tetano
Editor, Senior Moderator
One Health. 2019 Aug 12;8:100101. doi: 10.1016/j.onehlt.2019.100101. eCollection 2019 Dec.
[h=1]One health approach in Nepal: Scope, opportunities and challenges.[/h] Acharya KP[SUP]1[/SUP], Karki S[SUP]2[/SUP], Shrestha K[SUP]3[/SUP], Kaphle K[SUP]4[/SUP].
[h=3]Author information[/h] 1 Ministry of Land Management, Agriculture and Cooperatives (MoLMAC), Gandaki Province, Pokhara, Nepal. 2 FHI 360 Nepal, Baluwatar, Kathmandu, Nepal. 3 Asian Institute of Technology, Bangkok, Thailand. 4 Institute of Agriculture and Animal Science, Tribhuvan University, Paklihawa, Rupandehi, Nepal.
[h=3]Abstract[/h] One Health (OH) is a collaborative effort to attain optimal health for people, animals and the environment. The concept of OH is still in its infancy in Nepal but is increasingly growing. The Government of Nepal (GoN) has taken some initiatives to tackle burgeoning problems such as antimicrobial resistance, highly pathogenic avian influenza and rabies using OH approach but there are several challenges at the level of implementation. Few non-governmental organizations support GoN to promote an OH approach. The major bottlenecks in implementing OH in Nepal include poor organizational structure to support OH, absence of a legal framework to implement OH, poor coordination among different governmental agencies, insufficient technical expertise, poor data sharing mechanism across sectors, limited budget and poor understanding at political level. We encourage GoN to address these gaps and prioritize the health problems where OH approach would give the best outcome. Institutional and legal frameworks need to be created to effectively implement an OH approach in Nepal. Increasing awareness among policy makers including political leadership and increasing regular government budget for OH activities would be helpful to promote OH in Nepal.
[h=4]KEYWORDS:[/h] AFU, Agriculture and Forestry University; AICP, Avian Influenza Control Project; AMR, Antimicrobial resistance; AMRCSC, AMR multi-sectoral steering committee; AMU, Antimicrobial Use; ANSAB, Asia Network for Sustainable Agriculture and Bio-resources; Animal health; Budget; CDC, Center for Disease Control and Prevention; CVL, Central Veterinary Laboratory; DFTQC, Department of Food Technology and Quality Control; DHS, Department of Health Services; DLS, Department of Livestock Services; DoAH, Directorate of Animal Health; EDCD, Epidemiology and Disease Control Division; Environmental health; FAO, Food and Agriculture Organization; GoN, Government of Nepal; HPAI, Highly Pathogenic Avian Influenza; Human health; Infectious diseases; MERS, Middle East Respiratory Syndrome; MoALD, Ministry of Agriculture and Livestock Development; MoHP, Ministry of Health and Population; NGO, Non-Governmental Organizations; NOHH, Nepal One Health Hub; NPHL, National Public Health Laboratory; NTWC, National Technical Working Committees; NZFHRC, National Zoonosis and Food Hygiene Research Center; Non-governmental organizations; OH, One Health; OHAN, One Health Alliance Nepal; OIE, World Organization for Animal Health; PVS, Performance of Veterinary Services; RI, Relief International; UN, United Nations; WHO, World Health Organization; ZCP, Zoonosis Control Project; Zoonoses
PMID: 31485475 PMCID: PMC6715885 DOI: 10.1016/j.onehlt.2019.100101
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[h=1]One health approach in Nepal: Scope, opportunities and challenges.[/h] Acharya KP[SUP]1[/SUP], Karki S[SUP]2[/SUP], Shrestha K[SUP]3[/SUP], Kaphle K[SUP]4[/SUP].
[h=3]Author information[/h] 1 Ministry of Land Management, Agriculture and Cooperatives (MoLMAC), Gandaki Province, Pokhara, Nepal. 2 FHI 360 Nepal, Baluwatar, Kathmandu, Nepal. 3 Asian Institute of Technology, Bangkok, Thailand. 4 Institute of Agriculture and Animal Science, Tribhuvan University, Paklihawa, Rupandehi, Nepal.
[h=3]Abstract[/h] One Health (OH) is a collaborative effort to attain optimal health for people, animals and the environment. The concept of OH is still in its infancy in Nepal but is increasingly growing. The Government of Nepal (GoN) has taken some initiatives to tackle burgeoning problems such as antimicrobial resistance, highly pathogenic avian influenza and rabies using OH approach but there are several challenges at the level of implementation. Few non-governmental organizations support GoN to promote an OH approach. The major bottlenecks in implementing OH in Nepal include poor organizational structure to support OH, absence of a legal framework to implement OH, poor coordination among different governmental agencies, insufficient technical expertise, poor data sharing mechanism across sectors, limited budget and poor understanding at political level. We encourage GoN to address these gaps and prioritize the health problems where OH approach would give the best outcome. Institutional and legal frameworks need to be created to effectively implement an OH approach in Nepal. Increasing awareness among policy makers including political leadership and increasing regular government budget for OH activities would be helpful to promote OH in Nepal.
[h=4]KEYWORDS:[/h] AFU, Agriculture and Forestry University; AICP, Avian Influenza Control Project; AMR, Antimicrobial resistance; AMRCSC, AMR multi-sectoral steering committee; AMU, Antimicrobial Use; ANSAB, Asia Network for Sustainable Agriculture and Bio-resources; Animal health; Budget; CDC, Center for Disease Control and Prevention; CVL, Central Veterinary Laboratory; DFTQC, Department of Food Technology and Quality Control; DHS, Department of Health Services; DLS, Department of Livestock Services; DoAH, Directorate of Animal Health; EDCD, Epidemiology and Disease Control Division; Environmental health; FAO, Food and Agriculture Organization; GoN, Government of Nepal; HPAI, Highly Pathogenic Avian Influenza; Human health; Infectious diseases; MERS, Middle East Respiratory Syndrome; MoALD, Ministry of Agriculture and Livestock Development; MoHP, Ministry of Health and Population; NGO, Non-Governmental Organizations; NOHH, Nepal One Health Hub; NPHL, National Public Health Laboratory; NTWC, National Technical Working Committees; NZFHRC, National Zoonosis and Food Hygiene Research Center; Non-governmental organizations; OH, One Health; OHAN, One Health Alliance Nepal; OIE, World Organization for Animal Health; PVS, Performance of Veterinary Services; RI, Relief International; UN, United Nations; WHO, World Health Organization; ZCP, Zoonosis Control Project; Zoonoses
PMID: 31485475 PMCID: PMC6715885 DOI: 10.1016/j.onehlt.2019.100101
Free full text