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Competencies for One Health Field Epidemiology (COHFE)-a framework to train the epidemiology workforce.
Marion Muehlen1, Navneet Dhand2, Heather Simmons3
1World Health Organization, 20, Avenue Appia, CH-1211, Geneva 27, Switzerland. mmuehlen@who.int.
One Health Outlook
|March 29, 2025
Summary
A new framework outlines essential One Health competencies for field epidemiologists, addressing emerging diseases and antimicrobial resistance. This training approach integrates human, animal, and environmental health for better global health security.
Area of Science:
- Public Health and Epidemiology
- One Health Initiative
- Infectious Disease Surveillance
Background:
- Field epidemiologists are vital for tackling emerging infectious diseases, transboundary animal diseases, and antimicrobial resistance.
- Traditional training programs lack a One Health approach, hindering interdisciplinary collaboration.
- A global need exists for standardized One Health competencies and curricula for field epidemiology training.
Purpose of the Study:
- To develop a globally accepted framework of One Health competencies for field epidemiology training.
- To provide standardized curricular guidance for One Health field epidemiology program managers.
- To equip field epidemiologists with essential skills for the One Health approach.
Main Methods:
- Conducted a desktop review of existing field epidemiology training curricula at frontline, intermediate, and advanced levels.
- Defined and grouped knowledge, skills, and competency (KSC) statements into domains and subdomains.
- Convened an international Technical Advisory Group of 59 experts for framework review and revision, classifying KSC statements as core or optional.
Main Results:
- Developed a comprehensive competency framework with KSC statements for applying the One Health approach across human, animal, and environmental health sectors.
- Stratified KSC statements by training levels (frontline, intermediate, advanced) and categorized them as core or optional.
- Identified sector-specific KSC statements and created a prioritization tool for country-specific adoption.
Conclusions:
- The framework, developed through a multisectoral, collaborative process, integrates animal, human, and environmental health expertise.
- It offers a guide for countries to establish new or upgrade existing One Health field epidemiology training programs.
- This initiative promotes a holistic approach to training field epidemiologists, enhancing global capacity to address evolving health challenges.
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