Preparedness for One Health Surveillance System: A qualitative in-depth exploration in Gujarat, India

Sandul Yasobant , Ravina Tadvi , Deepak B. Saxena
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Abstract

Background

The One Health approach, emphasizing collaboration across human, animal, and environmental health sectors, is recognized as crucial for mitigating zoonotic disease risks. Despite existing human and animal health surveillance systems, operational integration and effective coordination remain challenges. However, the potential for enhancing integrated disease control efforts is promising. Establishing inter-sectoral collaboration is essential for generating early warning signals, conducting joint investigations, and mounting coordinated responses to outbreaks.

Objective

This study aimed to investigate sectoral collaborations within Gujarat's (Western Indian state) disease surveillance system, shedding light on the challenges and opportunities for enhancing integrated disease control efforts from the One Health perspective.

Methods

This qualitative study, conducted in Gujarat, India, from May 2023 to June 2024, employed in-depth interviews as the primary data collection method. The study focused on exploring the unique relationships between human and animal disease surveillance systems and their stakeholders’ with each other at both the state and district levels, providing a comprehensive understanding of the sectoral collaborations.

Result

The study identified huge opportunities to translate the surveillance system towards One Health Surveillance systems by strengthening intersectoral data sharing and reporting portals, as well as integration between health and animal sectors for early warning systems.

Conclusion

By enhancing coordination, investing in resources, and fostering partnerships, the state can build robust mechanisms for timely identification and response to emerging health threats, ultimately safeguarding the well-being of its population from One Health perspective.
一个卫生监测系统的准备:在印度古吉拉特邦进行质的深入探索
“同一个健康”方针强调人类、动物和环境卫生部门之间的合作,被认为对减轻人畜共患疾病风险至关重要。尽管现有人类和动物卫生监测系统,但业务整合和有效协调仍然是挑战。然而,加强综合疾病控制工作的潜力是有希望的。建立部门间协作对于产生早期预警信号、开展联合调查和加强对疫情的协调应对至关重要。本研究旨在调查古吉拉特邦(西印度邦)疾病监测系统内的部门合作,揭示从“一个健康”的角度加强综合疾病控制工作的挑战和机遇。方法本定性研究于2023年5月至2024年6月在印度古吉拉特邦进行,采用深度访谈作为主要数据收集方法。该研究的重点是在州和地区两级探索人类和动物疾病监测系统及其利益攸关方之间的独特关系,从而全面了解部门合作。结果研究发现,通过加强部门间数据共享和报告门户,以及卫生和动物部门之间的早期预警系统整合,将监测系统转变为一个卫生监测系统存在巨大机遇。结论通过加强协调、投资资源和促进伙伴关系,国家可以建立健全的机制,及时识别和应对新出现的健康威胁,最终从“同一个健康”的角度保障其人民的福祉。
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