Loading
One Health Governance · Journal article
One Health · July 28, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a pilot of KOHSRA, a newly developed integrated One Health system readiness assessment tool applied in Croatia, Ghana, and Nigeria through facilitated national self-assessment workshops. The study reports qualitative and descriptive findings of system gaps (fragmented governance, weak coordination, absent financing, poor surveillance interoperability, limited environmental integration) and context-specific priorities identified by each country, but provides no quantitative validation metrics, no comparison with other tools, and no evidence that identified priorities were subsequently implemented or effective.
Pilot implementation study using structured self-assessment tool. National One Health systems and multisectoral stakeholder groups in Croatia, Ghana, and Nigeria; no specific eligibility criteria or participant numbers reported.. Intervention: Application of the Knowledge-to-Policy One Health System Readiness Assessment (KOHSRA) tool through facilitated national self-assessment and prioritization workshops. Croatia, Ghana, and Nigeria.
All three countries demonstrated foundational One Health capacities including sectoral institutions, technical expertise, surveillance arrangements and coordination mechanisms, but these remained insufficiently institutionalized within routine national systems. Common cross-country gaps included fragmented governance and multisectoral coordination, absence of dedicated domestic financing, weak surveillance interoperability, limited environmental integration, and insufficient mechanisms for evidence synthesis and knowledge translation. Prioritization phase identified recurring strategic themes including strengthened institutional governance and multisectoral coordination, integrated surveillance across human-animal-environment interface, sustainable financing, workforce development and One Health education, AMR control, and climate resilience.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
This tool and its application may help countries structure self-assessment of One Health readiness and prioritize strengthening actions, but evidence of effectiveness in translating priorities into implemented policy or improved health outcomes is not provided. Clinicians and policymakers should view this as a methodological framework requiring formal validation before adoption.
A pilot assessment using a novel integrated tool across three countries, demonstrating feasibility and identifying system gaps, but lacking quantitative endpoints, control comparators, or formal validation evidence.
As stated by the source record.
This tool and its application may help countries structure self-assessment of One Health readiness and prioritize strengthening actions, but evidence of effectiveness in translating priorities into implemented policy or improved health outcomes is not provided. Clinicians and policymakers should view this as a methodological framework requiring formal validation before adoption.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
What is missing. This record has no reported figures. That is a gap in the analysis, not a judgement about the study.
Background. Despite widespread endorsement, many countries continue to face challenges operationalizing One Health. Existing assessment tools are often fragmented and limited in scope, focusing on specific technical functions (e.g., surveillance, coordination, or prioritization) or diseases (e.g. AMR, zoonotic disease) and rarely integrate governance, environmental health, evidence-informed policymaking and strategic prioritization within a single systems assessment. The Knowledge- to-Policy (K2P) One Health System Readiness Assessment (KOHSRA) tool addresses this gap by integrating a comprehensive systems-level readiness assessment across the human-animal-environment interface with structured priority setting, enabling countries to translate assessment findings into strategic priorities for policy and implementation.Methods. Within the One Health-Evidence-Informed Policy Approaches (OH-EVI) project, we piloted KOHSRA in Croatia, Ghana and Nigeria. The tool employed a standardized, facilitated national self-assessment process, comprising two phases: Assessment and Prioritization. The assessment phase combined documentary review, stakeholder mapping and multisectoral consensus workshops across five components: (1) One Health system foundation; (2) One Health risk profile; (3) Policy coherence and One Health integration; (4) Evidence-informed policymaking for One Health; and (5) One Health stakeholder landscape. The prioritization phase synthesized assessment findings into country-specific SWOT profiles, which informed the identification of strategic priorities for policy and implementation.Results. All three countries demonstrated foundational One Health capacities including sectoral institutions, technical expertise, surveillance arrangements and coordination mechanisms, but these remained insufficiently institutionalized within routine national systems and varied in maturity. Common cross-country gaps included fragmented governance and multisectoral coordination, the absence of dedicated domestic financing, weak surveillance interoperability, limited environmental integration, and insufficient mechanisms for evidence synthesis and knowledge translation. The prioritization phase translated these findings into context-specific strategic priorities, with recurring themes including strengthened institutional governance and multisectoral coordination, integrated surveillance across the human-animal-environment interface, sustainable financing, workforce development and One Health education, AMR control, and climate resilience.Conclusions. KOHSRA represents a practical framework that can support countries in assessing national One Health system readiness and identifying context-specific priorities for policy and implementation. Its application in Croatia, Ghana, and Nigeria identified common system readiness gaps and context-specific priorities for strengthening national One Health systems. Future applications in additional countries and formal validation studies are warranted to strengthen the evidence base supporting its broader applicability.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.