Health solutions: theoretical foundations of the shift from sectoral to integrated systems

Richard Kock; Kevin Queenan; Julie Garnier; Rosenbaum Liza Nielsen; Sandra Buttigieg; Daniele de Meneghi; Martin Holmberg; Jakob Zinsstag; Simon Rüegg; Barbara Häsler

Health solutions: theoretical foundations of the shift from sectoral to integrated systems

In: Integrated approaches to health

Authors:

Richard Kock

Richard Kock ¹Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, United Kingdom

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Kevin Queenan

Kevin Queenan ¹Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, United Kingdom

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Julie Garnier

Julie Garnier ²Odyssey Conservation Trust, Bakewell, Derbyshire DE45 1LA, United Kingdom

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Rosenbaum Liza Nielsen

Rosenbaum Liza Nielsen ³Department of Veterinary and Animal Science, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, Denmark

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Sandra Buttigieg

Sandra Buttigieg ⁴Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta

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Daniele de Meneghi

Daniele de Meneghi ⁵Department Veterinary Science, University of Turin, L.go P. Braccini 2, 10095 Grugliasco (Torino), Italy

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Martin Holmberg

Martin Holmberg ⁶Department of Culture and Media Studies, Umeå University, 901 87 Umeå, Sweden

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Jakob Zinsstag

Jakob Zinsstag ⁷Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002 Basel, Switzerland
⁸University of Basel, Petersplatz 1, 4003 Basel, Switzerland

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Simon Rüegg

Simon Rüegg ⁹Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland; kqueenan3@rvc.ac.uk

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, and

Barbara Häsler

Barbara Häsler ¹Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, United Kingdom

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Type:: Chapter

Pages:: 22–37

DOI:: https://doi.org/10.3920/9789086868759_004

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Dar Hadith al Hassania

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The current fragmented framework of health governance for humans, animals and environment, together with the conventional linear approach to solving current health problems, is failing to meet today’s complex health challenges and is proving unsustainable. Advances in healthcare depend increasingly on intensive interventions, technological developments and expensive pharmaceuticals. The disconnect grows between human health, animal health and environmental and ecosystems health. Human development gains have come with often unrecognised negative externalities affecting ecosystems, notably loss of resilience, mostly through biodiversity loss and land degradation. Reduced capacity of the ecosystem to serve humanity threatens to reverse the health gains of the last century. A paradigm shift is urgently required to de-sectoralise human, animal, plant and ecosystem health and to take a more integrated approach to health, One Health (OH). The sustainable development goals (SDGs) offer a framework and unique opportunity for this and we argue the need of an OH approach towards achieving them. Feasibility assessments and outcome evaluations are often constrained by sectoral politics within a national framework, historic possession of expertise, as well as tried and tested metrics. OH calls for a better understanding, acceptance and use of a broader and transdisciplinary set of evaluation approaches and associated metrics, which is a key objective of NEOH. We need to shift our current sectoralised, linear focus to a more visible balanced health investment with more global benefits to all species. This is encapsulated in the movements for OH, EcoHealth, Planetary Health and Ecological Public Health, which are essentially converging towards a paradigm shift for a more integrated approach to health.

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Integrated approaches to health

A handbook for the evaluation of One Health

E-Book ISBN:: 9789086868759

Publisher:: Wageningen Academic

Print Publication Date:: 28 Nov 2018

Subjects
- Life Sciences

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Health solutions: theoretical foundations of the shift from sectoral to integrated systems

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Integrated approaches to health

A handbook for the evaluation of One Health

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