Background: The One Health concept promotes the enhancement of human, animal and ecosystem health through multi-sectorial governance support and policies to combat health security threats. In Vietnam, antimicrobial resistance (AMR) in animal and human health settings poses a significant threat, but one that could be minimised by adopting a One Health approach to AMR surveillance. To advance understanding of the willingness and abilities of the human and animal health sectors to undertake investigations of AMR with a One Health approach, we explored the perceptions and experiences of those tasked with investigating AMR in Vietnam, and the benefits a multi-sectorial approach offers. Methods: This study used qualitative methodology to provide key informants' perspectives from the animal and human health sectors. Two scenarios of food-borne AMR bacteria found within the pork value chain were used as case studies to investigate challenges and opportunities for improving collaboration across different stakeholders and to understand benefits offered by a One Health approach surveillance system. Fifteen semi-structured interviews with 11 participants from the animal and six from the human health sectors at the central level in Hanoi and the provincial level in Thai Nguyen were conducted. Results: Eight themes emerged from the transcripts of the interviews. From the participants perspectives on the benefits of a One Health approach: (1) Communication and multi-sectorial collaboration; (2) Building comprehensive knowledge; (3) Improving likelihood of success. Five themes emerged from participants views of the challenges to investigate AMR: (4) Diagnostic capacity; (5) Availability and access to antibiotics (6) Tracing ability within the Vietnamese food chain; (7) Personal benefits and (8) Managing the system. Conclusion: The findings of this study suggest that there is potential to strengthen multi-sectorial collaboration between the animal and human health sectors by building upon existing informal networks. Based on these results, we recommend an inclusive approach to multi-sectorial communication supported by government network activities to facilitate partnerships and create cross-disciplinary awareness and participation. The themes relating to diagnostic capacity show that both sectors are facing challenges to undertake investigations in AMR. Our results indicate that the need to strengthen the animal health sector is more pronounced.
Achieving sustainable, ethical food systems in support of human and planetary health is among the greatest challenges facing the global community. Globally, 815 million people are chronically undernourished, 108 million children and 604 million adults are obese, and more than two billion people are at risk of micronutrient deficiencies. Animal-source foods (ASFs), including milk, meat, fish, and eggs, provide high-quality protein and a variety of micronutrients in forms readily absorbed and used by the human body. Current research continues to explore the nutritional contributions of ASFs, their interactions with other dietary components, and their role in healthy human growth and development. This chapter uses the framework of the sustainable development goals (SDGs) to consider the value of ASFs in human diets across a range of settings. It discusses opportunities for multidisciplinary efforts that harness science, technology, and innovation (STI) to mitigate risks of foodborne disease, to promote the efficient management of natural resources, to reduce nutrient losses within livestock value chains, and to support gender- and culturally sensitive communication around livestock management and human nutrition. In support of the economic, social, and environmental dimensions of sustainable development, this chapter proposes opportunities to meet the nutritional needs of current and future populations while supporting biodiversity and conserving scarce natural resources.
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