Ngwili Nicholas, Thomas Lian, Githigia Samuel, Johnson Nancy, Wahome Raphael, Roesel Kristina
Animal and Human Health Program, International Livestock Research Institute, Nairobi, Kenya.
Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya.
Front Vet Sci. 2022 Apr 7;9:833721. doi: 10.3389/fvets.2022.833721. eCollection 2022.
is a zoonotic parasite causing three diseases: Taeniasis and cysticercosis in humans and porcine cysticercosis in pigs. Although biomedically, the transmission of the parasite can be easily interrupted at six points along the life cycle, the contextual factors that may influence the adoption of these control strategies in Uganda remain unclear. This study assessed the stakeholders' knowledge, attitudes, and perceptions relating to the six control strategies for infections in Kamuli and Hoima districts, Uganda. A total of 22 focus group discussions (FGD) were conducted with pig farmers, community leaders, pig/pork traders, animal health assistants, and human health assistants. In addition, nine key informant interviews were held with senior officials in the ministries of agriculture and health and other relevant agencies at the district level. The results showed differential, limited, and fragmented knowledge on infections among stakeholders. Pig farmers, community leaders, and pig/pork traders had almost no knowledge and were often confused regarding the differences existing between and other gastro-intestinal infections in pigs and humans. Pig confinement, pit latrine construction, coverage, maintenance, and sustained use are influenced by cultural, socio-economic, and physical/ environmental factors of the study population and area. Proper sensitisation programmes and health education interventions should target all, but with appropriately focused material to suit the different stakeholder categories. Reminders or nudges may be needed to ensure that increase in knowledge translates to changes in practise. Intervention programmes should also aim to overcome challenges created by the various contextual factors operating in the specific endemic areas.
是一种人畜共患寄生虫,可引发三种疾病:人类的绦虫病和囊尾蚴病以及猪的猪囊尾蚴病。虽然从生物医学角度来看,该寄生虫的传播在其生命周期的六个环节都可轻易阻断,但在乌干达,可能影响这些控制策略采用的背景因素仍不明确。本研究评估了乌干达卡穆利区和霍伊马区利益相关者对 感染的六种控制策略的知识、态度和认知。与养猪户、社区领袖、猪/猪肉交易商、动物卫生助理和人类卫生助理共进行了22次焦点小组讨论(FGD)。此外,还与农业和卫生部以及地区一级其他相关机构的高级官员进行了9次关键信息人访谈。结果显示,利益相关者对 感染的知识存在差异、有限且零散。养猪户、社区领袖和猪/猪肉交易商几乎不了解情况,并且常常混淆 与猪和人类其他胃肠道感染之间的差异。猪的圈养、坑式厕所的建造、覆盖范围、维护和持续使用受到研究人群和地区的文化、社会经济以及自然/环境因素的影响。适当的宣传方案和健康教育干预措施应针对所有人,但要有针对性地提供适合不同利益相关者类别的材料。可能需要提醒或推动措施,以确保知识的增加转化为行为的改变。干预方案还应旨在克服特定流行地区各种背景因素所带来的挑战。