Extensive Consultation Research Articles

Challenges in adopting blockchain technology in supply chain management: a too far fetched idea?

PurposeRecent technological advancements, often linked to Industry 4.0, require organizations to be more agile and innovative. Blockchain technology (BT) holds immense potential in driving organizations to achieve efficiency and transparency in supply chains. However, there exist some insurmountable challenges associated with the adoption of BT in organizational supply chains (SC). This paper attempts to categorically identify and systematize the most influential challenges in the implementation of BT in SC.Design/methodology/approachThis study resorts to an extensive literature review and consultations with experts in the field of supply chain management (SCM), information technology and academia to identify, categorize and prioritize the major challenges using VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) and Combined Compromise Solution method (CoCoSo).FindingsThe top three classes of challenges revealed in this study are privacy challenges (PC), infrastructure challenges (IC) and transparency challenges (TC). Maintaining a balance between data openness and secrecy and rectification of incorrect/erroneous input are the top two challenges in the PC category, integration of BT with sustainable practices and ensuring legitimacy are the top two challenges in the IC category, and proper and correct information sharing in organizations was the top most challenge in the TC category.Originality/valueFuture scholars and industry professionals will be guided by the importance of the challenges identified in this study to develop an economical and logical approach for integrating BT to increase the efficiency and outcome of supply chains across several industrial sectors.

Mooditj – Indigenous Australian sexuality education adapted for hilltribe youth of Northern Thailand: evaluation of delivery through a mixed-methods approach

ABSTRACT ‘Mooditj' known as ‘good' or ‘solid knowledge’ in Noongar language based in Western Australian, is an impact evaluated sexuality education program developed in 2002 by Sexual Health Quarters after an extensive consultation process with WA First Nations populations. The program uses interactive activities designed to educate 11–14–year–old First Nations youth about sexual health, life and relationship skills. In conjunction with local and Indigenous leaders within hilltribe communities, Borderless Friendship Foundation (BFF) and Borderless Friendship WA (BFWA) adapted the Mooditj training program to a hilltribe youth audience. Hilltribe people are the Indigenous culture of Thailand, typically living in remote villages that often have little to no electricity, access to safe water, health services or education. Hilltribe youth are at risk of entering the sex trade due to multiple vulnerabilities as a population and education is recommended to reduce risky sexual behaviours. This paper explores the acceptability of Mooditj program content and delivery to suit the cultural contexts and need of hilltribe communities.

The Impact of Climate Change on Food Security and Natural Resource Management in Smallholder Crop Farming Systems at Mthonjaneni Local Municipality, Kwazulu-Natal, South Africa

This study assessed the impact of climate change on food security and natural resource management on crop farming systems. Forty-five respondents were interviewed using an open-ended, and structured questionnaire. The open-ended questions allowed respondents to share their thoughts and experiences in their own words, while the structured questions helped to ensure that all respondents were asked the same questions and that the data collected was consistent. The results of this study showed that smallholder farmers perceived an increase in hot days (51.1%), a decrease in rainfall (51.1%), and a decrease in flood occurrence (71.1%). In addition, 95.2% of the respondents indicated that climatic conditions have influenced their farming systems. Natural resource changes noticed by farmers because of climate change include reduced grazing feedlot for livestock farmers (85%), reduced herbaceous cover (80%), decline in volume of water (57.8%), and increased tree damage and land degradation (11.1%). Increased soil erosion (6.7%) and increased bush encroachment (2.2%) were some of the natural resource challenges facing smallholder farmers. Some signs of climate change experienced by farmers included increases in crop pests (71%) and crop disease (8,9%). The adaptation strategies applied included the following: use of water harvesting, use of little soil disturbance techniques, adjusted fertiliser use, application of different planting dates techniques, use of different crop varieties, use of drought tolerant seeds, applied crop diversification, use of techniques that shortened growth length, planting new trees and avoiding planting on sloppy areas, and applied soil conservation techniques. Agriculture extension advisors should address vulnerable systems, including agricultural water and natural resources. In addition, it is important for agriculture extension advisors to strengthen the link between climate change adaptation and key climate change policy processesto improve their effectiveness and ability to deal with the effects of climate change. This will help overcome shortcomings along the food value chain and ensure food security.

Priority setting: Development of the South Australian Aboriginal Chronic Disease Consortium RoadMap for Action.

Aboriginal and Torres Strait Islander (Aboriginal) people in South Australia are overburdened by cardiovascular disease, diabetes and cancer. The South Australian Aboriginal Chronic Disease Consortium (Consortium) was established in June 2017 as a collaborative partnership to lead the implementation of three state-wide chronic disease plans using a strategic approach to identifying key priority areas for action. In 2017-2018, the Consortium Coordinating Centre facilitated a priority setting process, which involved extensive consultation, including a prioritisation survey and stakeholder workshops. The Consortium's Aboriginal Community Reference Group was instrumental in leading the identification of priorities for action. The Consortium RoadMap for Action identified seven across-plan priorities and six condition-specific priorities. It acknowledged that: strengthening social and emotional well-being is central to improving health outcomes; prevention and early detection, acute management and ongoing management are all components of the continuum of care; and improving access to services, strengthening the workforce, and monitoring and evaluation are required across the continuum of care. Widespread implementation failure in the past across the health system and health services implementation and research translation highlights the value of the Consortium approach and its commitment to implementing the state-wide chronic disease plans in a collaborative manner. The Consortium relies on and fosters cross-sectoral alignment, with all key players including all public, private and Aboriginal Community Controlled health services, to progress its priorities and aspirations to improve health outcomes for Aboriginal people using evidence-based strategies. SO WHAT?: Rigorous and transparent priority setting processes that bring together research, clinical practice, health services operations, policy and community perspectives can foster intersectoral collaboration and partnership and support the implementation of shared priorities.

Adapting and translating the 'Hep B Story' App the right way: A transferable toolkit to develop health resources with, and for, Aboriginal people.

In 2014 the 'Hep B Story App', the first hepatitis B educational app in an Aboriginal language was released. Subsequently, in 2018, it was assessed and adapted before translation into an additional 10 Aboriginal languages. The translation process developed iteratively into a model that may be applied when creating any health resource in Aboriginal languages. The adaptation and translation of the 'Hep B Story' followed a tailored participatory action research (PAR) process involving crucial steps such as extensive community consultation, adaptation of the original material, forward and back translation of the script, content accuracy verification, voiceover recording, and thorough review before the publication of the new version. Iterative PAR cycles shaped the translation process, leading to a refined model applicable to creating health resources in any Aboriginal language. The community-wide consultation yielded widespread chronic hepatitis B education, prompting participants to share the story within their families, advocating for hepatitis B check-ups. The project offered numerous insights and lessons, such as the significance of allocating sufficient time and resources to undertake the process. Additionally, it highlighted the importance of implementing flexible work arrangements and eliminating barriers to work for the translators. Through our extensive work across the Northern Territory, we produced an educational tool for Aboriginal people in their preferred languages and developed a translation model to create resources for different cultural and linguistic groups. SO WHAT?: This translation model provides a rigorous, transferable method for creating accurate health resources for culturally and linguistically diverse populations.

Entrepreneurial education and its role in fostering sustainable communities

Establishing sustainable communities requires bridging the gap between academic knowledge and societal requirements; this is where entrepreneurial education comes in. The first phase involved a comprehensive review of the literature and extensive consultation with experts to identify and shortlist the components of entrepreneurship education that support sustainable communities. The second phase involved Total Interpretative Structural Modelling to explore or ascertain how the elements interacted between sustainable communities and entrepreneurial education. The factors are ranked and categorized using the Matrice d'impacts croises multiplication appliquee an un classement (MICMAC) approach. The MICMAC analysis classifies partnerships and incubators as critical drivers, identifying Student Entrepreneurship Clubs and Sustainability Research Centers as dependent elements. The study emphasizes alumni networks and curriculum designs as key motivators. The results highlight the critical role that well-designed entrepreneurial education plays in developing socially conscious entrepreneurs, strengthening communities, and generating long-term job prospects. The study provides a valuable road map for stakeholders dedicated to long-term community development agendas by informing the creation of strategic initiatives, curriculum updates, and policies incorporating entrepreneurial education.

Diversity of plant-parasitic nematodes associated with chickpea (Cicer arietinum L.) in the main growing areas of Ethiopia

Summary Chickpea is one of the most important legume crops in Ethiopia; however, its production is far below the mean international chickpea production due to biotic and abiotic stressors. Plant-parasitic nematode infestation is extensive in chickpea-growing areas worldwide. The distribution and population density of plant-parasitic nematodes in chickpea were determined during the September-December 2021 growing season. Ten plant-parasitic nematode taxa were identified from 27 localities across ten districts in the main chickpea-growing areas in Ethiopia. Pratylenchus had the highest prominence values, followed by Rotylenchulus and Meloidogyne spp. Helicotylenchus, Hoplolaimus, Scutellonema and Quinisulcius were more prevalent than Criconemoides and Ditylenchus. Sequences of different molecular markers, including D2-D3 of 28S rDNA, ITS of rDNA, and COI and Nad5 of mtDNA, revealed the presence of Meloidogyne javanica, Rotylenchulus parvus, Scutellonema clathricaudatum and Helicotylenchus caudatus. Helicotylenchus caudatus and R. parvus are the first reports from Ethiopia and chickpea, while S. clathricaudatum is the first report for chickpea. This study provides essential baseline information of nematode pest occurrence on chickpea in Ethiopia. This information will raise awareness among growers, agricultural officers, and extension advisors, enabling them to develop effective nematode management strategies for the chickpea production system in Ethiopia.

Evaluation of a disability-inclusive ultra-poor graduation programme in Uganda: study protocol for a cluster-randomised controlled trial with process evaluation

BackgroundThere is little evidence on how to support ultra-poor people with disabilities to adopt sustainable livelihoods. The Disability-Inclusive Graduation (DIG) programme targets ultra-poor people with disabilities and/or women living in rural Uganda. The programme is an adaptation of an ultra-poor graduation model that has been shown to be effective in many contexts but not evaluated for people with disabilities.MethodsThe DIG programme works with project participants over a period of 18 months. Participants receive unconditional cash transfers for 6 months, training, access to savings-and-loans groups, and a capital asset that forms the basis of their new livelihood. The programme is also adapted to address specific barriers that people with disabilities face. Eligible households are clustered by geographical proximity in order to deliver the intervention. Eligibility is based on household screening to identify the ‘ultra-poor’ based on proxy means testing—both households with and without people with disabilities are included in the programme. Clusters are randomly selected prior to implementation, resulting in 96 intervention and 89 control clusters. The primary outcome of the trial is per-capita household consumption. Before the start of the intervention, a baseline household survey is conducted (November 2020) among project participants and those not offered the programme, a similar endline survey is conducted with participants with disabilities at the end of programme implementation in July 2022, and a second endline survey for all participants in October 2023. These activities are complemented by a process evaluation to understand DIG programme implementation, mechanisms, and context using complementary qualitative and quantitative methods. Ethical approval for the research has been received from Mildmay Uganda Research Ethics Committee and London School of Hygiene and Tropical Medicine.DiscussionDIG is a promising intervention to evaluate for people with disabilities, adapted to be disability inclusive across programme components through extensive consultations and collaboration, and has proven efficacy at reducing poverty in other marginalised groups. However, evaluating a well-evidenced intervention among a new target group poses ethical considerations.Trial registrationRegistry for International Development Impact Evaluations, RIDIE-STUDY-ID-626008898983a (20/04/22). ISRCTN registry, ISRCTN78592382. Retrospectively registered on 17/08/2023.

Igniting Solidarities across Borders: South Feminist Futures (SFF) and the Promise of the South Feminist Manifesto

Abstract: This article examines the forthcoming South Feminist Manifesto spearheaded by South Feminist Futures, a transnational network of feminists from the Global South. Through extensive cross-regional consultations, the manifesto initiative promises to build solidarity and advance decolonial, anti-capitalist feminism across the Global South. It aims to center plural Southern voices and contexts, integrating diverse critical frameworks from Third World feminism to queer theory. By foregrounding lived realities of Southern women and trans and nonbinary people, the manifesto promises to generate fresh insights and creative South-South solidarities. Drawing inspiration from the pioneering Women's Manifesto for Ghana , it strives to catalyze feminist consciousness raising, movement revival, and more caring, just futures across borders. The article analyzes the manifesto's transformative promises.

Nomenclatural updates in the sedge-flora of western Uttar Pradesh

Establishing all plant’s correct identity and nomenclature is crucial in the current context. Therefore, an updated list and nomenclature status of sedges of western Uttar Pradesh, India has been provided in this article. This research paper incorporates extensive consultation of taxonomic databases, examination of type specimens and scrutiny of published works, including Ph.D thesis, research papers, books, and floras. To ensure the accuracy of binomial nomenclature, a systematic approach is adopted, starting with the utilization of search engines to cross-verify and validate taxonomic information. This includes a rigorous examination of online databases and repositories to access up-to-date information on botanical nomenclature. This paper aims to provideaccepted binomials with correct author citations of the sedges growing in western Uttar Pradesh because several names in the published literature are not accepted now. Such publications include several synonyms as accepted name, as well as mistakes in authority. A pivotal aspect of this work involves the verification of binomial identities through the examination of protologues and type specimens. Keeping this in mind, a comprehensive study for solving and updating nomenclature issues hasbeen carried out using different databases, websites and recent publications. We updated the nomenclature of all sedges of western Uttar Pradesh included in publications after 1959. Review of literature and field studies shows that western Uttar Pradesh includes a total of 91 species belonging to 14 genera published in 18 publications. In this study, 25 names of past publications were corrected. This is the first report on updated name changes in the floristic component of western Uttar Pradesh, where 41 names of sedges have been updated. This research paper covers the accepted name, synonym, taxonomic treatment, and typification.

Protocol for VIVALDI social care: Pilot study to reduce infections, outbreaks and antimicrobial resistance in care homes for older adults.

Care home residents are vulnerable to severe outcomes from infections such as COVID-19 and influenza. However, measures to control outbreaks, such as care home closures to visitors and new admissions, have a detrimental impact on their quality of life. Many infections and outbreaks could be prevented but the first step is to measure them reliably. This is challenging in care homes due to the lack of data and research infrastructure. During the pandemic, the VIVALDI study measured COVID-19 infections in residents and staff by partnering with care providers and using routinely collected data. This study aims to establish sentinel surveillance and a research database to enable observational and future interventional studies in care homes. The project has been co-produced with care providers, staff, residents, relatives, and researchers. The study (October 2023 to March 2025) will explore the feasibility of establishing a network of 500-1500 care homes for older adults in England that is underpinned by a linked data platform. No data will be collected from staff. The cohort will be created by regularly extracting resident identifiers from Digital Social Care Records (DSCR), followed by pseudonymisation and linkage to routinely collected datasets. Following extensive consultation, we decided not to seek informed consent from residents for data collection, but they can 'opt out' of the study. Our goal is to be inclusive, and it is challenging to give every resident the opportunity to 'opt in' due to cognitive impairment and the requirement for consultees. The project, and all requests to use the data will be overseen by relatives, residents, staff, and care providers. The study has been approved by the Health Research Authority Confidentiality Advisory Group (23/CAG/0134&0135) and the South-West Frenchay Research Ethics Committee (23/SW/0105). It is funded by the UK Health Security Agency.

Diagnosis of heart diseases: A fuzzy-logic-based approach.

Cardiovascular diseases (CVD) also known as heart disease are now the leading cause of death in the world. This paper presents research for the design and creation of a fuzzy logic-based expert system for the prognosis and diagnosis of heart disease that is precise, economical, and effective. This system entails a fuzzification module, knowledge base, inference engine, and defuzzification module where seven attributes such as chest pain type, HbA1c (Haemoglobin A1c), HDL (high-density lipoprotein), LDL (low-density lipoprotein), heart rate, age, and blood pressure are considered as input to the system. With the aid of the available literature and extensive consultation with medical experts in this field, an enriched knowledge database has been created with a sufficient number of IF-THEN rules for the diagnosis of heart disease. The inference engine then activates the appropriate IF-THEN rule from the knowledge base and determines the output value using the appropriate defuzzification technique after the fuzzification module fuzzifies each input depending on the appropriate membership function. Moreover, the fusion of web-based technology makes it suitable and cost-effective for the prognosis of heart disease for a patient and then he can take his decision for addressing the problem based on the status of his heart. On the other hand, it can also assist a medical practitioner to reach a more accurate conclusion regarding the treatment of heart disease for a patient. The Mamdani inference method has been used to evaluate the results. The system is tested with the Cleveland dataset and cross-checked with the in-field dataset. Compared with the other existing expert systems, the proposed method performs 98.08% accurately and can make accurate decisions for diagnosing heart diseases.

Healing journey: Experiences of First Nations individuals with recovery from opioid use.

To understand experiences of recovery from opioid use among First Nations individuals living in a small remote community. Qualitative phenomenologic study. Northwestern Ontario. Sixteen First Nations individuals living in a remote community who had participated in or completed the community opioid agonist therapy program. Extensive community consultation took place to ensure local acceptance of the study and permission for publication. Semistructured telephone interviews with consenting participants were audiorecorded between November and December 2021 and transcribed. Transcripts were reviewed and discussed in meetings with Indigenous and non-Indigenous research team members who conducted thematic analysis using immersion and crystallization. Participants described their opioid use as a form of self-management of trauma. Their recovery processes were multifaceted and included developing cultural and self-awareness. Motivation for change often arose from concerns about family well-being and finances. Traditional cultural practices and time spent on the land were identified as important wellness experiences. Barriers to healing included limited clinical and holistic addiction services, particularly around dose weaning and opioid agonist therapy discontinuation. Community-based addiction programming for First Nations patients needs to be robust. It requires resources for trauma-informed clinical and addiction care, culturally appropriate addictions education, aftercare support, and land-based activities.

Case Study – Developing a National Research and Evidence Base for The Health and Wellbeing Chapter of The Welsh Government’s 2023 Innovation Strategy for Wales

This paper presents research informing the Welsh Government’s (WG) Health and Wellbeing chapter of the new Innovation Strategy for Wales (ISW). WG recognises the need for a cross portfolio Innovation Strategy to bring greater coherence and alignment to our existing Welsh health and social care innovation ecosystem, particularly in a post EU environment. This approach aims to support greater collaboration between healthcare, industry, academia and the third sector to deliver greater impact and value by developing, sharing and adopting innovative practice, leadership and skills development and supporting new technology development. As part of the development process, key stakeholders were identified as part of an innovation ‘push’ and innovation ‘pull’ nexus approach. Organisations were categorised into domains of health and social care providers, innovation infrastructure, technology platforms, innovation centres, and partnerships across Wales’s health and life sciences ecosystem. A qualitative, action research led approach was used to derive the key themes supporting development of the ISW health chapter. Multi-sector consultations were conducted with experts from various fields, including health, social, care, research, and technology. Our analysis of qualitative data collected through an extensive consultation process led to the emergence of areas of prioritisation for the ISW. Three areas of prioritisation were identified in the analysis: a) Creating coherency across the innovation ecosystem, where every partner understands their role; b) Focusing innovation activity on NHS Wales organisational needs/priorities, generating ‘Innovation Pull’; c) Creating an ‘adoption ready’ pipeline of innovation externally into health and social care at scale, creating an ‘Innovation Push’ offer. The ISW aims to create the optimal conditions for an innovation ecosystem underpinned by clear infrastructure and a robust policy framework, which has the full support from health and social care leadership, to create a culture of innovation at all levels of the health and social care system. The ISW was launched on 27th February 2023, with full political support from the Welsh Government Cabinet; a majority Labour party government supported by the Plaid Cymru party, as part of the Welsh Government’s 2021 election cooperation agreement.

A qualitative evaluation of a co-design process involving young people at risk of suicide.

Co-design is becoming common practice in the development of mental health services, however, little is known about the experience of such practices, particularly when young people are involved. The aim of this study was to conduct a process evaluation of the co-design which was undertaken for the development of an intervention for youth and adolescents at risk of suicide. This paper briefly outlines the co-design process undertaken during a COVID-19 lockdown and then focuses on a qualitative evaluation of the experience of taking part in a co-design process. The evaluation involved young consumers of a public youth mental health service, their carers/parents and service delivery staff who had taken part in the co-design process. This study used follow-up semistructured interviews with the co-design participants to explore their experience of the co-design process. Inductive thematic analysis was used to draw out common themes from the qualitative data. It was found that despite the practical efforts of the project team to minimise known issues in co-design, challenges centred around perceptions regarding power imbalance, the need for extensive consultation and time constraints still arose. Despite these challenges, the study found that the co-design provided a human-centred, accessible and rewarding process for young people, parents and staff members, leaving them with the feeling that they had made a worthwhile contribution to the design of the new service, as well as contributing to changing practice in service design. With sensitivity and adaptation to usual practice, it is possible to include young people with suicidal ideation, their parents/carers and professional staff in a safe and effective co-design process. The authors would like to thank and acknowledge the young people with a lived experience and their carers who participated in the co-design process and research evaluation component of this study. We also wish to thank the clinical staff, peer workers and family peer workers who participated in this research.

Education and Learning Guidelines for the Preservation and Protection of Qinghai Mongolian Folk Songs in China

This study aims to develop comprehensive education and learning guidelines aimed at preserving and protecting Qinghai Mongolian folk songs in China within the broader context of intangible cultural heritage. With a strong theoretical foundation emphasizing the role of education, interdisciplinary approaches, and community engagement, this study employs a multidisciplinary methodology. This includes an extensive literature review, expert consultations, fieldwork, and case studies to develop comprehensive education and learning guidelines for the safeguarding of Qinghai Mongolian folk songs. The historical evolution of Mongolian folk songs, legal frameworks, collaborative efforts, government-led initiatives, the role of social forces, published resources, and higher education institutions all feature prominently in the research results. These findings align with the theoretical principles outlined in the literature review, emphasizing the importance of education, interdisciplinary approaches, and community engagement in ICH preservation. The education and learning guidelines generated by this research serve as a valuable framework for the sustainable protection of Qinghai Mongolian folk songs and offer insights applicable to the preservation of intangible cultural heritage globally.

Building Academic Integrity and Capacity in Digital Assessment in Higher Education

The rapid spread of the COVID-19 pandemic in the first half of 2020 disrupted and changed higher education across the world, and into the future. Campuses were shut down, almost overnight. International and State borders were closed and business models that relied heavily on high-paying international students collapsed. University leaders and academics were forced to find new ways of attracting, engaging with, and retaining students. This paper describes a project that was undertaken in Australia in 2021 which investigated the implications of, and scope for online assessment in this ‘new virtual world’ of learning and teaching in higher education. After extensive research and consultation, the project developed a Digital Assessment Framework dubbed DASH C21, which stands for Digital Assessment Stretching Horizons for the 21st Century. The Framework is based on a set of underpinning principles and values; the Inputs. The Inputs feed into four Dimensions. These Dimensions are Practices and Pedagogies, Strategies, Emerging Technologies and Stretching Horizons. The Outputs are a series of authentic, innovative, experiential and forward looking, digital assessments, reinforced by academic integrity values. This paper will be of particular interest to higher education senior managers, academics, learning and teaching specialists, staff professional developers and curriculum designers. Keywords: Digital Assessment Framework

Driving value-based healthcare through a new vision for Queensland's health system.

The purpose of this case study is to explain the development of Queensland's strategic approach to health system reform, which promotes partnership across the health system to better deliver integrated and value-based health care across the continuum of care. The new health system vision was informed by undertaking literature searches on national and international health system approaches to reform and supported by extensive consultation across Queensland with more than 1100 stakeholders. Thematic analysis was undertaken to identify key themes that were translated into a high-level vision document that communicated Queensland's renewed focus on wellness and delivering more care in the community. This was circulated to stakeholders for iterative and collaborative refinement before final approvals. Collaboratively and iteratively developing the new health system vision for Queensland with key stakeholders has contributed to a shared understanding and ownership of a vision that is committed to system reform, focused on delivering high-value care that reflects what is important to consumers and health system stakeholders.

Unleashing collective intelligence for public decision-making: the Data for Policy community

Abstract Since its establishment in 2014, Data for Policy (https://dataforpolicy.org) has emerged as a prominent global community promoting interdisciplinary research and cross-sector collaborations in the realm of data-driven innovation for governance and policymaking. This report presents an overview of the community’s evolution from 2014 to 2023 and introduces its six-area framework, which provides a comprehensive mapping of the data for policy research landscape. The framework is based on extensive consultations with key stakeholders involved in the international committees of the annual Data for Policy conference series and the open-access journal Data & Policy (https://www.cambridge.org/core/journals/data-and-policy), published by Cambridge University Press. By presenting this inclusive framework, along with the guiding principles and future outlook for the community, this report serves as a vital foundation for continued research and innovation in the field of data for policy.

How far has the globe gone in achieving One Health? Current evidence and policy implications based on global One Health index

BackgroundIn the 21st century, as globalization accelerates and global public health crises occur, the One Health approach, guided by the holistic thinking of human-animal-environment and emphasizing interdisciplinary collaboration to address global health issues, has been strongly advocated by the international community. An immediate requirement exists for the creation of an assessment tool to foster One Health initiatives on both global and national scales. MethodsBuilt upon extensive expert consultations and dialogues, this follow-up study enhances the 2022 global One Health index (GOHI) indicator system. The GOHI framework is enriched by covering three indices, e.g. external drivers index (EDI), intrinsic drivers index (IDI), and core drivers index (CDI). The comprehensive indicator system incorporates 13 key indicators, 50 indicators, and 170 sub I-indicators, utilizing a fuzzy analytic hierarchy process to ascertain the weight for each indicator. Weighted and summed, the EDI, IDI, and CDI scores contribute to the computation of the overall GOHI 2022 score. By comparing the ranking and the overall scores among the seven regions and across 160 countries/territories, we have not only derived an overall profile of the GOHI 2022 scores, but also assessed the GOHI framework. We also compared rankings of indicators and sub I-indicators to provide greater clarity on the strengths and weaknesses of each region within the One Health domains. ResultsThe GOHI 2022 performance reveals significant disparities between countries/territories ranged from 39.03 to 70.61. The global average score of the GOHI 2022 is 54.82. The average score for EDI, IDI, and CDI are 46.57, 58.01, and 57.25, respectively. In terms of global rankings, countries from North America, Europe and Central Asia, East Asia and Pacific present higher scores. In terms of One Health domains of CDI, the lowest scores are observed in antimicrobial resistance (median: 43.09), followed by food security (median: 53.78), governance (median: 54.77), climate change (median: 64.12) and zoonotic diseases (median: 69.23). Globally, the scores of GOHI vary spatially, with the highest score in North America while lowest in sub-Saharan Africa. In addition, evidence shows associations between the socio–demographic profile of countries/territories and their GOHI performance in certain One Health scenarios. ConclusionThe objective of GOHI is to guide impactful strategies for enhancing capacity building in One Health. With advanced technology and an annually updated database, intensifying efforts to refine GOHI's data-mining methodologies become imperative. The goal is to offer profound insights into disparities and progressions in practical One Health implementation, particularly in anticipation of future pandemics.