Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Front Public Health. 2023 Nov 23;11:1252428. doi: 10.3389/fpubh.2023.1252428. eCollection 2023.
One Health is a concept that establishes the link between humans, animals and the environment in a collaborative approach. Since One Health's inception, several interventions have been developed in many regions and countries worldwide to tackle complex health problems, including epidemics and pandemics. In the developed world, many collaborative platforms have been created with an international strategy to address issues specific or not to their environment. Unfortunately, there is a lack of synthesis on the challenges and opportunities Low and Middle-Income Countries (LMICs) face.
Following The Preferred Reporting Elements for PRISMA Systematic Reviews and Meta-Analyses (PRISMA), we conducted a systematic review. We applied a search strategy to electronic bibliographic databases (PubMed, Embase, Global Health, Web of Science and CINAHL). We assessed the included articles' quality using the Mixed Methods Appraisal tool (MMAT).
A total of 424 articles were initially identified through the electronic database search. After removing duplicates (n = 68), 356 articles were screened for title and abstract, and 16 were retained for full-text screening. The identified barriers were the lack of political will, weak governance and lack of human, financial and logistics resources. Concerning the enablers, we listed the existence of a reference framework document for One Health activities, good coordination between the different sectors at the various levels, the importance of joint and multisectoral meetings that advocated the One Health approach and the Availability of funds and adequate resources coupled with the support of Technical and Financial partners.
One Health strategy and interventions must be implemented widely to address the rising burden of emerging infectious diseases, zoonotic diseases, and antimicrobial resistance. Addressing those challenges and reinforcing the enablers to promote managing global health challenges is necessary.
https://www.crd.york.ac.uk/prospero/record_email.php, Unique Identifier: CRD42023393693.
One Health 是一种在协作方法中将人类、动物和环境联系起来的概念。自 One Health 诞生以来，世界上许多地区和国家已经制定了几项干预措施来解决复杂的健康问题，包括传染病和大流行病。在发达国家，许多具有国际战略的合作平台已经建立起来，以解决与其环境相关或不相关的问题。不幸的是，对于中低收入国家（LMICs）面临的挑战和机遇，缺乏综合分析。
根据 PRISMA 系统评价和荟萃分析的首选报告元素（PRISMA），我们进行了系统评价。我们应用了一种搜索策略，涵盖了电子书目数据库（PubMed、Embase、全球健康、Web of Science 和 CINAHL）。我们使用混合方法评估工具（MMAT）评估纳入文章的质量。
最初通过电子数据库搜索确定了 424 篇文章。在去除重复项（n=68）后，对 356 篇文章进行了标题和摘要筛选，有 16 篇文章被保留进行全文筛选。确定的障碍包括缺乏政治意愿、治理薄弱以及缺乏人力、财务和后勤资源。关于促进因素，我们列出了 One Health 活动参考框架文件的存在、各级不同部门之间的良好协调、倡导 One Health 方法的联合和多部门会议的重要性，以及资金和充足资源的可用性以及技术和财务合作伙伴的支持。
必须广泛实施 One Health 战略和干预措施，以应对新发传染病、人畜共患病和抗微生物药物耐药性不断增加的负担。解决这些挑战并加强促进因素以促进管理全球健康挑战是必要的。
https://www.crd.york.ac.uk/prospero/record_email.php，唯一标识符：CRD42023393693。
