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Community, system and policy level drivers of bovine tuberculosis in smallholder periurban dairy farms in India: a qualitative enquiry
Publ Hlth Fdn India, Plot 47,Sect 44, Gurgaon 122002, Haryana, India;Univ Liege, Dept Publ Hlth Sci, Fac Med, Hosp Dist, Hippocrates Ave 13,Bldg 23, B-4000 Liege, Belgium.
Indian Inst Publ Hlth, Gurgaon 122002, Haryana, India;Univ Canberra, Ctr Res & Act Publ Hlth CeRAPH, Bldg 22,Floor B,Univ Dr, Bruce, ACT 261, Australia.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology. Int Livestock Res Inst, Nairobi 3070900100, Kenya.ORCID iD: 0000-0002-1175-0398
Int Livestock Res Inst, Nairobi 3070900100, Kenya.
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2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 301Article in journal (Refereed) Published
Abstract [en]

Background

Rapid urbanization has led to expansion of peri-urban fringes, where intensive, industry-style livestock rearing has led to emerging vulnerabilities at the human-animal-environment interface. This study was undertaken to understand the health system and farm-level factors that influenced the risk of transmission of bovine Tuberculosis (bTB) in animals and humans in peri-urban smallholder dairy farms of India.

Methods

Thematic guides were developing through literature review and expert consultation. In-depth interviews were conducted till attainment of saturation. Identification of core themes was followed by etiological enquiry and generation of a conceptual model.

Results

Veterinarians were consulted as a last resort after home-remedies and quacks had failed. Damage control measures, especially with respect to- selling or abandoning sick animals, added to the risk of disease transmission. Although civic authorities believed in the adequacy of a functioning laboratory network, end users were aggrieved at the lack of services. Despite the presence of extension services, knowledge and awareness was limited, promoting risky behaviour. The absence of cogent policies in dealing with bTB was a significant barrier. Stakeholders did not consider bTB to be a major concern. It is possible that they underestimate the problem.

Conclusion

The current study helps to identify gaps which need to be addressed through collaborative research, and OneHealth interventions to build community awareness.

Place, publisher, year, edition, pages
2019. Vol. 19, article id 301
Keywords [en]
Bovine tuberculosis, Dairy farm, Dairy farmers, Qualitative, Zoonoses, India
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-381086DOI: 10.1186/s12889-019-6634-3ISI: 000461300200002PubMedID: 30866894OAI: oai:DiVA.org:uu-381086DiVA, id: diva2:1306303
Available from: 2019-04-23 Created: 2019-04-23 Last updated: 2019-04-23Bibliographically approved

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