From awareness to public health policy action

Background: India has increasingly endorsed One Health at the policy level. However, evidence on its operationalization at the district level, particularly among frontline public-sector workers, remains limited. This study assessed the awareness, knowledge, attitudes, and practices (AKAP) related to One Health among frontline personnel in Gujarat, India. Methods: A convergent mixed-methods study was conducted from January to June 2025 in Rajkot District, Gujarat. Quantitatively, 400 frontline workers from five departments (Health, AYUSH, Animal Husbandry, Food Safety, and Environment) were selected using proportionate stratified random sampling and interviewed using a validated AKAP questionnaire. Qualitatively, in-depth interviews were conducted with 25 purposively selected participants. Descriptive statistics, multivariable logistic regression, and exploratory factor analysis were performed for quantitative data, while thematic analysis was used for qualitative findings. Results: 5 years (aOR 1.4; 95% CI 1.0-2.0) as independent predictors of good practice. Qualitative findings highlighted fragmented governance, limited interdepartmental coordination, lack of formal mandates, and absence of dedicated resources as major barriers to effective One Health implementation. Conclusions: Despite high awareness and favorable attitudes, the translation of One Health principles into routine practice remains limited at the district level. Institutionalizing structured training, strengthening intersectoral governance, and prioritizing inclusion of environmental and food safety sectors are essential to operationalize One Health effectively in India and similar low- and middle-income settings

Descriptive statistics · Exploratory factor analysis · Exploratory research · Operationalization · Public health · Qualitative property · Qualitative research · Stratified sampling · Thematic analysis · Agriculture Sustainability and Environmental Impact · Animal Disease Management and Epidemiology · Zoonotic diseases and public health · Health Policy

• The One Health Concept

  Open Access•Delphine Destoumieux-Garzón, Delphine Destoumieux‐Garzón et al.•Frontiers in Veterinary Science•2018

  Incluir item

• Climate Change and Global Food Systems

  Open Access•Samuel S Myers, Matthew R Smith et al.•Annual Review of Public Health•2017

  Incluir item

• Improving Environmental Sanitation, Health, and Well-Being

  Open Access•Hung Nguyen‐Viet, Hung Nguyen-Viet et al.•EcoHealth•2009

  Incluir item