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
cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationUniversity of Zürichen
cg.contributor.affiliationUniversity of Bernen
cg.contributor.affiliationUniversity of Liverpoolen
cg.contributor.affiliationInternational Livestock Research Instituteen
cg.contributor.affiliationSwiss Tropical and Public Health Instituteen
cg.contributor.affiliationUniversity of Baselen
cg.contributor.affiliationIfakara Health Instituteen
cg.contributor.affiliationScientific Center for Risk Assessment and Analysis in Food Safety Area, Armeniaen
cg.contributor.affiliationKerala Veterinary and Animal Sciences Universityen
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorSwiss National Science Foundationen
cg.contributor.donorEuropean Unionen
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen
cg.contributor.donorGovernment of the United Kingdomen
cg.contributor.donorEconomic and Social Research Council, United Kingdomen
cg.contributor.donorMedical Research Council, United Kingdomen
cg.contributor.donorNatural Environment Research Council, United Kingdomen
cg.contributor.donorDefence Science and Technology Laboratory, United Kingdomen
cg.contributor.donorFederal Food Safety and Veterinary Officeen
cg.contributor.donorWolfermann-Nägeli Foundationen
cg.contributor.donorSwiss Institute for Tropical and Public Healthen
cg.creator.identifierLaura Cristina Falzon: 0000-0002-4043-1644en
cg.creator.identifierDr. Kelvin Momanyi: 0000-0002-9357-2686en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.3389/fpubh.2021.653398en
cg.isijournalISI Journalen
cg.issn2296-2565en
cg.journalFrontiers in Public Healthen
cg.reviewStatusPeer Reviewen
cg.subject.ilriAGRI-HEALTHen
cg.subject.ilriANIMAL HEALTHen
cg.subject.ilriHUMAN HEALTHen
cg.subject.ilriONE HEALTHen
cg.subject.ilriRESEARCHen
cg.subject.impactAreaNutrition, health and food security
cg.subject.sdgSDG 3 - Good health and well-beingen
cg.volume9en
dc.contributor.authorHitziger, M.en
dc.contributor.authorBerezowski, J.en
dc.contributor.authorDürr, S.en
dc.contributor.authorFalzon, Laura C.en
dc.contributor.authorLéchenne, M.en
dc.contributor.authorLushasi, K.en
dc.contributor.authorMarkosyan, T.en
dc.contributor.authorMbilo, C.en
dc.contributor.authorMomanyi, Kelvin N.en
dc.contributor.authorÖzçelik, R.en
dc.contributor.authorPrejit, N.en
dc.contributor.authorZinsstag, Jakoben
dc.contributor.authorRüegg, S.R.en
dc.date.accessioned2021-06-08T15:30:45Zen
dc.date.available2021-06-08T15:30:45Zen
dc.identifier.urihttps://hdl.handle.net/10568/113902
dc.titleSystem thinking and citizen participation is still missing in One Health initiatives – Lessons from fifteen evaluationsen
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
dcterms.accessRightsOpen Access
dcterms.audienceScientistsen
dcterms.audienceAcademicsen
dcterms.available2021-06-04en
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
dcterms.extent653398en
dcterms.issued2021-06-04en
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherFrontiers Mediaen
dcterms.subjecthealthen
dcterms.subjectresearchen
dcterms.subjectanimal healthen
dcterms.typeJournal Article

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