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Knowledge, attitudes, and practices regarding cystic echinococcosis and sheep herding in Peru: a mixed-methods approach

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dc.contributor.author Merino, Veronika
dc.contributor.author Westgard, Christopher M.
dc.contributor.author Bayer, Angela M.
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2019-01-25T15:28:04Z
dc.date.available 2019-01-25T15:28:04Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4687
dc.description.abstract BACKGROUND: The parasitic disease, cystic echinococcosis (CE), is prevalent in low-income, livestock-raising communities and 2000 new people will be diagnosed this year in South America alone. The disease usually passes from livestock to dogs to humans, making it a zoonotic disease and part of the One Health Initiative. Control of CE has been infamously difficult; no endemic areas of South America have succeeded in maintaining sustainable eradication of the parasite. For the current study, we aimed to gain a better understanding of the knowledge, attitudes, and practices of rural sheep farmers and other community leaders regarding their sheep herding practices and perspectives about a control program for CE. We also hope to identify potential barriers and opportunities that could occur in a control program. The authors conducted Knowledge, Attitude and Practices (KAP) surveys and semi-structured interviews in rural communities in the highlands of Peru. The KAP surveys were administered to 51 local shepherds, and the semi-structured interviews were administered to 40 individuals, including shepherds, community leaders, and health care providers. RESULTS: We found that the shepherds already deworm their sheep at a median of 2 times per year (N = 49, range 2-4) and have a mean willingness-to-pay of U.S. $ 0.60 for dog dewormer medication (N = 20, range = 0.00- $2.00 USD). We were not able to learn the deworming agent or agents that were being used, for neither sheep nor dogs. Additionally, 90% of shepherds slaughter their own sheep (N = 49). We also learned that the main barriers to an effective control program include: lack of education about the cause and control options for CE, accessibility to the distant communities and sparse grazing pastures, and a lack of economic incentive. CONCLUSIONS: Findings suggest it may be feasible to develop an effective CE control program which can be used to create an improved protocol to control CE in the region. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Veterinary Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health Knowledge, Attitudes, Practice en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Animal Husbandry/methods en_US
dc.subject Animals en_US
dc.subject Anthelmintics/economics/therapeutic use en_US
dc.subject Dog Diseases/drug therapy/parasitology en_US
dc.subject Dogs en_US
dc.subject Echinococcosis en_US
dc.subject Echinococcosis/prevention & control/transmission/veterinary en_US
dc.subject Echinococcus granulosus en_US
dc.subject Echinococcus granulosus/immunology en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject Sheep en_US
dc.subject Sheep Diseases/drug therapy/parasitology en_US
dc.subject Surveys en_US
dc.subject Vaccines/economics/immunology en_US
dc.subject Zoonoses en_US
dc.subject Zoonoses/parasitology/prevention & control/transmission en_US
dc.title Knowledge, attitudes, and practices regarding cystic echinococcosis and sheep herding in Peru: a mixed-methods approach en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12917-017-1130-4
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#4.03.00
dc.relation.issn 1746-6148


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