"He Who Relies on His Brother's Property Dies Poor": The Complex Narratives of Livestock Care in Northern Tanzania.
"He Who Relies on His Brother's Property Dies Poor": The Complex Narratives of Livestock Care in Northern Tanzania.
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DOI：
10.3389/fvets.2021.749561
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发表时间：
2021
影响因子：
3.2
通讯作者：
Sharp J
中科院分区：
文献类型：
--
作者：
Davis A;Virhia J;Buza J;Crump JA;de Glanville WA;Halliday JEB;Lankester F;Mappi T;Mnzava K;Swai ES;Thomas KM;Toima M;Cleaveland S;Mmbaga BT;Sharp J
背景：地方性人畜共患病对东非依赖牲畜的家庭有重要影响。在这些社区，人们的健康和生计受到牲畜疾病损失的严重影响。了解牲畜饲养者如何对牲畜疾病采取补救行动有可能带来广泛的益处，例如改进卫生干预措施。然而，在全球发展中国家，关于牲畜和人类健康行为的研究往往侧重于个人健康选择。实际上，健康行为是复杂的，并不仅仅是个体化的健康体验。相反，它们是由一系列“上游”因素（如服务的不平等提供）调解的，这些因素超出了个人的控制范围。方法：本文介绍了2014年至2019年对坦桑尼亚人畜共患病（SEEDZ）的社会、经济和环境驱动因素进行的定性研究。通过焦点小组讨论、社区会议、非正式访谈、正式深度访谈、观察和调查收集了定性数据，这些调查涉及21个村庄的健康、疾病、人畜共患疾病风险和治疗路线等问题。通过深入访谈和焦点小组讨论进行专题分析。通过应用社会科学的健康理论进行概念分析和观察。发现：牲畜饲养者采取一系列健康寻求策略，大致分为自我治疗和正式治疗。出现了两个关键主题，它们对人们做出这样的决定至关重要：获得资源和对卫生保健提供者的信任。这两个问题影响个人的能动性，从而影响他们采取行动改善牲畜健康结果的能力。我们建议，只有在卫生系统能够提供充分的护理和卫生公平得到解决的情况下，兽医卫生寻求决策中的个人选择和代理才是有益的。意义：本研究展示了深入的定性研究的价值，揭示了人们在牲畜健康方面决策的细微差别和复杂性。最重要的是，它解释了为什么“更好”的知识并不总是转化为“更好”的实践。本文建议，承认和解决这些方面的兽医健康寻求将导致更有效的提供。
Background: Endemic zoonoses have important impacts for livestock-dependent households in East Africa. In these communities, people's health and livelihoods are severely affected by livestock disease losses. Understanding how livestock keepers undertake remedial actions for livestock illness has the potential for widespread benefits such as improving health interventions. Yet, studies about livestock and human health behaviours in the global south tend to focus on individual health choices. In reality, health behaviours are complex, and not solely about individualised health experiences. Rather, they are mediated by a range of “upstream” factors (such as unequal provision of services), which are beyond the control of the individual. Methods: This paper presents qualitative research conducted from 2014 to 2019 for a study focused on the Social, Economic, and Environmental Drivers of Zoonoses in Tanzania (SEEDZ). Qualitative data were collected via focus group discussions, community meetings, informal interviews, formal in-depth interviews, observations and surveys that addressed issues of health, disease, zoonotic disease risks, and routes for treatment across 21 villages. Thematic analysis was carried out on in-depth interviews and focus group discussions. Conceptual analyses and observations were made through application of social science theories of health. Findings: Livestock keepers undertake a range of health seeking strategies loosely categorised around self and formal treatment. Two key themes emerged that are central to why people make the decisions they do: access to resources and trust in health care providers. These two issues affect individual sense of agency which impacts their ability to act to improve livestock health outcomes. We suggest that individual choice and agency in veterinary health seeking decisions are only beneficial if health systems can offer adequate care and health equity is addressed. Significance: This study demonstrates the value of in-depth qualitative research which reveals the nuance and complexity of people's decisions around livestock health. Most importantly, it explains why “better” knowledge does not always translate into “better” practise. The paper suggests that acknowledging and addressing these aspects of veterinary health seeking will lead to more effective provision.
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影响因子：
4
作者：
Chandler, Clare I. R.
通讯作者：
Chandler, Clare I. R.
影响因子：
5.1
作者：
Goldman, Mara J.;Davis, Alicia;Little, Jani
通讯作者：
Little, Jani
影响因子：
3.7
作者：
G/hiwot TT;Sime AG;Deresa B;Tafese W;Hajito KW;Gemeda DH
通讯作者：
Gemeda DH
DOI：
10.1098/rstb.2016.0168
发表时间：
2017-07-19
期刊：
Philosophical transactions of the Royal Society of London. Series B, Biological sciences
影响因子：
--
作者：
Cleaveland S;Sharp J;Abela-Ridder B;Allan KJ;Buza J;Crump JA;Davis A;Del Rio Vilas VJ;de Glanville WA;Kazwala RR;Kibona T;Lankester FJ;Lugelo A;Mmbaga BT;Rubach MP;Swai ES;Waldman L;Haydon DT;Hampson K;Halliday JEB
通讯作者：
Halliday JEB
影响因子：
2.7
作者：
Davis, Alicia;Goldman, Mara J.
通讯作者：
Goldman, Mara J.