Tambo Ernest, Zhang Chen-Sheng, Tazemda Gildas B, Fankep Bertin, Tappa Ngo T, Bkamko Cremona F Bette, Tsague Laura M, Tchemembe Daniella, Ngazoue Elodie F, Korie Kennedy K, Djobet Marie Paule N, Olalubi Oluwasogo A, Njajou Omer N
Higher Institute of Health Sciences, Faculty of Medicine, Universite des Montagnes, Cameroon.
Center for Leadership in Global Health Equity, University of Global Health Equity, Kigali, Rwanda.
Sci One Health. 2023 Oct 29;2:100044. doi: 10.1016/j.soh.2023.100044. eCollection 2023.
The triple crises of the COVID-19 pandemic, conflict and climate change have severely impacted food systems, leading to socio-economic consequences and undermining food and nutrition security across Africa. To address the malnutrition and poverty affecting approximately 700 million people in Africa, there is potential for the One Health approach implementation and operationalization to bring together multidisciplinary solutions for tackling food insecurity and ensuring food safety net. However, there is limited documentation on the potential of the One Health approach system thinking implementation to guide responses to triple crises-induced food insecurity. Therefore, this article aims to systematically understand the triple crises-induced food insecurity, connect existing solutions, and explore the role of the One Health approach in strengthening food and agriculture systems in Africa. Our finding showed the impact of triple crises exacerbating food system vulnerability in Africa and worldwide. Mitigating and resilient actions are urgently needed in tackling the emerging and persisting challenges, and infectious diseases menace and burden across Africa. We present a conceptual model illustrating the complex nature of triple crises-induced food insecurity, vulnerability areas within the food system, and actionable strategies for building community food resilience. Additionally, recommendations are provided to create an enabling environment that supports One Health approach implementation and addresses food insecurity challenges through innovative partnerships, local-led initiatives, and enhanced governance and artificial intelligence technology capacities in achieving sustainable and inclusive growth to reduce socio-economic inequalities. Stepping up integrated, actionable, and sustainable food systems programs and innovative long-lasting solutions requires investing in promoting new partnership and research collaboration in building conflict resolution and peace towards strengthening and reshaping local and global food security related climate change adaptations actions for most vulnerable communities' benefits. These are ingredients in fastening preparedness, prevention and control of infectious diseases prevention and control, reducing food supply chains disruption towards accelerating equitable benefits of Universal Health Coverage and Sustainable Development Goals, 2030 across Africa.
新冠疫情、冲突和气候变化这三重危机严重冲击了粮食系统,造成了社会经济后果,并损害了非洲各地的粮食和营养安全。为应对影响非洲约7亿人口的营养不良和贫困问题,实施和运用“同一健康”方法有潜力汇聚多学科解决方案,以应对粮食不安全问题并确保食品安全网。然而,关于“同一健康”方法系统思维的实施潜力以指导应对三重危机引发的粮食不安全问题的文献有限。因此,本文旨在系统地理解三重危机引发的粮食不安全问题,连接现有解决方案,并探索“同一健康”方法在加强非洲粮食和农业系统中的作用。我们的研究结果表明,三重危机加剧了非洲和全球粮食系统的脆弱性。迫切需要采取缓解和恢复力行动来应对新出现和持续存在的挑战,以及非洲各地的传染病威胁和负担。我们提出了一个概念模型,说明了三重危机引发的粮食不安全的复杂性质、粮食系统内的脆弱领域以及建立社区粮食恢复力的可行动战略。此外,还提供了建议,以创造一个有利环境,支持实施“同一健康”方法,并通过创新伙伴关系、地方主导的倡议以及增强治理和人工智能技术能力来应对粮食不安全挑战,以实现可持续和包容性增长,减少社会经济不平等。加强综合、可行动和可持续的粮食系统计划以及创新的持久解决方案需要投资促进新的伙伴关系和研究合作,以建立冲突解决与和平,从而加强和重塑与气候变化适应行动相关的地方和全球粮食安全,造福最脆弱社区。这些是加快传染病预防和控制的准备工作、减少粮食供应链中断,以加速在非洲实现全民健康覆盖和2030年可持续发展目标的公平效益的要素。