In 2009, a vision exercise that involved local communities, government representatives and statutory organisations highlighted disaster risk reduction, especially flooding, as a major challenge. Coastal flood events have been increasing in frequency in the area and caused significant damage to public and private property. The vision exercise enabled discussions around two key questions: (1) Imagining that it is 2019, what is it about the recreational aspects and management of the site that you are proudest of?, and (2) What were the big dilemmas that you had to think about? The results of this exercise and the subsequent inclusive and participatory processes, informed design decisions and the exploration of multiple benefits. Environmental assessment data of flood events, flood risk mapping and modelling confirmed flooding as the main societal challenge. Impacts of climate change were found to be an exacerbating factor. The mapping and modelling was done in line with Government best practice and enabled assessment of the flood risk to nearby communities.

Since establishment, CTPH has cultivated strong partnerships with government and other stakeholders, including other NGOs and the private sector. This ensures that CTPH’s work is in line with government priorities and strategies, is supported by the Government and aligns with other stakeholders. This was particularly important during the COVID-19 pandemic when the Government of Uganda instituted a strict ‘no movement’ lockdown to minimise spread of infection. Recognising that CTPH’s work is critical to the survival of Uganda’s mountain gorillas and the livelihoods dependent on them, the Government  granted CTPH special permission to continue its One Health activities.

CTPH’s advocacy activities are more successful due to the ongoing close working relationship that CTPH maintains with government institutions. This includes calling for park rangers and other conservation personnel to be amongst the priority groups for COVID-19 vaccination, primarily because of their close contact with Uganda’s endangered great apes which are highly susceptible to human respiratory diseases and because their survival is not only critical for biodiversity conservation but also for the Ugandan economy. CTPH also successfully advocated for the adoption of more stringent great ape viewing guidelines.

Before the COVID-19 pandemic, students from the University of Kent and Ohio University conducted research with CTPH on the impacts of mitigation measures to avoid disease transmission to great apes and on the willingness of the National Park’s visitors to comply with these measures. Their findings were published in 2018 and 2020 and have been instrumental in convincing the Ugandan government to adopt sanitary measures in the Parks for tourists and management staff, while reassuring the Uganda Wildlife Authority that this decision wouldn’t impact the number of visitors coming to the park.

CTPH also conducts routine research to monitor the health of the mountain gorilla population, focusing on those which stray out of the forest into communal land most often or those that have been habituated for gorilla tourism and, as such, are more likely to come into contact with human infections. This routine health monitoring and research is conducted by observing for clinical signs and collecting gorilla faecal samples (non-invasively, from gorilla night nests) each day and analysing the samples for pathogens, particularly those of zoonotic significance. By doing so, CTPH has developed an early warning system for any concerning infections and can address these as needed in a timely manner.

During the implementation of the intervention, the project team conducted the self-assessment as part of the IUCN Global Standard for Nature-based Solutionsᵀᴹ. The assessment provided information about the intervention’s strengths and weaknesses and helped derive concrete recommendations and actions that could be implemented during the remainder of the project. The analysis was carried out by the UNEP Regional Activity Centre for Sustainable Consumption and Production (SCP/RAC) of the Mediterranean Action Plan (MAP) of the UN Environment Programme and recommendations published in a report.  

The intervention involves the 11 municipalities that cover the six Ramsar sites and 19 Natura 2000 sites. They signed a cooperation agreement for joint decision-making in the form of the Oristano Coastal Wetlands Contract, under the Italian legislation that regulates the river contracts (art. 68-bis Legislative Decree 152/2006), The Contract defines strategies, guidelines and actions that steer the definition of intended outcomes and actions and inform monitoring and evaluation of the intervention. 

The Action Plan, attached to the Contract, summarises the planning of actions, funded and not, regarding the main important issues, such as restoration, climate change, water quality, hydrological risk, cultural and landscape promotion and valorisation. As part of the implementation of the Nature-based Solution, relevant public and private sector stakeholders were consulted. They were identified based on stakeholder analysis and include affected sectors.

- WildHealthResponse: Translating relevant health data into actionable real-time information supports stakeholders and decision-makers to structure and implement an effective multi-sectoral response—which in turn will optimize the health of wildlife, people, and livestock, and help prevent pandemics. Harnessing local knowledge informs decision-making and translates a global One Health vision into locally relevant solutions to halt species extinctions and threats to human and animal health and well-being.

WildHealthTech: WildHealthNet develops and employs innovative, appropriate, and user-friendly technologies for surveillance. With proven, globally distributed, open-source software (e.g., SMART for Health) and hardware like handheld cell phone devices for data collection and diagnostics, WildHealthNet supports effective and timely communication of data for improved reporting of wildlife health and rapid response.

WildHealthSkills: WildHealthNet conducts capacity bridging and building with in-person and virtual trainings for all actors in the network, from field-based rangers to laboratory techs to national coordinators. The goal is to develop and share science-based protocols and best practices, and implement strong curricula so that each actor is empowered to fully participate.

- WildHealthBuild: Building partnerships and breaking down silos across the human health, animal health, and environment/ wildlife sectors is an essential first step in planning and implementing wildlife surveillance for One Health intelligence, improving coordinated result sharing and response and the likelihood that networks and sustainable and used to guide science-based policy and disease control mechanisms going forward.

With limited funding for wildlife surveillance and veterinary medicine in the country, and limited access for subsistence communities to adequate health care, increasing awareness of the importance of wildlife health as it pertains to human and livestock health at local, provincial, and central levels is essential. Introducing preventative approaches and building local capacity for wildlife surveillance is key to reducing human health risks from contact with wildlife. Bringing diagnostic capacity from other nations into the country itself and ultimately to the carcass side enables better local engagement and rapid response and mitigation efforts in the case of detection of a pathogen of concern