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Governing One Health under climate pressure: policy implementation in Botswana.

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Τίτλος: Governing One Health under climate pressure: policy implementation in Botswana.
Συγγραφείς: Lucas Seleke T; Department of Political and Administrative Studies, University of Botswana, Gaborone, Botswana.
Πηγή: Frontiers in public health [Front Public Health] 2026 Sep 03; Vol. 14, pp. 1864265. Date of Electronic Publication: 2026 Sep 03 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: Lausanne : Frontiers Editorial Office
Ιατρικοί όροι (MeSH): Climate Change* , Health Policy* , One Health*, Botswana ; Humans ; Policy Making ; Public Health Infrastructure ; Qualitative Research
Περίληψη: Background: Climate change is tightening the links between human, animal, and environmental health, especially in settings where systems are already stretched. One Health is now widely recognised in policy circles, but in many cases, it remains more of an intention than something that is consistently practised.
Methods: This paper draws on a qualitative policy analysis of academic literature, national policy documents, and selected comparative examples from Kenya, Bangladesh, and Germany. The aim was not to be exhaustive, but to focus on how implementation unfolds, paying attention to coordination, surveillance, financing, and institutional arrangements.
Results: The main barriers are less related to technical knowledge and more to organisation of systems. Responsibilities are still fragmented, data systems do not easily connect, and financing of joint work is limited. At the same time, there are signs of movement. Efforts around interministerial coordination, integrated surveillance, and regional collaboration suggest that implementation is possible, but uneven and still taking shape.
Conclusion: The findings point to a clear message. Making One Health work in practice depends on how governance is designed and sustained. At its heart, it is about clearer roles, better use of available resources and more consistent ways of working across sectors. In Botswana, where climate and health pressures are coming together, the real challenge is not new frameworks but getting existing commitments to work in practice.
(Copyright © 2026 Lucas Seleke.)
Competing Interests: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References: PLoS Negl Trop Dis. 2014 May 22;8(5):e2884. (PMID: 24851901)
N Engl J Med. 2019 Jan 17;380(3):263-273. (PMID: 30650330)
Soc Sci Med. 2009 Mar;68(6):991-5. (PMID: 19157669)
PLoS Pathog. 2022 Jun 23;18(6):e1010537. (PMID: 35737670)
Health Policy Plan. 2012 Oct;27 Suppl 4:iv4-8. (PMID: 23014152)
Lancet. 2012 Dec 1;380(9857):1956-65. (PMID: 23200504)
Emerg Infect Dis. 2005 Jul;11(7):1000-2. (PMID: 16022772)
Lancet. 2024 Nov 9;404(10465):1847-1896. (PMID: 39488222)
Onderstepoort J Vet Res. 2014 Apr 23;81(2):E1-6. (PMID: 25005124)
Soc Sci Med. 2015 Mar;129:1-4. (PMID: 25434985)
Lancet. 2021 Jan 9;397(10269):129-170. (PMID: 33278353)
Prev Vet Med. 2011 Sep 1;101(3-4):148-56. (PMID: 20832879)
Infect Ecol Epidemiol. 2015 Nov 27;5:30048. (PMID: 26615822)
Glob Public Health. 2024 Jan;19(1):2377259. (PMID: 39052951)
Vet Ital. 2009 Jan-Mar;45(1):23-4. (PMID: 20148187)
Lancet. 2023 Dec 16;402(10419):2346-2394. (PMID: 37977174)
JAMA. 2014 Oct 15;312(15):1565-80. (PMID: 25244362)
Contributed Indexing: Keywords: Botswana; One Health; climate change adaptation; health governance; integrated surveillance; multisectoral coordination; policy implementation
Entry Date(s): Date Created: 20260918 Date Completed: 20260918 Latest Revision: 20260919
Update Code: 20260919
PubMed Central ID: PMC13581701
DOI: 10.3389/fpubh.2026.1864265
PMID: 42755649
Βάση Δεδομένων: MEDLINE
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  Data: Governing One Health under climate pressure: policy implementation in Botswana.
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  Data: Background: Climate change is tightening the links between human, animal, and environmental health, especially in settings where systems are already stretched. One Health is now widely recognised in policy circles, but in many cases, it remains more of an intention than something that is consistently practised.<br />Methods: This paper draws on a qualitative policy analysis of academic literature, national policy documents, and selected comparative examples from Kenya, Bangladesh, and Germany. The aim was not to be exhaustive, but to focus on how implementation unfolds, paying attention to coordination, surveillance, financing, and institutional arrangements.<br />Results: The main barriers are less related to technical knowledge and more to organisation of systems. Responsibilities are still fragmented, data systems do not easily connect, and financing of joint work is limited. At the same time, there are signs of movement. Efforts around interministerial coordination, integrated surveillance, and regional collaboration suggest that implementation is possible, but uneven and still taking shape.<br />Conclusion: The findings point to a clear message. Making One Health work in practice depends on how governance is designed and sustained. At its heart, it is about clearer roles, better use of available resources and more consistent ways of working across sectors. In Botswana, where climate and health pressures are coming together, the real challenge is not new frameworks but getting existing commitments to work in practice.<br /> (Copyright © 2026 Lucas Seleke.)
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  Data: PLoS Negl Trop Dis. 2014 May 22;8(5):e2884. (PMID: <searchLink fieldCode="PM" term="%2224851901%22">24851901)</searchLink><br />N Engl J Med. 2019 Jan 17;380(3):263-273. (PMID: <searchLink fieldCode="PM" term="%2230650330%22">30650330)</searchLink><br />Soc Sci Med. 2009 Mar;68(6):991-5. (PMID: <searchLink fieldCode="PM" term="%2219157669%22">19157669)</searchLink><br />PLoS Pathog. 2022 Jun 23;18(6):e1010537. (PMID: <searchLink fieldCode="PM" term="%2235737670%22">35737670)</searchLink><br />Health Policy Plan. 2012 Oct;27 Suppl 4:iv4-8. (PMID: <searchLink fieldCode="PM" term="%2223014152%22">23014152)</searchLink><br />Lancet. 2012 Dec 1;380(9857):1956-65. (PMID: <searchLink fieldCode="PM" term="%2223200504%22">23200504)</searchLink><br />Emerg Infect Dis. 2005 Jul;11(7):1000-2. (PMID: <searchLink fieldCode="PM" term="%2216022772%22">16022772)</searchLink><br />Lancet. 2024 Nov 9;404(10465):1847-1896. (PMID: <searchLink fieldCode="PM" term="%2239488222%22">39488222)</searchLink><br />Onderstepoort J Vet Res. 2014 Apr 23;81(2):E1-6. (PMID: <searchLink fieldCode="PM" term="%2225005124%22">25005124)</searchLink><br />Soc Sci Med. 2015 Mar;129:1-4. (PMID: <searchLink fieldCode="PM" term="%2225434985%22">25434985)</searchLink><br />Lancet. 2021 Jan 9;397(10269):129-170. (PMID: <searchLink fieldCode="PM" term="%2233278353%22">33278353)</searchLink><br />Prev Vet Med. 2011 Sep 1;101(3-4):148-56. (PMID: <searchLink fieldCode="PM" term="%2220832879%22">20832879)</searchLink><br />Infect Ecol Epidemiol. 2015 Nov 27;5:30048. (PMID: <searchLink fieldCode="PM" term="%2226615822%22">26615822)</searchLink><br />Glob Public Health. 2024 Jan;19(1):2377259. (PMID: <searchLink fieldCode="PM" term="%2239052951%22">39052951)</searchLink><br />Vet Ital. 2009 Jan-Mar;45(1):23-4. (PMID: <searchLink fieldCode="PM" term="%2220148187%22">20148187)</searchLink><br />Lancet. 2023 Dec 16;402(10419):2346-2394. (PMID: <searchLink fieldCode="PM" term="%2237977174%22">37977174)</searchLink><br />JAMA. 2014 Oct 15;312(15):1565-80. (PMID: <searchLink fieldCode="PM" term="%2225244362%22">25244362)</searchLink>
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