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In: Bonds

The One Health concept covers the interrelationship between human, animal and environmental health and requires multistakeholder collaboration across many cultural, disciplinary, institutional and sectoral boundaries. Yet, the implementation of the One Health approach appears hampered by shortcomings in the global framework for health governance. Knowledge integration approaches, at all stages of policy development, could help to address these shortcomings. The identification of key objectives, the resolving of trade-offs and the creation of a common vision and a common direction can be supported by multicriteria analyses. Evidence-based decision-making and transformation of observations into narratives detailing how situations emerge and might unfold in the future can be achieved by systems thinking. Finally, transdisciplinary approaches can be used both to improve the effectiveness of existing systems and to develop novel networks for collective action. To strengthen One Health governance, we propose that knowledge integration becomes a key feature of all stages in the development of One-Health-related policies. We suggest several ways in which such integration could be promoted.

Open Access
In: Integrated approaches to health
Schuld, Schulden und andere Verbindlichkeiten
Die seit fünf Jahren aktuelle Finanz- und Schuldenkrise wird häufig moralisch kommentiert. Diese verbreitete Praxis bezieht sich auf die Gewissheit, dass manche Straftaten durch Geldzahlungen gesühnt werden können, also durch Verwandlung einer rechtlich-moralischen in eine finanzielle Schuld, und umgekehrt versäumte Geldzahlungen – zum Beispiel Steuerhinterziehungen – durch Haftstrafen geahndet werden können. Ökonomische sind häufig moralische Entscheidungen. Und diese moralischen Entscheidungen werden häufig auf Pflichten bezogen, die den Eltern, Göttern oder Nationen geschuldet werden, den Regeln einer Verwandtschaftsordnung, den Geboten einer Religion und den staatlichen Gesetzen.
Geleitet von der Vermutung, dass die aktuellen Schulden und die um sie kreisenden Debatten und Proteste eng mit anderen Schulderfahrungen zusammenhängen – mit Evidenzen existentieller, mora-lischer oder rechtlicher Schuld –, vereint dieser Band verschiedene Positionen aus Kunst, Kultur und Wissenschaft zu einem transdisziplinären Dialog. Vertreter/innen der Anthropologie, Soziologie, Kulturgeschichte, Psychologie, Ökonomie und den Künsten formulieren ihre besonderen thematischen Zugänge, um das Verständnis der politischen, ökonomischen, moralischen und kulturellen Aspekte der Fragen nach Schuld und Schulden zu vertiefen und zu erweitern.

Challenges calling for integrated approaches to health, such as the One Health (OH) approach, typically arise from the intertwined spheres of humans and animals, and the ecosystems constituting their environment. Initiatives addressing such wicked problems commonly consist of complex structures and dynamics. The Network for Evaluation of One Health (NEOH) proposes an evaluation framework anchored in systems theory to address the intrinsic complexity of OH initiatives and regards them as subsystems of the context within which they operate. Typically, they intend to influence a system with a view to improve human, animal, and environmental health. The NEOH evaluation framework consists of four overarching elements, namely: (1) the definition of the OH initiative and its context; (2) the description of its theory of change with an assessment of expected and unexpected outcomes; (3) the process evaluation of operational and supporting infrastructures (the ‘OHness’); and (4) an assessment of the association(s) between the process evaluation and the outcomes produced. It relies on a mixed-methods approach by combining a descriptive and qualitative assessment with a semi-quantitative scoring for the evaluation of the degree and structural balance of ‘OH-ness’ (summarised in an OH-index and OH-ratio, respectively) and conventional metrics for different outcomes in a multi-criteria-decision analysis. We provide the methodology for all elements, including ready-to-use Microsoft Excel spread-sheets for the assessment of the ‘OH-ness’ (Element 3) and further helpful worksheets as electronic supplements. Element 4 connects the results from the assessment of the ‘OH-ness’ to the methods and metrics described in Chapters 4 to 6 in this handbook. Finally, we offer some guidance on how to produce recommendations based on the results. The presented approach helps researchers, practitioners, policy makers and evaluators to conceptualise and conduct evaluations of integrated approaches to health and enables comparison and learning across different OH activities, thereby facilitating decisions on strategy and resource allocation. Examples of the application of this framework have been described in eight case studies, published in a dedicated Frontiers Research Topic (https://www.frontiersin.org/researchtopics/ 5479).

Open Access
In: Integrated approaches to health