Quantifying farmers' preferences for antimicrobial use for livestock diseases in northern Tanzania
Quantifying farmers' preferences for antimicrobial use for livestock diseases in northern Tanzania
复制标题
量化坦桑尼亚北部农民对抗生素用于牲畜疾病的偏好
DOI：
10.1093/qopen/qoac032
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Nthambi M
中科院分区：
文献类型：
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作者：
Nthambi M
了解农民在牲畜治疗方面的选择行为对于抵消抗菌素耐药性（AMR）出现的风险至关重要。利用不同的疾病情景，我们测量了坦桑尼亚北部三种生产系统（农牧、牧区和农村小农）中牲畜物种治疗偏好的差异以及环境变量（如放牧模式、畜群规模、到agrovet商店的旅行时间、以前的疾病经历、以前的疫苗接种经历、教育水平和收入）对农民治疗感染选择的影响。在高度依赖抗微生物治疗来支持牲畜健康和生产力的地方。采用情境相关的陈述选择实验，我们调查了1224名受访者。混合logit模型结果显示，农民在治疗牛、绵羊和山羊时更倾向于专业兽医服务，而在治疗家禽时更倾向于自我治疗。从agrovet商店采购的抗生素是首选药物，与要治疗的健康状况无关，无论是病毒性、细菌性还是寄生性。靠近农贸商店、接受非正式教育、借用和家庭储存药物以及商业家禽饲养增加了自我治疗的机会。根据我们的研究结果，我们提出了一些干预措施，如提高认识和开展教育活动，旨在解决造成抗菌素耐药性风险的现行做法，以及疫苗接种和良好畜牧业做法、能力建设和提供诊断工具。
Understanding the choice behaviours of farmers around the treatment of their livestock is critical to counteracting the risks of antimicrobial resistance (AMR) emergence. Using varying disease scenarios, we measure the differences in livestock species’ treatment preferences and the effects of context variables (such as grazing patterns, herd size, travel time to agrovet shops, previous disease experience, previous vaccination experience, education level, and income) on the farmers’ treatment choices for infections across three production systems—agro-pastoral, pastoral, and rural smallholder—in northern Tanzania, where reliance on antimicrobial treatment to support the health and productivity of livestock is high. Applying a context-dependent stated choice experiment, we surveyed 1224 respondents. Mixed logit model results show that farmers have higher preferences for professional veterinary services when treating cattle, sheep, and goats, while they prefer to self-treat poultry. Antibiotics sourced from agrovet shops are the medicine of choice, independent of the health condition to treat, whether viral, bacterial, or parasitic. Nearness to agrovet shops, informal education, borrowing and home storage of medicines, and commercial poultry rearing increase the chances of self-treatment. Based on our findings, we propose interventions such as awareness and education campaigns aimed at addressing current practices that pose AMR risks, as well as vaccination and good livestock husbandry practices, capacity building, and provision of diagnostic tools.