One Health Education and Planetary Health: Assessing Knowledge Gaps in Undergraduate Nursing, Education, and Biology Students, and a Pilot Postgraduate Intervention
Preprint
- 9 June 2026
- preprint
- Published by MDPI AG in Preprints.org
Abstract
Background: The One Health approach recognises the inextricable interconnection between human, animal, and environmental health and constitutes a critical framework for global public health management. Despite growing institutional support, its integration into university curricula remains limited and inconsistent, particularly outside veterinary and medical programmes, creating a formative gap that affects disciplines highly relevant to the One Health ecosystem, such as Nursing, Biology, and Education. Objectives: This study analyses the level of One Health education among undergraduate students in Education, Nursing, and Biology, and evaluates the impact of a training intervention on Master's students in Secondary Education Teacher Training (Biology specialisation). Methods: A two-phase sequential design was adopted. Phase 1 employed a descriptive and inferential cross-sectional approach using a standardised questionnaire administered to 80 undergraduates (Education n = 22; Nursing n = 45; Biology n = 13). Descriptive statistics (means and frequency distributions) and the Kruskal–Wallis non-parametric test were applied. Phase 2 consisted of a pilot pre-experimental single-group intervention applied to 18 Master's students following a 90-minute structured training session on One Health literacy. Results: Phase 1 revealed a complete absence of conceptual knowledge of One Health across all three degree programmes (0% awareness; 0% correct definition), with no statistically significant between-group differences for any of the four curricular perception variables analysed. Phase 2 demonstrated that, following the intervention, 100% of participants were aware of the term and 94.4% could define it correctly, alongside markedly more positive and interdisciplinary perceptions regarding its curricular inclusion. Conclusions: A significant formative gap exists regarding the One Health approach in undergraduate university education, independent of academic discipline. Targeted educational interventions are essential to achieve adequate One Health education. These findings underscore the need for interdisciplinary integration of One Health across diverse university programmes as a global public good.Keywords
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This publication has 21 references indexed in Scilit:
- Health concepts in the context of anthropogenic environmental change: a scoping review on One Health, Planetary Health, EcoHealth, Public Health, Urban Health, and Global HealthJournal of Public Health, 2025
- Barriers to implementing One Health training programs: Experiences of university faculty and staffCABI One Health, 2025
- One Health governance: theory, practice and ethicsScience in One Health, 2024
- Advancing One Health education: integrative pedagogical approaches and their impacts on interdisciplinary learningScience in One Health, 2024
- Neuroecological links of the exposome and One HealthNeuron, 2024
- One Health and planetary health research: leveraging differences to grow togetherThe Lancet Planetary Health, 2023
- Advancing One Health: Updated core competenciesCABI One Health, 2023
- Clarifying core competencies in One Health doctoral education: The central contribution of systems thinkingOne Earth, 2022
- The Berlin principles on one health – Bridging global health and conservationScience of The Total Environment, 2021
- Prevalence and associated risk factors for bovine tick infestation in two districts of lower Punjab, PakistanPreventive Veterinary Medicine, 2009