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Table 2 Summary of key themes and sub-themes from the analysis

From: Operationalising the “One Health” approach in India: facilitators of and barriers to effective cross-sector convergence for zoonoses prevention and control

Theme

Sub-themes and frequency cited

Zoonotic disease governance

Complex organisation of the zoonotic disease governance system (15 out of 15 interviewees)

Health as a state subject (decentralised decision-making) (14 out of 15 interviewees)

Central government influence on state health policy agenda setting (10 out of 15 interviewees)

Political prioritisation of zoonoses

Low prioritisation of zoonoses in health policy (12 out of 15 interviewees)

No systematic framework for disease prioritisation (10 out 15 interviewees)

Different zoonoses have different level of recognition in existing policy agenda (13 out of 15 interviewees)

Unsupportive policies (9 out of 15 interviewees)

Barriers to cross-sectoral action for zoonotic disease control

Disciplinary/ sectoral silos/ turf wars (12 out of 15 stakeholders)

Disparate human and animal disease reporting/ surveillance systems (10 out of 15 interviewees)

Communication and information asymmetries (15 out of 15 interviewees)

Differences in disciplinary training (9 out of 15 interviewees)

Knowledge deficits (11 out of 15 interviewees)

Perceived mistrust, ‘egos’ and different mind-sets among actors (12 out of 15 interviewees)

Inadequate infrastructure and funding allocation (11 out of 15 interviewees)

Institutional bureaucracy and coordination challenges (13 out of 15 interviewees)

Competing department priorities (11 out of 15 interviewees)

Entrenched hierarchical system (12 out of 15 interviewees)

Differences in regional capacities and working practices (10 out of 15 interviewees)

Facilitators of cross-sectoral action for zoonotic disease control

Formal governance and leadership structures (15 out of 15 interviewees)

Clear delineation of sectoral roles (10 out of 15 interviewees)

Improving communication and working relationships (15 out of 15 interviewees)

Resourcing considerations (12 out of 15 interviewees)