{"metadata":{"id":"0084acec99aea6afb1ad8e7dabb1897b","source":"gardian_index","url":"https://cgspace.cgiar.org/rest/bitstreams/6afb6394-0f72-41d6-9e41-ab51c0cca28b/retrieve"},"pageCount":65,"title":"Report of the Capacitating One Health in Eastern and Southern Africa Biennial Conference Pretoria, South Africa, 20-22 November 2023","keywords":[],"chapters":[{"head":"Executive summary","index":1,"paragraphs":[{"index":1,"size":43,"text":"In November 2023, the wider COHESA project convened in Pretoria for the project's first biennial conference. Tasked to review progress, share lessons, insights and innovations and to formulate priority actions for the coming two years, eighty-five people participated from all 12 project countries."},{"index":2,"size":130,"text":"The first day zoomed in on activities in the four work packages -looking first, package by package and then country by country. These collective exercises revealed project-wide strengths across the countries, such as the collaborative networked approach, capacities developed, inclusion of diverse institutes and issues, the Netmapping of actors and interests, the emerging evidence base, experimental approaches like sandpits to identify solutions, work on One Health platforms and outreach to schools, and the flexible funding approach. The country team interactions revealed a wealth of activity as well as some important challenges and lessons encountered. Beyond general issues around lack of One Health awareness, participants pointed to the dangers of institutional and sectoral silo's, One Health funding challenges at country level, and, sometimes, missing key groupssuch as from environmental and ecohealth."},{"index":3,"size":147,"text":"Thematically, the second and third days focused on One Health governance (and platforms) and on One Health outreach to schools. For both topics, country cases were presented as starting points to identify opportunities and priorities for further work. Success in the governance space was frequently framed around strategy and policy development, advocacy to policy communities, effective coordination and leadership and financing for One Health. Pathways towards such successes were identified as critical success factors (collaboration, inclusion, ownership …), and what to avoid (duplication, fragmentation, silo's …). For the schools agenda, integrating One Health through interaction with teachers and educational curriculum and content design was highlighted; a key priority is to work with Ministries of Education as well as other groups with strong interests in early childhood education. The question as to when such efforts can best deployed -the target age groups -was discussed by not fully answered."},{"index":4,"size":81,"text":"The event timing half-way through the project offered a good opportunity to look to the coming years, accelerating activities and results and also identifying critical elements of 'exit strategies' at country level. Beyond fundraising for continuation or complementary projects, participants emphasized in-country advocacy and alliance/network building as important to sustain momentum post-COHESA. They also identified a number of 'products' that need to be in place to ensure that key evidence, messages and collaborations continue to have outcomes beyond the project end."},{"index":5,"size":139,"text":"Finally, a reflection team gave daily feedback and, in the final session, shared their perspectives on COHESA strengths, weaknesses, opportunities and threats. They observed strengths around the network itself, the commitment and engagement of participants and the diversity represented. Weaknesses highlighted included the visibility of the project as well as concerns around sustainability, and monitoring and evaluation. Opportunities mentioned included the potential for some elements to be replicated and scaled elsewhere, donor interest in these issues, and an urgency to build on and really exploit the power of the network. Threats identified included, particularly, the resistance of many actors to change that calls for innovative approaches from the project. Around these discussions, participatory sessions were organized to facilitate exchange of ideas and innovations across the network. Three sessions provided opportunities for participants to hear inspirational presentations on wider topics."}]},{"head":"Background","index":2,"paragraphs":[{"index":1,"size":59,"text":"As we increasingly recognize the inter-connecting factors that influence the health of people, animals and the environment, 'One Health' -defined as an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems -is seen as a very promising way to frame and take action at different levels -international, regional, national and local."},{"index":2,"size":42,"text":"Essentially, the argument for One Health says that successfully reducing future health risks and impacts for people and livelihoods, as well as for animals and ecosystems, is most likely to come when we apply diverse expertise across public, veterinary and environmental health."},{"index":3,"size":111,"text":"The importance of adopting the One Health approach has been reinforced by lessons from recent disease outbreaks including COVID-19, Ebola and avian influenza. In addition, One Health thinking is embedded in current efforts to reduce the spread of antimicrobial resistant pathogens, to ensure food safety, reduce water and waste-borne contamination, manage human and livestock interactions with wildlife, and reduce aflatoxin contamination in crops and livestock products, to name only a few examples. It can also be seen in structural efforts to establish 'One Health' collaborative, cross-departmental organizational structures. To succeed, all require a triple 'input' of public, veterinary and environmental health expertise together with an understanding of the wider systems involved."},{"index":4,"size":52,"text":"While the overall approach has been around for some time, implementation of genuine One Health faces several challenges, key being the many sectoral, domain, disciplinary, academic, organizational and investment silo's that limit necessary cross-communication and integration of efforts and which ultimately segregate people and ideas, restricting the development of integrated, comprehensive solutions."},{"index":5,"size":73,"text":"With financial support from the EU, funded through the OACPS Research and Innovation Programme, the 'Capacitating One Health in East and Southern Africa' (COHESA) project is tackling key One Health capacity gaps in the region. It is implemented through enhancing the knowledge base for research and policy-making, strengthening national and subregional cross-sectoral collaboration, building academic and research capacities and One Health education, and growing the abilities of actors to deliver One Health solutions."},{"index":6,"size":40,"text":"COHESA is led by the International Livestock Research Institute (ILRI), the French Agricultural Research Centre for International Development (CIRAD -Centre de coopération internationale en recherche agronomique pour le développement) and the International Service for the Acquisition of Agri-biotech Applications (ISAAA)."},{"index":7,"size":71,"text":"Convened by ILRI and hosted by the University of Pretoria, this first biennial conference brought together project partners and 'multipliers' (local project implementors) to take stock of progress and set priorities for the coming years. Over the three days, 85 people (41% women; 59% men) from 13 countries participated in reviewing progress and activities, discussed experiences around OH governance and in schools, shared innovations and identified activities for the coming years."}]},{"head":"Opening session","index":3,"paragraphs":[{"index":1,"size":30,"text":"Participants were welcomed by Hung Nguyen-Viet, Program Leader at ILRI. Additional remarks were provided by Margaret Karembu, ISAAA-Africenter; Alexandre Caron, CIRAD; and Gerard den Ouden, OACPS Research and Innovation Programme."},{"index":2,"size":22,"text":"Theo Knight-Jones, ILRI Principal Scientist and COHESA lead introduced the objectives and structure of the COHESA project with its four work packages:"},{"index":3,"size":76,"text":"1. OH Knowledge sharing: Increased relevance of One Health research and policies in Eastern and Southern Africa. 2. OH Governance: Enhanced national and subregional cross-sectoral collaboration between government entities with OH mandates and OH stakeholders across society. 3. OH Education and research: Educational and research institutes equipped to train the next generation workforce in tackling OH issues. 4. OH Delivery: Increased capacity of government and non-governmental stakeholders to identify and deliver OH solutions to final beneficiaries."},{"index":4,"size":23,"text":"After an introductions exercise, the facilitator introduced the overall agenda of the three days in relation to the formal objectives of the workshop:"},{"index":5,"size":20,"text":"• Progress and Planning: Participants will gain insights into the progress achieved, highlighting successes, challenges, and plans for further development."},{"index":6,"size":46,"text":"• Knowledge Sharing: Participants will exchange perspectives, share experiences, and explore innovations aimed at addressing complex health challenges across human, animal, and environmental spheres. • Synergy and Collaboration: Participants will discuss shared goals and challenges, leading to synergies and collaborative opportunities identified and future initiatives inspired."},{"index":7,"size":76,"text":"In terms of process, the facilitator emphasized the participatory nature of the event with group interaction and just a few presentations. Throughout the process, key points would be captured on notes and flip charts, interactive sessions would be followed by quick sense-making by two participants -Carol Mufana and Clovice Kankya; while a reflection team comprising Adana Mahase-Gibson, Lucinda de Araújo, Brian Perry and Gerard den Ouden provided regular daily inputs as well as a closing synthesis."}]},{"head":"COHESA work packages: Experience exchange","index":4,"paragraphs":[{"index":1,"size":70,"text":"The core activities of the project are delivered axcross the countries through four work packages. After a short introduction by Theo Knight-Jones (ILRI), each package was briefly introduced covering: ambitions and outcomes; progress, results, plans; insights, lessons, challenges; and a call to action. After all the presentations -designed to refresh all participants, the table groups carried out a SOAR exercise to reflect on project overall and specific work package progress."}]},{"head":"WP1: Shauna Richards (ILRI)","index":5,"paragraphs":[{"index":1,"size":3,"text":"Ambitions and outcomes"},{"index":2,"size":45,"text":"• Determine the OH status in research and innovation, governance, education, and implementation • Where are strengths and gaps? -how can gaps be filled • Determine where gaps align with project objectives • Determine where COHESA can align with ongoing OH projects/initiatives Progress, results, plans"},{"index":3,"size":8,"text":"• 11 baseline assessments complete inclusive of reports"},{"index":4,"size":21,"text":"• Somalia about to start as they recently joined the project • Netmapping completed in 9 countries (original plan for 4)"},{"index":5,"size":20,"text":"• ISAAA supported this with train the trainer events (2) and assisting all countries to implement and report on findings   "}]},{"head":"WP4: Alexandre Caron (CIRAD)","index":6,"paragraphs":[{"index":1,"size":3,"text":"Ambitions and outcomes"},{"index":2,"size":23,"text":"• COHESA is a project about OH institutionalization (= setting up the framework from national to local level for OH to be operationalized) "}]},{"head":"SOAR exercise","index":7,"paragraphs":[{"index":1,"size":21,"text":"Following the presentations, participants reflected on the project's perceived strengths, opportunities, aspirations and results. These are presented in the tables below. "}]},{"head":"Strengths: what we can build upon","index":8,"paragraphs":[]},{"head":"COHESA countries: Experience exchange","index":9,"paragraphs":[{"index":1,"size":58,"text":"The afternoon of the first day was organized around the experiences of the countries. For this exercise, participants formed country teams. Members prepared summary information on each work package -highlights plus 3 to 5 activities, lessons, challenges -in advance of the conference that could be shared as insights with other countries in a peer to peer learning process."},{"index":2,"size":48,"text":"During the exercise, some team members remained at the table to share insights with people from other countries, while other team members visited other country teams seeking insights to include in their own plans. Through this exercise, team members from all countries engaged with all other country teams."},{"index":3,"size":47,"text":"The images below show the framework that each country populated. This is followed by the summary material compiled by each country -the detail as well as the summarty 'slides' used for the exercise. Annex 5 presents all the individual highlights, activities, challenges and lessons by work package."},{"index":4,"size":41,"text":".   Learnt that there is still a big gap among \"OH-sectors\", despite acknowledgement of the existence of the OH platform. Learnt that a District that adopted and actualised OH early was able to effectively respond and handle the Anthrax situation better.  "}]},{"head":"Botswana","index":10,"paragraphs":[]},{"head":"Day 1 reflections","index":11,"paragraphs":[{"index":1,"size":32,"text":"Wrapping up discussions on work packages and country lessons and insights, participants formed small groups to identify: 1) powerful ideas or lessons learned during the day and 2) important actions to take."}]},{"head":"Ideas and lessons","index":12,"paragraphs":[{"index":1,"size":2,"text":"Important actions "}]},{"head":"One Health governance: Experience exchange","index":13,"paragraphs":[{"index":1,"size":15,"text":"The morning of the second day focused on lessons and experiences with 'One Health governance'."},{"index":2,"size":4,"text":"The main components were:"},{"index":3,"size":22,"text":"1. A presentation of Netmapping findings by Bibiana Iraki (ISAAA-Africenter) 2. Short country cases from Gabriel Shirima (Tanzania), Namibia: Simon Angombe (Namibia)"},{"index":4,"size":66,"text":"and Joshua Onono (Kenya) 3. A talk show/panel of regional actors moderated by Kristina Roesel (ILRI) in conversation with: Musonsa Ngulube (UNEP), Gerald Mucheru (FAO), Hardwick Tchale (World Bank), Gaolathe Thobokwe (SADC) and Fahari Gilbert Marwa (EAC). 4. An exercise by participants in country groups exploring 1) success for OH governance in their countries and 2) Critical Success Factors to to achieve this (do's and don'ts)"}]},{"head":"Netmapping","index":14,"paragraphs":[{"index":1,"size":9,"text":"Bibiana Iraki (ISAAA-AfriCenter) shared findings from COHESA Netmapping exercises."},{"index":2,"size":42,"text":"She explained why COHESA uses it -to understand stakeholder relationships and connections, emphasizing its purpose as a participatory, reflective tool for advanced problem solving and stakeholder engagement; its importance contributing to effectiveness in complex multidisciplinary networks such as OH and its credibility."},{"index":3,"size":9,"text":"For COHESA, it helped to identify three emerging scenarios:"},{"index":4,"size":33,"text":"• Working towards operationalisation of OH • Institutionalization of a national OH entity • Working towards integration of OH issue-based TWGs; national OH entity; Institutionalized Findings from across the countries revealed some commonalities:"},{"index":5,"size":212,"text":"• Institutionalization key to fully operationalize OH. Ensures effective coordination and accountability at national level • Limited advocacy happening with key actors needed to institutionalize OH entities i.e. Prime Ministers Office, Office of the President, Legislators and Ministry of Finance • Collaboration extensive between key-line ministries and technical actors. However, they tackle specific OH issues or happen unconsiously -except for MoH and MoA • MoE and wildlife ministries PLUS some key regulatory agencies not as active • Limited collaboration with key drivers needed to deliver and adopt OH solutions e.g. grassroots groups, local governments, private sector • Funding is available but for sectoral OH issues -contributing to poor integration. • OH agenda is largely donor driven -yet limited engagment with Ministries of Finance. Grants go through development partners and not directly to line ministries. • OH approach is an abstract concept that is practised in ivory towers -experts speaking among themselves • Advocacy is absent/limited among key actors. Key for increasing importance/value of OH and achieveing goal but identified as an area of weakness • Lack of integration not just within government but also across OH initiatives She also highlighted som critical success factors for effective operationalization of OH governance: Effective communication skills, conflict resolution, negotation skills, financial accountability and knowledge sharing."}]},{"head":"Country cases","index":15,"paragraphs":[{"index":1,"size":33,"text":"The three presenters were asked to give updates on the current OH governance platforms in their countries, covering: current status, prospects and plans, lessons and insights, as well as a critical success factor."}]},{"head":"Kenya","index":16,"paragraphs":[{"index":1,"size":15,"text":"Current status • Kenya's OH office formed between line ministries of human and animal health "}]},{"head":"One Health in schools: Experience exchange","index":17,"paragraphs":[{"index":1,"size":33,"text":"This session was introduced by Florence Mutua (ILRI) and followed by 4 short country cases and an interactive session in which participants were asked to reflect and identify priority actions in this area."},{"index":2,"size":92,"text":"Mutua first introduced this area of work as looking towards a future with professionals who are better prepared to tackle OH issues and exposed 'early.' Some of the questions are around this notion of earliness: How early is early and which level/ grade do we focus on? Further, are there models we can tap into, who else is working on this space, what content is appropriate (for primary, secondary schools, others), which approaches suit different ages and contexts and where should the focus be -extra-curricular, in the curriculum, via teacher education, etc.?"}]},{"head":"Country cases","index":18,"paragraphs":[{"index":1,"size":34,"text":"The four cases introduced different approaches and experiences, setting out for each: the ambitions and outcomes; the actors and their roles; progress, results and plans; insights, lessons and challenges; and a call to action."}]},{"head":"Kenya","index":19,"paragraphs":[{"index":1,"size":35,"text":"Shauna Richards introduced a case where primary and secondary schools engaged with One Health through learning about safety around animals. The project trained primary (2022) and secondary ( 2023) school teachers in one sub-county, covering:"},{"index":2,"size":68,"text":"• learning about One Health, with examples relevant to the sub-county/student education level, and how to integrate One Health into the secondary school curriculum; and • understanding how safety around animals is related to One Health, with examples of prevention of zoonoses (with rabies as a specific example), prevention of injury from animals and improving animal welfare and the health of people and animals while considering environment health."},{"index":3,"size":70,"text":"Teachers were trained on technical materials and provided with lesson plans and teaching materials covering 1 : • Ideally continue at a few diverse sites in Kenya to ensure material is appropriate • Bring M&E + report to Ministry of Education to consider about fully integrating into curriculum in future • Trainers can be students from Higher Education Institutions for in service teachers; new teachers to learn in their program."}]},{"head":"Malawi","index":20,"paragraphs":[{"index":1,"size":64,"text":"Catherine Wood reported on a collaboration between the Lilongwe University of Agriculture and Natural Resources (LUANAR) and a local NGO -Ladder to Learning -to extend One Health in Primary Education in Malawi. The project worked through existing literacy hubs, learning spaces and libraries, mentoring programs and digital skills training, involving the LUANAR veterinary students association in content development, delivering and mentoring for the children."}]},{"head":"Zimbabwe","index":21,"paragraphs":[{"index":1,"size":18,"text":"Xavier Edziwa explained how the University of Zimbabwe is infusing the One Health concept in preservice teacher education."},{"index":2,"size":31,"text":"As part of the assignment of the UZ Faculty of Education to lead a Review of Teacher Education Curriculum, this provided an opportunity to introduce OH in the curriculum, aiming to:"},{"index":3,"size":52,"text":"• Conduct a needs assessment at five teacher training colleges to establish the level of preparedness for the adoption of OH as part of the school curriculum. • Devise strategies to infuse One Health into the school curriculum, particularly through teacher development programmes that are currently under review (Teacher Education Curriculum Transformation)."},{"index":4,"size":23,"text":"The assessment revealed that the current teacher education curriculum has some OH themes already, though lacking an interdisciplinary approach and not strongly visible."},{"index":5,"size":23,"text":"The next steps are for the implementing institutions to develop specific learning outcomes and instructional strategies that incorporate OH principles across identified subjects."},{"index":6,"size":22,"text":"The main challenge is that the pace of implementation will be determined by the rolling out of the teacher education curriculum transformation."},{"index":7,"size":35,"text":"The Faculty of Education has started engaging with participating colleges to start making OH more visible and it will run capacity building workshops on identified OH knowledge and skills gaps for teacher education college lecturers."}]},{"head":"Tanzania","index":22,"paragraphs":[{"index":1,"size":50,"text":"Paul Buyugu introduced the work of 'One Health Lessons', an global initiative to inspire children and adults around the world to value One Health. Focusing on its Train-the-Trainer Program that certifies lesson leaders to provide training for adults, communication skills and age-appropriate lessons from age 6 and upwards 2 ."}]},{"head":"OH in schools priorities for COHESA","index":23,"paragraphs":[{"index":1,"size":19,"text":"Following the presentations, participants identified some priority actions in this area for COHESA to take forward (see box below)."}]},{"head":"OH in schools priorities for COHESA","index":24,"paragraphs":[{"index":1,"size":16,"text":"• Advocacy for the infusion/integration of OH at the highest level of institution with this mandate "}]},{"head":"Connecting to collaborate","index":25,"paragraphs":[{"index":1,"size":35,"text":"On day 3, to facilitate discussions and collaboration among participants, an open space session was held where individuals shared ideas where they wished to collaborate with colleagues. The champions and topics in this session were:"}]},{"head":"COHESA looking ahead","index":26,"paragraphs":[{"index":1,"size":70,"text":"Noting that the project is already half through its cycle, participants brainstormed actions that can be planned and implemented now to ensure effective 'exits' for COHESA activities. Recognizing also that the legacy and products of COHESA will continue after the end of the project, and indeed that we want them to have impacts, the groups also identified some attributes of products that will make them 'future-ready' -for a post-COHESA phase."}]},{"head":"Actions for exit strategies","index":27,"paragraphs":[{"index":1,"size":342,"text":"Advocate for multipliers to be included on the national OH platforms or OH advisory committee Advocate to increase government budgets for OH -cost benefit analysis, demonstrated public good Align COHESA OH activities to government objectives Build co-ownership of all activities Create another project to sustain existing networks and collaborations and benchmarking/best practices Develop new collaborations / partnerships Develop sustainable cross sectoral collaborations using the existing OH platforms at local and regional levels Disseminate products through media cafes, ministerial websites, co-authored/ownership Document and begin implementing the exit strategy now Engagement (PPP) and advocacy Establish legal framework for OH -link it with budget framework Explore alternate funding mechanisms Facilitate national OH platforms and incorporate other stakeholders Find mechanism to ensure continued stakeholder engagement Hold Conference/Seminar/Symposium in individual countries annually Identify and establish partnerships with other OH related entities Identify parliamentarian to be a OH champion Increase iInvolvement and commitment of government, private sector and community in OH activities Institutionalise OH across borders Integrate OH into government programs and plans Leverage the strengths of the existing network Mobilize additional funding for continuity of specific activities Optimise search for funding opportunities Organise an evaluation of the project implementation Organise an exit conference with the relevant stakeholders Package the products such as policy briefs, white papers, strategies to get buy in Project documentation tell the COHESA story Publicise OH benchmarks and encourage HEIs to utilise them with curricular development Raise country and government commitment to institutionalise OH activities Reach long term impact at community level by integration/transfer of OH principles at community levels Resource mobilisation for post-COHESA Run webinars Secure extra funding -Funding collaborative, Grant applications. Science Foundation Africa Strengthen existing OH platforms and initiate OH platforms where they don't exist Support government structures to secure internal/domestic funding Sustain relationships between academia and government agencies for evidence based policies eg updating future OH strategic plans Use COHESA as a benchmark /model for future OH projects Use network to fund future collaborative project Validate strategic plans and assign roles and responsibilities for uptake of activities by network partners "}]},{"head":"Actions towards future-ready (post-COHESA) products","index":28,"paragraphs":[]},{"head":"Synthesis and reflections","index":29,"paragraphs":[{"index":1,"size":18,"text":"Before the closing, the reflection team members shared their observations and recommendations in the form of a SWOT. "}]},{"head":"Strengths","index":30,"paragraphs":[]}],"figures":[{"text":"Highlights• Review of the situational analysis and needs assessment for the Libreville Declaration workshop. This was the first time that COHESA Botswana had an opportunity to interact with the country coordinating committee (CCC), a multisectoral, interministerial group that implements the Libreville Declaration, an opportunity for the sustainability of COHESA in Botswana WP1 Knowledge sharing• Importance of face to face stakeholder consultation and engagement (honest and direct communication) • Baseline study validation workshop • COHESA BW participated in the SANA review and COHESA BW is a co-author of portions of the report. • Joint plan of action for OH WP2 Governance • Together with CIRAD, COHESA BW partially funded the Libreville Declaration SANA workshop • Government officials were trained in OH advocacy policy development and Netmapping WP3 Education & Research • Participated in HEI surveys and validated the report • Individuals from other public universities were trained in OH short course development • Prepared a proposal for funding for Ministry of Health (Nature for Health). The proposal was not funded. WP4 Delivery • Contribute to the OH observatory housed at ILRI • Prepared a manuscript for publication as a CABI case study • Submitted a concept note titled Strengthening Epidemiological Modelling for Public Health Decision Making in Africa (SEMOPHDMA) to the Bill and Melinda Gates Foundation for fundingEthiopia Highlights • Integration of One Health principles and approached into Education and Research in Ethiopia. This followed a Netmapping exercise with public universities, research institutions, selected public sectors, professional associations, development partners, and NGOs. It DEFINED STRATEGIC ENTRY POINTS to integrate OH principles and approaches in secondary schools, universities, and research institutions • The two Delphi processes to define OH interventions for solutions WP1 Knowledge sharing • Broader stakeholder engagement to share findings from baseline, KIIs and first Netmapping exercise to set the tone on OH in Ethiopia • Engagement of journalist in science café training to advocate for OH at different level using media outlet -this was successful • Contributed to the overarching COHESA paper • Drafted country case study for publication WP2 Governance • Reviewed and provided input on the OH governance organogram: Engaged in a thorough review of the proposed organogram for OH governance in Ethiopia . • Contributing to the stakeholder meeting on new OH legislation in Ethiopia • Actively participated in planning and execution of World Rabies Day celebrations in Ethiopia. • Participated in the dissemination of the Joint External Evaluation (JEE) report on OH in Ethiopia. The JEE report provides valuable guidance to strengthen OH implementation. • Participated and contributed to the OH cross-border tabletop Simulation Exercise. Lessons: • Genuine and functional stakeholder engagement with roles defined is essential to improve effective OH governance structures. This however is missing. Challenges: • Partisanship of some development partners affects efforts to improve OH governance and coordination. WP3 Education & Research • Netmapping Exercise: Comprehensive Netmapping exercise to identify strategic entry pointsfor OH integration across education and research institutions. • Formation of WP3 TWG: Dedicated team to identify and integrate OH competencies into high schools, universities, and research institutions. • Consultative Forums: WP3 TWGs and subject experts discussed OH integration experiences, gaps, entry points, and implementation strategies. Integration strategies for secondary schools, higher education institutions, and research defined and guideline being developed • National consensus building forum: National forum to gather input, feedback, and reach consensus on OH integration into education and research and materials developed • Next step: Production of documents, distribution, capacity building of frontline actors and implementation is planned Lessons:• Engagement of stakeholders to define problems and solutions is fruitful to plan sustainable intervention • Given opportunity, public sector, professional associations and universities have much to contribute WP4 Delivery • Conduct two rounds of a Delphi process to identify key areas of focus for One Health innovative solutions. • Based on the outcome of the Delphi process, call for proposal is announced and interdisciplinary team is expected to submit proposals • Sandpit event is planned to run from 11-15 December to fine tune proposals selected for presentation, assessment and selection Lessons:• The Delphi process is an effective tool to quickly generate useful evidence and reach consensus on complex topics. Antimicrobial resistance (AMR) is identified priority topic for One Health solutions in Ethiopia.KenyaHighlights • The Kenyan team did a baseline and we have also created teams that are leading three work packages, • Under WP 2 we have imitated a consultancy to support zoonotic disease unit to develop field training and extension materials, • WP 3 we have identified areas for curriculum straightening to integrated OH principles and • WP 4 we have developed a sandpit call for proposals which we intend to release next week. WP1 Knowledge sharing • We are planning a workshop to sensitise faculties from universities, private sector players (food business operators, agrochemical supplies etc) on OH principles • We have planned a sandpit event early next year in the months of February/March -call for sandpit is ready and will be sent out next week • Webinar and seminar series on OH topics to be organised by Kenyan teams with members of consortium participating WP2 Governance • The Zoonotic Disease Unit (ZDU) are already part of the Kenyan COHESA team and they took part in our work package planning events • We have initiated a consultancy to support development of extension materials for training at sub regional levels WP3 Education & Research • We identified courses where we can add OH competences to • We have mapped universities that we want to include to participate and integrate OH competencies in their curriculums • We need to conduct a survey from private sector to identify what they consider key employability skills in graduates WP4 Delivery • The topic of our sandpit event will focus on the weaknesses which were identified in the recent JEE mission report on AMR, Zoonosis and environmental degradation Malawi Highlights • COHESA Malawi and designated OH point people from several Government of Malawi ministries have developed a draft OH Strategy and are working towards developing a process for drafting OH Strategy. WP1 Knowledge sharing • Further dissemination of OH baseline report, now reformatted for purpose, at higher levels of government • Development of One Health Malawi website, plans to link to OH Observatory Challenges: • Deciding which platform(s) are most effective (WhatsApp groups, internet, in-person meetings, other) WP2 Governance • Refining the OH Strategy for Government of Malawi • Forming OH Policy Drafting Committee Challenges: • Culture of allowances creates false incentives for participation in the process • Need for external consultants, possibly other COHESA country members WP3 Education & Research • Operationalizing the OH University Consortium (previously triad) for teaching, curriculum development, joint research; research symposium planned for early 2024 • Developing a partnership between LUANAR and Ladder to Learn, an NGO focused on primary school extracurricular education, to facilitate mentorship of primary school students generally and in OH concepts in particular Challenges: • Some universities in Malawi are unwilling to collaborate without immediate, guaranteed benefit • A very particular challenge -we would like to start permaculture projects at the elementary schools in underserved urban neighborhoods but water is limited WP4 Delivery • Developed a draft proposal with potential partners around \"microplanning\" -monitoring and targeted response to disease outbreaks after flooding • Developed a draft proposal with potential partners to address deforestation through \"cleancooking\" • Facilitated discussions between multiple organizations working on disease surveillance systems Mozambique Highlights • Mozambican One Health Strategic Plan (finalized at the technical level) • Participating on OH international day activities WP1 Knowledge sharing • Netmapping workshop (overview of the OH stage in Mozambique: OH Platform institutionalization) • Finalizing OH Strategic Plan • Participatipating on OH international day activities • Training of trainers for UEM lectures on OH approach • National Bridging workshop WP2 Governance • Mozambique OH inter ministerial Decree • Mozambique OH Strategic Plan • Review and update the list of prioritization zoonotic diseases • Training of OH professional in different Moz Provinces WP3 Education & Research • Training of trainers for UEM lectures on OH approach • Training of stakeholders in the country (OH approach) • Publish the OH news in the University magazine WP4 Delivery • Advocacy • Preparation of the Regulatory documents • Communication strategy of OH approach • Preparedness and response for re-emerging diseases Namibia Highlights • Baseline survey • Focus Group discussion • Validation workshop for FDG and BS • Netmapping -appreciation from the line ministries, • Visibility initiative on National Broadcast -MediaCafe • Ability to bring diverse team together • Concertized people's mind into the OH concept WP1 Knowledge sharing • Validation of Netmapping, • Oversight of some key stakeholders, • Ministry of Health and Social Services, can champion the OH (result from netmapping) Challenges: • Stakeholder not familiar with OH concept, but activities they are doing contribute towards the OH concept (baseline survey results) • Fragmented approach to OH concept (not properly coordinated), this affect resource allocation WP2 Governance • Participated in the Stakeholder workshop discussing milestones such as: • the establishment of Namibia Public Health Institute • How to integrating event based surveillance • Drafting country OH Framework Challenges: • Lack of financial resources WP3 Education & Research • Supporting OH curriculum development within the University of Namibia (MSc in OH, and Post Graduate Diploma in OH), (attended OH curriculum development training in SA), • Support to establishment of OH Center of Excellence in Katima Mulilo Campus, University of Namibia WP4 Delivery • Namibia does not have a list of priority zoonotic diseases, • But a Namibia delegation attended the training workshop held in Zambia, • The ministry of Health and Social Services will organise a consultative workshop in Namibia, • Priorities diseases are likely to be: • Rabies • FMD, • Cholera • CC. Haemorrhagic fever • Engage and collaborate with the line ministries in awareness campaigns • Anti-microbial resistance -education campaign • HIV and TB Rwanda Highlights • Rwanda OH platform structure as provided in the OH policy is not yet in place. • COHESA Rwanda mobilized actors from various government, academia, NGOs, and private sector institutions to brainstorm and discuss how to ensure optimal institutionalization of OH in Rwanda. The discussion was done through a Netmapping of actors to understand \"Who will influence anchoring One Health secretariate under the office of Prime Minister?\" WP1 Knowledge sharing • Baseline surveys were conducted and will be validated • The baseline and Netmapping information will be published as a One Health case • We are planning a media café to involve media professionals WP2 Governance • Mobilize various government institutions to review and validate the draft PM instructions that set up the OH coordination mechanism • Establish COHESA focal persons in key institutions to foster the uptake of COHESA plans and advance the One Health agenda • Ensure that key government institutions brainstorm and submit a focal question that they want support for WP3 Education & Research • Develop short CPD courses to be accredited for professional bodies • Strengthen One Health education in secondary and primary schools • Deliver short courses for field and public veterinarians • Organize and deliver IDM course for UGHE and University of Rwanda SOHICs WP4 Delivery • Netmapping of OH stakeholders was carried out and results are expected to serve as a message to push forward full institutionalization of the One Health platform "},{"text":" may be understood differently by different people) • Recruit members (ambassadors and champions) of influence in society • Promote bottom down community raised strategies for One health WP4 Delivery • Organize annual Media Café with journalist government along with another communication strategic activity yet to identified December • Validation workshop for the OH Netmapping exercise scheduled for December • Re-tooling meat inspectors on inspection of zoonotic disease of One Health importance Lessons, insight, results: • Tailored and customized training on one health for different stakeholders (the same message may be understood differently by different people) • Follow up on previously implemented one health projects -awareness should be continuous • Promote social behavioral change and individual transformation towards one health • Recruit members (ambassadors and champions) of influence in society • Promote bottom down community raised strategies for One health • Engage the media and elaborate to what One health means for them to continue promoting and advocating for it • Digitalization of messaging on One health for mass communication (one stop website, development of models for outbreak predication and creation of multisectoral platforms) Challenges: • With One health being a new concept and approach across different sectors, the perception, uptake and the buying in has been very hard and people have still continued to work in silos. • Similarly, limitations in funding as well the unclear funding sharing policies have the resources utilization and general operationalization of the One Health. • Additionally, the gaps and discrepancies that exists among the Human and Animal health practitioners is still a big challenge limiting the implementation of One Health Zambia Highlights • COHESA ZAMBIA from inception has collaborated with the Government in all OH areas with major achievements being: • Development of a five-year One Health Strategic Plan 2022 -2026 for Zambia. • Development of a one-year OH implementation plan for Zambia • Development of OH Technical Working Groups, with incorporation of COHESA • COHESA involvement in the National Bridging Workshop for OH • COHESA involvement in the development of a National OH joint plan of action WP1 Knowledge sharing • COHESA involvement in the Anthrax outbreak Awareness and information dissemination. "},{"text":" Netmapping-Zimbabwe • The main OH actors and their linkages were identified • The main linkages identified were; a) funding, b) collaboration, c) capacity building, and d) information sharing • Key influential ministries should advocate for the operationalization of the OH council in Zimbabwe WP1 Knowledge sharing • OH baseline survey reports were developed and validated. A draft manuscript was produced and shared. The abridged CABI OH manuscript draft is work in progress. • The baseline survey showed that OH Governance and Coordination was biased towardsAntimicrobial Resistance (AMR) and zoonotic diseases. • The Challenge was that the zoonotic committees and the AMR Governance structures were not inclusive across sectors and were anchored only in three sector ministries. • However, there were opportunities for the existing national, provincial and district zoonotic committees to benefit other OH programme initiatives in the country. WP2 Governance • One of the key findings of the OH Stakeholder Netmapping-Zimbabwe, was the absence of an inclusive OH Governance platform/council/committee • A multi-stakeholder consultative process proposed the established an OH Advisory Committee with membership from key stakeholders and to develop synergies with the current AMR Governance structure • To promote OH collaboration and Governance, an advocacy Strategy for developing an One Health Strategic Plan for Zimbabwe was produced. Lessons:• This requires buy-in from key Government ministries on OH and calls for the involvement multi-sectors to develop and validate it.WP3 Education & Research• Baseline survey in HEI indicated that only a few institutions were offering and/or developed curricula for OH postgraduate education • The needs-assessment conducted by the Faculty of Education, UZ indicated the lack of coverage of OH in the primary and secondary school education curricula. • An opportune time is presented to infuse OH into the school curriculum, particularly through teacher development programmes that are currently under review (Teacher Education Curriculum Transformation). • The foreseeable challenge is that the pace of implementation will be determined by the rolling out of the current teacher education curriculum transformation (The project is riding on this transformation) WP4 Delivery • A multi-stakeholder consultative process was conducted to identify an OH focal topic for Zimbabwe which identified: 1) Abortive syndromes (brucellosis, Rift Valley fever), 2) Waste management; and 3) prioritization of zoonotic diseases • While capacity was available for institutions for zoonoses research and innovation, there was limited capacity on waste management and research • Plans to hold a sandpit event to develop and pitch research proposals and interventions in Zimbabwe is work in progress • It is evident that Zimbabwe requires to develop and introduce an OH Strategic plan to define strategic objectives, prioritise activities and outcome, and institutional roles in the implementation process. "},{"text":" Approach/Content/Focus-Early childhood curriculum • Be opportunistic -Don't reinvent the wheel • Broaden the scope of the OH curriculum • Buy-in by the key stakeholders e.g policy makers,private sector • Co-development of training materials with key players (MoE, NGO, PTA etc) and logistical arrangement • Define competencies for school aged children-the knowledge, skills or behaviour changes • Develop OH education resources • Develop visual aids • Early childhood education • Education sector should play leading role in OH education • Establish M&E mechanism at various levels • Harmonise OH training content • How to increase primary teacher awareness/openness to OH? • OH Training of trainers (Teachers training college, Teachers etc) • Sharing experiences in primary education initiatives • Support review of primary and secondary schools /curriculum to infuse OH training • Tool kit to approach Ministry of Education for curriculum intergration • Train the teachers for sustainability • Use pre-existing platforms to integrate OH "},{"text":" Benchmark best practices Co-develop and standardise training materials and tools such as netmapping Co-develop with buy-in from government (Public sector buy-in for sustainability) Continous collaborations between COHESA countries and keep networking beyond the project period Continous use of observatory Continuity plan for networks already established in COHESA CPD-COHESA products incorporated Develop fuctional OH platforms (Governance) Digitilise products Document and share best practices and lesson learnt (OH observatory) Documentation and dissemination (Publications, case studies, processes, successes, emerging issues, end of project report) Education/Training packages in different languages for capacity building Embed OH in formal curricula -primary, secondary and tertiary levels Institutionalised OH platform in country Integrate AI (generative) Inventory of good practises 'lessons learnt' to be applied Make a directory of COHESA/ members for continous networking Networks established with other partners (Local, regional and global) OH modules to be aligned to adaptable to current trends eg e-learning platforms OH observatory Partnerships with developmental partners Primary school training curriculum Publications and documentation -Baseline, Netmapping, cabi case reports Regional databases -genomics, infectious diseases, experts Translate products currently in strategies into actionable/implementation plans "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":"  "},{"text":" One Health benchmarking for the EAC region (experts in COHESA countries were part of the TWG/ extended to non-project sites)• Countries have developed their short-term plans/ actions (some nearing Desk review on OH courses: While it generated a lot of information, more time was needed to organize and put in a more useful format• HEI survey and validation: Low response time, translations, participants more knowledgeable of what happens at their HEI. • OH Benchmarking: Views on OH vary (how to get the best while considering the different/ expert views). Online consultations for Southern Africa required more time. Ambitions and  Ambitions and outcomes completion) outcomescompletion) Ongoing and • Country teams finalize + implement agreed activities Ongoing and• Country teams finalize + implement agreed activities plans • Survey for Somalia to end of December plans• Survey for Somalia to end of December  • One Health benchmarking activity for Southern Africa (e-Delphi • One Health benchmarking activity for Southern Africa (e-Delphi  consultations) consultations)  • Developing short courses (ILRI and CIRAD) • Developing short courses (ILRI and CIRAD)  • Advance on OH education / outreach in schools • Advance on OH education / outreach in schools  • GOHST tool (search tool for COHESA`s OH training course list) • GOHST tool (search tool for COHESA`s OH training course list)  • Assessment of key OH resources (what to consult/ for specific • Assessment of key OH resources (what to consult/ for specific  competency needs etc.) competency needs etc.) Insights, lessons, • Insights, lessons,• challenges  challenges Package aims Build capacity of educational institutes to educate, train, and empower the Package aimsBuild capacity of educational institutes to educate, train, and empower the  next generation workforce, to deliver OH solutions next generation workforce, to deliver OH solutions Background • Addressing issues at the human, animal, and environment interface calls Background• Addressing issues at the human, animal, and environment interface calls  for One Health approach. for One Health approach.  • Educational institutes have a role to play in fostering One Health (OH • Educational institutes have a role to play in fostering One Health (OH  concepts in curriculum, promoting OH research etc.) concepts in curriculum, promoting OH research etc.)  • A future with professionals who are better prepared to tackle OH issues - • A future with professionals who are better prepared to tackle OH issues -  they communicate/ collaborate/ coordinate. they communicate/ collaborate/ coordinate.  • HEIs should not only train for degrees but also have a system for • HEIs should not only train for degrees but also have a system for  continuous capacitation (considering industry needs). continuous capacitation (considering industry needs).  • Need to develop One Health culture early enough (do away with silos • Need to develop One Health culture early enough (do away with silos  which can potentially start/ be propagated in schools). which can potentially start/ be propagated in schools).  • Knowing the gaps that exist in terms of OH competencies and how best • Knowing the gaps that exist in terms of OH competencies and how best  to address these is critical. to address these is critical. Ambitions and • Long -term courses (undergraduate, postgraduate degree programs). Ambitions and• Long -term courses (undergraduate, postgraduate degree programs). outcomes • Short-term courses (appropriate for universities, professionals) outcomes• Short-term courses (appropriate for universities, professionals)  "},{"text":"Capacitate research institutes to identify, develop, adapt and deliver OH solutions for OH focal topics   • WP 1, 2 & 3 are mainly about OH institutionalization • WP 1, 2 & 3 are mainly about OH institutionalization  • WP4 is about testing OH operationalization • WP4 is about testing OH operationalization Progress, results • Started in second half of 2023 ; meetings started in August 2023 Progress, results• Started in second half of 2023 ; meetings started in August 2023  • 5 meetings organised since August 2023, including DD country lead and • 5 meetings organised since August 2023, including DD country lead and  multipliers + Zambia multiplier multipliers + Zambia multiplier  • First meetings with consortium staff only, from third meeting on, with • First meetings with consortium staff only, from third meeting on, with  multipliers multipliers Plans A4.1 4.1.1 Conduct training needs assessment PlansA4.1 4.1.1 Conduct training needs assessment  4.1.2 Review 'off the shelf' and prototype OH solutions 4.1.2 Review 'off the shelf' and prototype OH solutions  4.1.3 DD Organise sandpit event in a country where participating research 4.1.3 DD Organise sandpit event in a country where participating research  institutes make a pitch for their OH research idea, the winning pitch being funded, institutes make a pitch for their OH research idea, the winning pitch being funded,  promoted and provided with technical support promoted and provided with technical support  4.1.3 Develop and submit OH research proposal 4.1.3 Develop and submit OH research proposal  4.1.4 Review OH adaption and delivery mechamisms related to focal topic 4.1.4 Review OH adaption and delivery mechamisms related to focal topic  A4.2 A4.2  "},{"text":"Capacitate service providers to adopt and delivery OH solutions to final beneficiaries  4.2.2 Identify with service providers promising OH solutions and delivery 4.2.2 Identify with service providers promising OH solutions and delivery mechanisms mechanisms 4.2.3 Train service providers 4.2.3 Train service providers 4.2.4 Monitor and evaluate OH focal topic solutions 4.2.4 Monitor and evaluate OH focal topic solutions A4.3 Capacitate PPP to deliver OH solutions to final beneficiaries A4.3 Capacitate PPP to deliver OH solutions to final beneficiaries 4.3.1 Engage PPPs in the delivery of OH solutions 4.3.1 Engage PPPs in the delivery of OH solutions 4.3.2 Train PPPs in the use of up to date best practices for delivery of OH solutions 4.3.2 Train PPPs in the use of up to date best practices for delivery of OH solutions 4.3.4 Deliver OH solutions via PPP for one or more delivery mechanisms 4.3.4 Deliver OH solutions via PPP for one or more delivery mechanisms A4.4 A4.4  "},{"text":"Identify key actors and understand their relationship in the process of solution identification, development, adaptions, adoption, and delivery for a focal topic, and id users and beneficiaries   4.4.1 Netmapping of OH stakeholders 4.4.1 Netmapping of OH stakeholders  4.4.2 Validate Netmapping results and TOCs in a workshop with key stakeholders 4.4.2 Validate Netmapping results and TOCs in a workshop with key stakeholders Highlights Focal topics: HighlightsFocal topics:  Sandpit processes: Sandpit processes:  • Ethiopia: call open; sandpit event December 2023 • Ethiopia: call open; sandpit event December 2023  • Kenya: call about to be open; sandpit event March 2024 • Kenya: call about to be open; sandpit event March 2024  • Mozambique: call to be open before Christmas break; sandpit event March • Mozambique: call to be open before Christmas break; sandpit event March  2024? 2024?  • Zimbabwe: call to be open before Christmas break; sandpit event February • Zimbabwe: call to be open before Christmas break; sandpit event February  2024. 2024.  • Multipliers from southern Africa & AMR specialist to be invited to sandpit event • Multipliers from southern Africa & AMR specialist to be invited to sandpit event  in Ethiopia in Ethiopia  • Experts from consortium & multipliers from East African country to support • Experts from consortium & multipliers from East African country to support  sandpit event in southern Africa. sandpit event in southern Africa.  • Southern Africa to benefit from expertise/documents from eastern Africa • Southern Africa to benefit from expertise/documents from eastern Africa  "},{"text":"across sectors and disciplines Stakeholders mapped and engaged Understanding that one-size doesn't fit all WP1 Case/baseline studies -Continue building/using them Opportunities: what our stakeholders ask for  Activities are contextualized and adaptable Baseline data is a valuable resource for future Builds capacities at all levels Country owned and led Evidence based Experience shared Facilitates working together Favours knowledge retention Flexibility to tailor approach to different countries Flexible and non-rigid structure of the WPs Flexible project and demand driven implementation Fosters country to country and cross regional learning Helps people work together and collaborate Inclusive -government, academia, research, media Involves core ministries and stakeholders and technical partners Involves diverse countries and partners; offers learning from diverse country pathways Involves strong, relevant and diverse pool of stakeholders and expertise Leverages partnerships, networks and platforms List of stakeholders from netmapping (situation analysis) Mapping OH academic programs (WP3) Multidisciplinary Team/Network with diverse skills Multi-sectoral collaboration Networking with universities (multipliers) (WP3) OH country landscapes mapped and gaps identified through baselines and netmapping OH forum in existence OH policy/regulatory framework -strategies and legislation OH strategies are being developed Provides reliable funding Relationships -Academia advocacy for OH -neutral Awareness creation (media engagement) Benchmarking of OH core competenies Better governance Build on existing governance structures Build on the momentum Cross country learning/sharing -capacity building Cross country learning/sharing -joint task forces EA/SA Cross pollination and experiential learning from each other Developing of curriculum that includes OH Donors open to finance OH Enhanced regional cordination and facilitaion Enhanced collaboration and engagement of public, private provider partnerships OH initiatives and platforms in most countries Extend to have more deep-dive countries For those starting, there is opportunity to engage all relevant stakeholders Governments appreciate integrated OH solutions Improved OH coordination Linkages with government entities to strengthen political goodwill Longterm OH networking and knowledge sharing beyond COHESA OH community engagement OH field sites-Research OH solutions to address stakeholder needs Opportunities for sharing best practices Quardipartite leadership linked to OH opportunities and outputs Research to generate Activities are contextualized and adaptable Baseline data is a valuable resource for future Builds capacities at all levels Country owned and led Evidence based Experience shared Facilitates working together Favours knowledge retention Flexibility to tailor approach to different countries Flexible and non-rigid structure of the WPs Flexible project and demand driven implementation Fosters country to country and cross regional learning Helps people work together and collaborate Inclusive -government, academia, research, media Involves core ministries and stakeholders and technical partners Involves diverse countries and partners; offers learning from diverse country pathways Involves strong, relevant and diverse pool of stakeholders and expertise Leverages partnerships, networks and platforms List of stakeholders from netmapping (situation analysis) Mapping OH academic programs (WP3) Multidisciplinary Team/Network with diverse skills Multi-sectoral collaboration Networking with universities (multipliers) (WP3) OH country landscapes mapped and gaps identified through baselines and netmapping OH forum in existence OH policy/regulatory framework -strategies and legislation OH strategies are being developed Provides reliable funding Relationships -Academia advocacy for OH -neutral Awareness creation (media engagement) Benchmarking of OH core competenies Better governance Build on existing governance structures Build on the momentum Cross country learning/sharing -capacity building Cross country learning/sharing -joint task forces EA/SA Cross pollination and experiential learning from each other Developing of curriculum that includes OH Donors open to finance OH Enhanced regional cordination and facilitaion Enhanced collaboration and engagement of public, private provider partnerships OH initiatives and platforms in most countries Extend to have more deep-dive countries For those starting, there is opportunity to engage all relevant stakeholders Governments appreciate integrated OH solutions Improved OH coordination Linkages with government entities to strengthen political goodwill Longterm OH networking and knowledge sharing beyond COHESA OH community engagement OH field sites-Research OH solutions to address stakeholder needs Opportunities for sharing best practices Quardipartite leadership linked to OH opportunities and outputs Research to generate  "},{"text":"evidence that exists Resource mobilization and prioritization Risk mitigation Synergizing and building with other OH programmes Upscaling of WP activities to all countries Wilingness to establish OH coordination mechanisms Aspirations: changes we care deeply about   Results: indications that we are succeeding Results: indications that we are succeeding Better health outcomes for all Approved OH benchmarks in EAC Better health outcomes for allApproved OH benchmarks in EAC Break silo's -everyone is OH Baseline assessment on OH courses that are available Break silo's -everyone is OHBaseline assessment on OH courses that are available Building relations among stakeholders CABI publications Building relations among stakeholdersCABI publications Capacities built Consistent engagement Capacities builtConsistent engagement Co-creation Contribution to key OH documents/ guidelines Co-creationContribution to key OH documents/ guidelines Community involvement in OH programming Curricula development and programs Community involvement in OH programmingCurricula development and programs Curriculum change to include OH Development of National OH strategic plans Curriculum change to include OHDevelopment of National OH strategic plans Efficient use of resources Draft national OH strategic plans or process of drafting Efficient use of resourcesDraft national OH strategic plans or process of drafting Favourable policy environment Effective stakeholder involvement -participation, Favourable policy environmentEffective stakeholder involvement -participation, Harmonized OH solutions diversity, engagement Harmonized OH solutionsdiversity, engagement Healthy planet Endorsed OH framework (implementing power) Healthy planetEndorsed OH framework (implementing power) Improved awareness -through advertising, marketing, Functional OH work force Improved awareness -through advertising, marketing,Functional OH work force social media Human and animal environmental profesionals in OH social mediaHuman and animal environmental profesionals in OH Improved health outcomes Improved and inclusive research outputs Improved health outcomesImproved and inclusive research outputs Improved OH communication through media Improved collaboration, coordination on OH (joint Improved OH communication through mediaImproved collaboration, coordination on OH (joint Include all healths: Human, animal and environment planning and implementation; governance) Include all healths: Human, animal and environmentplanning and implementation; governance) Incorporate OH in pre-service curriculums Improved knowledge of OH -CABI publications; Number Incorporate OH in pre-service curriculumsImproved knowledge of OH -CABI publications; Number Ingrain OH culture through education of graduates; Number of OH curricula; Number of policy Ingrain OH culture through educationof graduates; Number of OH curricula; Number of policy Institutionalize OH briefs; Number of publications Institutionalize OHbriefs; Number of publications Integrating environmental health inn OH landscapes Increased OH awareness Integrating environmental health inn OH landscapesIncreased OH awareness Mainstreaming OH at national, regional and international Informed OH policies -linking evidence, experience and Mainstreaming OH at national, regional and internationalInformed OH policies -linking evidence, experience and levels policy levelspolicy Media engaged in science communication IUCEA competencies for OH accepted Media engaged in science communicationIUCEA competencies for OH accepted Move away from theory to practical actions Joint MoU and action plans and strategic documents Move away from theory to practical actionsJoint MoU and action plans and strategic documents OH as an everyday concept, embedded through society National OH strategic plans developed OH as an everyday concept, embedded through societyNational OH strategic plans developed OH at regional and continental levels -joint OH task No silo's OH at regional and continental levels -joint OH taskNo silo's forces, africa-led, structured communication OH advocates -people, groups, networks forces, africa-led, structured communicationOH advocates -people, groups, networks OH core competencies adopted in the curriculum OH assessment and netmapping OH core competencies adopted in the curriculumOH assessment and netmapping OH operationalized at community/local levels OH benchmarks for the EAC region developed OH operationalized at community/local levelsOH benchmarks for the EAC region developed OH stratesgies and policies; revised for action OH curricula developed and streamlined in academia OH stratesgies and policies; revised for actionOH curricula developed and streamlined in academia Operational OH platforms at country levels OH national budget allocation Operational OH platforms at country levelsOH national budget allocation Ownership -funding, sustainable, implementation OH Observatory Ownership -funding, sustainable, implementationOH Observatory Political buy-in and will OH strategic plans developed Political buy-in and willOH strategic plans developed Stronger collaboration, partnerships and coordination Operational networks Stronger collaboration, partnerships and coordinationOperational networks among stakeholders Pro-active approach -National level (ministries) among stakeholdersPro-active approach -National level (ministries) Sustained impact Reduced incidence of public health threats Sustained impactReduced incidence of public health threats  Representative, functional, Representative, functional,  "},{"text":"effective OH platforms Science communicated to non scientific audiences Strong transdisciplinary teams Sustainable funding Wide OH networks/linkages and media visibility   "},{"text":"• Identify and draft proposals with government institutions and other stakeholders OH Focal Topics At government level, there is a well established One Health Section (OHS) at the Prime Minister office that has made implementation of COHESA agenda easier.• COHESA Team in Tanzania has established a good working collaboration with the OHS under the Prime Minister in advancing COHESA agenda• Several activities have been achieved so far that have brought together OH Key actors in Tanzania for advancing OH concept in the country WP1 Knowledge sharing • Established a baseline study for OH situation in Tanzania • Workshops conducted to bring together key OH stakeholders for OH baseline study validation (NGO's involvement was great]. • Netmapping exercise indicated areas to be strengthened through identified key linkages to advance OH strategic plan in Tanzania Challenges: • Active collaboration and participation of other sectors and disciplines to address OH is limited • Resources to operationalise OHSP are limited WP2 Governance • Established a strong collaboration with the OH and plan to meet parliamentary committee to promote OH concept at the policy level • Facilitate the establishment of few One Health Multisectoral Technical Committees in subnational. • Conduct training on capacity building and awareness to all OH focal persons and OHS Staff. Organise advocacy meeting with Parliamentary committee for Health and social welfare including education. [Around January/February 2024] • Sensitise Departments/faculties to incorporate OH concepts in the current curricular review process. -Start with major universities in November/December 2023 • Finalise Netmapping report for submission Uganda Highlights • The Netmapping exercise. This revealed some key actors that are very influencing in the One Health landscape in the country. For example, the Ministry of Education and Sports has been shown to be very influential in the effective governance on OH in Uganda WP1 Knowledge sharing • CABI One Health case report • Manuscript writing on the influencers of effective of One health governance in Uganda WP2 Governance • Mobilize professional bodies for a stakeholders' engagement on OH. Lessons and insights: • Policy frameworks, prioritization and setting priorities • Data and evidence to inform decision making • Decentralizing One Health • Global and national mainstreaming of One Health • Institutional hosting of the NOHP -Joint coordination framework • Build partnerships • Establish a fully-fledged OH administrative structure, e.g. OH unit under OPM • Need for stakeholder inclusive review of all existing structures of the OH platform -include new stakeholders: MGLSD, MoLG, MoES, MoFPED, MoPS, OPM delivery unit, MDAs as well as the Ministry of information and national guidance • Mainstreaming OH into government structures for budgeting and programming • Appropriate policy formulation to support implementation of One Health programs and activities • Review the existing policies/frameworks that govern One Health activities in Uganda (e.g., Public Health Act, Animal Health Act, Ecosystem etc.) • Need to review the OH strategic plan to ensure stronger collaborating mechanisms among key stakeholders • Define the non-state actors relevant to OH, e.g. private sector, Civil Society Organizations, religious organizations, communities etc. • Review the communication strategy to be a more inclusive given the suggested reviews in the OH structure like the ministries, departments, and agencies (MDAs) WP3 Education & Research • Community activities with school programs (early learning program pupils in primary school) Insights and lessons: • Tailored and customized training on one health for different stakeholders (the same message Somalia Somalia Highlights Highlights • Only just starting • Only just starting WP1 Knowledge sharing WP1 Knowledge sharing • Execute OH baseline assessments • Execute OH baseline assessments • Netmapping of OH stakeholders within baseline assessment • Netmapping of OH stakeholders within baseline assessment • Write draft country baseline reports on OH performance. • Write draft country baseline reports on OH performance. WP2 Governance WP2 Governance • Establish or strengthen national OH Platforms by providing technical support (e.g., logistics, • Establish or strengthen national OH Platforms by providing technical support (e.g., logistics, scientific advice, communication, report writing). scientific advice, communication, report writing). WP3 Education & Research WP3 Education & Research • Conduct surveys of leading universities to develop an inventory of graduate and post- • Conduct surveys of leading universities to develop an inventory of graduate and post- graduate courses with OH elements graduate courses with OH elements Tanzania Tanzania Highlights Highlights • Challenges: • Challenges: • Advocacy and governance need strengthening • Advocacy and governance need strengthening WP3 Education & Research WP3 Education & Research • Planning to introduce OH concept in Primary and Secondary schools • Planning to introduce OH concept in Primary and Secondary schools • Planning to harmonise OH teaching modules in Tertiary education in Tanzania • Planning to harmonise OH teaching modules in Tertiary education in Tanzania Challenges: Challenges: • Most OH-related research being conducted by academic/research institutions especially those • Most OH-related research being conducted by academic/research institutions especially those of human and livestock health related disciplines of human and livestock health related disciplines • Awareness of OH education to the general public is limited. • Awareness of OH education to the general public is limited.  "},{"text":" • OH -VIRTUAL CENTER TRAININGS/CAPACITY BUILDING. The Food and Agriculture Organization of The United Nations (FAO), requested the Zambia COHESA Country Multiplier as well as the COHESA OH Expert to be involved in the FAO Virtual Learning Centre for Southern Africa. Trained the Southern African Region OH experts. • Later, the FAO-OH -NATIONAL TRAINING again requested the Zambia COHESA Country Multiplier as well as the COHESA OH Expert to be involved in training as National expert trainers for an on-line \"Concepts of One Health for Zambia\" during the second quarter of 2023. Learnt that there is a huge interest across all sectors. Realized that OH is not only Environment, Health and Animal sectors. But also incorporates Gender, Home Affairs, Climate Change, Community, Media, Education Sector etc. • COHESA team consisting of the Country Multiplier, the OH Expert and two Enumerators were involved in the Literature Review processing for Zambia for the One Health Zoonotic Disease Prioritization (OHZDP) from May 2023 and actual participation as well as being resource persons for the OHZDP process in Zambia. The OHZDP is a tool that allows countries to use a multi-sectoral approach to prioritize endemic and emerging zoonotic diseases of greatest national concern to jointly address zoonotic diseases by human, animal, and environmental health sectors. Learnt that the scope of COHESA goes beyond those prescribed in the Work packages and that even Standard Countries can go beyond the activities prescribed for them. WP2 Governance • COHESA was involved in the preparatory meetings for the hosting of the Progressive Management Pathway (PMP) on Antimicrobial Resistance (PMP-AMR) in relation to the Implementation of the Antimicrobial Resistance (AMR) National Action Plan (NAP) in Zambia. Learnt that the Government needs OH partnership for the actualisation of its governance mechanisms. • COHESA-Zambia, in collaboration with ZNPHI were deeply involved in conducting the National Bridging Workshop (NBW) from the 19th to 21st October 2022 in Livingstone with tools from the International Health Regulations-Performance of Veterinary Services (IHR-PVS) as well as the Joint External Evaluation (JEE), from FAO, OIE/WOAH, WHO. Here the COHESA regional coordinator gave the Zambian team support as well as assist in the NBW. • COHESA Zambia was called on to participate fully and sponsor prizes in the National AMR School competitions as well as being involved virtually in all OH technical meetings and platforms in the Country WP3 Education & Research • For COHESA Zambia, we have been invited by APEX Medical University, School of Public Health, to help them develop a MSc in OH. Invited Dr. Emmanuel Chirwa the Dean to COHESA organised Future Africa Campus to learn more on OH Academic Resources, future OH capacity building etc. • With regards School level education, COHESA in Zambia is yet to get hold of the actual focal actors, as OH at School level is virtually non-existence. WP4 Delivery • Involvement in the Anthrax outbreak in Zambia. Realised the importance of an existing and functional OH platform at all times to respond to OH emergencies, rather than working through temporary multi-sectoral task force teams. • Sustainability for future OH action beyond the COHESA period. Applied for grants, that were shared by the COHESA -Southern Region Coordinator. Got support from consortium and applied for the Pandemic Fund. The application has since gone through. This is the second application after the Nature for Health (N4H) application that the Zambian COHESA team applied for earlier. This is the sure way to enhance sustainability and continue with OH activities. • COHESA has made itself relevant and useful in almost all National OH initiatives in the OHcrowded space and works closely with other developmental partners [i.e. Africa CDC, UKHSA, FAO, WHO, WOAH among others]. Learnt that once engage with other OH partners we achieve more, and we also share resources and logistics.  "},{"text":"• Established in 2012 through a MOU at Ministerial level • Epidemiologists, administrator • Other experts co-opted on a need to be basis Objectives • Strengthen implementation of One Health approach • Strengthen prevention, surveillance, response and control of priority zoonotic diseases • Promote applied research using the OH approach Lessons and insights • Resources -Financial and technical structures are sector-specific • Devolved governance system -Independent governance structure • Limited data on key drivers of OH• Low awareness among policy makers • Cost-benefit analysis of OH -do we need OH?• From manuscripts to health policy • Involvement of the environmental sector -Diverse specialties, limited expertise at lower levels • Need for stronger policy framework -bureaucratic process, shift in governance Namibia is a signatory to the IHR of 2005 that mandates member states to strengthen capacities for health security • Pandemics like Ebola (2014) andCOVID-19 (2019)  showed the need for coordinated efforts across all sectors in preventing or fighting disease outbreaks • JEE evaluations of 2016 revealed critical gaps that need to be addressed to protect people in Namibia from pandemics • NAPHS came as a tool to create roadmaps for strengthening health security in the country • Since epidemics occur at the AHE interface, the NAPHS will be implemented under the OH framework with technical oversight from MOHSS, MAWLR and MEFT.• The line ministries led by MOHSS have attempted to coordinate OH activities in the country and have achieved some successes, including setting up NAMPHI • COHESA baseline, validation, and Netmapping efforts have generated stakeholder interest in the OH concept • Whilst the impetus is high, the MOHSS, in partnership with COHESA and FAO, has begun the process of crafting the OH framework in Namibia to drive the OH agenda forward • In November 2023, a team drawn from the MOHSS, MAWLR, MEFT, NGOs, Tripartite, Private entities, and COHESA participated virtually and in person to draft the OH framework for Namibia • The OH framework will be validated in the first quarter of 2024 • Facilitating the creation of the framework is one of the Namibia multiplier's activities Prospects • Multiplier plans to do Netmapping validation • Multiplier plans to continue assisting the line ministries to have the OH framework enactedand that relevant MOUs are signed • The multiplier plans to assist the line ministries in achieving the establishment of an OH body through deliverables in the various WPs as given by the consortium • Stakeholder interest in OH will increase, and OH platform will have good impact on OH Lessons and insights Successes:• NAMPHI is at advanced stages • Stakeholders supported the OH concept as they honoured baselines, validation and Netmapping exercises and shared ideas in the various multiplier activities, • Relevant OH curricula being developed e.g., MSc in One Health, PstGra. Dip. in OH,• Discussions have started on how to infuse OH into undergraduate programs and SS. curricula Working in country groups, participants identified 1) success for OH governance in their countries and 2) Critical Success Factors to to achieve this. The points are listed below and the critical factors are visualized/summarized in a wordcloud image. Namibia Tanzania OH governance critical success factors Critical success factors to achieve OH governance success Uganda Demonstrate the cost-benefits of OH Namibia Tanzania OH governance critical success factors Critical success factors to achieve OH governance success Uganda Demonstrate the cost-benefits of OH Current status Current status Botswana Uganda Advocacy and awareness Leadership (Coordination, Collaboration, planning and communication) Current status Current status Botswana UgandaAdvocacy and awareness Leadership (Coordination, Collaboration, planning and communication) • Coordination of multiple partners Critical success factors • Identify region-specific drivers of OH o AMR; o Zoonoses o Anthrax? Brucellosis? Rabies? o Food safety o Climate change • Understand and adapt -No one size fits all approach • Sustainability o Away from project vs systems approach o Need for \"genuine\" government involvement o Support for capacity development • Operational research • Bring everyone and their resources aboard, • Develop a coordinating board to steer everyone towards a functional OH set up CHALLENGES Somalia Funding (internal and external) • Working in silo's Zimbabwe To have a functional OH office in the office of the president (OPC) Somalia Countinous advocacy and political will o Focus on approaches to solve PH problems Solutions: • OH Baseline survey and OH Netmapping well done Zambia Functional multisectoral OH coordination unit established by an act of parliament Rwanda Pushing of technical validation of PM's instructions by consultants o from manuscripts to policy statements ORIGIN • One Health Coordination Desk [OHSP 2015-2020]-Officer • One Health Section [OHS]-[Revised OHSP 2022-2027]-Ass.Director PURPOSE 1. Zoonoses 2. Biosecurity and Biosafety Threats 3. Antimicrobial resistance 4. Food safety threats 5. Environmental health threats 6. Climate change health threats 7. Emerging and re-emerging health threats COMPOSITION • OHS-PMO o Ass. Director o 4 scientists o Ministerial OH focal persons [MLFD, TAMISEMI, MoH, MNRT, MoA, Env. VPO] • OH Multisectoral Technical Committees [Subnational levels) • Technical Working Groups [TWG] ACTIVITIES • Coordination • Surveillance, Detection, Prevention and Control • Preparedness and Response • Research and Development • Awareness, Advocacy and Communication • Training and education Plans What OH 'success' looks like by 2025 Botswana Coordination by BPHI Botswana Infusion of OH in education and Research Ethiopia All sectors including academia,research institutes will have OH agenda in their activity Ethiopia The 4Cs implemented/improved Kenya Environment sector integration to the ZDU platform Kenya Integration of NASIC (AMR), ZDU and food safety national strategic plans (Including other OH related strategoc documents) into NATIONAL OH STRATEGIC PLAN Malawi Equal influence of all sectors-resource sharing Malawi Formally institutionalised with organogram Malawi High level approval OH strategy Mozambique Advocacy plan in OHSP and OH platform Mozambique Interministerial decree-Creaton of OH platform (2024 Mozambique Officialisation and establishment of TWG Mozambique OH financial plan Mozambique Strategic plan validated-2023/2024 Namibia Endorsed and implemented National OH framework Rwanda Validation and implementation of the prime ministers' instructions -person in PM's office needed(chairperson), divisions in MOH needed Somalia An updated OH strategic plan Somalia Capacity building for the OH workforce Botswana Human resource capacitation Botswana Netmapping of stakeholders and stakeholders engagement Botswana Resource mobilization -Budgeting, optimal use of financialresources Ethiopia Budget allocation Ethiopia Functional secretariat OH in IHR implementation (Strategic plan, Budget, Fixed permanent staff, Physical office) Ethiopia Interministerial OH taskforce (OH advisory group, OH technical group; zoonosis,AMR, Food safety etc) Kenya Advocacy to the key decision makers eg leads of NASIC,ZDU and Food safety and other relevant platforms (EIK)-Stakeholder engagement Kenya Sign MOU between MOH and MOALF and MoEnv. Malawi Advocacy plan -parliament committee(health, agriculture, environemnt);directors jontly approach; OH strategy dissemination (COHESA/Academia) Malawi Formalize TWG/Steering committee Malawi Involvement of planning and finance departments Malawi Seated at neutral high level office (presidential) and/or rotating secretariat Mozambique 2nd prioritization of zoonotic disease and other OH issues Mozambique Officialisation and effective dissemination of the different plans Mozambique OH budget line in the government budget Namibia Biannual meeting (Multisectoral coordination) Namibia Continuous PVs and JEE Namibia Advocacy strategy (stakeholders and investors) Namibia Fund raising -Grants, PPP, donors Namibia Funding -Dedicated budget inline ministries on OH activities Uganda A coordination office in a neutral entity like office of the president or Prime minister Uganda Having an enabling environment to practice OH Uganda OH advocacy Zambia Advocacy -Engaging parliamentarians and other decision makers Zambia Enabling policy -MOUs, sector specific policies, data sharing aggreement Zambia Infrastructure -Physical and digital such as data sharing platform Zambia Stakeholder mapping -Private sector, civil society, community engagemnet Zambia Strategic documents -Global and national strategic plans, JEE, PVS,NAPHS, M$E Framework and implementation plans Zambia Transdisciplinary team (Human health, Vet, Environment, climate, wildlife) Zimbabwe Build upon existing governance structure and decentralised OH services Zimbabwe Have OH office funded from monistry of finance Zimbabwe National OH strategic plan Zimbabwe Regular netmapping of stakeholders Zimbabwe Develop an OH advocacy plan for all stakeholders Zimbabwe Develop an effective communication plan Mozambique Avoid -partial implementation of the OHSP by the TWG Namibia Avoid -ambigious intervention Namibia Avoid -Lagging behind of key stakeholders Namibia Avoid -working in silo's Somalia Avoid -chronic underinvestment Somalia Avoid -inadequate advocacy at the country level with donor engagement Somalia Avoid -silolisation and fragmentation of interventions Tanzania Avoid -silo mentatlity • Challenges: • Piecemeal approach and uncoordinated efforts in OH • Scattered resources • Establish/strengthen OHMTC at subnational levels Somalia Develop the National Action Plan for Health security (NAPHS) Namibia MOUs Avoid -duplicating structures Zimbabwe • Advocacy [Parliamentary committee] Somalia Establishment of multisectoral coordination mechanism Namibia Political Advocacy Zimbabwe Avoid -leaving out critical stakeholders • Tanzania OH Conference • Proved OH activity is cost benefit Uganda National OH policy passed by Dec 2024 Rwanda Ministerial buy-in (Netmapping validation at high leve l-media cafes) • Tackle health threats under OH approach Uganda National OH policy operationalised by Dec 2025 Rwanda Consultants to review PM's instructions • 6 Priority zoonoses Tanzania Strenthening OH capacity among the staff Rwanda Consultants and TORs in place (RBC, REMA and RAB) • Further engagement of key stakeholders in OH Tanzania Operationalization of OH at sub-national level Rwanda Consultants and technical experts advocate • Assumption of mandates [Ass. Director, Budget, Decision bodies] Tanzania OH platform -Established at PMO-Database of OH experts Rwanda Biannual meeting (Multisectoral coordination) • OHSP 2022-2027 and Guidelines [2023] Tanzania Advocacy-Parliamentary committee dealing with health and social welfare Rwanda Advocacy and policy brief training SUCCESSES Somalia Netmapping for OH implementation Namibia Zoonotic Disease Priority list Lessons and insights Somalia National baseline survey for OH Namibia Research agenda for OH issue Zimbabwe Avoid -working in silo's • Coordination of multiple partners Critical success factors • Identify region-specific drivers of OH o AMR; o Zoonoses o Anthrax? Brucellosis? Rabies? o Food safety o Climate change • Understand and adapt -No one size fits all approach • Sustainability o Away from project vs systems approach o Need for \"genuine\" government involvement o Support for capacity development • Operational research • Bring everyone and their resources aboard, • Develop a coordinating board to steer everyone towards a functional OH set up CHALLENGES Somalia Funding (internal and external) • Working in silo's Zimbabwe To have a functional OH office in the office of the president (OPC) Somalia Countinous advocacy and political will o Focus on approaches to solve PH problems Solutions: • OH Baseline survey and OH Netmapping well done Zambia Functional multisectoral OH coordination unit established by an act of parliament Rwanda Pushing of technical validation of PM's instructions by consultants o from manuscripts to policy statements ORIGIN • One Health Coordination Desk [OHSP 2015-2020]-Officer • One Health Section [OHS]-[Revised OHSP 2022-2027]-Ass.Director PURPOSE 1. Zoonoses 2. Biosecurity and Biosafety Threats 3. Antimicrobial resistance 4. Food safety threats 5. Environmental health threats 6. Climate change health threats 7. Emerging and re-emerging health threats COMPOSITION • OHS-PMO o Ass. Director o 4 scientists o Ministerial OH focal persons [MLFD, TAMISEMI, MoH, MNRT, MoA, Env. VPO] • OH Multisectoral Technical Committees [Subnational levels) • Technical Working Groups [TWG] ACTIVITIES • Coordination • Surveillance, Detection, Prevention and Control • Preparedness and Response • Research and Development • Awareness, Advocacy and Communication • Training and education Plans What OH 'success' looks like by 2025 Botswana Coordination by BPHI Botswana Infusion of OH in education and Research Ethiopia All sectors including academia,research institutes will have OH agenda in their activity Ethiopia The 4Cs implemented/improved Kenya Environment sector integration to the ZDU platform Kenya Integration of NASIC (AMR), ZDU and food safety national strategic plans (Including other OH related strategoc documents) into NATIONAL OH STRATEGIC PLAN Malawi Equal influence of all sectors-resource sharing Malawi Formally institutionalised with organogram Malawi High level approval OH strategy Mozambique Advocacy plan in OHSP and OH platform Mozambique Interministerial decree-Creaton of OH platform (2024 Mozambique Officialisation and establishment of TWG Mozambique OH financial plan Mozambique Strategic plan validated-2023/2024 Namibia Endorsed and implemented National OH framework Rwanda Validation and implementation of the prime ministers' instructions -person in PM's office needed(chairperson), divisions in MOH needed Somalia An updated OH strategic plan Somalia Capacity building for the OH workforce Botswana Human resource capacitation Botswana Netmapping of stakeholders and stakeholders engagement Botswana Resource mobilization -Budgeting, optimal use of financialresources Ethiopia Budget allocation Ethiopia Functional secretariat OH in IHR implementation (Strategic plan, Budget, Fixed permanent staff, Physical office) Ethiopia Interministerial OH taskforce (OH advisory group, OH technical group; zoonosis,AMR, Food safety etc) Kenya Advocacy to the key decision makers eg leads of NASIC,ZDU and Food safety and other relevant platforms (EIK)-Stakeholder engagement Kenya Sign MOU between MOH and MOALF and MoEnv. Malawi Advocacy plan -parliament committee(health, agriculture, environemnt);directors jontly approach; OH strategy dissemination (COHESA/Academia) Malawi Formalize TWG/Steering committee Malawi Involvement of planning and finance departments Malawi Seated at neutral high level office (presidential) and/or rotating secretariat Mozambique 2nd prioritization of zoonotic disease and other OH issues Mozambique Officialisation and effective dissemination of the different plans Mozambique OH budget line in the government budget Namibia Biannual meeting (Multisectoral coordination) Namibia Continuous PVs and JEE Namibia Advocacy strategy (stakeholders and investors) Namibia Fund raising -Grants, PPP, donors Namibia Funding -Dedicated budget inline ministries on OH activities Uganda A coordination office in a neutral entity like office of the president or Prime minister Uganda Having an enabling environment to practice OH Uganda OH advocacy Zambia Advocacy -Engaging parliamentarians and other decision makers Zambia Enabling policy -MOUs, sector specific policies, data sharing aggreement Zambia Infrastructure -Physical and digital such as data sharing platform Zambia Stakeholder mapping -Private sector, civil society, community engagemnet Zambia Strategic documents -Global and national strategic plans, JEE, PVS,NAPHS, M$E Framework and implementation plans Zambia Transdisciplinary team (Human health, Vet, Environment, climate, wildlife) Zimbabwe Build upon existing governance structure and decentralised OH services Zimbabwe Have OH office funded from monistry of finance Zimbabwe National OH strategic plan Zimbabwe Regular netmapping of stakeholders Zimbabwe Develop an OH advocacy plan for all stakeholders Zimbabwe Develop an effective communication plan Mozambique Avoid -partial implementation of the OHSP by the TWG Namibia Avoid -ambigious intervention Namibia Avoid -Lagging behind of key stakeholders Namibia Avoid -working in silo's Somalia Avoid -chronic underinvestment Somalia Avoid -inadequate advocacy at the country level with donor engagement Somalia Avoid -silolisation and fragmentation of interventions Tanzania Avoid -silo mentatlity • Challenges: • Piecemeal approach and uncoordinated efforts in OH • Scattered resources • Establish/strengthen OHMTC at subnational levels Somalia Develop the National Action Plan for Health security (NAPHS) Namibia MOUs Avoid -duplicating structures Zimbabwe • Advocacy [Parliamentary committee] Somalia Establishment of multisectoral coordination mechanism Namibia Political Advocacy Zimbabwe Avoid -leaving out critical stakeholders • Tanzania OH Conference • Proved OH activity is cost benefit Uganda National OH policy passed by Dec 2024 Rwanda Ministerial buy-in (Netmapping validation at high leve l-media cafes) • Tackle health threats under OH approach Uganda National OH policy operationalised by Dec 2025 Rwanda Consultants to review PM's instructions • 6 Priority zoonoses Tanzania Strenthening OH capacity among the staff Rwanda Consultants and TORs in place (RBC, REMA and RAB) • Further engagement of key stakeholders in OH Tanzania Operationalization of OH at sub-national level Rwanda Consultants and technical experts advocate • Assumption of mandates [Ass. Director, Budget, Decision bodies] Tanzania OH platform -Established at PMO-Database of OH experts Rwanda Biannual meeting (Multisectoral coordination) • OHSP 2022-2027 and Guidelines [2023] Tanzania Advocacy-Parliamentary committee dealing with health and social welfare Rwanda Advocacy and policy brief training SUCCESSES Somalia Netmapping for OH implementation Namibia Zoonotic Disease Priority list Lessons and insights Somalia National baseline survey for OH Namibia Research agenda for OH issue Zimbabwe Avoid -working in silo's Critical success factors • Resources [Donor dependent] Somalia Improving coordination and collaboration among OH stakeholders Critical success factors • Resources [Donor dependent] Somalia Improving coordination and collaboration among OH stakeholders • Finalization of the framework so that there is a good coordinating mechanism • OH Education across training gradient Somalia Learning from other countries (peer to peer) • Finalization of the framework so that there is a good coordinating mechanism • OH Education across training gradient Somalia Learning from other countries (peer to peer) • Signing of MOUs and practical coordination of all multisectoral and multidisciplinary stakeholders SOLUTIONS Somalia Strengthening of OH national level technical working group • Advocacy and awareness Tanzania Engage key stakeholders in OH in advancing OH agenda • Harmonised OH courses Tanzania Engage public-private partnerships in advancing OH agenda • OHCD to OHS [Budget line] to run OH activities Tanzania Engagement with policy makers at sub national level Critical success factor Tanzania Include OH activities at the subnational level budget codes • Appropriate engagement of policy makers Tanzania Plan for sustainable OH implementation • Signing of MOUs and practical coordination of all multisectoral and multidisciplinary stakeholders SOLUTIONS Somalia Strengthening of OH national level technical working group • Advocacy and awareness Tanzania Engage key stakeholders in OH in advancing OH agenda • Harmonised OH courses Tanzania Engage public-private partnerships in advancing OH agenda • OHCD to OHS [Budget line] to run OH activities Tanzania Engagement with policy makers at sub national level Critical success factor Tanzania Include OH activities at the subnational level budget codes • Appropriate engagement of policy makers Tanzania Plan for sustainable OH implementation  "},{"text":"Critical success factors for OH governance -word cloud from participant contributions Innovation exchange  1. One Health fundraising model -Musso Munyeme 1. One Health fundraising model -Musso Munyeme 2. Integrating OH in education and research in Ethopia -Yordanos Tadesse 2. Integrating OH in education and research in Ethopia -Yordanos Tadesse 3. HORN One Health network -Yusuf Hared 3. HORN One Health network -Yusuf Hared 4. One Health for Humans, Environment, Animals and Livelihoods program -Siobhan Mor 4. One Health for Humans, Environment, Animals and Livelihoods program -Siobhan Mor 5. Africa One Health University Network -Irene Naigaga 5. Africa One Health University Network -Irene Naigaga 6. One Health Centre in Africa -Kristina Roesel 6. One Health Centre in Africa -Kristina Roesel 7. One Health Observatory -Pamela Wairagala + Theo Knight-Jones 7. One Health Observatory -Pamela Wairagala + Theo Knight-Jones 8. One Health and Wildlife -Flora Pule-Meulenberg 8. One Health and Wildlife -Flora Pule-Meulenberg 9. One Health policy engagement -Christian 9. One Health policy engagement -Christian 10. One health training through virtual learning centres -Gerald Mucheru 10. One health training through virtual learning centres -Gerald Mucheru 11. LAMP for field disease outbreak detection -Phiyani Lebea 11. LAMP for field disease outbreak detection -Phiyani Lebea  "},{"text":" ClosingAfter brief remarks by Hung Nguyen-Viet and Gerard den Ouden, the conference was closed by Theo Knight-Jones.For the afternoon session of the first day, country teams prepared summary information on their activities and insights to share and exchange with one another. This table lists all the points included in the summary reports, arranged by category of response. This revealed some key actors that are very influencing in the One Health landscape in the country. For example, the Ministry of Education and Sports has been shown to be very influential in the effective governance on OH in of theCountry Multiplier, the OH Expert and two Enumerators were involved in the Literature Review processing for Zambia for the One Health Zoonotic Disease Prioritization (OHZDP) from May 2023 and actual participation as well as being resource persons for the OHZDP process in Zambia. The OHZDP is a tool that allows countries to use a multi-sectoral approach to prioritize endemic and emerging zoonotic diseases of greatest national concern to jointly address zoonotic diseases by human, animal, and environmental health sectors. OH -NATIONAL TRAINING again requested the Zambia COHESA Country Multiplier as well as the COHESA OH Expert to be involved in training as National expert trainers for an on-line \"Concepts of One Health for Zambia\" during the second quarter of 2023. Learnt that there is a huge interest across all sectors. Realized that OH is not only Environment, Health and Animal sectors. VIRTUAL CENTER TRAININGS/CAPACITY BUILDING -Under the FAO-OH -REGIONAL TRAINING, The Food and Agriculture Organization of The United Nations (FAO), requested the Zambia COHESA Country Multiplier as well as the COHESA OH Expert to be involved in the first quarter of 2023, the FAO Virtual Learning Centre for Southern Africa. Trained the Southern African Region OH experts. Implementation of the Antimicrobial Resistance (AMR) National Action Plan (NAP) in Zambia. Learnt that the Government needs OH partnership for the actualisation of its governance mechanisms. Zambia WP2 activity COHESA Zambia has been called upon to participate fully and sponsor prizes in the National AMR School competitions as well as being involved virtually in all OH technical meetings and platforms in the Country Zambia WP2 activity COHESA-Zambia, in collaboration with ZNPHI were deeply involved in conducting the National Bridging Workshop (NBW) from the 19th to 21st October 2022 in Livingstone with tools from the International Health Regulations-Performance of Veterinary Services (IHR-PVS) as well as the Joint External Evaluation (JEE), from FAO, OIE/WOAH, WHO. Here the COHESA regional coordinator: Alexandre Caron, was at hand to give the Zambian team support as well as assist in the NBW.[Report link: https://gphihr.tghn.org/news/one-healthnational-bridging-workshop-zambia/] persons in key institutions to foster the uptake of COHESA plans and advance the One Health agenda Somalia WP2 activity Establish or strengthen national OH Platforms by providing technical support (e.g., logistics, scientific advice, communication, report writing). Tanzania WP2 activity Established a strong collaboration with the OH and plan to meet parliamentary committee to promote OH concept at the policy level Tanzania WP2 activity Facilitate the establishment of few One Health Multisectoral Technical Committees in subnational. One of the key findings of the OH Stakeholder Netmapping-Zimbabwe, was the absence of an inclusive OH Governance platform/council/committee Ethiopia WP2 activity Participated and advised on World Rabies Day celebrations: Actively participated in the planning and execution of World Rabies Day celebrations in Ethiopia. Participated in the dissemination of the Joint External Evaluation (JEE) report on One Health (OH) in Ethiopia. The JEE report provides valuable guidance for strengthening OH implementation in Ethiopia. Reviewed and provided input on the OH governance organogram: Engaged in a thorough review of the proposed organogram for OH governance in Ethiopia . Kenya WP2 activity The Zoonotic Disease Unit (ZDU) are already part of the Kenyan COHESA team and they took part in our work package planning events Zimbabwe WP2 activity To promote OH collaboration and Governance, an advocacy Strategy for developing an One Health Strategic Plan for Zimbabwe was produced. Partisanship of some development partners affect the effort to improve OH governance and coordination effort which is believed to be complex. Need for stakeholder inclusive review of all existing structures of the OH platforminclude new stakeholders: MGLSD, MoLG, MoES, MoFPED, MoPS, OPM delivery unit, MDAs as well as the Ministry of information and national guidance Uganda WP2 lesson Need to review the OH strategic plan to ensure stronger collaborating mechanisms among key stakeholders Uganda WP2 lesson Policy frameworks, prioritization and setting priorities Uganda WP2 lesson Review the communication strategy to be a more inclusive given the suggested reviews in the OH structure like the ministries, departments, and agencies (MDAs) Uganda WP2 lesson Review the existing policies/frameworks that govern One Health activities in Uganda (e.g., Public Health Act, Animal Health Act, Ecosystem etc.) Zimbabwe WP2 lesson This requires buy-in from key Government ministries on OH and calls for the involvement multi-sectors to develop and validate it. Zimbabwe WP3 activity An opportune time is presented to infuse OH into the school curriculum, particularly through teacher development programmes that are currently under review (Teacher Education Curriculum Transformation). between LUANAR and Ladder to Learn, an NGO focused on primary school extracurricular education, to facilitate mentorship of primary school students generally and in OH concepts in particular Zambia WP3 activity For COHESA Zambia, we have been invited by APEX Medical University, School of Public Health, to help them develop a MSc in OH. Invited Dr. Emmanuel Chirwa the Dean to COHESA organised Future Africa Campus to learn more on OH Academic Resources, future OH capacity building etc. National consensus building forum Next step: Production of documents, distribution, capacity building of frontline actors and implementation is planned • Potential • Network • Engagement • Potential for ownership • Diversity of players • Geographical coverage (countries, cukture…) • Commitment • Flexibility of project structure to adapt to each country • Resources Opportunities • Theory of Change, Road plan, Players • Pathway to social justice • Exit plan • Exploit each other • Replibility potential • Donor interest and exploration • Civil society • OH congress 2024 in Cape Town • Integration with climate change • Stronger mechanism for sharing • Use existing government initiatives (Lower government) • OH collaboration Time 08:45-09:00 Process update and plans for the day -Facilitator Weaknesses • Sustainability of project outcomes • M&E • Time managemnt • Planning -Ideas • links with understanding of other OH initiatives • Visibility • Meeting/interaction frequency? Threats • Institutional resistance to change • Other OH initiatives (Local, Regional etc) • Political discontinuity • OH job market? • High turnover in OH jobs • Economic disparities within countries Tuesday 21 November 09:00-10:30 SHARE: One Health governance: Country lessons and experience exchange Presentation on Netmapping findings: Bibiana Iraki Presentation of Country cases: • Tanzania: Gabriel Shirima • Namibia: Simon Angombe • Kenya: Joshua Onono 10:30-11:00 BREAK 11:00-12:00 SHARE: One Health governance: Linking local to regional and global Chat show Moderator: Kristina Roesel Participants: • Musonsa Ngulube, UNEP • Gerald Mucheru, FAO • Hardwick Tchale, World Bank • Gaolathe Thobokwe, SADC • Fahari Gilbert Marwa, East African Community 12:00-12:30 INSPIRE: Inspirational speaker 2: Wanda Markotter \"One Health; From Global to Local\" 12:30-14:00 LUNCH 14:00-16:00 INNOVATE: Innovation exchange: Showcase innovations and ideas across COHESA and beyond. • One Health fundraising model -Musso Munyeme • Integrating OH in education and research in Ethopia -Yordanos Tadesse • HORN One Health network -Yusuf Hared • One Health for Humans, Environment, Animals and Livelihoods program -Siobhan Mor • Africa One Health University Network -Irene Naigaga • One Health Centre in Africa -Kristina Roesel • One Health Observatory (Pamela Wairagala + Theo Knight-Jones) • One Health and Wildlife -Flora Pule-Meulenberg • One Health policy engagement -Christian • One health training through virtual learning centres -Gerald Mucheru • LAMP for field disease outbreak detection -Phiyani Lebea Time Wednesday 22 November 08:45-09:00 Process update and plans for the day -Facilitator 09:00-09:30 REFLECT: Short feedback from 'reflection team' / Facilitated short engagement with all 09:30-10:45 SHARE: One Health in schools: Lessons and experience exchange Framing presentation: Florence Mutua Country case presentations: • Kenya: Shauna Richards • Malawi: Catherine Wood • Zimbabwe: Gift Matope Presentation of lessons learned training trainers on One Health in schools -Paul Buyugu 10:45-11:15 BREAK 11:15-12:00 PLAN: Looking ahead for COHESA: Exercise in country groups 12:00-12:30 INSPIRE: Inspirational speaker 3: Adana Mahase-Gibson \"Keeping it Real -Adventures and Misadventures in Caribbean One Health\" 12:30-14:00 LUNCH 14:00-15:00 CONNECT FOR ACTION: Facilitating connections and collaborations • Sandpits -Mirgissa Kaba • OH Observatory -Pamela Wairagala • OH virtual learning -Gerald Mucheru • Kumu tool -Catherine Wood • Environmental/ecosystem health -Alex Caron • OH in schools -Shauna Richards • OH Masters -Phaedra Henley 15:00-15:30 BREAK 15:30-16:00 REFLECT: Synthesis and reflections on the event 16:00-16:30 Close Kenya highlight The Kenyan team did a baseline and we have also created teams that are leading Mozambique WP1 activity Netmapping workshop (overview of the OH stage in Mozambique: OH Platform Malawi WP2 challenge Need for external consultants, possibly other COHESA country members Annex 5: Country highlights, activities, challenges, lessons Country Category Response Namibia highlight Ability to bring diverse team together Tanzania highlight At government level-There is a well established One Health Section (OHS) at the Prime Minister office that has made implementation of COHESA agenda easy-going. Namibia highlight Baseline survey Zambia highlight COHESA involvement in the development of a National OH joint plan of action Zambia highlight COHESA involvement in the National Bridging Workshop for OH Malawi highlight COHESA Malawi and designated OH point people from several Government of Malawi ministries have developed a draft OH Strategy and are working towards developing a process for drafting OH Strategy. Rwanda highlight COHESA mobilized actors from various government, academia, NGOs, and private sector institutions to brainstorm and discuss how to ensure optimal institutionalization of OH in Rwanda. The discussion was done through a Netmapping of actors to understand \"Who will influence anchoring One Health secretariate under the office of Prime Minister?\" Tanzania highlight COHESA Team in Tanzania has established a good working collaboration with the OHS under the Prime Minister in advancing COHESA agenda Namibia highlight Concertized people's mind into the OH concept Zambia highlight Development of a five-year One Health Strategic Plan 2022 -2026 for Zambia. Zambia highlight Development of a one-year OH implementation plan for Zambia Zambia highlight Development of OH Technical Working Groups, with incorporation of COHESA Namibia highlight Focus Group discussion Ethiopia highlight Integration of One Health (OH) principles and approached into Education and Research in Ethiopia. This followed a Netmapping Exercise with representatives from public universities, research institutions, selected public sectors, professional associations, development partners, and NGOs -DEFINED STRATEGIC ENTRY POINT for integration of OH principles and approaches in secondary schools, universities, and research institutions Zimbabwe highlight Key influential ministries should advocate for the operationalization of the OH council in Zimbabwe Mozambique highlight Mozambican One Health Strategic Plan (finalized at the technical level) Namibia highlight Netmapping -appreciation from the line ministries, Uganda highlight Netmapping exercise. Uganda Zimbabwe highlight Netmapping: The main linkages identified were; a) funding, b) collaboration, c) capacity building, and d) information sharing Zimbabwe highlight Netmapping: The main OH actors and their linkages were identified Zimbabwe highlight OH Stakeholder Netmapping-Zimbabwe Mozambique highlight Participating on OH international day activities Botswana highlight Review of the situational analysis and needs assessment for the Libreville Declaration workshop. This was the first time that COHESA Botswana had an opportunity to interact with the country coordinating committee (CCC), a three work packages, Ethiopia highlight Two Delphi processes to define OH interventions for solutions Namibia highlight Validation workshop for FDG and BS Namibia highlight Visibility initiative on National Broadcast -MediaCafe Botswana WP1 activity Baseline study validation workshop Rwanda WP1 activity Baseline surveys were conducted and will be validated Ethiopia WP1 activity Broader stakeholder engagement to share findings from baseline, KIIs and first Netmapping exercise to set the tone on OH in Ethiopia Uganda WP1 activity CABI One Health case report Botswana WP1 activity COHESA BW participated in the SANA review and COHESA BW is a co-author portions of the report. Zambia WP1 activity COHESA involvement in the Anthrax outbreak Awareness and information dissemination. Learnt that there is still a big gap among \"OH-sectors\", despite acknowledgement of the existence of the OH platform. Learnt that a District that adopted and actualised OH early was able to effectively respond and handle the Anthrax situation better. Zambia WP1 activity COHESA team consisting Ethiopia WP1 activity Contributed to the overarching COHESA paper Malawi WP1 activity Development of One Health Malawi website, plans to link to OH Observatory Ethiopia WP1 activity Drafted country case study for publication and more to come Ethiopia WP1 activity Engagement of journalist in science café training to advocate for OH at different level using media outlet -this was successful Tanzania WP1 activity Established a baseline study for OH situation in Tanzania Somalia WP1 activity Execute OH baseline assessments Tanzania WP1 activity Finalise Netmapping report for submission Mozambique WP1 activity Finalizing OH Strategic Plan Malawi WP1 activity Further dissemination of OH baseline report, now reformatted for purpose, at higher levels of government Zimbabwe WP1 activity However, there were opportunities for the existing national, provincial and district zoonotic committees to benefit other OH programme initiatives in the country. Botswana WP1 activity Importance of face to face stakeholder consultation and engagement (honest and direct communication) Botswana WP1 activity Joint plan of action for OH Zambia WP1 activity Later, the FAO-But also incorporates Gender, Home Affairs, Climate Change, Community, Media, Education Sector etc. Uganda WP1 activity Manuscript writing on the influencers of effective of One health governance in Uganda Namibia WP1 activity Ministry of Health and Social Services, can champion the OH (result from Netmapping) Mozambique WP1 activity National Bridging workshop institutionalization) Zambia WP1 activity Ethiopia WP2 challenge Uganda WP2 lesson Appropriate policy formulation to support implementation of One Health programs and activities Uganda WP2 lesson Build partnerships OH -Zimbabwe WP1 activity OH baseline survey reports were developed and validated. A draft manuscript was produced and shared. The abridged CABI OH manuscript draft is work in progress. Tanzania WP1 activity Organise advocacy meeting with Parliamentary committee for Health and social welfare including education. [Around January/February 2024] Namibia WP1 activity Oversight of some key stakeholders, Mozambique WP1 activity Participatipating on OH international day activities Tanzania WP1 activity Preparation for Tanzania OH conference to happen in November, 2024 to advance OH concept. Tanzania WP1 activity Sensitise Departments/faculties to incorporate OH concepts in the current curricular review process. -Start with major universities in November/December 2023 Rwanda WP1 activity The baseline and Netmapping information will be published as a One Health case Zimbabwe WP1 activity The baseline survey showed that OH Governance and Coordination was biased towards Antimicrobial Resistance (AMR) and zoonotic diseases. Mozambique WP1 activity Training of trainers for UEM lectures on OH approach Namibia WP1 activity Validation of Netmapping, Rwanda WP1 activity We are planning a media café to involve media professionals in One Health activities in Rwanda Kenya WP1 activity We are planning a workshop to sensitise faculties from universities, private sector players (food business operators, agrochemical supplies etc) on OH principles Kenya WP1 activity We have planned a sandpit event early next year in the months of February/March -call for sandpit is ready and will be sent out next week Kenya WP1 activity Webinar and seminar series on OH topics to be organised by Kenyan teams with members of consortium participating Tanzania WP1 activity Workshops conducted to bring together key OH stakeholders for OH baseline study validation (NGO's involvement was great]. Somalia WP1 activity Write draft country baseline reports on OH performance. Tanzania WP1 challenge Active collaboration and participation of other sectors and disciplines to address OH approach is limited Malawi WP1 challenge Deciding which platform(s) are most effective (WhatsApp groups, internet, in-person meetings, other) Namibia WP1 challenge Fragmented approach to OH concept (not properly coordinated), this affect resource allocation Tanzania WP1 challenge Resources to operationalise OHSP are limited Rwanda WP1 challenge Rwanda OH platform structure as provided in the OH policy is not yet in place. Namibia WP1 challenge Stakeholder not familiar with OH concept, but activities they are doing contribute towards the OH concept (baseline survey results) Zimbabwe WP1 challenge The zoonotic committees and the AMR Governance structures, were not inclusive across sectors and were anchored only in three sector ministries. Zambia WP1 lesson Learnt that the scope of COHESA goes beyond those prescribed in the Work packages and that even Standard Countries can go beyond the activities prescribed for them. Zimbabwe WP2 activity A multi-stakeholder consultative process proposed the established an OH Advisory Committee with membership from key stakeholders and to develop synergies with the current AMR Governance structure Zambia WP2 activity COHESA was involved in the preparatory meetings for the hosting of the Progressive Management Pathway (PMP) on Antimicrobial Resistance (PMP-AMR) WP2 activity Conduct training on capacity building and awareness to all OH focal persons and OHS Staff. Ethiopia WP2 activity Contributing to the stakeholder meeting on new OH legislation in Ethiopia Namibia WP2 activity Drafting country OH Framework Rwanda WP2 activity Ensure that key government institutions brainstorm and submit a focal question that they want support for Rwanda WP2 activity Establish COHESA focal Malawi WP2 activity Forming OH Policy Drafting Committee Botswana WP2 activity Government officials were trained in OH advocacy policy development and Netmapping Kenya WP2 activity initiated a consultancy to support zoonotic disease unit to develop field training and extension materials, Uganda WP2 activity Mobilize professional bodies for a stakeholders' engagement on OH. Rwanda WP2 activity Mobilize various government institutions to review and validate the draft PM instructions that set up the OH coordination mechanism Mozambique WP2 activity Mozambique OH inter ministerial Decree Mozambique WP2 activity Mozambique OH Strategic Plan Zimbabwe WP2 activity Ethiopia WP2 activity Participated and contributed to the One Health cross-border tabletop Simulation Exercise. Ethiopia WP2 activity Namibia WP2 activity Participated in the Stakeholder workshop discussing milestones such as: the establishment of Namibia Public Health Institute and How to integrating event based surveillance Malawi WP2 activity Refining the OH Strategy for Government of Malawi Mozambique WP2 activity Review and update the list of prioritization zoonotic diseases Ethiopia WP2 activity Botswana WP2 activity Together with CIRAD, COHESA BW partially funded the Libreville Declaration SANA workshop Mozambique WP2 activity Training of OH professional in different Moz Provinces Uganda WP2 lesson Data and evidence to inform decision making Uganda WP2 lesson Decentralizing One Health Uganda WP2 lesson Define the non-state actors relevant to OH, e.g. private sector, Civil Society Organizations, religious organizations, communities etc. Uganda WP2 lesson Establish a fully-fledged OH administrative structure, e.g. OH unit under OPM Ethiopia WP2 lesson Genuine and functional stakeholder engagement with roles defined is essential to improve effective OH governance structures. This however is missing Uganda WP2 lesson Global and national mainstreaming of One Health Uganda WP2 lesson Institutional hosting of the NOHP -Joint coordination framework Uganda WP2 lesson Mainstreaming OH into government structures for budgeting and programming Uganda WP2 lesson Zimbabwe WP3 activity Baseline survey in HEI indicated that only a few institutions were offering and/or developed curricula for OH postgraduate education Uganda WP3 activity Community activities with school programs (early learning program pupils in primary school) Somalia WP3 activity Conduct surveys of leading universities to develop an inventory of graduate and post-graduate courses with OH elements Ethiopia WP3 activity Consultative Forums: WP3 TWGs and subject experts discussed OH integration experiences, gaps, entry points, and implementation strategies. Integration strategies for secondary schools, higher education institutions, and research defined and guideline being developed Rwanda WP3 activity Deliver short courses for field and public veterinarians Rwanda WP3 activity Develop short CPD courses to be accredited for professional bodies Malawi WP3 activity Developing a partnership Ethiopia WP3 activity Formation of WP3 TWG: Dedicated team to identify and integrate OH competencies into high schools, universities, and research institutions. Kenya WP3 activity Identified areas for curriculum straightening to integrated OH principles and in relation to the Tanzania Kenya WP2 activity We have initiated a consultancy to support development of extension materials for Botswana WP3 activity Individuals from other public universities were trained in OH short course • Potential • Network • Engagement • Potential for ownership • Diversity of players • Geographical coverage (countries, cukture…) • Commitment • Flexibility of project structure to adapt to each country • Resources Opportunities • Theory of Change, Road plan, Players • Pathway to social justice • Exit plan • Exploit each other • Replibility potential • Donor interest and exploration • Civil society • OH congress 2024 in Cape Town • Integration with climate change • Stronger mechanism for sharing • Use existing government initiatives (Lower government) • OH collaboration Time 08:45-09:00 Process update and plans for the day -Facilitator Weaknesses • Sustainability of project outcomes • M&E • Time managemnt • Planning -Ideas • links with understanding of other OH initiatives • Visibility • Meeting/interaction frequency? Threats • Institutional resistance to change • Other OH initiatives (Local, Regional etc) • Political discontinuity • OH job market? • High turnover in OH jobs • Economic disparities within countries Tuesday 21 November 09:00-10:30 SHARE: One Health governance: Country lessons and experience exchange Presentation on Netmapping findings: Bibiana Iraki Presentation of Country cases: • Tanzania: Gabriel Shirima • Namibia: Simon Angombe • Kenya: Joshua Onono 10:30-11:00 BREAK 11:00-12:00 SHARE: One Health governance: Linking local to regional and global Chat show Moderator: Kristina Roesel Participants: • Musonsa Ngulube, UNEP • Gerald Mucheru, FAO • Hardwick Tchale, World Bank • Gaolathe Thobokwe, SADC • Fahari Gilbert Marwa, East African Community 12:00-12:30 INSPIRE: Inspirational speaker 2: Wanda Markotter \"One Health; From Global to Local\" 12:30-14:00 LUNCH 14:00-16:00 INNOVATE: Innovation exchange: Showcase innovations and ideas across COHESA and beyond. • One Health fundraising model -Musso Munyeme • Integrating OH in education and research in Ethopia -Yordanos Tadesse • HORN One Health network -Yusuf Hared • One Health for Humans, Environment, Animals and Livelihoods program -Siobhan Mor • Africa One Health University Network -Irene Naigaga • One Health Centre in Africa -Kristina Roesel • One Health Observatory (Pamela Wairagala + Theo Knight-Jones) • One Health and Wildlife -Flora Pule-Meulenberg • One Health policy engagement -Christian • One health training through virtual learning centres -Gerald Mucheru • LAMP for field disease outbreak detection -Phiyani Lebea Time Wednesday 22 November 08:45-09:00 Process update and plans for the day -Facilitator 09:00-09:30 REFLECT: Short feedback from 'reflection team' / Facilitated short engagement with all 09:30-10:45 SHARE: One Health in schools: Lessons and experience exchange Framing presentation: Florence Mutua Country case presentations: • Kenya: Shauna Richards • Malawi: Catherine Wood • Zimbabwe: Gift Matope Presentation of lessons learned training trainers on One Health in schools -Paul Buyugu 10:45-11:15 BREAK 11:15-12:00 PLAN: Looking ahead for COHESA: Exercise in country groups 12:00-12:30 INSPIRE: Inspirational speaker 3: Adana Mahase-Gibson \"Keeping it Real -Adventures and Misadventures in Caribbean One Health\" 12:30-14:00 LUNCH 14:00-15:00 CONNECT FOR ACTION: Facilitating connections and collaborations • Sandpits -Mirgissa Kaba • OH Observatory -Pamela Wairagala • OH virtual learning -Gerald Mucheru • Kumu tool -Catherine Wood • Environmental/ecosystem health -Alex Caron • OH in schools -Shauna Richards • OH Masters -Phaedra Henley 15:00-15:30 BREAK 15:30-16:00 REFLECT: Synthesis and reflections on the event 16:00-16:30 Close Kenya highlight The Kenyan team did a baseline and we have also created teams that are leading Mozambique WP1 activity Netmapping workshop (overview of the OH stage in Mozambique: OH Platform Malawi WP2 challenge Need for external consultants, possibly other COHESA country members Annex 5: Country highlights, activities, challenges, lessons Country Category Response Namibia highlight Ability to bring diverse team together Tanzania highlight At government level-There is a well established One Health Section (OHS) at the Prime Minister office that has made implementation of COHESA agenda easy-going. Namibia highlight Baseline survey Zambia highlight COHESA involvement in the development of a National OH joint plan of action Zambia highlight COHESA involvement in the National Bridging Workshop for OH Malawi highlight COHESA Malawi and designated OH point people from several Government of Malawi ministries have developed a draft OH Strategy and are working towards developing a process for drafting OH Strategy. Rwanda highlight COHESA mobilized actors from various government, academia, NGOs, and private sector institutions to brainstorm and discuss how to ensure optimal institutionalization of OH in Rwanda. The discussion was done through a Netmapping of actors to understand \"Who will influence anchoring One Health secretariate under the office of Prime Minister?\" Tanzania highlight COHESA Team in Tanzania has established a good working collaboration with the OHS under the Prime Minister in advancing COHESA agenda Namibia highlight Concertized people's mind into the OH concept Zambia highlight Development of a five-year One Health Strategic Plan 2022 -2026 for Zambia. Zambia highlight Development of a one-year OH implementation plan for Zambia Zambia highlight Development of OH Technical Working Groups, with incorporation of COHESA Namibia highlight Focus Group discussion Ethiopia highlight Integration of One Health (OH) principles and approached into Education and Research in Ethiopia. This followed a Netmapping Exercise with representatives from public universities, research institutions, selected public sectors, professional associations, development partners, and NGOs -DEFINED STRATEGIC ENTRY POINT for integration of OH principles and approaches in secondary schools, universities, and research institutions Zimbabwe highlight Key influential ministries should advocate for the operationalization of the OH council in Zimbabwe Mozambique highlight Mozambican One Health Strategic Plan (finalized at the technical level) Namibia highlight Netmapping -appreciation from the line ministries, Uganda highlight Netmapping exercise. Uganda Zimbabwe highlight Netmapping: The main linkages identified were; a) funding, b) collaboration, c) capacity building, and d) information sharing Zimbabwe highlight Netmapping: The main OH actors and their linkages were identified Zimbabwe highlight OH Stakeholder Netmapping-Zimbabwe Mozambique highlight Participating on OH international day activities Botswana highlight Review of the situational analysis and needs assessment for the Libreville Declaration workshop. This was the first time that COHESA Botswana had an opportunity to interact with the country coordinating committee (CCC), a three work packages, Ethiopia highlight Two Delphi processes to define OH interventions for solutions Namibia highlight Validation workshop for FDG and BS Namibia highlight Visibility initiative on National Broadcast -MediaCafe Botswana WP1 activity Baseline study validation workshop Rwanda WP1 activity Baseline surveys were conducted and will be validated Ethiopia WP1 activity Broader stakeholder engagement to share findings from baseline, KIIs and first Netmapping exercise to set the tone on OH in Ethiopia Uganda WP1 activity CABI One Health case report Botswana WP1 activity COHESA BW participated in the SANA review and COHESA BW is a co-author portions of the report. Zambia WP1 activity COHESA involvement in the Anthrax outbreak Awareness and information dissemination. Learnt that there is still a big gap among \"OH-sectors\", despite acknowledgement of the existence of the OH platform. Learnt that a District that adopted and actualised OH early was able to effectively respond and handle the Anthrax situation better. Zambia WP1 activity COHESA team consisting Ethiopia WP1 activity Contributed to the overarching COHESA paper Malawi WP1 activity Development of One Health Malawi website, plans to link to OH Observatory Ethiopia WP1 activity Drafted country case study for publication and more to come Ethiopia WP1 activity Engagement of journalist in science café training to advocate for OH at different level using media outlet -this was successful Tanzania WP1 activity Established a baseline study for OH situation in Tanzania Somalia WP1 activity Execute OH baseline assessments Tanzania WP1 activity Finalise Netmapping report for submission Mozambique WP1 activity Finalizing OH Strategic Plan Malawi WP1 activity Further dissemination of OH baseline report, now reformatted for purpose, at higher levels of government Zimbabwe WP1 activity However, there were opportunities for the existing national, provincial and district zoonotic committees to benefit other OH programme initiatives in the country. Botswana WP1 activity Importance of face to face stakeholder consultation and engagement (honest and direct communication) Botswana WP1 activity Joint plan of action for OH Zambia WP1 activity Later, the FAO-But also incorporates Gender, Home Affairs, Climate Change, Community, Media, Education Sector etc. Uganda WP1 activity Manuscript writing on the influencers of effective of One health governance in Uganda Namibia WP1 activity Ministry of Health and Social Services, can champion the OH (result from Netmapping) Mozambique WP1 activity National Bridging workshop institutionalization) Zambia WP1 activity Ethiopia WP2 challenge Uganda WP2 lesson Appropriate policy formulation to support implementation of One Health programs and activities Uganda WP2 lesson Build partnerships OH -Zimbabwe WP1 activity OH baseline survey reports were developed and validated. A draft manuscript was produced and shared. The abridged CABI OH manuscript draft is work in progress. Tanzania WP1 activity Organise advocacy meeting with Parliamentary committee for Health and social welfare including education. [Around January/February 2024] Namibia WP1 activity Oversight of some key stakeholders, Mozambique WP1 activity Participatipating on OH international day activities Tanzania WP1 activity Preparation for Tanzania OH conference to happen in November, 2024 to advance OH concept. Tanzania WP1 activity Sensitise Departments/faculties to incorporate OH concepts in the current curricular review process. -Start with major universities in November/December 2023 Rwanda WP1 activity The baseline and Netmapping information will be published as a One Health case Zimbabwe WP1 activity The baseline survey showed that OH Governance and Coordination was biased towards Antimicrobial Resistance (AMR) and zoonotic diseases. Mozambique WP1 activity Training of trainers for UEM lectures on OH approach Namibia WP1 activity Validation of Netmapping, Rwanda WP1 activity We are planning a media café to involve media professionals in One Health activities in Rwanda Kenya WP1 activity We are planning a workshop to sensitise faculties from universities, private sector players (food business operators, agrochemical supplies etc) on OH principles Kenya WP1 activity We have planned a sandpit event early next year in the months of February/March -call for sandpit is ready and will be sent out next week Kenya WP1 activity Webinar and seminar series on OH topics to be organised by Kenyan teams with members of consortium participating Tanzania WP1 activity Workshops conducted to bring together key OH stakeholders for OH baseline study validation (NGO's involvement was great]. Somalia WP1 activity Write draft country baseline reports on OH performance. Tanzania WP1 challenge Active collaboration and participation of other sectors and disciplines to address OH approach is limited Malawi WP1 challenge Deciding which platform(s) are most effective (WhatsApp groups, internet, in-person meetings, other) Namibia WP1 challenge Fragmented approach to OH concept (not properly coordinated), this affect resource allocation Tanzania WP1 challenge Resources to operationalise OHSP are limited Rwanda WP1 challenge Rwanda OH platform structure as provided in the OH policy is not yet in place. Namibia WP1 challenge Stakeholder not familiar with OH concept, but activities they are doing contribute towards the OH concept (baseline survey results) Zimbabwe WP1 challenge The zoonotic committees and the AMR Governance structures, were not inclusive across sectors and were anchored only in three sector ministries. Zambia WP1 lesson Learnt that the scope of COHESA goes beyond those prescribed in the Work packages and that even Standard Countries can go beyond the activities prescribed for them. Zimbabwe WP2 activity A multi-stakeholder consultative process proposed the established an OH Advisory Committee with membership from key stakeholders and to develop synergies with the current AMR Governance structure Zambia WP2 activity COHESA was involved in the preparatory meetings for the hosting of the Progressive Management Pathway (PMP) on Antimicrobial Resistance (PMP-AMR) WP2 activity Conduct training on capacity building and awareness to all OH focal persons and OHS Staff. Ethiopia WP2 activity Contributing to the stakeholder meeting on new OH legislation in Ethiopia Namibia WP2 activity Drafting country OH Framework Rwanda WP2 activity Ensure that key government institutions brainstorm and submit a focal question that they want support for Rwanda WP2 activity Establish COHESA focal Malawi WP2 activity Forming OH Policy Drafting Committee Botswana WP2 activity Government officials were trained in OH advocacy policy development and Netmapping Kenya WP2 activity initiated a consultancy to support zoonotic disease unit to develop field training and extension materials, Uganda WP2 activity Mobilize professional bodies for a stakeholders' engagement on OH. Rwanda WP2 activity Mobilize various government institutions to review and validate the draft PM instructions that set up the OH coordination mechanism Mozambique WP2 activity Mozambique OH inter ministerial Decree Mozambique WP2 activity Mozambique OH Strategic Plan Zimbabwe WP2 activity Ethiopia WP2 activity Participated and contributed to the One Health cross-border tabletop Simulation Exercise. Ethiopia WP2 activity Namibia WP2 activity Participated in the Stakeholder workshop discussing milestones such as: the establishment of Namibia Public Health Institute and How to integrating event based surveillance Malawi WP2 activity Refining the OH Strategy for Government of Malawi Mozambique WP2 activity Review and update the list of prioritization zoonotic diseases Ethiopia WP2 activity Botswana WP2 activity Together with CIRAD, COHESA BW partially funded the Libreville Declaration SANA workshop Mozambique WP2 activity Training of OH professional in different Moz Provinces Uganda WP2 lesson Data and evidence to inform decision making Uganda WP2 lesson Decentralizing One Health Uganda WP2 lesson Define the non-state actors relevant to OH, e.g. private sector, Civil Society Organizations, religious organizations, communities etc. Uganda WP2 lesson Establish a fully-fledged OH administrative structure, e.g. OH unit under OPM Ethiopia WP2 lesson Genuine and functional stakeholder engagement with roles defined is essential to improve effective OH governance structures. This however is missing Uganda WP2 lesson Global and national mainstreaming of One Health Uganda WP2 lesson Institutional hosting of the NOHP -Joint coordination framework Uganda WP2 lesson Mainstreaming OH into government structures for budgeting and programming Uganda WP2 lesson Zimbabwe WP3 activity Baseline survey in HEI indicated that only a few institutions were offering and/or developed curricula for OH postgraduate education Uganda WP3 activity Community activities with school programs (early learning program pupils in primary school) Somalia WP3 activity Conduct surveys of leading universities to develop an inventory of graduate and post-graduate courses with OH elements Ethiopia WP3 activity Consultative Forums: WP3 TWGs and subject experts discussed OH integration experiences, gaps, entry points, and implementation strategies. Integration strategies for secondary schools, higher education institutions, and research defined and guideline being developed Rwanda WP3 activity Deliver short courses for field and public veterinarians Rwanda WP3 activity Develop short CPD courses to be accredited for professional bodies Malawi WP3 activity Developing a partnership Ethiopia WP3 activity Formation of WP3 TWG: Dedicated team to identify and integrate OH competencies into high schools, universities, and research institutions. Kenya WP3 activity Identified areas for curriculum straightening to integrated OH principles and in relation to the Tanzania Kenya WP2 activity We have initiated a consultancy to support development of extension materials for Botswana WP3 activity Individuals from other public universities were trained in OH short course Tanzania WP1 activity multisectoral, interministerial group that implements the Libreville Declaration, an Netmapping exercise indicated areas to be strengthened through identified key training at sub regional levels development TanzaniaWP1 activitymultisectoral, interministerial group that implements the Libreville Declaration, an Netmapping exercise indicated areas to be strengthened through identified key training at sub regional levels development Tanzania Ethiopia WP2 challenge WP3 activity opportunity for the sustainability of COHESA in Botswana linkages to advance OH strategic plan in Tanzania Advocacy and governance need strengthening Tanzania EthiopiaWP2 challenge WP3 activityopportunity for the sustainability of COHESA in Botswana linkages to advance OH strategic plan in Tanzania Advocacy and governance need strengthening Tanzania Somalia Malawi Namibia highlight WP1 activity WP2 challenge WP2 challenge Several activities have been achieved so far that have brought together OH Key Netmapping of OH stakeholders within baseline assessment Culture of allowances creates false incentives for participation in the process actors in Tanzania for advancing OH concept in the country Lack of financial resources Tanzania Somalia Malawi Namibiahighlight WP1 activity WP2 challenge WP2 challengeSeveral activities have been achieved so far that have brought together OH Key Netmapping of OH stakeholders within baseline assessment Culture of allowances creates false incentives for participation in the process actors in Tanzania for advancing OH concept in the country Lack of financial resources  "}],"sieverID":"9b3d1491-7442-4eb4-8ecd-33551feee7bc","abstract":"ILRI would appreciate being sent a copy of any materials in which text, photos etc. have been used Acknowledgements: The authors thank Rosekellen Njiru and for Itseng Malao for their contributions to organizing this meeting."}