2024-11-21-世界卫生组织-2nd_Meeting_of_the_One_Health_High-Level_Expert_Panel_OHHLEP_Term_II_14页_293kb

2nd Meeting of the One Health High-Level Expert Panel (OHHLEP) Term II Summary

Core Content

The 2nd Meeting of the One Health High-Level Expert Panel (OHHLEP) Term II took place on 18 & 19 September 2024, marking the first in-person gathering of the panel in its second term. The meeting aimed to shape the strategic direction of OHHLEP's work and advance the implementation of the One Health approach globally.

Main Objectives

• Build on the success of the first term by leveraging the expanded interdisciplinary expertise of the panel.
• Shift from theory to practice through the development of actionable deliverables and practical implementation tools.
• Strengthen political awareness and commitment to One Health across the Quadripartite organizations (WHO, FAO, WOAH, UNEP).
• Enhance collaboration and communication among stakeholders and across sectors.
• Identify and address knowledge gaps in the implementation of One Health.
• Develop governance frameworks and policy guidance to support sustainable and effective implementation.

Key Themes and Deliverables

1. One Health Implementation Tools and Metrics

• The One Health Joint Plan of Action (OH JPA) is being implemented through regional coordination mechanisms and operational tools.
• The Quadripartite has initiated regional workshops and plans to expand to Africa and the Americas in 2025.
• OHHLEP is tasked with developing guidelines for effective One Health implementation and a monitoring and evaluation framework.
• There is a need for guidance on using the OH tools inventory to ensure coherence and relevance across different contexts.
• The panel should assist in standardizing M&E formats and creating incentives to promote political and organizational commitment.

2. Governance, Policy, and Advocacy

• Effective governance is crucial for the long-term success of One Health.
• OHHLEP should support the Quadripartite in developing policy briefs and reviewing governance models across income levels and governmental structures.
• The panel must ensure that governance mechanisms are not crisis-driven but are integrated into routine operations.
• Legal mandates and clear institutional responsibilities are needed to align sectors and promote collaboration.
• Local and indigenous stakeholders must be integrated into governance structures, respecting their knowledge and practices.

3. Integration of the Environment into One Health

• The environment is a central component of the One Health approach, yet its integration remains underdeveloped.
• A clear definition of environmental terms (e.g., ecosystem health) is necessary to avoid ambiguity.
• The "4P's" framework (Pathogens, Pollutants, Products, Poor Human Behavior) was proposed to structure environmental lifecycle analysis.
• Food systems and agricultural practices are key areas where environmental integration can be strengthened.
• Integrated environmental impact assessment tools should be developed to measure ecosystem health and link it to economics and governance.

4. Equity and Stakeholder Engagement

• Equity must be prioritized to ensure vulnerable groups are included in One Health implementation.
• Capacity building is essential, especially for low- and middle-income countries (LMICs), to transition from planning to action.
• Collaborative information systems and interoperability at the country level are critical for effective implementation.
• Case studies and best practices should be developed and shared to guide implementation and foster learning.

5. Economics of One Health

• Sustainable financing is a key challenge for One Health implementation.
• The Quadripartite is working on a funding proposal to maintain and update the OH tools inventory.
• Economic evaluations and return on investment (ROI) are being explored to support advocacy and investment in One Health initiatives.

Critical Insights from the Meeting

• Political engagement is vital to sustain the One Health agenda, with upcoming opportunities in the G20 and UN forums.
• Data sharing and trust among partners are barriers that require normative instruments and a culture of collaboration.
• Flexibility and adaptability are necessary due to varying national contexts and progress levels.
• Context-specific governance models should be developed, with attention to power dynamics and cultural relevance.
• Communication and coordination across sectors are essential to align efforts and ensure effective implementation.

Next Steps

• Finalize the Term II workplan with a focus on the five thematic areas.
• Develop policy briefs, governance models, and guidance on tools and resources.
• Continue the mapping of international and national governance structures.
• Explore economic and investment strategies to support long-term implementation.
• Strengthen collaboration with regional mechanisms and other Quadripartite advisory groups.

Conclusion

The meeting underscored the importance of collaboration, adaptability, and political commitment in advancing the One Health approach. OHHLEP's role in providing evidence-based guidance, practical tools, and policy support is essential to ensure the successful implementation of the OH JPA and the broader One Health agenda.