Presentation by Nitish Debnath on 'Trajectory of Institutionalization of One Health Approach in Bangladesh' at the One Health Approach workshop on Tuesday, 23 March 2021.

1. Trajectory of Institutionalization of
One Health Approach in Bangladesh
Prof Nitish Debnath | Team Lead, Fleming Fund Country
Grant to Bangladesh, DAI

2. Outline of the Presentation
§ Genesis of One Health Bangladesh
§ OHB-A Platform Striving with Strength of Diversity
§ Emerging OHBTheory of Change

3. 3
Bangladesh: A Case of
Opportunity & Challenge for
One Hralth

4. Your Logo or Name Here
Bangladesh is at a Historical
Juncture
Bangladesh Graduated to DC status
Reduction in the poverty rate from
40% to 14%
Increases across the five components of the human
assets index
ü infant mortality,
ü maternal mortality,
ü undernourishment,
ü adult schooling and adult literacy
ü meant that Bangladesh exceeded the threshold on
this index for the first time in 2016.
ü Food Security significantly improved

5. Bangladesh 2nd largest economy in South Asia.
This will see the country climb 19 places in the
World Economic League Table to become the
world’s 24th largest economy by 2033

6. Your Logo or Name Here
Challenges

7. Population density and urbanization in
Bangladesh (165 million people & 56
thousands SM area)

8. Feeding millions always a
Challenge in Bangladesh

9. Your Logo or Name Here
The Complex River Systems of Bangladesh &
vulnerability
1. Unique geographical location
2. Dominance of flood plain
3. Himalayan drainage eco-
system
Water Tower
Water Sink

10. 10
The Genesis of
One Health Bangladesh

11. Panic among policy
makers and general
public
Avian influenza
preparedness plan for
Bangladesh 2006
First decade
Of 21st Century

12. Informal discussion
began at CVASU in
2007 to broaden
collaboration beyond
AI
Consensus developed
among IEDCR, icddrb
& CVASU to promote
One Health approach
in Bangladesh in Nov
2007
Formalize the commitment
by creating One Health
Bangladesh to work
together in March 2008.
Stakeholder
consultations with govt.,
UN bodies, universities,
research, NGOs and civil
societies.
DGHS, DLS, BAPA
BAU, BRAC, BSMMU
BLRI

13. What is One Health?
Harnessing the creative power of diversity
Animal
Health
Human Health
Environmental
Health
One
Health

14. Your Logo or Name Here
§One Health Bangladesh-A
Platform Striving with
Strength of Diversity

15. Active engagement
with global
community
Collaborative and
openness apporach to
exchange knowledge and
expereicne with peers
Whole of a
society
movement
By empowering society to
combat the health
challenges and drive the
changes
Whole of a govt.
approach
Advocating govt to plan for
sustainable health health
solutions by meeting the
emerging need
Three major approaches for One Health in Bangladesh

16. Whole of a
society
movement
§ 10 conferences with
multidisciplinary Participants
§ 32 extended meeting
§ 9 annual general meeting
§ 1000 members
0
100
200
300
400
500
600
700
800
900
1 2 3 4 5 2010 2013 2015 2017 2019
Conference participants
In Dhaka
In Chittagong

17. Strategic Framework for One Health Approach
Whole of a
govt.
approach

18. Approved by
Three Ministries-
MOH&FW, MOF&L,
ME&F

19. Inter-ministerial One Health Meeting
Date 14 June 2016
Instructions
• Request ministry/ agencies to depute officers
• Develop TOR engaging OH partners
• Review and revise the OHSF
Decisions
• Establishment of One Health Secretariat at IEDCR
with seconded officers from DGHS, DLS and BFD
• Establishment of Inter-ministerial steering
committee, Technical Advisory Group , OHS
Coordination Committee
Establishment of Multisectoral Collaboration Mechanism

20. One Health
Coordination
Mechanism

21. Revised One Health Action Plan 2018-22
Special focus on
antimicrobial resistance and
prudent use of antibiotics
Inclusion of Dept. of
Agriculture and Dept.
of Fisheries in One
Health Secretariat
3 – tires of administration
on One Health
Secretariat, planning to
extend up to DISTRICT
LEVEL
Whole of the
Govt
Approach

22. BACKGROUND
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Formal meeting with major
stakeholders at IEDCR to develop
consensus on practicing One
Health
1st One Health Conference, Formed
One Health Bangladesh
Made Chittagong Declaration
Multisectoral Avian influenza
preparedness plan, 2006
One Health Strategic Framework
Rabies control programme in one
health approach in Bangladesh
MoFL, MoHFW, MoFE endorsed the
One Health Strategic Framework
and Action Plan
Engagement of P&R to
formalize National One
Health Platform
Inter-ministerial steering
committee for OHBS
Formation of OHASA with
regional partners
One Health South Asia
Conference (CDC, icddr,b & One
Health Bangladesh)
Zoonotic disease
prioritization involving
multistakeholder
One Health Dhaka
Conference
8th One Health Bangladesh
Conference
9th One Health Bangladesh
Conference
10 One Health
Bangladesh
conference
Anthrax outbreak control
in One Health
Whole-of-a-govt. approach
Whole-of-a-society approach
Coordination with Govt Partners and Others
Outbreak Investigation & Surveillance
Lab networking-Govt, Research Institutes & Universities
COVID-19
Pandemic and
One Health
Response
One Health capacity building
Multi-disciplinary Research
Conferences, seminars and dialogues

23. Socio-economic, cultural and
policy contexts
Avian Influenza
Disease
risk
Behaviours of
farmers & traders
Poultry
trade
network
One Health Research: ZEL Project

24. One Health Global Leaders Group on Antimicrobial Resistance: Co-Chairs
The establishment of a One Health Global Leaders Group on Antimicrobial Resistance was
recommended by the Interagency Coordination Group (IACG) on Antimicrobial Resistance.The
Global Leaders Group includes members from Member States, civil society and the private
sector.
Engagement
with Global
community

25. Sustainable
approach
• Initially civil-
society driven
• Engagement
of Government
& Dev.
Partners
• Engagement
of society to
feel their need
Sustainable
resource
• Approved
budget
from
Bangladesh
Governmen
t (Health
Sector)
Sustainable
capacity
building
• University
grant
commissio
n funded
• Capacity
building
hub
Lesion
learned for
One Health
Bangladesh

26. Your Logo or Name Here
Emerging Theory of Change & Challenges of
One Health

27. One Health Theory of Change for Bangladesh
Inputs Outputs Outcomes Impact
One health
governance and
advocacy
Community
engagement through
Whole of a society
approach
Capacity building for
implementing
multisectoral
collaborative activities
Strong One Health
research, surveillance
and disease control
program in place
Appropriate One
Health evidence based
policies are developed
Increased trained and
motivated workforce in
the country
Strengthened One
Health Research
collaboration and
coordination
A
one
health
community
of
practice
to
address
the
interface
issues
Reduced health
threats due to
zoonosis, EIDs and
AMR
A developed food
system to ensure
nutritional security and
food safety
Ensured sustainable
utilization and
conservation of
biodiversity and
natural resource
Skilled workforce
produced and placed
at appropriate station
One Health Approach
institutionalized
through multisectoral
engagement
Progress towards SDG
3: Ensued healthy lives
and promote well-
being for all ages

28. Albert Einstein once said