Facilitating equity in global One Health events

Abstract Background: Embracing the One Health approach demands not only interdisciplinary and multisectoral collaboration but also the meaningful inclusion of diverse subject-matter expertise. An effective and equitable transdisciplinary approach is essential for tackling the complex challenges that arise at the intersections of human, animal, plant and ecosystem health. Events such as workshops, forums and conferences play a crucial role in disseminating advancements to assist in the widescale operationalisation of the One Health approach; but to be truly effective, these events must champion equitable participation. Methods: This study provides evidence-based recommendations for event organisers in One Health and other multidisciplinary areas on measures to enhance participation equity. A large multi-language online survey was administered from January to March 2024, which collected data on individuals’ experience of barriers and facilitators to participation in global One Health events. Results: Of the 406 respondents, 61% (n=249) indicated that they faced barriers to participation in global One Health events during their careers. However, 78% (n=317) of respondents identified as female, of which 67% (n=212) reported that they had, or may have, experienced barriers. Gender was found to be strongly associated with experiencing barriers to participation (p<0.001). Overall, participation costs (including registration, travel and subsistence) were the most frequently reported barrier across all genders. Female respondents reported significantly more caring responsibilities and visa requirements as barriers, compared to male respondents. Participants identified increased funding support and the option to participate online as the most important facilitators to increased engagement in One Health events. Conclusion: Prioritising equity and diversity enhances the integrity and impact of global multidisciplinary events. This international survey highlights gender as a key factor in participation equity, underscoring the need for targeted, gender-responsive solutions. Implementing strategies and metrics for under-represented groups is critical to driving lasting improvements in accessibility and inclusion. These findings call for a collaborative, inclusive One Health approach to event design, embedding equity into existing frameworks for greater inclusivity and sustainable impact. One Health impact statement One Health is a framework that promotes equitable collaboration, interdisciplinarity and social inclusion to address complex health challenges across the human, animal, plant and ecosystem health interfaces. Yet, many One Health events fail to uphold these principles, lacking robust strategies to ensure equity across gender, race, socio-economic status and disciplines. Marginalised communities remain under-represented, especially at conferences and workshops. By identifying barriers to participation, this study offers evidence-based recommendations for more inclusive events. Active participation from under-represented groups is the key to promoting diverse, transdisciplinary contributions to scientific and social progress, decision-making and successful, sustained application of the One Health approach. Global One Health leaders should ‘walk the talk’ and lead by example, turning commitments into action by embedding equity and inclusion at the core of event design.