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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
How are large-scale One Health initiatives targeting infectious diseases and antimicrobial resistance evaluated? A scoping review
One Health, Volume 14, Article 100380, Year 2022
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Description
While One Health initiatives are gaining in popularity, it is unclear if and how they are evaluated when implementation at scale is intended. The main purpose of this scoping review was to describe how One Health initiatives targeting infectious diseases and antimicrobial resistance at a large scale are evaluated. Secondary objectives included identifying the main facilitators and barriers to the implementation and success of these initiatives, and how their impacts were assessed. Twenty-three studies evaluating One Health initiatives were eligible. Most studies included the human (n = 22) and animal (n = 15) sectors; only four included the environment sector. The types of evaluated initiative (non-exclusive) included governance (n = 5), knowledge (n = 6), protection (n = 17), promotion (n = 16), prevention (n = 9), care (n = 8), advocacy (n = 10) and capacity (n = 10). Studies used normative (n = 4) and evaluative (n = 20) approaches to assess the One Health initiatives, the latter including impact (n = 19), implementation (n = 8), and performance (n = 7) analyses. Structural and economic, social, political, communication and coordination-related factors, as well as ontological factors, were identified as both facilitators and barriers for successful One Health initiatives. These results identified a wide range of evaluation methods and indicators used to demonstrate One Health's added values, strengths, and limitations: the inherent complexity of the One Health approach leads to the use of multiple types of evaluation. The strengths and remaining gaps in the evaluation of such initiative highlight the relevance of comprehensive, mixed-method, context-sensitive evaluation frameworks to inform and support the implementation of One Health initiatives by stakeholders in different governance settings. © 2022 The Authors
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8978269/bin/mmc1.docx
Authors & Co-Authors
Sadoine, Margaux L.
Canada, Montreal
University of Montreal
Canada, Montreal
Centre de Recherche en Santé Publique Cresp
Denis-Robichaud, José
Unknown Affiliation
Zinszer, Kate A.
Canada, Montreal
University of Montreal
Canada, Montreal
Centre de Recherche en Santé Publique Cresp
Zarowsky, Christina
Canada, Montreal
University of Montreal
Canada, Montreal
Centre de Recherche en Santé Publique Cresp
Aenishaenslin, Cécile
Canada, Montreal
University of Montreal
Canada, Montreal
Centre de Recherche en Santé Publique Cresp
Canada, St Hyacinthe
Groupe de Recherche en Épidémiologie Des Zoonoses et Santé Publique Grezosp
Carabin, Hél̀ene
Canada, Montreal
University of Montreal
Canada, Montreal
Centre de Recherche en Santé Publique Cresp
Canada, St Hyacinthe
Groupe de Recherche en Épidémiologie Des Zoonoses et Santé Publique Grezosp
Statistics
Citations: 10
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1016/j.onehlt.2022.100380
ISSN:
23527714
Research Areas
Health System And Policy
Study Approach
Systematic review