Multisectoral collaboration at the human-animal-environmental interface

Multisectoral Collaboration at the Human-Animal-Environmental Interface One Health, as defined by the One Health High-Level Expert Panel (OHHLEP), is “an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems”. To improve health security through One Health implementation, the pathway to strengthen collaboration between sectors at the human-animal-environmental interface (HAI pathway) was proposed. Strategic guides and tools, developed to support countries and areas through dierent steps of the HAI pathway, are described below in Figure 1. Figure 1. HAI pathway to strengthen collaboration between sectors at the human-animal-environmental interface One Health implementation for health security Goal: Strengthen multisectoral collaboration at the human-animal-environmental interface at national and subnational levels. Use operational tools and resources to address critical technical needs: Joint risk assessment Multisectoral coordination mechanism Surveillance and information-sharing Investigation and response Workforce development Monitoring and evaluation Assess collaboration and identify strengths and weaknesses in managing zoonotic diseases. Implement and monitor progress of joint road maps and apply principles and good practices to address zoonotic disease and other One Health threats. Develop joint operational plans to strengthen One Health collaboration and coordination.       Address specific One Health needs Assess collaboration Implement road maps Plan jointly NATIONAL ACTION PLAN FO R H EALTH SECURITY (NAPHS) STATE PARTY SELF-ASSESSMENT ANNUA L RE POR TIN G ( SP AR ) JO IN T EX TE RN AL EV AL UA TIO NS (JEE ) PERFORMANCE OF VETERINARY SERVICES (PVS) Countries assess current multisectoral coordination and collaboration. The assessment is based on the technical areas that are key for the prevention, detection and response to health events at the human-animal-environmental interface. Assess collaboration STEP 1 Multisectoral Collaboration at the Human-Animal-Environmental Interface Implement road maps Countries implement, apply principles and good practices, and monitor programmes and activities that support multisectoral coordination and collaboration. The National Bridging Workshops (NBW) Programme could be used to help countries through Step 1 to 3. The Tripartite Zoonoses Guide (TZG) provides principles and good practices for zoonotic disease preparedness and response and could also be applied to other One Health challenges. STEP 3 Countries develop joint road maps to strengthen how dierent sectors work together at the human-animal-environmental interface. Jointly plan STEP 2 Address specific One Health needs STEP 4 The Tripartite Zoonoses Guide (TZG) operational tools are available to support countries through targeted capacity-strengthening for zoonotic diseases and other One Health challenges. The operational tools for joint risk assessment, multisectoral coordination mechanism, and surveillance and information-sharing are available in all oicial languages of the United Nations and can be flexibly used by countries. Operational tools for workforce development, and monitoring and evaluation are currently being developed (as of February 2023). In addition, a response preparedness workshop has been designed to support countries in coordination for joint response to zoonotic disease outbreaks. Multisectoral Collaboration at the Human-Animal-Environmental Interface The goal of the NBW Programme is to provide a methodology for planning and implementing a road map to improve One Health collaboration at the human-animal-environmental interface. The process involves a three-day NBW and the follow-up phase. The outputs of the workshop include a diagnosis of the strengths and weaknesses in the current collaboration among the human health, animal health and environment sectors, as well as a consensual and operational road map to improve collaboration. National Bridging Workshop (NBW) and Programme Tripartite Zoonoses Guide (TZG) A Tripartite Guide to Addressing Zoonotic Diseases in Countries Taking a Multisectoral, One Health Approach: Aer the workshop, follow-up activities are based on four pillars: recruitment of a national catalyst; monitoring and evaluation of road map implementation; technical and financial support by the Tripartite organizations; and the NBW community of practice. The goal of the TZG is to provide countries with standardized guidance to collaboratively address zoonotic diseases and other health threats at the human-animal-environmental interface. The associated operational tools provide step-by-step guidance for countries to address technical options described in the various chapters of the guide. By using the TZG and its associated operational tools countries can build or strengthen their national capacities in: Planning and preparedness Surveillance and information-sharing Investigation and response Risk communication Joint risk assessment Workforce development Mapping country context Multisectoral One Health coordination Includes guidance for monitoring and evaluation of these activities By adopting principles and good practices provided in the TZG and implementing its associated operational tools, countries are more equipped to comply with the International Health Regulations (2005) provided by the World Health Organization and the Terrestrial and Aquatic Health Codes provided by the World Organisation for Animal Health. Please note that the TZG operational tools can be implemented iteratively to assist countries to make appropriate adjustments according to the changing context. The goal is to support countries to conduct joint qualitative risk assessments for threats at the human-animal-environment interface. The process includes a 10-step guidance and a three-day workshop guiding countries on how to implement a joint qualitative risk assessment by all relevant sectors. The output of the JRA is the report containing the aligned risk assessment outcome, risk management options, communication needs and recommendations. The goal is to assess and strengthen the capacity for coordinated, multisectoral surveillance and information-sharing for zoonotic diseases within the country. The process includes a nine-step guidance and a three- or four-day workshop guiding countries through dierent modules from introduction to reporting, stakeholder engagement and road map implementation. The outputs of the surveillance and information-sharing operational tool are a road map and a workplan for the country to establish or strengthen their surveillance and information-sharing system. The goal is to provide a stepwise-approach for countries to establish or strengthen a government-led multisectoral, One Health mechanism for zoonotic disease and other One Health challenges. The process includes a three-day workshop and 18 technical elements that countries can prioritize as they establish or strengthen the mechanism's resources, structure and activities. The outputs of the MCM Operational Tool are an agreement on the objectives of the One Health mechanism, a government-validated action plan and a final workshop report. Joint Risk Assessment (JRA) Operational Tool Surveillance and information-sharing operational tool Multisectoral Coordination Mechanisms (MCM) Operational Tool The goal is to support countries in developing an operational framework on jointly responding to zoonotic disease outbreaks. The process is an interactive three-day workshop that guides participants though a zoonotic outbreak scenario, enabling open discussions to help them work together in the state of emergency. The output of the RePrep is an agreed operational framework on how to coordinate joint response during the various phases of a zoonotic outbreak. Response Preparedness Workshop (RePrep) Multisectoral Collaboration at the Human-Animal-Environmental Interface WPR/2024/DSE/010 © World Health Organization 2024 Some rights reserved. This document is available under the CC BY-NC-SA 3.0 IGO license.