Perception des acteurs de l’approche « Une Seule Santé » de la sécurité sanitaire mondiale au Bénin

Abstract

Introduction: The perception of human resources is essential for their commitment in strengthening health security. The study assessed the perception of the “one health” approach stakeholders on global health security in Benin.

Methods: The study was qualitative, cross-sectional and quantitative. Non-probability sampling method with purposive choice were used to select 55 actors from health, veterinary and environmental sectors, and from community. Individual interviews and three focus groups were used to collect data; The content analysis was used to perform thematic groupings.

Results: Respondents had a good knowledge of threats (73%), events (59%) and information mechanisms (68%). The health security environment was characterized by the absence of an integrated mechanism for information sharing, episodic and unbalanced collaboration, a difference between the level of organization of the sectors with health sector perceived as better organized by 92% of respondents. The environment is presented as the sector requiring major reinforcements. Community involvement was also episodic. The sectors were dependent on the partners. The community was not involved in setting priorities and lacked commitment to health security. The regulatory component is insufficient, and no law enshrines the international health regulations as a reference. For 60% of respondents, health security was a reality in Benin and 21% were satisfied with it. Respondents had a good perception of health security and its challenges in Benin.

Conclusion: The strengthening of legislation and collaboration is necessary for the improvement of global health security in Benin.