Jaqueline Hildebrandt

Working title: Added value of One Health implementation within primary health care in the Greater Accra Metropolitan Area (Ghana) and the Rhine Ruhr Metropolis (Germany)
Research countries: Ghana, Germany
Research themes: One Health, Medical Education, Zoonotic Diseases, Ecologic System Thinking, Urban Health

Biography:

With an academic background in Health Care Management (B.Sc.) and Public Health (M.Sc.), Jaqueline Hildebrandt started her scientific career in 2017 with the Institute of General Practice at the Heinrich-Heine-University Düsseldorf. There, she was associated with the Addiction Research and Clinical Epidemiology department, contributing to a cRCT on the effectiveness of delivering smoking cessation advice in German primary care and, subsequently with the Cochrane Group for Metabolic and Endocrine Disorders. Within the latter, she engaged in a comprehensive project within the Netzwerk Universitätsmedizin, that has been established to manage the COVID Pandemic in Germany, following inter- and trans-disciplinary approaches.

Within her Master studies, Jaqueline Hildebrandt specialized on Infectious Disease Epidemiology & Statistics. For her Master’s Thesis she developed a concept to improve several dimensions of access to veterinary and human healthcare for mobile pastoralists and their cattle in Ghana, while focusing on the burden of Brucella abortus infections.

Besides ZEFc, Jaqueline Hildebrandt is affiliated with the GeoHealth Centre at the Institute of Hygiene and Public Health, University Hospital Bonn.

Abstract:

Introduction: For many decades we are crossing ecological boundaries, compromising environmental, animal, and human health on a planetary scale and reinforce the climate crisis. Although the recognition of Planetary Health (PH) and other holistic concepts that recognize the interdependences of human, animal, environment, and ecosystem health rose within the last years, we need its education and action to be scaled up. A particularly large PH burden and responsibility weighs on health care practitioners: They are both first responders to climate crisis related diseases and injuries, and ‘change agents’ at the intersection to civil society.

Objectives/Methods: Mixed-methods will identify most relevant urban health threats, intertwined with PH dynamics of health and disease. Subsequently, a cross-sectional survey will assess Knowledge, Attitude, Practices and Burden (KAP-B) among first responding health care practitioners in both regions. Overarching themes are: climate crisis resilience and adaptability; perceived burden; PH understanding; inter-sectoral collaboration. Secondary data on extreme weather events will be utilized to assess the relationship between previously collected geographical KAP-B variations and the occurrence of extreme weather events to identify whether cues action influence KAP.

Outcomes:  Aiming to increase climate protection and -resilience, policy briefs will provide primary healthcare’s resilience indicators to express the urgency for (political) climate action. Furthermore, recommendations can be derived to adjust education and training of health professions to strengthen climate crisis preparedness.

Keywords: Planetary Health, Climate Crisis Resilience, Primary Healthcare, Ecologies of Health, Urban Health

References:

Amissah-Reynolds, P. K. (2020) ‘Zoonotic Risks from Domestic Animals in Ghana’, International Journal of Pathogen Research, 4(3), pp. 17–31. doi: 10.9734/ijpr/2020/v4i330113.

Rupasinghe, R., Chomel, B. B. and Martínez-López, B. (2021) ‘Climate change and zoonoses: A review of the current status, knowledge gaps, and future trends’, Acta Tropica. Elsevier, p. 106225. doi: 10.1016/J.ACTATROPICA.2021.106225.

Sikkema, R. and Koopmans, M. (2016) ‘One Health training and research activities in Western Europe’, Infection Ecology and Epidemiology, 6(1), p. 33703. doi: 10.3402/IEE.V6.33703.

United Nations Development Programme (2019) 'World Population Prospects - Population Division - United Nations, World Population Prospects: The 2019 Revision, Online Demographic Profiles'. Available at: population.un.org/wpp/Graphs/DemographicProfiles/Pyramid (Accessed: 24 October 2020).

Watts, N. et al. (2021) ‘The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises’, The Lancet. Lancet Publishing Group, pp. 129–170. doi: 10.1016/S0140-6736(20)32290-X.

Supervisor(s):

Prof. Thomas Kistemann

Prof. Walter Bruchhausen

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