By Magreth Angelus, MD – Shree Hindu Mandal Research & Training
During my stay in Kilosa for the RCCE experiential learning program, I observed several significant health challenges including high number of stray dogs and widespread lack of awareness about rabies and its vaccination. An exciting observation was the presence of traditional vaccines for rabies from a traditional healer at the marketplace. These issues underscored the need for comprehensive rabies control and prevention strategies that integrate local knowledge and practices.
Through the RCCE Mentored Experiential Learning Training, under the AFROHUN Academy, AFROHUN played a pivotal role in addressing these challenges by providing a platform for RCCE experiential learning. Their commitment to fostering interdisciplinary collaboration and their focus on practical, community-based solutions were crucial in developing effective health strategies tailored to the local context of Kilosa.
During the training, I contributed to an initiative of utilizing existing local structures to enhance rabies control and prevention strategies. We proposed leveraging the ‘Nyumba 10’ (Ten-House cell) system; an existing local structure where every 10 houses are managed by a leader. This system ensures effective community engagement and facilitates the implementation of health programs. By integrating rabies control strategies into this existing framework, we aimed to improve program reach and success.
The integration of the ‘Nyumba 10’ system into our rabies control strategy proved to be highly effective. It enabled us to tap into established community networks, ensuring better dissemination of information and more efficient implementation of prevention measures. The approach not only addressed the immediate need for rabies control but also demonstrated the value of using existing community structures for health interventions.
Quote: Magreth Angelus, a medical doctor and advocate for the One Health approach, shared her insights: “The RCCE experiential learning program was instrumental in identifying and addressing the multifaceted challenges of rabies control in Kilosa. Utilizing the ‘Nyumba 10’ structure to integrate health strategies proved to be a practical and impactful solution, demonstrating the effectiveness of leveraging local community networks.”
One of the most exciting discoveries during my stay in Kilosa was the availability of traditional vaccines for rabies from a traditional healer at the marketplace. As a young researcher, I am deeply interested in seeing investment in clinical trials to evaluate these traditional rabies vaccines. Such trials could provide valuable insights into their efficacy and safety, potentially leading to innovative and culturally relevant health solutions.
The successful integration of the ‘Nyumba 10’ system into rabies control efforts highlights the importance of community-based approaches in health programs. By building on existing structures and exploring the potential of traditional/locally available medicines, we can enhance the effectiveness of health interventions and ensure better outcomes.
