Zoonotic disease governance |
Complex organisation of the zoonotic disease governance system (15 out of 15 interviewees) |
Health as a state subject (decentralised decision-making) (14 out of 15 interviewees) |
Central government influence on state health policy agenda setting (10 out of 15 interviewees) |
Political prioritisation of zoonoses |
Low prioritisation of zoonoses in health policy (12 out of 15 interviewees) |
No systematic framework for disease prioritisation (10 out 15 interviewees) |
Different zoonoses have different level of recognition in existing policy agenda (13 out of 15 interviewees) |
Unsupportive policies (9 out of 15 interviewees) |
Barriers to cross-sectoral action for zoonotic disease control |
Disciplinary/ sectoral silos/ turf wars (12 out of 15 stakeholders) |
Disparate human and animal disease reporting/ surveillance systems (10 out of 15 interviewees) |
Communication and information asymmetries (15 out of 15 interviewees) |
Differences in disciplinary training (9 out of 15 interviewees) |
Knowledge deficits (11 out of 15 interviewees) |
Perceived mistrust, ‘egos’ and different mind-sets among actors (12 out of 15 interviewees) |
Inadequate infrastructure and funding allocation (11 out of 15 interviewees) |
Institutional bureaucracy and coordination challenges (13 out of 15 interviewees) |
Competing department priorities (11 out of 15 interviewees) |
Entrenched hierarchical system (12 out of 15 interviewees) |
Differences in regional capacities and working practices (10 out of 15 interviewees) |
Facilitators of cross-sectoral action for zoonotic disease control |
Formal governance and leadership structures (15 out of 15 interviewees) |
Clear delineation of sectoral roles (10 out of 15 interviewees) |
Improving communication and working relationships (15 out of 15 interviewees) |
Resourcing considerations (12 out of 15 interviewees) |