Health Education Activities Research Articles

Role of Health Education Activities in Reducing the Spread of Parasitic Pathogens in the Population

The purpose of the research is to emphasize the role of health education as an important factor in reaching out to the population to reduce and spread parasitic pathogens.Materials and methods. By analyzing the statistical data of Annual Reports on parasitic diseases of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in Kemerovo Region - Kuzbass, the most common parasitic diseases in the population in the region have been established. Sanitary and educational activities were conducted with pre-school and school-age children (students of Grades 8–11) in the direction of bringing to the audience information about the types of parasites of medical importance registered in children and adults in Kuzbass and how to protect themselves from them. Oral and visual information methods were used (conversation, message, lecture, quiz, game, information leaflets and stands, leaflets, brochures, videos).Results and discussion. It is important for a medical student from the first year of the educational process to understand the role of sanitary and educational activities in his future profession as a doctor, and the relevance of personal prophylaxis measures against human parasitic pathogens. First-year students who won a grant in the contest of student ESG projects in the field of ecology and social orientation from Sberbank PJSC on social issues related to the population of Kuzbass with the project “Sanitary and Educational Activities in Parasitosis” implemented their ideas on preventive measures in educational institutions of Kuzbass. The educational activities were aimed at informing the educational audience about the causative agents of parasitic diseases registered by medical institutions among the child population of the region. The “NoParasites” team held talks and lectures on personal preventive measures against parasitic diseases. Brochures were developed and an information stand for parents was installed in the kindergarten. From the point of view of the department's activity the implemented student project has an educational orientation, forms worthy professional and personal qualities in future doctors.

Nurse Managers' Perceptions of Family and Community Nurse Practitioners Joining Primary Care Teams in Spain: A Qualitative Study.

The aim of this study was to explore and describe nurse managers' perceptions of family and community nurse practitioners' impact on primary care teams and public health. A descriptive qualitative study was carried out. The participants were recruited by means of convenience sampling during the months of April and May 2023. 20 nurse managers from different autonomous communities in Spain were interviewed. The data were analyzed following a thematic analysis method using ATLAS.ti nine software. Two main themes and sub-themes were drawn from the data analysis: (1) Nurse managers' view of primary care: (a) The driving force of primary care and (b) Resistance to the integration of family and community nurse practitioners; (2) Proposals for improvement in light of the Family and Community Nurse Practitioner's unique situation. These specialists are highly qualified professionals in primary care teams, whose expertise is evident in how they deliver community and health education activities, empower patients, and lead the training of new specialists.

HEALTH IN THE WORKPLACE: POSTURE, ERGONOMICS AND MUSCULAR DISORDERS

Objective: The study aimed to map the epidemiological profile of chronic musculoskeletal disorders and the ergonomic risks of body posture in the office environment. Methods: Data were collected using an electronic form consisting of sociodemographic questions and adapted versions of the Nordic Musculoskeletal Symptom and Rapid Office Strain Assessment questionnaires. Results: The mean age of the 73 participants in the extension project was 25.3 years and most had higher education. Of these, 86.3% felt pain, numbness or tingling in the last 12 months and of these, 90.5% had more than one body part affected by the symptoms. Of the thirteen body postures evaluated (sitting, leaning, position of the knees, feet, elbows, forearms and head), all were identified as ergonomically inadequate, especially those related to the chair used. Conclusion: There is a clear need for immediate health care actions for this population, since the office environments were not ergonomically adequate and the workers were already ill. Ergonomic intervention and health education actions are essential to guide the risks of this environment and propose behavioral changes to reduce/prevent musculoskeletal disorders. A limitation of the study may be that the sample was affected by the healthy worker effect, that is, those who were already affected by chronic musculoskeletal disorders were interested in participating in the project.

PET-Recebe: health education in the teaching of parasitology

Health education is important for building knowledge and modifying behaviors in the school population, as well as contributing to a humanized and ethical academic formation. The PET-Parasitology Group conducts health education activities for high school and elementary students, aiming to fill gaps in the understanding of parasitology teaching. Through theoretical-practical workshops, students were instructed on the biology of parasites, their infections, transmission, prophylaxis, diagnosis, and treatment. The students reported popular knowledge that was addressed scientifically, revealing understanding of the topic and its preventions. The use of effective tools and teaching laboratory infrastructure are crucial for the success of health education actions, highlighting their importance in parasitology teaching and academic formation.

Oral health improvement and satisfaction among recipients of home-visiting oral health education

Objectives: In connection with government projects, the Gwangju medical welfare social cooperative launched the “Visit Oral Health Education Activities” as part of the Gwangju+ Gwangsan Integrated Care Service Project in 2023. This study aims to analyze the improvement in oral health and the level of satisfaction following home-visiting oral health education. Methods: A total of 51 participants who had undergone home-visiting oral health education more than seven times and agreed to participate were eligible for interviews. The data were analyzed using SPSS software. Results: As a result of oral environment improvement and satisfaction with home-visiting oral health education, the average satisfaction scores were 4.67 for educator attitude, 4.46 for educational activities, 3.82 for oral health improvement, and 3.55 for self-management attitude improvement. Satisfaction with oral health improvement showed a positive correlation with educators’ work attitude, satisfaction with educational activities, and improvement in self-management attitude. Conclusions: To improve satisfaction with home-visiting oral health education, the development of various educational programs and standardization of educator work manuals are necessary.

Sharing Based Peer Group Support on Dietary Compliance of CKD Patients Undergoing Hemodialysis

Patients consume inadequate food intake from the diet recommended for Chronic Kidney Disease (CKD) patients on the one hand and excess intake of phosphorus, sodium, calcium, and potassium on the other. The purpose of this research is to know the influence sharing-based peer group support on dietary compliance of CKD patients undergoing hemodialysis in the Hemodialysis Room. The research design was quasy-experimental with approach two group pre-post test design. Technique sampling which is used was proportionate stratified random sampling with a total sample of 54 people with CKD undergoing hemodialysis. Measuring tool used was a CKD patient dietary compliance questionnaire. This research was conducted in January 2023. This study showed the score of dietary compliance in the control group pre test shows that 63% of respondents have high compliance and post test the results obtained 81% of respondents have high compliance. In the experiment groups pre test found 55.6% respondents had moderate compliance, and post test found 63% respondents had high compliance. The results of the independent t tes found that there was no difference in the score of dietary compliance after the intervention was given between two group (p value 0.716 > α = 0,05). There is no influence sharing-based peer group support on dietary compliance of CKD patients undergoing hemodialysis in the Hemodialysis Room. Thus, it is suggested that the hospital devise a plan of health education activities at least once a week, so that it can improve their health status and how to prevent severity during treatment.

Empirically exploring the association of health literacy with schoolchildren’s health behaviours

Abstract Background Health literacy (HL) is a modifiable factor contributing to the promotion and maintenance of health and well-being throughout an individual’s life. Identified as a priority in Wales, UK in 2010, progress has since stalled despite health and education as national policy priorities and international policy growth. There is a gap in understanding of children in Wales’ HL needs, particularly below adolescent age ( < =11 years). Methods This study aimed to scope a measure of children’s HL to be integrated into the existing HAPPEN Cohort Study survey, which collects self-reported health behaviours of children aged 8-11. A review identified the Health Literacy of School-Aged Children (HLSAC) tool which conceptualises health literacy as a learning outcome. A convenience sample of n = 15 primary schools were recruited in April 2023 through HAPPEN and n = 669 school children n = 669 completed the online survey between May-June 2023. Results Preliminary data using sum HLSAC scores show a proportion of children with low (20.5%), moderate (52.8%) and high HL (26.8%). Independent samples t-tests comparing mean HLSAC scores with binary self-reported health behaviours show higher HL scores for weekly behaviours (p < 0.05); feeling less tired (0-4 days: 15.1+-4.1, > =5 days 14.5+-3.4), can concentrate (0-4 days: 14.3+-3.6, > =5 days: 15.5+-4.0) and consume less fizzy drinks (0-4 days: 15.0+-3.9, > =5 days: 14.0+-3.8). Further, for can ride a bike (no: 14.3+-4.0, yes: 15.0+-3.9), can swim 25m (no: 14.6+-3.7, yes: 15.1+-4.0), someone active in the household (no: 14.3+-3.8, yes: 15.2+-4.0) and higher health well-being (<7/10: 13.9+-3.5, > =7/10: 15.3+-3.9). This preliminary data will be strengthened with further analyses including regression. Conclusions Associations appear between various important health behaviours spanning physical activity, nutrition, cognition and wellbeing. Capturing children’s HL and health behaviour needs enables targeted health promotion and education activities.

School health services in the Southern District of Israel—between privatization and nationalization

BackgroundFor decades, Israel’s economic policy has favored either outsourcing or privatization of public services, including healthcare, generating an ongoing and prolonged debate of this approach. In 1997 school health services (SHS) for elementary and middle school pupils was outsourced to a sub-contractor firm, reducing budget, but also standards, for nurses and physicians. Consequently, the service has dwindled and was focused more and more on vaccinations. Between 2007 and 2012, under full private contractor delivery, SHS quality diminished substantially, leading to a significant decline in vaccination coverage in the Southern District. In 2012, a decision was made to return SHS to state control.MethodsThis study analyzes the delivery parameters of SHS between the period when the service was operated by a private contractor from 2011to 2/2012, and the subsequent provision of the service directly by Ministry of Health (MoH) between 3/2012 and 2013. We compared the rates of vaccination coverage, screening tests and health education programs.ResultsA statistically significant increase in SHS delivery for vaccinations and screening was observed in the Southern District of MoH after the transfer of service from contractor. The increase was variable in different population subgroups, and especially notable in the Bedouin schools of the District, where the MMRV vaccination rose from 19.3% to 96.8%. However, a substantial and significant reduction in health education activities was also noted, overall from 24.9% to 5.0%.ConclusionsThe findings suggest that substantial benefits can be derived from direct provision of SHS by MoH and its regional offices, especially in the areas of reduced accessibility and lower socio-economic status. The case study of SHS in the Southern District of Israel can serve as an important example highlighting the impacts of privatization vs nationalization, with potential implications in other fields. These insights should be integral to future discussions of healthcare service provision.

Laporan Pendidikan Kesehatan Kebutuhan Nutrisi Untuk Proses Penyembuhan Luka Post OP di Bangsal Mawar RSUD Dr Soehadi Prijonegoro Sragen

: Background: Nutrients are obtained from food and fluids which are then assimilated by the body. Nutrition itself is one of the factors that can support the wound healing process, there are things that are no less important that must be considered as well, namely the nutrients from the food we eat during the wound healing process. Objective: The purpose of postoperative diet is to strive for the patient's nutritional status to return to normal immediately to accelerate the healing process and increase the patient's immune system, by providing basic needs (fluids, energy, protein), replacing the loss of protein, glycogen, iron, and other nutrients, correcting electrolyte and fluid imbalances, preventing and stopping bleeding. Methods: The media used in health education activities is leaflets. Through leaflets we hope that the delivery of material can be understood by participants and can be delivered well.Results: The results of observations from this health education activity, that the majority of participants are active in asking questions and answering questions given by the health education team and can explain the essence of the material that has been delivered by the speaker Conclusion: Of the 20 patient families who attended 15 people had understood the fulfillment of nutritional needs for the correct post op wound healing process.

Changes of Organizational Culture at the Public Health Center in Cilincing District, North Jakarta, Indonesia

The empirical problem in this research is that in the working area of the Cilincing District Public Health Center, they have never carried out health education or monitoring activities in fisheries areas, including how to make salted fish. The study aims (1) to measure responsive culture, awareness management, organizational commitment, and identification of formalin in salted fish before and after implementing responsive culture. Furthermore, the study analyzes the influence of awareness management and organizational commitment on responsive culture and formalization in salted fish. It also aims to determine the best influence path model. The design used is to provide a responsive culture module and pre-post observational. Descriptive analysis was used to determine the distribution of respondents regarding responsive culture; awareness management; organizational commitment; and identification of formalin in salted fish. SEM SmartPLS is used to test the influence between variables. The results showed that the best model of influence path is (1) awareness management has a direct effect on organizational commitment; (2) organizational commitment influences responsive culture and responsive culture influences formalin content in salted fish. It is proven that a responsive culture plays an important role in overcoming health center performance problems. After implementing the responsive culture module, and a formalin test was carried out on making salted fish, the results showed that there was no formaline in salted fish.

The Effect of a Health Literacy Program on Alcohol Use among Medical Students in Hubei Province, China: A Randomized Controlled Trial

Introduction: Health literacy (HL) plays an important role in alcohol consumption. Improving alcohol-related HL offers an integrated approach to prevent and reduce high-risk alcohol use. This study aimed to determine the effects of a HL program (HLP) on medical students’ drinking behaviors. Methods: A randomized controlled trial was conducted from June 2023 to January 2024 among medical students. One hundred and four students were randomly allocated to the intervention (n = 52) and control (n = 52) groups. The intervention group received the HLP over six sessions, while the control group received standard health education. Data were collected through interviews using a structured interview questionnaire. Independent t-tests, paired sample t-tests, Chi-squared tests, and Chi-square for trend were applied for statistical analysis. Results: Following the HLP, the intervention group exhibited a significant increase in the mean total HL score, cognitive skills, access skills, communication skills, self-management skills, media skills, and decision skills compared to the control group (P < 0.05). Moreover, the intervention group showed a significant decrease in the number of harmful drinkers compared to the control group (P < 0.05). Conclusion: HLPs are effective in improving HL and reducing alcohol consumption among medical students. Our findings suggest incorporating HLPs into adolescents’ health education activities.

Challenges in Accessing Community-Based Rehabilitation and Long-Term Care for Older Adult Stroke Survivors and Their Caregivers: A Qualitative Study.

While extensive research has examined the rehabilitation challenges faced by stroke survivors, there is limited literature addressing the difficulties encountered by older adult stroke survivors and their caregivers in accessing rehabilitation and long-term care within the Chinese community. This study aimed to investigate the specific challenges related to access, quality, and coordination of rehabilitation and long-term care experienced by older adult stroke survivors and their caregivers within the Chinese community. A qualitative phenomenological design was employed to explore the lived experiences of stroke survivors and their caregivers within the Chinese community. A purposive sampling method was used to recruit participants from June to August 2023. Participants engaged in face-to-face semi-structured interviews. The data were analyzed using an inductive thematic analysis approach to identify and understand key themes and sub-themes. The study involved 38 participants, consisting of 21 older adult stroke survivors (13 males, 8 females) and 17 family caregivers (7 males, 10 females), recruited from five Chinese community health service stations. The analysis identified four distinct themes and 11 sub-themes that encapsulated the challenges faced by participants. These themes include (1) Difficulties in accessing medical services (insufficient medical resources, lack of rehabilitation resources, and time-consuming processes), (2) Challenges in daily life (inconvenience in daily mobility, inadequate financial support, and difficulties in applying for home care services), (3) Psychosocial stress (loneliness, powerlessness, and worry about burdening others), (4) Insufficient information (lack of awareness of available community services, and limited public health education activities). Older adult stroke survivors and their caregivers in Chinese communities face significant challenges. To improve their well-being and quality of life, it is crucial to address these challenges through enhanced access to healthcare, better support for daily living, and more effective information dissemination. Meeting these needs requires a coordinated effort from healthcare providers, community stakeholders, and policymakers to develop and implement effective, long-term care solutions.

Community engagement in mobile and hard-to-reach populations: a community-based intervention for malaria elimination in a tri-national region of the Guiana Shield.

Several countries of the Guiana Shield are aiming at the control and elimination of malaria in areas where Artisanal and Small-scale Gold Mining (ASGM) activities predominate, raising questions about how to strengthen community engagement to improve the effectiveness of health programs. The Curema project focuses its intervention on the mobile and hard-to-reach ASGM population, complementing the efforts of national programs in the Guiana Shield. The Curema intervention combines targeted drug administration for suspected Plasmodium vivax asymptomatic carriers, the Malakit distribution, and health education activities. The primary goals of this manuscript are to outline a pathway to foster community participation in the Curema project aimed at eliminating malaria. Thus, it presents a vision of the challenges that the AGSM community poses in terms of community participation for an asymptomatic problem; and highlights the community-based model and the Information, Education and Communication (IEC) components as foundations for participation. In addition, it also presents culturally sensitive IEC strategies designed through iterative and collaborative consultative processes and other bottom-up outreach activities. The community engagement approach facilitates adaptability and responsiveness in a complex, evolving context increasing the effectiveness of interventions.

CUREMA project: a further step towards malaria elimination among hard-to-reach and mobile populations

BackgroundIn most countries engaged on the last mile towards malaria elimination, residual transmission mainly persists among vulnerable populations represented by isolated and mobile (often cross-border) communities. These populations are sometimes involved in informal or even illegal activities. In regions with Plasmodium vivax transmission, the specific biology of this parasite poses additional difficulties related to the need for a radical treatment against hypnozoites to prevent relapses. Among hard-to-reach communities, case management, a pillar of elimination strategy, is deficient: acute malaria attacks often occur in remote areas, where there is limited access to care, and drugs acquired outside formal healthcare are often inadequately used for treatment, which typically does not include radical treatment against P. vivax. For these reasons, P. vivax circulation among these communities represents one of the main challenges for malaria elimination in many non-African countries. The objective of this article is to describe the protocol of the CUREMA study, which aims to meet the challenge of targeting malaria in hard-to-reach populations with a focus on P. vivax.ResultsCUREMA is a multi-centre, international public health intervention research project. The study population is represented by persons involved in artisanal and small-scale gold mining who are active and mobile in the Guiana Shield, deep inside the Amazon Forest. The CUREMA project includes a complex intervention composed of a package of actions: (1) health education activities; (2) targeted administration of treatment against P. vivax after screening against G6PD deficiency to asymptomatic persons considered at risk of silently carrying the parasite; (3) distribution of a self-testing and self-treatment kit (malakit) associated with user training for self-management of malaria symptoms occurring while in extreme isolation. These actions are offered by community health workers at settlements and neighbourhoods (often cross-border) that represent transit and logistic bases of gold miners. The study relies on hybrid design, aiming to evaluate both the effectiveness of the intervention on malaria transmission with a pre/post quasi-experimental design, and its implementation with a mixed methods approach.ConclusionsThe purpose of this study is to experiment an intervention that addresses both Plasmodium falciparum and P. vivax malaria elimination in a mobile and isolated population and to produce results that can be transferred to many contexts facing the same challenges around the world.

The potential and limitations of radio as a health promotion tool: knowledge synthesis

Objective: Identify the potential and limitations of using radio for health promotion. Methods: This is an integrative review carried out from September to November 2022, using the databases Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (Base de dados de Enfermagem, BDENF), National Library of Medicine (PUBMED) and Web of Science with the descriptors radio, information technology and health promotion. After the inclusion and exclusion criteria, a total of 16 articles remained. Results: As potentialities, it was identified that radio is a relevant tool for interaction and dissemination of information, as it manages to reach different audiences, enabling greater popular engagement and, consequently, greater effectiveness of health promotion actions. Its limitations include the complexity of certain subjects and the need to adapt the language used to the target audience. Conclusion: The conclusion is that health professionals should be empowered to use this technology as an intermediary tool for health education actions, since it enables greater interaction and brings the user-health professional-service relationship closer together.

IMPLEMENTATION OF EFFECTIVE COMMUNICATION IN HEALTH EDUCATION ACTIVITIES FOR NON-COMMUNICABLE DISEASES TO ACHIEVE SUSTAINABLE DEVELOPMENT GOALS (SDGs)

The world has a dream of achieving a prosperous society. This dream is encapsulated in the Sustainable Development Goals. One of the points included is Good Health and Well-being. A healthy society will lead to a developed and progressive nation. One of the obstacles to global health is non-communicable diseases. These diseases, which are among the leading causes of death worldwide, can be addressed early through prevention programs. One such proven effective prevention program is health education. Health education is a form of communication to the community as a health effort. To achieve success, certain techniques are needed in the delivery process. This study uses a qualitative method with a descriptive approach. Data collection techniques were carried out through interviews and observations, while the data analysis techniques were data reduction, data modeling (data display), and concluding. The results of this study show that there are attitudes of Respect, Empathy, Audibility, Clarity, and humility (REACH) in the communication of general practitioners towards participants in health education activities conducted by Klinik Pratama Nuhato Antapani Bandung.

Clinicopathologic Characteristics Influencing Overall Survival of Patients With Early- Versus Average-Onset Colorectal Cancer at a Tertiary Care Center in Indonesia.

There has been a global increase in early-onset colorectal cancer (EOCRC), yet there has been very limited exploration of its impact in Indonesia. This study aimed to determine the clinicopathologic characteristics and the overall survival (OS) of EOCRC compared with those of average-onset colorectal cancer (AOCRC). Medical records were retrospectively reviewed from all patients presenting with colorectal cancer (CRC) at Dr Sardjito General Hospital (Yogyakarta, Indonesia) between 2016 and 2019. Sociodemographic, clinicopathologic, and treatment variables were extracted. t Tests were used to compare characteristics of EOCRC and AOCRC patient groups. The Cox proportional hazards regression model was used to analyze age and other potential prognostic factors. The total population (N = 1,276) comprised EOCRC (n = 149; 11.7%) and AOCRC (n = 1,127; 88.3%) patients. EOCRC patients were more likely to have a higher education level, be single, have out-of-pocket insurance, be underweight, and have signet ring histology (all P values <.05), compared with AOCRC patients. EOCRC and AOCRC groups had a comparable estimated 5-year OS of 34.2% and 36.9%, respectively. In multivariable analyses, performance status (Eastern Cooperative Oncology Group), hemoglobin level, cancer stage, and treatment intention were independent prognostic factors for OS (all P values <.05). To our knowledge, this first major study of EOCRC in Indonesia highlights its role in the overall burden of CRC and its connection with social determinants of health. Patients with EOCRC are more commonly underweight and generally have a higher proportion of signet ring histology than AOCRC, yet OS in both groups is similar. Future research is required to identify risk factors to inform the content and focus of public health education activities, alongside delineating the biology and causes of early and average onset of the disease.

Crimean-Congo haemorrhagic fever in Iraq.

Crimean-Congo haemorrhagic fever (CCHF) is the most common tick-borne viral disease worldwide. Its incidence has increased rapidly in the Eastern Mediterranean countries and has been endemic in Iraq since it was first identified in 1979. To describe the sociodemographic, epidemiologic and clinical characteristics of CCHF patients in Iraq. This cross-sectional study was conducted using data from the national surveillance system of the Communicable Diseases Control Centre, Baghdad, Iraq, for the period 2021-2023. We included all confirmed cases and analysed the data using SPSS version 27. A total of 986 cases of CCHF were identified during the period, mean age 36 ± 15.4 years, male 58.9%. The majority of cases were reported in the southern provinces and during the summer months. Animal contact was reported by 52.8% and slaughtering by 45.7% of the patients. Bleeding from injection site was observed in 26.6% of the patients, while 24.8% had ecchymosis. Case fatality rate was 16.8%. The number of CCHF cases was very high during the study period. We recommend actions to intensify tick control in Iraq, including the control of slaughtering, movement of livestock in and out of Iraq, in addition to health promotion and health education activities especially among high-risk groups.

The Relationship between Mother's Knowledge and the Incident of Stunting in Toddlers at the Mundar Village Polindes, South Labuan Amas District, Hulu Sungai Tengah Regency in 2024

Stunting is stunted growth caused by a lack of nutritional intake due to a diet that does not meet long-term needs. South Kalimantan Province is in the top 3 provinces with the highest reduction in stunting (-5.4%) in 2022 based on the SSGI results released by the Indonesian Ministry of Health. Initially in 2021 stunting in South Kalimantan reached 30.0% and in 2022 it decreased by 24.6%. With a figure of 24.6%, reducing stunting is still a priority for South Kalimantan to achieve the target of 14% in 2024. Based on data from the Hulu Sungai Tengah district health service in 2020, the figure was 10%, experiencing a decrease in 2021 with a figure of 9.44%, and in in 2022 there will be an increase of 31.10%. This research is analytical research. With a Cross Sectional approach. The research results showed that the majority of mothers had sufficient knowledge and 21 children were not stunted (33.9%), 9 children were stunted (14.5%), and there was insufficient knowledge with the incidence of stunted children being 13 people (21.0%). and there were 2 children (3.2%) who were not stunted, while there were 0 people (0%) with good knowledge and stunted babies, and 17 people (27.4%) who were not stunted. Based on the results of the chi square test, it was found that there was a relationship between maternal knowledge and the incidence of stunting at the Mundar Village Polindes with a P value = 0.000. It is recommended that the Mundar Village Polindes, South Labuan Amas District, Hulu Sungai Tengah Regency further increase health education activities related to health and education for mothers with babies and toddlers about preventing stunting through improving child nutrition.

One Health in Medical Education: A Proposed Framework.

The One Health concept focuses on the interconnections between human health, animal health, and the environment, stressing the need for interdisciplinary collaborations to address complex issues such as the health challenges posed by climate change and global pandemics. One Health is a central part of the curriculum of veterinary schools, however, it is rarely incorporated into medical school education. Nationally, there are limited examples of formal One Health education and training for medical students. To incorporate One Health into its curriculum, John A. Burns School of Medicine developed a Dean's Certificate of Distinction in One Health that consists of a One Health foundational course, a clinical One Health elective course, participation in the One Health Interest Group, engagement in One Health educational and outreach activities, and a One Health research or curriculum development project. To the authors' knowledge, this is the first One Health certificate program developed and implemented in any Association of American Medical Colleges accredited medical school. Although introducing similar programs into medical curricula will continue to be challenging, we hope it will serve as a framework for other academic institutions.