ReviewPublic health challenges2026
Integrating One Health Into Health Systems: A Systematic Review and Narrative Synthesis of Implementation Challenges, Opportunities and Strategic Directions.
Review in Public health challenges, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The One Health (OH) approach, which gained international prominence in the early 2000s and was formally articulated through a unified definition in 2022, promotes coordinated action across human, animal and environmental health sectors. Despite increasing global recognition, its integration into national health systems remains inconsistent. This review synthesizes global evidence on challenges, opportunities and strategic directions for embedding OH within health system structures. Study Design: A systematic review with narrative synthesis. Methods: This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Peer-reviewed studies published between 1 June 2013, and 1 April 2025 were identified through searches conducted in January-February 2025 in Scopus, PubMed, Web of Science and ProQuest Health and Medicine. Supplementary searches included Google Scholar and backward reference screening. Two reviewers independently screened studies and applied predefined eligibility criteria. Findings were synthesized narratively. Results: Of 2606 records identified, 17 studies were included. The studies represented Africa, Europe, Asia, Australia and multi-country settings across varying income levels. Key challenges included weak governance arrangements, limited legal and policy support, inadequate financing, workforce capacity constraints and persistent sectoral fragmentation. Opportunities were linked to heightened awareness of zoonotic threats and antimicrobial resistance, growing institutional endorsement, academic engagement and emerging multisectoral coordination mechanisms. Conclusion: Sustainable integration of OH requires embedding it within governance, financing and service delivery systems rather than implementing it as parallel initiatives.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.