Interagency Collaboration, Communication, Coordination, And Capacity Building for One Health in The Eastern Mediterranean And North Africa Region Restricted; Files Only

Corrigan, Gabrelle (Summer 2022)

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The World Health Organization, Food and Agricultural Organization, World Organization for Animal Health, and United Nations Environment Program (jointly referred to as the Quadripartite) came together to collaborate on the global shift to a One Health approach to global health threats. As emerging infectious diseases like COVID-19 have demonstrated, pathogen spillover between animal health, ecosystem health, and human health changed global health as we know it. To respond effectively, the world needed to meet global health threats at the interface of animal health, ecosystem health, and human health. Sub-national, national, and regional interagency collaboration, communication, coordination, and capacity building (CCCC) were essential to implementing One Health and improving the health of all aspects of life. This was particularly important for the Eastern Mediterranean and North Africa Region (EMR) because of challenges in the region, but little was known about the EMR’s current landscape.


To understand the current landscape of interagency One Health activities and CCCC in the EMR, a survey on One Health CCCC among agencies related to the three One Health interfaces was administered by the Eastern Mediterranean Public Health Network and Emory University. Employees of government, international governmental organizations, academic institutions, and non-governmental organizations across the 21 countries of theEMR were surveyed. The survey investigated the association between the availability of transdisciplinary training for employees at One Health-related agencies and the presence of One Health coordination.


Of 374 recipients, 35 (9.4%) completed the survey. Based on data collected, the association between the availability of transdisciplinary training for employees at One Health-related agencies and the presence of One Health coordination was not statistically significant.


Equitable, interagency CCCC is essential to implement and utilize One Health. Our findings from the cross-sectional survey indicated that EMR agencies need to improve their interagency One HealthCCCC, but there was awareness of the concept. The data collected showed the need for greater intersectoral training among One Health interfaces including greater representation from the ecosystem interface. The time is imminent to support countries’ implementation of One Health and to do that, further research should be conducted to understand the successes and challenges to interagency activities across the One Health interfaces.


No funding was provided for this research. It was conducted on a volunteer basis. 

Table of Contents

Acronyms 1

Chapter 1: Background Literature Review 1

One Health 1

Gaps in One Health 4

Collaboration, Communication, Coordination, and Capacity Building 6

Applying One Health in the Eastern Mediterranean Region 17

Adding to the Existing Literature 19

Student’s Contributions 20

Chapter 2: Journal Article 21

Summary 21

Background 21

Methods 21

Findings 22

Interpretation 22

Funding 23

Background 23

One Health 23

Gaps in One Health 24

Collaboration, Communication, Coordination, and Capacity Building 26

Adding to the Existing Literature 32

Methods 33

Findings 37

Interpretation 43

Free Response on One Health Activities and Cross-sectoral Coordination 45

Limitations 48

Funding 49

Chapter 3: Future Directions and Public Health Implications 50

Appendices 53

Appendix A. Tables 53

Appendix B. Figures 60

References 64

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