Integrating professionals to address complex global health challenges: veterinarians, zoonoses and One Health in Ghana

Valeix, Sophie Françoise (2018) Integrating professionals to address complex global health challenges: veterinarians, zoonoses and One Health in Ghana. Doctoral thesis (PhD), University of Sussex.

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Abstract

This thesis explores the integration of public veterinarians in zoonosis management policy and action in Ghana with regard to the implementation of the internationally-led policy ideal: ‘One Health’ (OH). Drawing on theoretical contributions that examine professionalism, integration mechanisms and social processes, I researched vets’ potential for OH in a context of new public health imperatives, limited resources and absence of targeted national strategy. During eight months of ethnography in Southern Ghana, I investigated veterinary professional characteristics using participant observation, interviews, document collection and a network survey. I analysed how veterinary perspectives, practices and relationships influenced the scope for integration of vets and their activities in zoonosis management, from the district-level clinics and offices to national-level institutions and international organisations. This work questioned whether and why Ghanaian vets would want to engage in OH integration with regard to their professional values and interests. It also sought to understand which practitioners and practices were professionally promoted or repressed and what were the main dilemmas or opportunities for local vets taking part in local zoonosis surveillance, prevention and control. Furthermore, it studied interactions in networks around zoonoses between Ghanaian vets and other actors, and their potential to create and maintain relationships that favour integration. This research contributes to critical knowledge on global health policy implementation by highlighting the importance of relationships and power dynamics both within and between professionals in relation to integration. This, I argue, can be done through more consideration of their professional values, interests and status, and the heterogeneity of all of these in a national context. The thesis also adds to the scarce literature on veterinary professionalism in low- and middle-income countries by providing ‘thick descriptions’ of veterinary perspectives, practices and network relationships.

Item Type: Thesis (Doctoral)
Schools and Departments: School of Global Studies > International Development
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0639 Transmission of disease
S Agriculture > SF Animal culture > SF0600 Veterinary medicine > SF0740 Veterinary public health > SF0615 History and conditions > SF0621 By region or country > SF0715 Africa > SF0719.A-Z Other regions or countries, A-Z > SF0719.G43 Ghana
Depositing User: Library Cataloguing
Date Deposited: 03 Dec 2018 12:25
Last Modified: 03 Dec 2018 12:25
URI: http://sro.sussex.ac.uk/id/eprint/80593

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