Abdullah Muhammad Ahmed, Shaikh Babar Tasneem
Health Services Academy, Chak Shahzad, Park Road, Islamabad, 44000, Pakistan.
Ecohealth. 2025 Mar;22(1):138-146. doi: 10.1007/s10393-024-01696-5. Epub 2025 Jan 5.
One Health is an integrative approach aiming to achieve optimal health outcomes by recognizing the interconnection between humans, animals, and the environment. This study explores the understanding, perspectives, hurdles, and implications of intersectoral collaboration within Pakistan's human health system, focusing on One Health principles. A qualitative phenomenological approach was employed, involving 17 key informant interviews with purposively selected stakeholders from public health, agriculture, veterinary medicine, agriculture and environmental science. Thematic analysis was conducted to generate themes. There are varying levels of understanding and awareness of One Health principles, with some showing strong comprehension; while, others showed significant knowledge gaps. Barriers such as institutional silos, fragmented policies, and limited resources were identified for operationalizing the intersectoral collaboration requisite for One Health. Successful collaborative initiatives demonstrated the potential of One Health in achieving significant health outcomes. Meaningful engagement of stakeholders and capacity building emerged as critical needs, with recommendations for continuous in-service training centered on One Health principles. Unified policies, strengthened institutional support, and continuous capacity building will enhance One Health agenda. Overarching governance and decentralized decision-making processes can promote consistency and cooperation across sectors for advancing One Health initiatives and effectively addressing complex human health challenges in Pakistan.
“同一健康”是一种综合方法，旨在通过认识人类、动物和环境之间的相互联系来实现最佳健康结果。本研究探讨了巴基斯坦人类健康系统内跨部门合作在“同一健康”原则方面的理解、观点、障碍及影响。采用了定性现象学方法，对从公共卫生、农业、兽医学、农业和环境科学领域有目的地挑选出的17名关键信息提供者进行了访谈。进行了主题分析以生成主题。对“同一健康”原则的理解和认识程度各不相同，一些人表现出较强的理解能力；而另一些人则存在明显的知识差距。已确定了诸如机构壁垒、政策分散和资源有限等障碍，这些障碍阻碍了实施“同一健康”所需的跨部门合作。成功的合作倡议展示了“同一健康”在实现重大健康成果方面的潜力。利益相关者的有意义参与和能力建设成为关键需求，并提出了以“同一健康”原则为中心的持续在职培训建议。统一政策、加强机构支持和持续能力建设将推动“同一健康”议程。总体治理和分散的决策过程可以促进各部门之间的一致性与合作，以推进“同一健康”倡议并有效应对巴基斯坦复杂的人类健康挑战。
