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Formative Research- Animal-Inclusive Community Led Total Sanitation Project―Preliminary findings and implications

  1. Better lives through livestock Formative Research- Animal-Inclusive Community Led Total Sanitation Project - Preliminary findings and implications (Animal component) Michel Dione, Ahmadou Sow, Elizabeth Thomas, Laura Kwong, Hazara Ouedraogo, Jacques Hlaibi, Natalie De la Cruz, Kirk Dearden and USCET team 3rd June 2021
  2. 2 Background • Predominantly small ruminants (sheep and goats) • Ethnical groups: Fulani and Bambara • Ongoing CLTS activities Village Commune Distance from main road (kms) Literacy rate per commune Men Literacy rate per commune Women % of houses with electricity Sheep/Goat Cat/Dog Donkey/Horse Poultry Guinea pig KAKORO WERE Boidie 19 53 47 20 xx x x x x FARABOUGOU Konobougou 20 90.19 70.11 66 xx x x x x WELAKOURA Konobougou 3 90.19 70.11 57 xx x x x x SOMO WERE 2 Somo 14 52 48 85 xx x x x x DENINKOURA Tamani 1.5 54 46 90 xx x xx x x
  3. 3 1. Key informant interviews (health programs) 2. Key informant interviews (animal health officers) 3. Group discussion on animals, animal sickness, and animal feces 4. Group discussion on children's activities and feces disposal 5. Seasonal calendar 6. Participatory Mapping of Livestock Resources and Movements 7. Individual interview (animal, animal sickness, and animal feces) 8. Individual interview (children’s activities and feces disposal) 9. Individual interview (village leaders) 10. A-CLTS unstructured observations form Data collection toolkit
  4. 4 Training of enumerators and field testing • Location: Tamani, Ségou • 6 USCET staff (1 sociologist, 1 vet, 2 project managers , 1 lawyer and 1 economist) • Objectives: • Acquire skills in group facilitation and note taking • Become familiar with concepts of behavioral change, beliefs, opinions, emotions, and often conflicting relationships between individuals during group meeting. • Challenges • Understanding of some technical terminologies and difficulty in their translation into local language. • Difficulty in mobilizing participants for the field testing, especially women and organizing the group's environment given that meetings took places in houses, hence interruptions by family members and neighbors could not be avoided.
  5. 5 Data collection • Site selection criteria: ethnical group diversity and livestock population • Nine (9) Key informant interviews • 15 group discussions (3 per village; men-group, women- group, and women caregiver) • 30 individual interviews were conducted in each village, (6 per village) • 15 households observed ( 3 per village; child category of 6- 11 months; 12-23 months; 24-35 months and 36 -59 months)
  6. 6 Results – Ranking the importance of animals by community members Acteurs/Village 1 2 3 4 5 6 7 FGD_WBD_SDB Cattle Sheep Goat Donkey Poultry Dog/cat - FGD_WBD_SDW Ovins Goat Donkey Poultry Chien/Chat - - FGD_WBD_SPL Sheep/goat Poultry Donkey Cattle - - - FDG_MBD_SDB Cattle Sheep Goat Donkey Poultry Horse - FGD_MBD_SDW Cattle Sheep Goat Donkey Poultry Horse Dog/cat FGD_MBD_SPL Cattle Sheep Donkey Poultry Dog Cat Horse Poultry: chicken, Guinea fowl, duck, pigeon • Small ruminants (sheep and goats) ate very important • Women tend to raise small ruminants and poultry, while men tend to focus on cattle • Poultry also important but less than small ruminants especially for women
  7. 7 Results – Roles of animal keeping Species Roles (Women) Roles (men) Cattle - Monetary value (high investment) - Milk - Monetary value (high investment) - Milk - Labor - Manure Sheep - Easy to manage - Manure for gardiens - Meat during social events (Eid) - Mean for income - Mean of income - Expenses for social events - Manure for gardens and crops - Milk Goat - Mean of income for children's clothes - Milk - Manure - Meat (consumption) - Income - Meat for guests Donkey - Transport (wood, vegetables) - Manure - Transport of goods to markets - Transport (manure and goods) - Manure - Traction (water for cattle) Horse - - Un-common (prestige) Poultry - Income for small expenses (soap, clothes) - Source of income for small expendirures (USD 10 – USD 20) ; School fees, clothes and spicies - Home consomption (for guests) Guinea fowl - Source of income (sale of eggs ; small expenses – spicies for cooking, clothes, soap, shoes) - Community savings Duck - Home consomption - Source of income Pigeons - Source of income for kids (during holidays) Dog - Security - Hunting (rabbits and monkeys) - Security - Hunting (rabbits and monkeys Cat - Hunting (mouse) - Hunting (mouse) Livestock is a living bank
  8. 8 Results – Animal management practices • Feeding: livestock feed on pasture during rainy season and crop residues during dray seasons. Oxen, pregnant pre-calving cows and milking cows benefit from concentrate supplements. Poultry scavenge and dogs/cats are fed by women on left over food in the Household. • Women feed poultry, dogs and cats and water small ruminants, donkeys at home • Adult men and children: look after livestock in pastures • Children take care of pigeons • Watering: wells or boreholes during the dry season and from temporary water points such as rivers and stagnant water points during the rainy season. • Milking: men are responsible for milking cows, while women are responsible for milking small ruminants; • Slaughtering practices: • Home slaughter: men are responsible for slaughter; children process offal's and women cook the food • Slaughter slabs: thy are very few and not maintained well
  9. 9 Results – Confinement strategies Chicken house Goat enclosure Sheep enclosure Cattle enclosure near the household Cattle enclosure away from the household Donkey enclosure
  10. 10 Results – Scavenging practices Scavenging chicken Scavenging donkey Scavenging goat Scavenging sheep
  11. 11 Results – Animal Health Management • Disease occurrence • Cattle: distomatosis (high mortality) , Foot and Mouth Disease (FMD), Trypanosomiasis, Anthrax (zoonose- high mortality); Lumpy skin disease (LSD) (high morbidity), les skin affections and Contagious Bovine Peri-Pneumonia (CBPP) • Small ruminants: pest des Petits Ruminants (PPR), internal parasites (Taenia solium- zoonotic); Pasteurellosis; Contagious Caprine Peri-Pneumonia (CCPP); FMD; sheep pox. • Poultry: New Castle Disease, Gumboro, internal parasites (high mortality on Guinea fowl); fowl pox • Dogs/Cats: Rabbies; Carre disease, Pneumonia • Donkey: respiratory syndromes • Vaccination • Cattle is vaccinated by the vet at the park • Small ruminants and poultry is vaccinated a home by the vet or the farmer himself • Cattle 150 FCFA – SR 100 FCFA and 90 FCFA poultry • Treatment • Antibiotic (oxytetracycline/amoxicillin), berenil (anti-trypanosome) and deworming (Ivermectin – large spectrum) • Self medication • Gender issues • Men call the vet but the fees are met by the owner of the animal
  12. 12 Results – Animal waste management Manure • Manure generated by livestock kept outside of the household is managed by men; collected one a year before the rainy season and dispersed in the crop fields • Manure generated by livestock kept in the household (small ruminants and poultry) is managed by women for home gardening and for crops. • Manure of donkey and horses are mixed with those of cattle • Women clean the compound and street and pile the waste for manure • To avoid children, interfere with waste, pit or enclosure made of bricks or wood are used to host the manure • Some farmers have reported practicing composting
  13. 13 Results – Animal waste management Composting vegetable garden Small ruminant manure pilled at vegetable garden Cattle surrounding water point used by both men and animal Manure and waste piled up in the household in enclosure and pit to avoid kid interference
  14. 14 Results – Animal waste management • Parturition • Placenta waste is hanged in the household until it dries and piled with manure (related to believes) • Slaughter waste • Home slaughter waste is piled with manure • Slaughter slab waste is left onsite – rooming animals such s dogs can interfere • Handling of dead animals • Carcasses of dead animals is thrown away from the household • Risk of telluric diseases (Clostridium) • Management of carcass of sick animals • Dying animals of unknown disease can be slaughtered, and meat consumed by household members
  15. 15 Results – Interactions between humans and animals Child playing with animal feces Child playing with animal feces Toys on the ground Activities of children
  16. 16 Results – Interaction between human and animals • Feeding/watering • Most interaction happen the evening through husbandry practices • Household members use bare hands to feed, treat, water and clean animals • Management of sick animals at home • Sick animals remains home with children (more likely to interact with children) • Children’s activities • Children get in contact with animals through playground • Milking practices • Bare hands, dirty containers, not processing milk • Slaughtering • No dedicated slaughter area • All family members are involved in the home slaughtering and processing • Activities of caregivers • Core homework • Gardening
  17. 17 • Most common diseases listed in humans are malaria, diarrhoea, cough and vomiting • Rabbies and Anthrax have been listed by vets as beeing highly prevalent • Participants think that animal feces can be a source of disease to human through vectors such as mosquitos and flies • Feces of small ruminants and donkeys are percieved as higher risk compared to other livestock because they are closer to household members. • Men did not refer to poultry feces that much • Men are aware of a disease that can be transmitted to human during transhumance (but no knowledge about the transmission pathway) • Limited knowldege of communities of zoonotic diseases Results – Awareness of zoonotic disaeses
  18. 18 • Most common child diseases are Malaria, diarreoa and Varicella • Cause of dirrhoea: eating outside, dirty water, rotten food, exposure of children to sun and dirty hands • Communities are aware of good practices to avoid contamination such as use of latrines, confirment of animals to avoid interaction and cleaning the counpound. Results – Child health and risk perception
  19. 19 Results – Home gardening and waste management Cabbage Tomato Lettuce Onion
  20. 20 Results – Home gardening and waste management • Manure is piled in the garden and poured water for one week before applying to plants • The frequency for applying manure is every 15 days to one month • The best manure is those of small ruminants • There is also high use of pesticides
  21. 21 Results – Crop seasonal calendar (ex. Siguidolo Bamanan) 0 10 20 30 40 50 60 70 80 90 Janv Fév Mars Avril Mai Juin Juil Aout Sept Oct Nov Dec Pluviométrie mil Semis sorgho Semis maïs Semis haricot Recolte de mil Recolte sorgho Recolte maïs Recolte haricot Maraichage Salade Maraichage Tomate Maraichage Concombre
  22. 22 Results – Animal Disease- seasonal calendar (ex. Siguidolo Bamanan) 0 5 10 15 20 25 30 35 40 Janv Fév Mars Avril Mai Juin Juil Aout Sept Oct Nov Dec Bovin-Trypano Bovin--kegnel Bovin--charbon Bovin--Armam Bovin--gales PR-Trypano PR-kegnel PR-charbon PR-Armam PR-gales Volaille-Pasteur Volaille-variole Volaille-pathol respir Volaille-NCD
  23. 23 Results – Resource map (ex. Siguidolo Bamanan)
  24. 24 Interventions– Method used Structural interventions Biological and chemical interventions Focus on changing the political- economic context where health is produced or reproduced Include strategies such as competitive exclusion, as well as applying products to eliminate pathogens Educational and behavioral interventions Infrastructures and apparatus interventions Focus on changing practices of individuals such as farmers or community members through education and other behavioral techniques Focus on changing the physical environment and protocols included for animal husbandry such as flooring types and regimes Chris Pinto, 2020
  25. 25 Bio exclusion (prevent introduction of a new pathogen) • Disease management • Vaccination strategy • Deworming schedule • Rational use of antibiotics and acaricides • Confinement • Promote improved housing for small ruminants (avoid contact of animal with own excreta –bedding material) • Promoted improved chicken coops • Biosecurity protocols • Cleaning and disinfection • Improve farm environment • Personal hygiene practices for farms workers and household members Potential interventions
  26. 26 Biocontainment (to prevent escape of pathogen to neighbours) • Bio-secure disposal method of infected animals • Containment of sick animals at home (to avoid pathogens from escaping form the farm) • Disposal of dead animal (burial methods) • Mitigating the risk from animal manure • Different composting techniques (manure and droppings) requiring little water. • Technique of spreading poultry droppings (between lines) as part of home gardening. Potential interventions
  27. 27 Potential interventions Bio-management (control and manage pathogens already in the farm/houshold) • One Health biosecurity protocols at household level • Handling of live animals and their products, household, veterinary products, pesticides and farm hygiene • Implementation of strategies to prevent and control mastitis in cows and contaminates milk of small ruminants • Set of hygienic milking practices (ex. changing milking order and techniques) o Using disposables gloves during milking of hand washing o Use of individual towel for wiping teats o Post-milking teat dipping
  28. 28 • Capacity building • Training of public and private health workers (animal and human) and communities on syndromic and community- based surveillance and reporting of zoonotic diseases. • Waste mangement at water points • Child Health • Raise awareness of caregivers of the risk children face when playing with animal waste • Food preparations that cover the needs of children so as not to eat the soil Potential interventions
  29. 29 Critical analysis – Barriers identified Cost Feasibility - Doubts about cost effectiveness - Lack of economic incentive - Loss productivity because of lack of diagnosis - Expectations are practically hard to follow - Not culturally/socially possible - Inconvenience - Doubt about the intervention necessity - Time constraints Study Characteristics Context - Insufficient sample size - Short study design - Inconsistency (i.e. application of intervention by assessor - Very few structural interventions - Complex situational realities (i.e more than just infectious agent is causative of issue) - Geographical fit (ex ethnical group) - Policy/ regulations - Setting/organization of the community Chris Pinto, 2020
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