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
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
One Health 23
Gaps in One Health 24
Collaboration, Communication, Coordination, and Capacity Building 26
Adding to the Existing Literature 32
Free Response on One Health Activities and Cross-sectoral Coordination 45
Chapter 3: Future Directions and Public Health Implications 50
Appendix A. Tables 53
Appendix B. Figures 60
About this Master's Thesis
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