One Health: A holistic approach to combating Schistosomiasis
When 78-year-old Uinya Ozerina was brought to Angumu General Referral Hospital in the remote Ituri province of the Democratic Republic of Congo, she was in critical condition. She could neither walk nor talk, her stomach was painfully swollen, and she was weak from the illness that had plagued her for two years. Tests soon revealed she was suffering from Bilharzia, also known as Schistosomiasis, a neglected tropical disease caused by parasites in contaminated water sources.
“I am a widow and live with my four grandchildren,” Uinya shared. “I fell ill years ago and underwent surgery at a smaller health center, but my condition never improved. Finally, they brought me here, where I learned I had Bilharzia and a liver problem. I got infected while fetching water from the river.”
Like many others in her community, Uinya had unknowingly been exposed to waterborne parasites. The lack of access to clean water and proper medical treatment had allowed her condition to worsen. However, thanks to Malteser International’s One Health project, she was finally receiving the care she needed.
The power of One Health
The Democratic Republic of Congo faces recurring outbreaks of zoonotic infectious diseases like rabies and brucellosis, as well as neglected tropical diseases like schistosomiasis (Bilharzia). In response, Malteser International has launched the One Health initiative in the Mahagi and Bondo regions, with funding from the German Federal Ministry for Economic Cooperation and Development. This approach recognizes that human, animal, and environmental health are deeply interconnected and aims to improve disease prevention and healthcare through cross-sectoral collaboration.
One major challenge in the region is the lack of coordination between the human, animal, and environmental health sectors. In addition, there is poor access to diagnostic tools and treatment, and public awareness of zoonotic diseases remains limited. Many communities rely on unsafe water sources and lack proper sanitation infrastructure, further exacerbating health risks.
To address these issues, Malteser International is implementing various measures. Awareness campaigns are being conducted to educate communities about zoonotic diseases, hygiene practices, and food safety. Medical access is being improved through the provision of rapid diagnostic tests, better-equipped laboratories, and partial coverage of treatment costs for diseases like Bilharzia and rabies. Preventive health measures, such as mass drug administration programs, animal vaccinations, and healthcare worker training, are also being reinforced. Moreover, environmental improvements are being made, including the construction of water and sanitation facilities, and proper waste disposal systems to help control the spread of diseases.
Dr. Jean Marie Jakwomg'a is Chief Medical Officer of the Angumu Health Zone. "The One Health approach is essential. It emphasizes the need to care for animals, plants, people, and their shared environment to improve human health. Many diseases in our environment can be transmitted through animals. With One Health, we're bringing all these factors together, discussing them, finding compromises, and raising awareness among people. It helps people understand that diseases don't originate only from humans; they can also come from animals and plants. By properly considering and addressing these interconnections, we can prevent many more illnesses and help people stay healthy," he emphasizes.
"The One Health approach is of utmost importance. It emphasizes that we must consider the health of humans, animals, and their shared environment holistically. If these interrelationships are properly considered, many more diseases can be prevented."
Dr. Jean Marie Jakwomg'a, Chief Medical Officer of the Angumu Health Zone
A healthier future for Uinya
Thanks to the One Health project, Uinya’s condition has improved significantly. With ongoing support from Malteser International, she is on the path to regaining her strength and returning to her grandchildren. “Now I'm much better, even though my stomach still hurts. I get medication three times a day, and they check to see if my condition is improving. I am going to be well again, and hope to return home soon.”
With increased awareness, better access to treatment, and improved hygiene infrastructure, Uinya’s story is just one example of the impact of our work. By tackling health challenges through an integrated approach, the One Health initiative is helping to create a healthier future for communities in the DRC.
No one should have to suffer from preventable diseases. By supporting us, you can help improve lives and ensure a healthier environment for all.
