Exploring Policies, Strategies, and Legislations Related to the One Health Approach to Zoonoses, Antimicrobial Stewardship, and Climate Change in Jordan: A Multimethod Study with SWOT Analysis.

Mapping policies, strategies, and legislations related to disease prevention in Jordan is pivotal for strengthening the country's public health infrastructure. The aims of our study were to identify, review, and map the existing national policies, strategies, and legislations related to the One Health approach to zoonoses, antimicrobial stewardship (AMS), and climate change in Jordan. Additionally, we identified the key strengths and major gaps and uncovered opportunities for enhancement. The current paper reports a part of a nationwide project which was jointly executed in 2023 by the Jordan Center for Disease Control and the Health Care Accreditation Council. A multimethod approach was employed, including a comprehensive desk review of any existing policies, strategies, and legislations, along with key informant interviews involving key stakeholders. The combination of the desk review and key informant interviews allowed for a more nuanced understanding of the gaps, strengths, and challenges in Jordan's approach to One Health, AMS, and climate change adaptation. By triangulating the findings from both methods, the study was able to cross-validate its results and ensure greater reliability and accuracy in its conclusions. Our analyses revealed that Jordan has made notable progress in integrating the One Health approach within its regulatory framework, particularly in managing zoonotic diseases, AMS, and climate change. Nevertheless, there is a need for more explicit and effective intersectoral coordination. While the country's AMS initiatives are supported by a national action plan, they are limited by inadequate public awareness, veterinary regulations, and monitoring systems. Moreover, Jordan's climate change strategies, aligned with broader sustainability goals and integrated into national frameworks like the environmental protection law, are constrained by a lack of emergency preparedness and multisectoral collaboration. The SWOT analysis highlighted strengths, including robust legal structures and international collaborations, while identifying gaps in enforcement and the need for updated guidelines. Opportunities exist to enhance the reporting mechanisms, public awareness, and international partnerships. Jordan's integration of the One Health approach to zoonotic diseases, AMS, and climate change adaptation into its disease prevention policies is commendable and aligns with global health priorities. To further enhance these initiatives, Jordan could benefit from updating its public health law and the relevant guidelines and policies, strengthening and structuring public awareness campaigns, and developing detailed climate change adaptation strategies.