets were chosen for the study. Before the intervention, neither market was following any of WHO's 10 recommended control measures except for batch processing. Relevant changes Market stakeholders' knowledge about the avian influenza A(H5N1) virus improved after the interventions. WHO guideline recommendations for visual inspection, cleaning and poultry-holding practices, as well as infrastructural requirements for zoning and for water supply and utilities, began to conform to the WHO guideline. Low-maintenance solutions such as installation of wastewater treatment systems and economic incentives such as composting were well received and appropriate for the low-resource setting. Lessons learnt Combining infrastructural changes with behaviour change interventions was critical to guideline implementation. Despite initial resistance to behaviour change, the participatory approach involving monthly consultations and educational sessions facilitated the adoption of safe food-handling practices and sanitation. Market authorities assumed important leadership roles during the interventions and this helped shift attitudes towards regulation and market maintenance needs. This shift may enhance the sustainability of the interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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