ArticleBMC public health2023
Contribution of the one health approach to strengthening health security in Uganda: a case study.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Theory of change for building stronger wildlife health surveillance systems globally.The Lancet. Planetary health · 2026Review
- A virtual One Health Community of practice in West Nile sub-region, Uganda: Implementation experience and participation trends.One health (Amsterdam, Netherlands) · 2026Article
- Integrating One Health Into Health Systems: A Systematic Review and Narrative Synthesis of Implementation Challenges, Opportunities and Strategic Directions.Public health challenges · 2026Review
- Modeling policy decisions to mitigate the risk of emerging arboviral diseases under ecological changes in Uganda: Proposing a one Health in all policies approach.One health (Amsterdam, Netherlands) · 2026Article
- Donor dependency and pandemic readiness: insights from the 2026 Ebola Bundibugyo outbreak in the East African community.Frontiers in public health · 2026Article
- One Health Approaches to Ethical, Secure, and Sustainable Food Systems and Ecosystems: Plant-Based Diets and Livestock in the African Context.Foods (Basel, Switzerland) · 2025Review
- Economic methods and spatial scales in One Health: Results from a scoping review.One health (Amsterdam, Netherlands) · 2025Review
- Enhancing Global Health Security in Sub-Saharan Africa: The case for integrated One Health surveillance against zoonotic diseases and environmental threats.One health (Amsterdam, Netherlands) · 2025Review
- Power dynamics and intersectoral collaboration for health in low- and middle-income countries: a realist review.Health policy and planning · 2025Article
- How health securitisation shapes health system priorities: A realist synthesis.PLOS global public health · 2025Article
- Are we ready for the next anthrax outbreak? Lessons from a simulation exercise in a rural-based district in Uganda.Epidemiology and infection · 2024Article
- One Health policy for combatting African trypanocide resistance.One health (Amsterdam, Netherlands) · 2024Article
- Strengthening anthrax outbreak response and preparedness: simulation and stakeholder education in Namisindwa district, Uganda.BMC veterinary research · 2024Article
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe One Health approach is key in implementing International Health Regulations (IHR, 2005) and the Global Health Security Agenda (GHSA). Uganda is signatory to the IHR 2005 and in 2017, the country conducted a Joint External Evaluation (JEE) that guided development of the National Action Plan for Health Security (NAPHS) 2019-2023.
aimThis study assessed the contribution of the One Health approach to strengthening health security in Uganda.
methodsA process evaluation between 25th September and 5th October 2020, using a mixed-methods case study. Participants were Subject Matter Experts (SMEs) from government ministries, departments, agencies and implementing partners. Focus group discussions were conducted for five technical areas (workforce development, real-time surveillance, zoonotic diseases, national laboratory systems and emergency response operations), spanning 18 indicators and 96 activities. Funding and implementation status from the NAPHS launch in August 2019 to October 2020 was assessed with a One Health lens.
resultsFull funding was available for 36.5% of activities while 40.6% were partially funded and 22.9% were not funded at all. Majority (65%) of the activities were still in progress, whereas 8.6% were fully implemented and14.2% were not yet done. In workforce development, several multisectoral trainings were conducted including the frontline public health fellowship program, the One Health fellowship and residency program, advanced field epidemiology training program, in-service veterinary trainings and 21 district One Health teams' trainings. Real Time Surveillance was achieved through incorporating animal health events reporting in the electronic integrated disease surveillance and response platform. The national and ten regional veterinary laboratories were assessed for capacity to conduct zoonotic disease diagnostics, two of which were integrated into the national specimen referral and transportation network. Multisectoral planning for emergency response and the actual response to prioritized zoonotic disease outbreaks was done jointly.
conclusionsThis study demonstrates the contribution of 'One Health' implementation in strengthening Uganda's health security. Investment in the funding gaps will reinforce Uganda's health security to achieve the IHR 2005. Future studies could examine the impacts and cost-effectiveness of One Health in curbing prioritized zoonotic disease outbreaks.
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