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Review
. 2021 Jul;6(7):e005275.
doi: 10.1136/bmjgh-2021-005275.

Operationalisation of consensual One Health roadmaps in countries for improved IHR capacities and health security

Stephane de la Rocque  1 , Guillaume Belot  2 , Kaylee Marie Myhre Errecaborde  2   3 , Rajesh Sreedharan  2 , Artem Skrypnyk  4 , Tanja Schmidt  4 , Nicolas Isla  4 , Tieble Traore  5 , Ambrose Talisuna  5 , Gyanendra Gongal  6 , Dalia Samhouri  7 , François Caya  8 , Maud Carron  8 , Nirmal Kandel  2 , Jun Xing  2 , Stella Chungong  2
Affiliations
Review

Operationalisation of consensual One Health roadmaps in countries for improved IHR capacities and health security

Stephane de la Rocque et al. BMJ Glob Health. 2021 Jul.

Abstract

The COVID-19 pandemic is a devastating reminder that mitigating the threat of emerging zoonotic outbreaks relies on our collective capacity to work across human health, animal health and environment sectors. Despite the critical need for shared approaches, collaborative benchmarks in the International Health Regulations (IHR) Monitoring and Evaluation Framework and more specifically the Joint External Evaluation (JEE) often reveal low levels of performance in collaborative technical areas (TAs), thus identifying a real need to work on the human-animal-environment interface to improve health security. The National Bridging Workshops (NBWs) proposed jointly by the World Organisation of Animal Health and World Health Organization (WHO) provide opportunity for national human health, animal health, environment and other relevant sectors in countries to explore the efficiency and gaps in their coordination for the management of zoonotic diseases. The results, gathered in a prioritised roadmap, support the operationalisation of the recommendations made during JEE for TAs where a multisectoral One Health approach is beneficial. For those collaborative TAs (12 out of 19 in the JEE), more than two-thirds of the recommendations can be implemented through one or multiple activities jointly agreed during NBW. Interestingly, when associated with the WHO Benchmark Tool for IHR, it appears that NBW activities are often associated with lower level of performance than anticipated during the JEE missions, revealing that countries often overestimate their capacities at the human-animal-environment interface. Deeper, more focused and more widely shared discussions between professionals highlight the need for concrete foundations of multisectoral coordination to meet goals for One Health and improved global health security through IHR.

Keywords: COVID-19; diseases; disorders; health policy; health systems; infections; injuries; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Illustrates the chronology of events that informed the development of tools to support the implementation of IHR.
Figure 2
Figure 2
Illustrates the mean scores for three indicators of JEE TA zoonotic diseases, all countries included.
See this image and copyright information in PMC

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