Cameroon/epidemiology; Animals; Humans; Animal Diseases/epidemiology; Animal Diseases/prevention & control; Principal Component Analysis; Cluster Analysis; Health Priorities; Public Health; Zoonoses/epidemiology; Zoonoses/prevention & control; Zoonoses/transmission; Decision Support Techniques; Animal Diseases; Cameroon; Zoonoses; Multidisciplinary
Résumé :
[en] The use of multi-criteria decision analysis (MCDA) for disease prioritization at the sub-national level in sub-Sahara Africa (SSA) is rare. In this research, we contextualized MCDA for parallel prioritization of endemic zoonoses and animal diseases in The Adamawa and North regions of Cameroon. MCDA was associated to categorical principal component analysis (CATPCA), and two-step cluster analysis. Six and seven domains made of 17 and 19 criteria (out of 70) respectively were selected by CATPCA for the prioritization of zoonoses and animal diseases, respectively. The most influencing domains were "public health" for zoonoses and "control and prevention" for animal diseases. Twenty-seven zoonoses and 40 animal diseases were ranked and grouped in three clusters. Sensitivity analysis resulted in high correlation between complete models and reduced models showing the robustness of the simplification processes. The tool used in this study can be applied to prioritize endemic zoonoses and transboundary animal diseases in SSA at the sub-national level and upscaled at the national and regional levels. The relevance of MCDA is high because of its contextualization process and participatory nature enabling better operationalization of disease prioritization outcomes in the context of African countries or other low and middle-income countries.
Disciplines :
Médecine vétérinaire & santé animale
Auteur, co-auteur :
Mpouam, Serge Eugene ; School of Veterinary Medicine and Science, University of Ngaoundéré, Ngaoundéré, Cameroon
Ikoum, Dalida ; School of Veterinary Medicine and Science, University of Ngaoundéré, Ngaoundéré, Cameroon ; National Program for the Prevention and Fight Against Emerging and Re-emerging Zoonoses, Yaoundé, Cameroon
Hadja, Limane; School of Veterinary Medicine and Science, University of Ngaoundéré, Ngaoundéré, Cameroon
Kilekoung Mingoas, Jean Pierre; School of Veterinary Medicine and Science, University of Ngaoundéré, Ngaoundéré, Cameroon
Saegerman, Claude ; Université de Liège - ULiège > Département des maladies infectieuses et parasitaires (DMI) > Epidémiologie et analyse des risques appliqués aux sciences vétérinaires
Langue du document :
Anglais
Titre :
Parallel multi-criteria decision analysis for sub-national prioritization of zoonoses and animal diseases in Africa: The case of Cameroon.
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