Please use this identifier to cite or link to this item: http://hdl.handle.net/10625/47009
Title: Avian and pandemic human influenza policy in South-East Asia : the interface between economic and public health imperatives
Authors: Pongcharoensuk, Petcharat
Adisasmito, Wiku
Sat, Le Minh
Silkavute, Pornpit
Muchlisoh, Lilis
Cong Hoat, Pham
Coker, Richard
Keywords: SOUTHEAST ASIA
INDONESIA
THAILAND
VIET NAM
INFLUENZA
PANDEMIC
AVIAN INFLUENZA
POLICY
LIVELIHOODS
SMALLHOLDER POULTRY RAISING
INFLUENZA IN BIRDS
INFLUENZA A VIRUS, H5N1 SUBTYPE
DISEASE PREVENTION
DISASTER PREPAREDNESS
Date: 2011
Publisher: Oxford University Press
Abstract: The aim of this study was to analyse the contemporary policies regarding avian and human pandemic influenza control in three South-East Asia countries: Thailand, Indonesia and Vietnam. An analysis of poultry vaccination policy was used to explore the broader policy of influenza A H5N1 control in the region. The policy of antiviral stockpiling with oseltamivir, a scarce regional resource, was used to explore human pandemic influenza preparedness policy. Several policy analysis theories were applied to analyse the debate on the use of vaccination for poultry and stockpiling of antiviral drugs in each country case study. We conducted a comparative analysis across emergent themes. The study found that whilst Indonesia and Vietnam introduced poultry vaccination programmes, Thailand rejected this policy approach. By contrast, all three countries adopted similar strategic policies for antiviral stockpiling in preparation. In relation to highly pathogenic avian influenza, economic imperatives are of critical importance. Whilst Thailand’s poultry industry is large and principally an export economy, Vietnam’s and Indonesia’s are for domestic consumption. The introduction of a poultry vaccination policy in Thailand would have threatened its potential to trade and had a major impact on its economy. Powerful domestic stakeholders in Vietnam and Indonesia, by contrast, were concerned less about international trade and more about maintaining a healthy domestic poultry population. Evidence on vaccination was drawn upon differently depending upon strategic economic positioning either to support or oppose the policy. With influenza A H5N1 endemic in some countries of the region, these policy differences raise questions around regional coherence of policies and the pursuit of an agreed overarching goal, be that eradication or mitigation. Moreover, whilst economic imperatives have been critically important in guiding policy formulation in the agriculture sector, questions arise regarding whether agriculture sectoral policy is coherent with public health sectoral policy across the region.
Description: Published in association with The London School of Hygiene and Tropical Medicine
URI: http://hdl.handle.net/10625/47009
Project Number: 104165
Project Title: Avian Influenza Policy Analysis
Access: IDRC Only
Files in This Item:
File Description SizeFormat 
133391.pdf147.73 kBAdobe PDFView / IDRC staff only    Request a copy
Show full item record