One health approach in Nepal: Scope, opportunities and challenges
One health approach in Nepal: Scope, opportunities and challenges
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DOI：
10.1016/j.onehlt.2019.100101
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发表时间：
2019-12-01
期刊：
影响因子：
5
通讯作者：
Kaphle, Krishna
中科院分区：
文献类型：
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作者：
Acharya, Krishna Prasad;Karki, Surendra;Kaphle, Krishna
同一健康（OH）是一项合作努力，以实现人类，动物和环境的最佳健康。OH的概念在尼泊尔仍处于起步阶段，但正在日益增长。尼泊尔政府采取了一些举措，利用OH方法解决抗生素耐药性、高致病性禽流感和狂犬病等新兴问题，但在实施层面存在一些挑战。很少有非政府组织支持尼泊尔政府促进OH方法。尼泊尔实施职业健康管理的主要瓶颈包括支持职业健康管理的组织结构薄弱、缺乏实施职业健康管理的法律的框架、不同政府机构之间协调不力、技术专长不足、跨部门数据共享机制薄弱、预算有限以及政治层面的理解不足。我们鼓励尼泊尔政府解决这些差距，并优先考虑健康问题，其中OH方法将产生最佳结果。需要建立体制和法律的框架，以便在尼泊尔有效地实施OH方法。提高包括政治领导在内的决策者的认识，增加政府对OH活动的经常预算，将有助于促进尼泊尔的OH。
One Health (OH) is a collaborative effort to attain optimal health for people, animals and the environment. The concept of OH is still in its infancy in Nepal but is increasingly growing. The Government of Nepal (GoN) has taken some initiatives to tackle burgeoning problems such as antimicrobial resistance, highly pathogenic avian influenza and rabies using OH approach but there are several challenges at the level of implementation. Few non-governmental organizations support GoN to promote an OH approach. The major bottlenecks in implementing OH in Nepal include poor organizational structure to support OH, absence of a legal framework to implement OH, poor coordination among different governmental agencies, insufficient technical expertise, poor data sharing mechanism across sectors, limited budget and poor understanding at political level. We encourage GoN to address these gaps and prioritize the health problems where OH approach would give the best outcome. Institutional and legal frameworks need to be created to effectively implement an OH approach in Nepal. Increasing awareness among policy makers including political leadership and increasing regular government budget for OH activities would be helpful to promote OH in Nepal.