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. 2022 Mar 24;14:100380. doi: 10.1016/j.onehlt.2022.100380

Table 3.

Barriers and facilitators to One Health (OH) implementation and success in 23 studies included in a scoping review exploring the evaluation of OH initiatives in a context of intersectoral collaborations (i.e., involving at least two sectors among human, animal, environment).

Category of factors Facilitators
Barriers
Description References Description References
Structural / economic - Available/existing structures (legislation, chain of supply, easy diagnosis, network) [36,40,41,57] - Structures, resources, and logistical limitation (e.g., weak surveillance system, lack of staff, external support, time, long walking distance, change of staff) [36,43,[47], [48], [49],56,57]
- Low cost of intervention / affordable [38,41,50] - Border control not sufficient [40]
- Economic challenges (cost and respect budget allocation) [49]
- Decentralization of government services for animal health work [50]
Social - Socially and culturally appropriate [37,46,50] - Lack of communication to community [37]
- Strong community support and participation, involvement of specific key actors [37,38,43,44,46,47,53] - Low community participation (e.g., affected by historical and current community dynamic or not feeling concerned) [43,56]
- Strong community organization/leadership [43] - Cultural barrier (from community to pursue traditional practices or lack of integration of cultural practices from experts) [46]
- Engagement with community in a reciprocal learning process [46]
Political - Health perceived as a priority which ensure political engagement / sense of urgency [36,50] - Sustainability of activities related to stakeholders (e.g., priorities changes or low risk perception or not enough practice of activities which leads to forgetting procedures) [37,39,44,48]
Communication / coordination - Collaboration and communication between stakeholders [41,47,57] - Lack of coordination or communication among stakeholders [49,56,57]
- Top-down management [56]
Methodological - Continually review and revise protocols [46]
- Use of innovative and accessible method [42,48,49]
Paradigm / ontology - Recognition and awareness of OH evidence [37,40,56] - No OH thinking [40,52]
Gap of awareness, education / training - Gap of awareness, education, and training regarding zoonotic disease threat, requirements, and law [57]
- Lack of training to appropriately implement activities (e.g., sample collection) [37]