Assessment of Emergency Preparedness and Response Using One Health Approach in Juba, South Sudan

Emerging and re-emerging public health threats such as zoonotic diseases, outbreaks, and environmental hazards continue to challenge South Sudan’s fragile health system. This study, titled “Assessment of Emergency Preparedness and Response Using One Health Approach in Juba, South Sudan,” evaluates the extent to which the One Health (OH) framework integrating human, animal, and environmental health, has been applied to strengthen emergency preparedness and response (EPR) capacities in Juba, Republic of South Sudan. A mixed-methods approach was employed, combining quantitative data from structured questionnaires administered to 378 respondents across key sectors (human health, animal health, and environment) with qualitative data from 20 key informant interviews and document reviews of national preparedness plans. Results revealed that while awareness of the OH approach was moderate (67%), its operationalization within emergency preparedness structures remained limited due to fragmented coordination, inadequate funding, and weak intersectoral collaboration. Surveillance and laboratory capacities improved, yet joint outbreak investigations and data sharing remained inconsistent. However, the study found positive trends in multisectoral training initiatives and policy alignment efforts supported by international partners. The study concludes that adopting a fully functional One Health model could significantly enhance South Sudan’s emergency preparedness and response (EPR) systems. Strengthening institutional coordination, capacity building, and resource mobilization across sectors is critical for building resilience against health emergencies in Juba and beyond.