Peranan Pemangku Kepentingan dalam Pengendalian Rabies dengan Pendekatan One Health Terintegrasi di Bali
Made Subrata(1*), Sang Gede Purnama(2), Arya Wahyu Utami(3), Kadek Karang Agustina(4), IBN. Wahyu Swacita(5)
(1) PS. Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
(2) PS. Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
(3) PS. Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
(4) Fakultas Kedokteran Hewan, Universitas Udayana
(5) Fakultas Kedokteran Hewan, Universitas Udayana
(*) Corresponding Author
Abstract
Bali sejak 2008 mengalami kasus rabies dan saat ini menjadi daerah endemis rabies. Berbagai cara telah dilakukan untuk pengendaliannya namun kasusnya masih tetap ada. Diperlukan pendekatan one health yang berkolaborasi antara kesehatan manusia, hewan dan lingkungan. Tujuan dari penelitian ini untuk mengetahui tantangan program, peranan pemangku kepentingan dalam pengendalian rabies dan upaya pendekatan one health yang terintegrasi. Penelitian ini menggunakan pendekatan kualitatif untuk mengetahui tantangan program, peranan pemangku kepentingan dan pendekatan one health terintegrasi. Informan dipilih sesuai dengan kebutuhan peneliti. Hasil penelitian menunjukan tantangan dalam pelaksanaan program pada sistem pendataan masih kurang, vaksinasi anjing belum optimal, cara memelihara anjing yang masih diliarkan, program kontrol populasi, manajemen kasus gigitan anjing belum terpadu, edukasi masih rendah, partisipasi masyarakat yang rendah. Perlu peranan dari semua pemangku kepentingan untuk pengendalian rabies. Program pengendalian rabies dapat terlaksana dengan baik apabila mampu mengurangi kesenjangan yang terjadi. Masing-masing kelompok pemangku kepentingan berperan dalam program pengendalian rabies. Melalui pendekatan one health yang terintegrasi dilaksanakan kegiatan yang berkolaborasi dalam surveilan epidemiologi, manajemen kasus gigitan terpadu, manajemen hewan penular rabies dan faktor sosial-budaya-ekologi lingkungan.
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DOI: https://doi.org/10.22146/jkki.54246
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