System thinking and citizen participation is still missing in One Health initiatives – Lessons from fifteen evaluations

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cg.authorship.typesCGIAR and developing country instituteen_US
cg.authorship.typesCGIAR and advanced research instituteen_US
cg.contributor.affiliationUniversity of Zürichen_US
cg.contributor.affiliationUniversity of Bernen_US
cg.contributor.affiliationUniversity of Liverpoolen_US
cg.contributor.affiliationInternational Livestock Research Instituteen_US
cg.contributor.affiliationSwiss Tropical and Public Health Instituteen_US
cg.contributor.affiliationUniversity of Baselen_US
cg.contributor.affiliationIfakara Health Instituteen_US
cg.contributor.affiliationScientific Center for Risk Assessment and Analysis in Food Safety Area, Armeniaen_US
cg.contributor.affiliationKerala Veterinary and Animal Sciences Universityen_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.contributor.donorSwiss National Science Foundationen_US
cg.contributor.donorEuropean Unionen_US
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen_US
cg.contributor.donorGovernment of the United Kingdomen_US
cg.contributor.donorEconomic and Social Research Council, United Kingdomen_US
cg.contributor.donorMedical Research Council, United Kingdomen_US
cg.contributor.donorNatural Environment Research Council, United Kingdomen_US
cg.contributor.donorDefence Science and Technology Laboratory, United Kingdomen_US
cg.contributor.donorFederal Food Safety and Veterinary Officeen_US
cg.contributor.donorWolfermann-Nägeli Foundationen_US
cg.contributor.donorSwiss Institute for Tropical and Public Healthen_US
cg.creator.identifierLaura Cristina Falzon: 0000-0002-4043-1644en_US
cg.creator.identifierDr. Kelvin Momanyi: 0000-0002-9357-2686en_US
cg.howPublishedFormally Publisheden_US
cg.identifier.doihttps://doi.org/10.3389/fpubh.2021.653398en_US
cg.isijournalISI Journalen_US
cg.issn2296-2565en_US
cg.journalFrontiers in Public Healthen_US
cg.reviewStatusPeer Reviewen_US
cg.subject.ilriAGRI-HEALTHen_US
cg.subject.ilriANIMAL HEALTHen_US
cg.subject.ilriHUMAN HEALTHen_US
cg.subject.ilriONE HEALTHen_US
cg.subject.ilriRESEARCHen_US
cg.subject.impactAreaNutrition, health and food securityen_US
cg.subject.sdgSDG 3 - Good health and well-beingen_US
cg.volume9en_US
dc.contributor.authorHitziger, M.en_US
dc.contributor.authorBerezowski, J.en_US
dc.contributor.authorDürr, S.en_US
dc.contributor.authorFalzon, Laura C.en_US
dc.contributor.authorLéchenne, M.en_US
dc.contributor.authorLushasi, K.en_US
dc.contributor.authorMarkosyan, T.en_US
dc.contributor.authorMbilo, C.en_US
dc.contributor.authorMomanyi, Kelvin N.en_US
dc.contributor.authorÖzçelik, R.en_US
dc.contributor.authorPrejit, N.en_US
dc.contributor.authorZinsstag, Jakoben_US
dc.contributor.authorRüegg, S.R.en_US
dc.date.accessioned2021-06-08T15:30:45Zen_US
dc.date.available2021-06-08T15:30:45Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/113902en_US
dc.titleSystem thinking and citizen participation is still missing in One Health initiatives – Lessons from fifteen evaluationsen_US
dcterms.abstractTackling complex public health challenges requires integrated approaches to health, such as One Health (OH). A key element of these approaches is the integration of knowledge across sectors, disciplines and stakeholders. It is not yet clear which elements of knowledge integration need endorsement to achieve best outcomes. This paper assesses 15 OH initiatives in 16 African, Asian and European countries to identify opportunities to improve knowledge integration and to investigate geographic influences on knowledge integration capacities. Two related evaluation tools, both relying on semi-quantitative questionnaires, were applied to two sets of case studies. In one tool, the questions relate to operations and infrastructure, while the other assigns questions to the three phases of “design,” “implementation,” and “evaluation” of the project life cycle. In both, the question scores are aggregated using medians. For analysis, extreme values were identified to highlight strengths and weaknesses. Seven initiatives were assessed by a single evaluator external to the initiative, and the other eight initiatives were jointly assessed by several internal and external evaluators. The knowledge integration capacity was greatest during the project implementation stage, and lowest during the evaluation stage. The main weaknesses pointing towards concrete potential for improvement were identified to be a lack of consideration of systemic characteristics, missing engagement of external stakeholders and poor bridging of knowledge, amplified by the absence of opportunities to learn and evolve in a collective process. Most users were unfamiliar with the systems approach to evaluation and found the use of the tools challenging, but they appreciated the new perspective and saw benefits in the ensuing reflections. We conclude that systems thinking and associated practices for OH require not only specific education in OH core competencies, but also methodological and institutional measures to endorse broad participation. To facilitate meta-analyses and generic improvement of integrated approaches to health we suggest including knowledge integration processes as elements to report according to the COHERE guidelines.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.audienceScientistsen_US
dcterms.audienceAcademicsen_US
dcterms.available2021-06-04en_US
dcterms.bibliographicCitationHitziger, M., Berezowski, J., Dürr, S., Falzon, L.C., Léchenne, M., Lushasi, K., Markosyan, T., Mbilo, C., Momanyi, K.N., Özçelik, R., Prejit, N., Zinsstag, J. and Rüegg, S.R. 2021. System thinking and citizen participation is still missing in One Health initiatives – Lessons from fifteen evaluations. Frontiers in Public Health 9: 653398.en_US
dcterms.extent653398en_US
dcterms.issued2021-06-04en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherFrontiers Mediaen_US
dcterms.subjecthealthen_US
dcterms.subjectresearchen_US
dcterms.subjectanimal healthen_US
dcterms.typeJournal Articleen_US

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