The OH-SMART Framework

Oh-Smart Process graphic

The OH-SMART process was designed based on Business Process Improvement to support systematic evaluation and enhancement in multisectoral coordination and collaboration, and increase capacity for complex health concerns through an operational, stepwise, and practical One Health approach. 

Using a six-step process, OH-SMART walks agency leadership and technical workers through the identification, visualization, and analysis of their One Health systems, enabling shared decision-making and action planning. 

Feedback from three foundational OH-SMART workshops showed that a year after participating in the workshops, 94.75% of participants had applied skills they had learned.In the years since, OH-SMART has been used in numerous national settings to strengthen multisectoral coordination and national action planning for priority zoonotic diseases, natural disasters preparedness, antimicrobial resistance action planning, among many other One Health challenges.  

OH-SMART has proven a valuable tool in the health security preparedness work of partner organizations like the Tripartite (FAO, OIE, WHO), USAID, USDA, CDC, World Bank, and others. The tool has been flexibly adapted to complement and align with existing approaches such as the IHR-PVS Bridging Workshops, the CDC One Health Zoonotic Disease Prioritization, and the Tripartite Zoonosis Guide operational tools.