Subnational operationalization of One Health: lessons from the establishment of One Health rapid response teams in Tanzania.

In 2018, Tanzania launched the One Health Coordination Desk (OHCD) in a country that operates a centralized public health system with limited privatization. In contrast, the animal health system is decentralized, with huge reliance on privatization. Subnational level implementation of health services are sometimes at odds with national-level planning due to inherent challenges. To bridge these gaps, One Health rapid response teams (OHRRTs) were set up and pilot tested in selected districts and regions of Tanzania. These teams serve the community directly through the delivery of community-oriented One Health activities. We discuss the OHRRT set-up process as an example of good practice for adoption in developing economies.