Understanding one health challenges in marginalized urban settings: A patient and public involvement (PPI) approach from the CHIP consortium activities across four global cities
Logan Manikam,
Darlington David Faijue,
Kalpita Shringarpure,
Margi Sheth,
Pam Factor-Livak,
Priti Parikh,
Hector Altamirano-Medina,
Dewi Nur Aisyah,
Radhika Sharma,
Hemant Chaturvedi,
Kaushik Sarkar,
Rajib Dasgupta,
Nancy Hiu Lan Leung,
Pradeep Kumar Srivastava,
Monica Lakhanpaul
Affiliations
Logan Manikam
Aceso Global Health Consultants Pte Limited, Singapore, Singapore; Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London (UCL), London, United Kingdom; Corresponding author at: Institute of Epidemiology and Health Care, University College London (UCL), London, United Kingdom.
Darlington David Faijue
Aceso Global Health Consultants Pte Limited, Singapore, Singapore; Institute for Infection and Immunity, St. George's, University of London, London, UK
Kalpita Shringarpure
Aceso Global Health Consultants Pte Limited, Singapore, Singapore; Department of Community Medicine, Medical College Baroda, Vadodara, Gujarat, India
Margi Sheth
Department of Community Medicine, GCS Medical College, Hospital and Research, Ahmedabad, Gujarat, India
Pam Factor-Livak
Department of Epidemiology Columbia University Mailman School of Public Health, New York, USA
Priti Parikh
University College London, Engineering for International Development Centre, Bartlett School of Sustainable Construction, Torrington Place, London, UK
Hector Altamirano-Medina
University College London, Bartlett School Env, Energy & Resources, London, UK
Dewi Nur Aisyah
Institute for Infection and Immunity, St. George's, University of London, London, UK; Indonesia One Health University Network, West Jawa, Indonesia
Radhika Sharma
Jeevan Ashram Sanstha (JAS), Jaipur, India
Hemant Chaturvedi
Aceso Global Health Consultants Limited, London, United Kingdom
Kaushik Sarkar
Institute for Health Modelling and Climate Solutions, Malaria No More, Washington DC, USA
Rajib Dasgupta
Centre of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India
Nancy Hiu Lan Leung
WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region
Pradeep Kumar Srivastava
National Vector Borne Disease Control Programme, M/o Health & FW, Govt of India, Res: Royal Villa-IV, 2/18 Flat 100, Sector-2, Rajendra Nagar, Sahibabad, Ghaziabad 201005, India
Monica Lakhanpaul
Population, Policy and Practice Department, UCL Great Ormond Street Institute of Child Health, 30 Guildford Street, London WC1N 1EH, UK; Whittington Health NHS Trust, London, UK
Background: Slum communities face health risks influenced by environmental, human, and animal health factors, particularly antimicrobial resistance (AMR). Tailored, community-driven solutions are needed to address these multifactorial health determinants. This study explores One Health challenges in urban slums using a Patient and Public Involvement (PPI) approach. Objectives: This study aims to use qualitative methods within a PPI framework to examine the social, environmental, and animal health factors contributing to AMR and other health challenges in urban slums. Focusing on One Health, we engaged slum residents in Jaipur, Jakarta, Antofagasta, and Istanbul through participatory approaches like social mapping and transect walks to identify health risks and develop intervention strategies. Methods: A PPI approach was employed to involve communities in the research process, ensuring culturally relevant insights. Data collection included social mapping, transect walks, and key informant interviews in the four cities, highlighting critical health determinants such as environmental contamination, healthcare access, and animal-related risks. Thematic analysis identified common challenges and intervention opportunities within the One Health framework. Conclusion: The study underscores the importance of PPI in addressing One Health challenges in urban slums and reveals interconnected human, environmental, and animal health risks. Engaging communities fostered trust and provided locally relevant solutions to complex health issues like AMR. Future interventions should be co-designed with communities to address social determinants like sanitation and healthcare access for sustainable outcomes.
