Putting one health to the test: Operational challenges and critical reflections from the global South

One Health as a policy framework to tackle zoonoses has gained wide-ranging validation with multiple international organizations throwing their collective might behind it. Such endorsement has convinced several governments to adopt One Health as a national strategy to address zoonoses. Although some...

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Main Authors: Mridula Mary Paul, Sunita Pradhan, Aarti Chettri, Sarala Khaling, Abi T. Vanak
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:One Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352771424002891
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author Mridula Mary Paul
Sunita Pradhan
Aarti Chettri
Sarala Khaling
Abi T. Vanak
author_facet Mridula Mary Paul
Sunita Pradhan
Aarti Chettri
Sarala Khaling
Abi T. Vanak
author_sort Mridula Mary Paul
collection DOAJ
description One Health as a policy framework to tackle zoonoses has gained wide-ranging validation with multiple international organizations throwing their collective might behind it. Such endorsement has convinced several governments to adopt One Health as a national strategy to address zoonoses. Although some argue that One Health is so many things that there are in fact multiple ‘One Healths’, others find that most international policy documents that use the One Health framing contain certain key recommendations, with intersectoral coordination and disease surveillance prominent among them. In this paper we examine whether and how One Health travels in a sub-national setting in a developing country context such as that of India, with particular focus on intersectoral coordination. We draw on documentary analysis, semi-structured interviews, and workshops with government officials across key sectoral agencies at the district level, to understand prevalent institutional mechanisms in place to address zoonoses in such a setting. We locate our study in the district of Gyalshing in the state of Sikkim in India, which is a potential zoonoses ‘hotspot’ given its location within the biodiverse Indian Himalayan Region, with numerous avenues for human-animal interactions, and burgeoning human population linked to its tourism-run economy. We outline successful cases where certain zoonotic diseases could be tackled, while also highlighting structural constraints that need to be borne in mind while planning or advocating One Health as a blanket policy prescription. In doing so, we draw attention to the political dimensions of global health policies, and question whether One Health can be uncritically deployed in developing country contexts.
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spelling doaj-art-479acdf9641443069d5f26f6de7d62a82025-01-11T06:41:36ZengElsevierOne Health2352-77142025-06-0120100963Putting one health to the test: Operational challenges and critical reflections from the global SouthMridula Mary Paul0Sunita Pradhan1Aarti Chettri2Sarala Khaling3Abi T. Vanak4Department of Geography & Environmental Sciences, Northumbria University, Ellison Building, Newcastle-upon-Tyne NE1 8ST, UK; Corresponding author.Ashoka Trust for Research in Ecology and the Environment, Regional Office-Northeast India, Gangtok, Sikkim 737101, IndiaDepartment of Zoology, Sikkim Government College, Namchi, Sikkim 737126, IndiaAshoka Trust for Research in Ecology and the Environment, Regional Office-Northeast India, Gangtok, Sikkim 737101, IndiaCentre for Policy Design, Ashoka Trust for Research in Ecology and the Environment, Bengaluru, India & School of Life Sciences, University of KwaZulu-Natal, Durban, South AfricaOne Health as a policy framework to tackle zoonoses has gained wide-ranging validation with multiple international organizations throwing their collective might behind it. Such endorsement has convinced several governments to adopt One Health as a national strategy to address zoonoses. Although some argue that One Health is so many things that there are in fact multiple ‘One Healths’, others find that most international policy documents that use the One Health framing contain certain key recommendations, with intersectoral coordination and disease surveillance prominent among them. In this paper we examine whether and how One Health travels in a sub-national setting in a developing country context such as that of India, with particular focus on intersectoral coordination. We draw on documentary analysis, semi-structured interviews, and workshops with government officials across key sectoral agencies at the district level, to understand prevalent institutional mechanisms in place to address zoonoses in such a setting. We locate our study in the district of Gyalshing in the state of Sikkim in India, which is a potential zoonoses ‘hotspot’ given its location within the biodiverse Indian Himalayan Region, with numerous avenues for human-animal interactions, and burgeoning human population linked to its tourism-run economy. We outline successful cases where certain zoonotic diseases could be tackled, while also highlighting structural constraints that need to be borne in mind while planning or advocating One Health as a blanket policy prescription. In doing so, we draw attention to the political dimensions of global health policies, and question whether One Health can be uncritically deployed in developing country contexts.http://www.sciencedirect.com/science/article/pii/S2352771424002891One healthZoonosesHealth policyStructural violence of policies
spellingShingle Mridula Mary Paul
Sunita Pradhan
Aarti Chettri
Sarala Khaling
Abi T. Vanak
Putting one health to the test: Operational challenges and critical reflections from the global South
One Health
One health
Zoonoses
Health policy
Structural violence of policies
title Putting one health to the test: Operational challenges and critical reflections from the global South
title_full Putting one health to the test: Operational challenges and critical reflections from the global South
title_fullStr Putting one health to the test: Operational challenges and critical reflections from the global South
title_full_unstemmed Putting one health to the test: Operational challenges and critical reflections from the global South
title_short Putting one health to the test: Operational challenges and critical reflections from the global South
title_sort putting one health to the test operational challenges and critical reflections from the global south
topic One health
Zoonoses
Health policy
Structural violence of policies
url http://www.sciencedirect.com/science/article/pii/S2352771424002891
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AT aartichettri puttingonehealthtothetestoperationalchallengesandcriticalreflectionsfromtheglobalsouth
AT saralakhaling puttingonehealthtothetestoperationalchallengesandcriticalreflectionsfromtheglobalsouth
AT abitvanak puttingonehealthtothetestoperationalchallengesandcriticalreflectionsfromtheglobalsouth