Lessons Learned from One Health Training, Republic of Armenia, 2021 – 2022 Open Access

Abstract

Introduction

More than two-thirds of (re)emerging infectious diseases stem from zoonotic pathogens, emphasizing the importance of national and international multisectoral coordination, communication, and collaboration (CCC). Public Health Practice, LLC, Defense Threat Reduction Agency, and the Armenia One Health Working Group (AM OHWG) partnered with the Republic of Armenia (RoA) to build a national One Health (OH) framework to establish national CCC to prevent and manage future zoonotic outbreaks.

Methods

Following an in-depth literature review, learning objectives were generated and teaching materials designed. I created pre- and post-surveys to distribute before and after each of three OH workshops. Translators ensured the surveys were provided in both English and Armenian and results received in English. 

Results

While the surveys demonstrated an increase in the understanding of the learning objectives, open-ended questions proved insight. Participants noted a desire to return to in-person events, an interest in additional training in the future, and a need for more, similar platforms to support CCC among sectors. Attendees planned to assess existing OH legislation following Workshop #3 so that a OH framework for RoA could be drafted during Workshop #4. 

Discussion

Although the training emphasized learning objectives relevant to the prevention and control of zoonotic diseases, the most valuable contribution made was providing a place and time for individuals in human, animal, and environmental health sectors in RoA to discuss shared issues, potential solutions, and common goals. These multisectoral round-tables determined the need for shared public health surveillance mechanisms and shared publishing silos. The discussions and trainings reflected the goal of creating a national OH Framework for RoA. The RoA OH Workshops serve as an example not only to create and implement OH frameworks, but also to provide a platform for direct, multisectoral CCC. 

 

Table of Contents

Distribution Agreement___________________________________________________

Approval Sheet_________________________________________________________

Abstract Cover Page_____________________________________________________

Abstract_______________________________________________________________

Thesis Cover Page______________________________________________________

Acknowledgements______________________________________________________

Introduction___________________________________________________________1

Literature Review_______________________________________________________4

Project Content________________________________________________________9

Discussion & Results __________________________________________________26

Recommendations_____________________________________________________34

Public Health Significance_______________________________________________34

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Agriculture, Animal Pathology Health Sciences, Public Health Health Sciences, Epidemiology
Keyword	Zoonotic Disease Public Health Surveillance Armenia One Health
Committee Chair / Thesis Advisor	Dr. Scott McNabb, Emory University

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