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坦桑尼亚小农户对新城疫疫苗的采用:确定决定因素和障碍。

Newcastle disease vaccine adoption by smallholder households in Tanzania: Identifying determinants and barriers.

机构信息

Paul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.

Nelson Mandela African Institution of Science and Technology (NM-AIST), Arusha, Tanzania.

出版信息

PLoS One. 2018 Oct 24;13(10):e0206058. doi: 10.1371/journal.pone.0206058. eCollection 2018.

Abstract

BACKGROUND

Food security is critical to achieving sustainable growth, poverty reduction, and political and economic stability. Livestock have the potential to improve the food security of smallholder households in developing countries, but livestock productivity is constrained by disease. The extent to which households adopt innovations such as vaccines impacts disease control; however, the behavioral and economic drivers underlying household decisions to adopt or forgo vaccination are not well understood. We address this gap with a study of adoption of Newcastle disease (ND) vaccines by chicken-owning households in Tanzania.

METHODS

A cross-sectional survey was administered to 535 households owning indigenous chickens in Arusha, Singida, and Mbeya regions in Tanzania. We measured potential predictors of ND vaccine adoption including knowledge, attitudes, and practices. Logistic regression was used to identify predictors correlated with three stages of household adoption: awareness of ND vaccines, previous vaccination, and recent vaccination (within four months) consistent with veterinary guidelines.

RESULTS

Eighty percent of households were aware of ND vaccines, 57% had previously vaccinated, and 26% had recently vaccinated. Knowing someone who vaccinated increased the odds of a household previously vaccinating [adjusted odds ratio (AOR): 1.32, 95% CI: 1.1-1.5]. Larger flock size was also associated with higher odds of previous vaccination (AOR: 1.03 for a one chicken increase, 95% CI: 1.01-1.05). Usage of traditional medicine decreased the odds of previously vaccination (AOR: 0.58, 95% CI: 0.36-0.95).

CONCLUSION

Our findings suggest that encouraging the flow of professional-level knowledge within the community by vaccine adopters is a strategy to increase vaccine adoption. Enhancing local chicken productivity through increased vaccine coverage would strengthen a key smallholder household resource for food and economic security.

摘要

背景

粮食安全对于实现可持续增长、减贫以及政治和经济稳定至关重要。畜牧业有潜力改善发展中国家小农户的粮食安全,但畜牧业生产力受到疾病的限制。家庭采用疫苗等创新措施的程度会影响疾病控制;然而,家庭决定采用或放弃疫苗接种的行为和经济驱动因素尚未得到很好的理解。我们通过对坦桑尼亚养鸡户采用新城疫(ND)疫苗的情况进行研究来解决这一差距。

方法

我们对坦桑尼亚阿鲁沙、辛吉达和姆贝亚地区的 535 户饲养本地鸡的家庭进行了横断面调查。我们测量了 ND 疫苗采用的潜在预测因素,包括知识、态度和做法。使用逻辑回归确定了与家庭采用的三个阶段相关的预测因素:对 ND 疫苗的认识、以前的接种情况以及兽医指南规定的最近(四个月内)接种情况。

结果

80%的家庭了解 ND 疫苗,57%的家庭以前接种过疫苗,26%的家庭最近(四个月内)接种过疫苗。知道有人接种过疫苗会增加家庭以前接种疫苗的几率[调整后的优势比(AOR):1.32,95%置信区间(CI):1.1-1.5]。更大的鸡群规模也与以前接种疫苗的几率更高相关(每增加一只鸡的 AOR:1.03,95%CI:1.01-1.05)。使用传统医学会降低以前接种疫苗的几率(AOR:0.58,95%CI:0.36-0.95)。

结论

我们的研究结果表明,通过疫苗接种者在社区内传播专业知识,可以作为增加疫苗接种的策略。通过提高疫苗覆盖率来提高本地鸡的生产力,将增强小农户家庭获得食物和经济安全的一个关键资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af92/6200240/3a4b70bc071a/pone.0206058.g001.jpg

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