Control of contagious bovine pleuropneumonia: knowledge, attitudes, perceptions and practices in Narok district of Kenya.
Control of contagious bovine pleuropneumonia: knowledge, attitudes, perceptions and practices in Narok district of Kenya.
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DOI：
10.1016/j.prevetmed.2014.03.029
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发表时间：
2014-08-01
影响因子：
2.6
通讯作者：
Taylor NM
中科院分区：
文献类型：
--
作者：
Kairu-Wanyoike SW;Kiara H;Heffernan C;Kaitibie S;Gitau GK;McKeever D;Taylor NM
牧民有传统的疾病应对机制。一些牧民不知道任何预防方法，而另一些牧民则不知道该怎么做，或者在疫情爆发时什么也不做。牧民认为疫苗接种是解决CBPP的办法，但疫苗接种是不规范的。疫苗接种后表现出不良反应，因此25.2%的牧民可能会抵抗后续的CBPP疫苗接种。牧民更喜欢在一年中的某些时候接种CBPP疫苗，并与其他疫苗联合接种。CBPP是撒哈拉以南非洲一种重要的跨界疾病，其控制迫在眉睫。2006-2007年，在肯尼亚纳罗克南区开展了参与性数据收集工作，包括在37个村组进行52个焦点小组讨论和对关键信息提供人进行访谈，开展了一项涉及232户家庭的横断面研究，并开展了涉及203户家庭的疫苗接种后随访。这是为了调查与控制CBPP相关的知识、态度、观念和实践（KAPP）以及动物接种疫苗后的不良反应，以便为控制政策提供建议。该社区认为跨境CBPP对其牛群构成威胁。他们有传统的疾病应对机制，熟悉CBPP的预防和控制，其中49.8% （95%CI: 42.8 ~ 56.7%）的人优先控制CBPP。然而，12.9% （95%CI: 9.0-18.1%）的牧民不知道任何预防方法，10.0% （95%CI: 6.5-14.7%）的牧民不知道在爆发时该做什么或什么都不做。尽管43.5% （95%CI: 37.1 ~ 50.2%）的牧民使用抗生素治疗CBPP病例，但62.5% （95%CI: 52.1 ~ 71.7%）的牧民怀疑治疗的有效性。牧民认为接种疫苗是解决CBPP问题的办法，但由于无法获得疫苗，接种是不规律的。疫苗接种主要是控制疫情而非预防，70.4% （95%CI: 63.6 ~ 76.5%）的畜群和3.8% （95%CI: 3.5 ~ 4.2%）的动物在接种后出现不良反应。因此，近25.2%（95%置信区间：18.5-33.2%）的牧民可能会抵制随后的CBPP疫苗接种。牧民更喜欢在一年中的某些时候接种CBPP疫苗，并与其他疫苗联合接种。综上所述，牧民并不完全了解预防措施和干预措施，疫苗接种后的反应可能会阻碍后续的CBPP疫苗接种。因此，有必要监测和管理疫苗接种后的反应，并提高对CBPP预防和干预措施及其优缺点的认识。牧民在很大程度上无法获得CBPP疫苗，牧民偏好在特定时间接种疫苗和疫苗组合，因此有必要根据牧民的偏好利用疫苗。此外，计划接种疫苗应包括牧民和邻国。由于结果不能推广，建议进一步研究CBPP控制方法及其有效性。
Pastoralists had traditional disease coping mechanisms. Some pastoralists had no knowledge of any prevention method and others would not know what to do or would do nothing in the event of an outbreak. Pastoralists perceived vaccination to be the solution to CBPP but vaccination was irregular. Vaccination exhibited adverse post-vaccination reactions and consequently 25.2% of pastoralists may resist subsequent vaccinations against CBPP. Pastoralists preferred CBPP vaccination at certain times of the year and that it is combined with other vaccinations. CBPP is an important transboundary disease in sub-Saharan Africa whose control is urgent. Participatory data collection involving 52 focus group discussions in 37 village clusters and key informant interviews, a cross-sectional study involving 232 households and a post-vaccination follow up involving 203 households was carried out in 2006–2007 in Narok South district of Kenya. This was to investigate knowledge, attitudes, perceptions and practices (KAPP) associated with control of CBPP as well as the adverse post-vaccination reactions in animals in order to advice the control policy. The community perceived trans-boundary CBPP threat to their cattle. They had traditional disease coping mechanisms and were conversant with CBPP prevention and control with 49.8% (95%CI: 42.8–56.7%) giving priority to CBPP control. However, 12.9% (95%CI: 9.0–18.1%) of pastoralists had no knowledge of any prevention method and 10.0% (95%CI: 6.5–14.7%) would not know what to do or would do nothing in the event of an outbreak. Although 43.5% (95%CI: 37.1–50.2%) of pastoralists were treating CBPP cases with antimicrobials, 62.5% (95%CI: 52.1–71.7%) of them doubted the effectiveness of the treatments. Pastoralists perceived vaccination to be the solution to CBPP but vaccination was irregular due to unavailability of the vaccine. Vaccination was mainly to control outbreaks rather than preventive and exhibited adverse post-vaccination reactions among 70.4% (95%CI: 63.6–76.5%) of herds and 3.8% (95%CI: 3.5–4.2%) of animals. Consequently, nearly 25.2% (95%CI: 18.5–33.2%) of pastoralists may resist subsequent vaccinations against CBPP. Pastoralists preferred CBPP vaccination at certain times of the year and that it is combined with other vaccinations. In conclusion, pastoralists were not fully aware of the preventive measures and interventions and post-vaccination reactions may discourage subsequent CBPP vaccinations. Consequently there is need for monitoring and management of post vaccination reactions and awareness creation on CBPP prevention and interventions and their merits and demerits. CBPP vaccine was largely unavailable to the pastoralists and the preference of the pastoralists was for vaccination at specified times and vaccine combinations which makes it necessary to avail the vaccine in conformity with the pastoralists preferences. In addition, planning vaccinations should involve pastoralists and neighbouring countries. As the results cannot be generalized, further studies on CBPP control methods and their effectiveness are recommended.
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影响因子：
2.6
作者：
Kairu-Wanyoike, Salome W.;Kaitibie, Simeon;McKeever, Declan
通讯作者：
McKeever, Declan
影响因子：
2.4
作者：
Huebschle, Otto J. B.;Ayling, Roger D.;Nicholas, Robin A. J.
通讯作者：
Nicholas, Robin A. J.
影响因子：
6.9
作者：
CHAMBERS, R
通讯作者：
CHAMBERS, R
DOI：
10.20506/rst.26.2.1745
发表时间：
2007-08-01
影响因子：
0.6
作者：
McLeod, A.;Rushton, J.
通讯作者：
Rushton, J.
影响因子：
2.6
作者：
Mariner, JC;McDermott, J;Martin, SW
通讯作者：
Martin, SW