Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya

Effective surveillance for infectious diseases is an essential and resource-consuming activity for mitigating unwanted consequences for animal and public health. Allocation of scarce resources for surveillance must be considered against alternative prevention and control measures and regularly rev...

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Main Authors: Hannah, H., Kimani, T., Irungu, P., Grace, Delia, Randolph, Thomas F.
Format: Poster
Language:Inglés
Published: International Livestock Research Institute 2012
Subjects:
Online Access:https://hdl.handle.net/10568/21736
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author Hannah, H.
Kimani, T.
Irungu, P.
Grace, Delia
Randolph, Thomas F.
author_browse Grace, Delia
Hannah, H.
Irungu, P.
Kimani, T.
Randolph, Thomas F.
author_facet Hannah, H.
Kimani, T.
Irungu, P.
Grace, Delia
Randolph, Thomas F.
author_sort Hannah, H.
collection Repository of Agricultural Research Outputs (CGSpace)
description Effective surveillance for infectious diseases is an essential and resource-consuming activity for mitigating unwanted consequences for animal and public health. Allocation of scarce resources for surveillance must be considered against alternative prevention and control measures and regularly reviewed. Few studies estimate cost-effectiveness and benefits of different animal disease surveillance approaches and systems. In this study, we considered the benefits and resource costs of participatory epidemiology (PE) surveys and participatory disease surveillance (PDS) compared with routine passive surveillance. Focusing on a 6-month interval in a primarily pastoralist district in Kenya, basic performance indicators for surveillance measured were (1) number of outbreaks; (2) number of samples generated from suspected outbreaks; (3) number of positive laboratory confirmations. Costs of passive surveillance and interventions mounted were determined for the 6-month interval. In the same district, PE surveys were conducted in randomly selected communities to determine the number of outbreaks of notifiable cattle diseases in the same 6-month interval. Additional information was collected on the scale of morbidity and mortality for historical outbreaks (numbers and duration), the value of individual animals and the number of active outbreaks. Costs associated with mounting PE visits were ascertained and extrapolated to district level. One month after completion of PE visits, district level stakeholders were interviewed to determine the response, if any, to outbreaks detected during the visits. The study provides cost effectiveness estimates at a district level for the 6-month interval, including losses which occurred from outbreaks missed by passive surveillance and costs if PE were applied at regular intervals. In addition, the findings consider available prevention and control responses and provide decision-makers with evidence to inform future application of participatory approaches in animal disease surveillance.
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spelling CGSpace217362023-02-15T10:40:33Z Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya Hannah, H. Kimani, T. Irungu, P. Grace, Delia Randolph, Thomas F. animal diseases disease control Effective surveillance for infectious diseases is an essential and resource-consuming activity for mitigating unwanted consequences for animal and public health. Allocation of scarce resources for surveillance must be considered against alternative prevention and control measures and regularly reviewed. Few studies estimate cost-effectiveness and benefits of different animal disease surveillance approaches and systems. In this study, we considered the benefits and resource costs of participatory epidemiology (PE) surveys and participatory disease surveillance (PDS) compared with routine passive surveillance. Focusing on a 6-month interval in a primarily pastoralist district in Kenya, basic performance indicators for surveillance measured were (1) number of outbreaks; (2) number of samples generated from suspected outbreaks; (3) number of positive laboratory confirmations. Costs of passive surveillance and interventions mounted were determined for the 6-month interval. In the same district, PE surveys were conducted in randomly selected communities to determine the number of outbreaks of notifiable cattle diseases in the same 6-month interval. Additional information was collected on the scale of morbidity and mortality for historical outbreaks (numbers and duration), the value of individual animals and the number of active outbreaks. Costs associated with mounting PE visits were ascertained and extrapolated to district level. One month after completion of PE visits, district level stakeholders were interviewed to determine the response, if any, to outbreaks detected during the visits. The study provides cost effectiveness estimates at a district level for the 6-month interval, including losses which occurred from outbreaks missed by passive surveillance and costs if PE were applied at regular intervals. In addition, the findings consider available prevention and control responses and provide decision-makers with evidence to inform future application of participatory approaches in animal disease surveillance. 2012-08-20 2012-09-09T09:23:41Z 2012-09-09T09:23:41Z Poster https://hdl.handle.net/10568/21736 en Open Access International Livestock Research Institute Hannah, H., Kimani, T., Irungu, P., Grace, D. and Randolph T. 2012. Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya. Poster prepared for the 13th conference of the International Society for Veterinary Epidemiology and Economics, Maastricht, the Netherlands, 20-24 August 2012. Nairobi, Kenya: ILRI.
spellingShingle animal diseases
disease control
Hannah, H.
Kimani, T.
Irungu, P.
Grace, Delia
Randolph, Thomas F.
Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title_full Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title_fullStr Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title_full_unstemmed Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title_short Participatory disease surveillance: Cost effectiveness relative to passive surveillance in Kajiado County, Kenya
title_sort participatory disease surveillance cost effectiveness relative to passive surveillance in kajiado county kenya
topic animal diseases
disease control
url https://hdl.handle.net/10568/21736
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