A trans-disciplinary study on the health risks of cryptosporidiosis from dairy systems in Dagoretti,Nairobi, Kenya: study background and farming system characteristics

This paper characterises the dairy farming system in Dagoretti, Nairobi. Characterisation was part of a broader ecohealth project to estimate the prevalence and risk of cryptosporidiosis and develop risk mitigation strategies. In the project a trans-disciplinary team addressed epidemiological, socioeconomic, environmental and policy aspects of cryptosporidiosis, an emerging zoonosis. This paper also provides background and describes sampling methods for the wider project. Three hundred dairy households were probabilistically sampled from a sampling frame of all dairy households in five of the six locations of Dagoretti, one of the eight districts of Nairobi Province. Randomly selected households identified 100 non-dairy-keeping households who also took part in the study. A household questionnaire was developed, pre-tested and administered in the dry and wet seasons of 2006. An additional study on livelihood and economic benefits of dairying took place with 100 dairy farmers randomly selected from the 300 farms (as well as 40 non-dairy neighbours as a control group), and a risk-targeted survey of environmental contamination with Cryptosporidium was conducted with 20 farmers randomly selected from the 29 farmers in the wider survey who were considered at high risk because of farming system. We found that around 1 in 80 urban households kept dairy cattle with an average of three cattle per household. Cross-breeds of exotic and local cattle predominate. Heads of dairy-keeping households were significantly less educated than the heads of non-dairy neighbours, had lived in Dagoretti for significantly longer and had significantly larger households. There was a high turnover of 10 % of the cattle population in the 3-month period of the study. Cattle were zero grazed, but productivity parameters were sub-optimal as were hygiene and husbandry practices. In conclusion, dairy keeping is a minor activity in urban Nairobi but important to households involved and their community. Ecohealth approaches are well suited to tackling the complex problem of assessing and managing emerging zoonoses in urban settings.     

Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya

We carried out a participatory risk assessment to estimate the risk (negative consequences and their likelihood) from zoonotic Cryptosporidium originating in dairy farms in urban Dagoretti, Nairobi to dairy farm households and their neighbours. We selected 20 households at high risk for Cryptosporidium from a larger sample of 300 dairy households in Dagoretti based on risk factors present. We then conducted a participatory mapping of the flow of the hazard from its origin (cattle) to human potential victims. This showed three main exposure pathways (food and water borne, occupational and recreational). This was used to develop a fault tree model which we parameterised using information from the study and literature. A stochastic simulation was used to estimate the probability of exposure to zoonotic cryptosporidiosis originating from urban dairying. Around 6?% of environmental samples were positive for Cryptosporidium. Probability of exposure to Cryptosporidium from dairy cattle ranged from 0.0055 for people with clinical acquired immunodeficiency syndrome in non-dairy households to 0.0102 for children under 5?years from dairy households. Most of the estimated health burden was born by children. Although dairy cattle are the source of Cryptosporidium, the model suggests consumption of vegetables is a greater source of risk than consumption of milk. In conclusion, by combining participatory methods with quantitative microbial risk assessment, we were able to rapidly, and with appropriate 'imprecision', investigate health risk to communities from Cryptosporidium and identify the most vulnerable groups and the most risky practices.     

Prevalence of cryptosporidiosis in dairy cattle, cattle-keeping families, their non-cattle-keeping neighbours and HIV-positive individuals in Dagoretti Division, Nairobi, Kenya

This paper reports a study estimating the prevalence of cryptosporidiosis, an emerging zoonosis, in people and cattle in Dagoretti, Nairobi. A repeated cross-sectional survey was carried out among randomly selected cattle keepers in Dagoretti, their dairy cattle and their non-cattle-keeping neighbours in the dry and wet seasons of 2006. A survey was also carried out among a group of people living with human immunodeficiency virus (HIV). Faecal samples were examined for Cryptosporidium oocysts using the modified Ziehl-Neelsen method; 16?% of the samples were also examined using immunofluorescence antibody (IFA) technique. Quality control consisted of blind reviews of slides, examining split samples and confirming slide results with IFA. We found that members of dairy households had a dry season cryptosporidiosis prevalence of 4?% and wet season prevalence of 0.3?%, and non-dairy households, a prevalence of 5 and 0?%, respectively. The cattle dry season prevalence was 15?%, and the wet season prevalence, 11?%. The prevalence in people living with HIV was 5?%. The laboratory quality control system showed some inconsistency within and between different tests, indicating challenges in obtaining consistent results under difficult field and working conditions. In conclusion, this is the first reported study to simultaneously survey livestock, livestock keepers and their neighbours for cryptosporidiosis. We failed to find evidence that zoonotic cryptosporidiosis is important overall in this community. This study also draws attention to the importance of quality control and its reporting in surveys in developing countries.     

Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti,Nairobi, Kenya

We carried out a participatory risk assessment to estimate the risk (negative consequences and their likelihood) from zoonotic Cryptosporidium originating in dairy farms in urban Dagoretti, Nairobi to dairy farm households and their neighbours. We selected 20 households at high risk for Cryptosporidium from a larger sample of 300 dairy households in Dagoretti based on risk factors present. We then conducted a participatory mapping of the flow of the hazard from its origin (cattle) to human potential victims. This showed three main exposure pathways (food and water borne, occupational and recreational). This was used to develop a fault tree model which we parameterised using information from the study and literature. A stochastic simulation was used to estimate the probability of exposure to zoonotic cryptosporidiosis originating from urban dairying. Around 6 % of environmental samples were positive for Cryptosporidium. Probability of exposure to Cryptosporidium from dairy cattle ranged from 0.0055 for people with clinical acquired immunodeficiency syndrome in non-dairy households to 0.0102 for children under 5 years from dairy households. Most of the estimated health burden was born by children. Although dairy cattle are the source of Cryptosporidium, the model suggests consumption of vegetables is a greater source of risk than consumption of milk. In conclusion, by combining participatory methods with quantitative microbial risk assessment, we were able to rapidly, and with appropriate ‘imprecision’, investigate health risk to communities from Cryptosporidium and identify the most vulnerable groups and the most risky practices.     

Outcome mapping for fostering and measuring change in risk management behaviour among urban dairy farmers in Nairobi, Kenya

A study was undertaken to investigate and mitigate the risk from zoonotic Cryptosporidium associated with dairy farming in Dagoretti division, Nairobi, Kenya. Outcome mapping (OM), a relatively new tool for planning and evaluation, was used to foster and then monitor changes in farmer management of health risks. Elements of the OM framework, including the vision, mission and expected progress markers, were developed in participatory sessions and a set of progress markers was used for monitoring behaviour change in farmers participating in the project (the boundary partners). Behaviour change (the outcome challenge) was supported by a range of awareness and educational campaigns, working with strategic partners (extension agents and administrative leaders). The farmers the project worked with made considerable progress according to the markers; they demonstrated an understanding of cryptosporidiosis, established or maintained clean and well drained cattle sheds, and took conscious effort to reduce possible infection. Farmers who did not participate in the project (non-contact farmers) were found to be less advanced on the progress marker indicators. Non-contact farmers who carried out risk-reducing practices had done so independently of the project team. The administration leaders, as strategic partners, had a positive attitude towards the project and confidence in their ability to support project objectives. The study demonstrates the utility of OM in helping to identify and support behavioural change.     

Outcome mapping for fostering and measuring change in risk management behaviour among urban dairy farmers in Nairobi,Kenya

A study was undertaken to investigate and mitigate the risk from zoonotic Cryptosporidium associated with dairy farming in Dagoretti division, Nairobi, Kenya. Outcome mapping (OM), a relatively new tool for planning and evaluation, was used to foster and then monitor changes in farmer management of health risks. Elements of the OM framework, including the vision, mission and expected progress markers, were developed in participatory sessions and a set of progress markers was used for monitoring behaviour change in farmers participating in the project (the boundary partners). Behaviour change (the outcome challenge) was supported by a range of awareness and educational campaigns, working with strategic partners (extension agents and administrative leaders). The farmers the project worked with made considerable progress according to the markers; they demonstrated an understanding of cryptosporidiosis, established or maintained clean and well drained cattle sheds, and took conscious effort to reduce possible infection. Farmers who did not participate in the project (non-contact farmers) were found to be less advanced on the progress marker indicators. Non-contact farmers who carried out risk-reducing practices had done so independently of the project team. The administration leaders, as strategic partners, had a positive attitude towards the project and confidence in their ability to support project objectives. The study demonstrates the utility of OM in helping to identify and support behavioural change.     

Temporal dynamics of dairy health and production in rural smallholder communities in Northern Vietnam

The objective of this field study was to describe the temporal pattern of dairy cattle health and production and associated risk factors in rural smallholder communities in northern Vietnam, one of the target areas of the government's dairy development programme. A total of 99 dairy farms (11 per commune) were recruited from 9 of 32 communes in Ba Vi District, Ha Tay Province, using random two-stage cluster sampling. All dairy cattle present on the selected farms were included. After the initial questionnaire survey was conducted, farms were visited to collect follow-up information at 3-monthly intervals over a period of one year. The results suggest that offtake as well as mortality are important productivity indices because farmers sell or slaughter dairy cattle that are in poor health at low prices during summer months. Changes in relation to the farming operation suggest that for the farmers adopting dairy production it has become one of the main agricultural activities.     

Seropositivity and risk factors for Brucella in dairy cows in urban and peri-urban small-scale farming in Tajikistan

In this cross-sectional study, we assessed and mapped the seroprevalence of brucellosis in small-scale dairy farming in an urban and peri-urban area of Tajikistan and investigated factors associated with seropositivity. As urban and peri-urban farming is both an opportunity to improve the livelihood for small-scale farmers and a potential public health hazard, studies are warranted to reveal possible peculiarities in the epidemiology of brucellosis in this type of dairy farming. In total, 904 cows of breeding age belonging to 443 herds in 32 villages were serologically tested with indirect enzyme-linked immunosorbent assay (ELISA) and positive samples confirmed with competitive ELISA. Two logistic regression models were used to investigate an association between seropositivity and risk factors at herd and individual level. The herd and individual seroprevalences were 4.1 and 2.0 %, respectively. Herds with a history of abortions were found to be associated with seropositivity [odds ratio (OR)?=?5.3; 95 % confidence interval (CI), 1.3–21.3]. Large herds with more than eight cattle were more likely to be seropositive compared to smaller herds with one to two cattle (OR?=?13.9; 95 % CI, 1.6–119). The number of calves produced per cow (indicating age) was found to be associated with seropositivity. Younger cows with one to two produced calves were less likely to be seropositive compared to older cows with more than six produced calves (OR?=?0.24; 95 % CI, 0.06–1.0). Neither introduction of new cattle to the herd nor communal grazing was associated with seropositivity. This study shows that infection with Brucella (1) is present in small-scale urban and peri-urban dairy farming in Tajikistan and (2) has significant negative effects on reproductive performance in this farming system and (3) that some previously known risk factors for seropositivity in rural farming system were absent here.     

Development and delivery of evidence-based messages to reduce the risk of zoonoses in Nairobi, Kenya

This paper describes a trans-disciplinary process of co-generating and disseminating evidence-based messages for reducing the risk from cryptosporidiosis and other zoonoses in an urban community in Nairobi. Research findings about disease prevalence, risk factors and observed risky and risk-mitigating practices were analysed by a team comprising researchers, community members and local policy- and decision-makers. Using participatory planning, multiple strategies were developed for disseminating key information. We identified five vulnerable groups at higher risk of exposure to cryptosporidiosis and other cattle zoonoses with similar transmission pathways (women, children, elderly people, immunosuppressed people and male farm workers). For each group, targeted messages were developed. Good practices already in use, as were also practices as practices to improve environmental conditions. These messages were disseminated through printed material, in a workshop, through community campaigners and also an edutainment soap opera episode broadcast on Kenyan television. In conclusion, a participatory and trans-disciplinary process can help transform the findings of research into messages that are targeted, attractive and understandable.     

Development and delivery of evidence-based messages to reduce the risk of zoonoses in Nairobi,Kenya

This paper describes a trans-disciplinary process of co-generating and disseminating evidence-based messages for reducing the risk from cryptosporidiosis and other zoonoses in an urban community in Nairobi. Research findings about disease prevalence, risk factors and observed risky and risk-mitigating practices were analysed by a team comprising researchers, community members and local policy- and decision-makers. Using participatory planning, multiple strategies were developed for disseminating key information. We identified five vulnerable groups at higher risk of exposure to cryptosporidiosis and other cattle zoonoses with similar transmission pathways (women, children, elderly people, immunosuppressed people and male farm workers). For each group, targeted messages were developed. Good practices already in use, as were also practices as practices to improve environmental conditions. These messages were disseminated through printed material, in a workshop, through community campaigners and also an edutainment soap opera episode broadcast on Kenyan television. In conclusion, a participatory and trans-disciplinary process can help transform the findings of research into messages that are targeted, attractive and understandable.     

Farming strategies in organic dairy farming: Effects on breeding goal and choice of breed. An explorative study

Organic farming principles give rise to multifunctionality: different activities are combined at farm level to create ecological and economic synergies. These principles do however allow for different operationalisations and different farm development strategies, for example with regard to the use of external inputs or the decision whether or not to use advanced breeding technologies such as artificial insemination. Maintaining and improving diversity are therefore characteristic to organic farming. Since organic farming took off in the early 1990 s, many specialised dairy farms which tend to be more mono-functional in nature, have converted to organic, adding a new farming strategy to the diverse collection of farming strategies in organic dairy farming. All these farming strategies actually create different organic production environments for cows, which might result in different demands on selective breeding and breeding technology. This differential demand was explored in a survey, among 151 organic dairy farmers, on general farm strategy, milk production, breeding goal, choice of breed and approach to reproduction. Farmers were divided into one of two groups on each of three strategic options: a) diversification in farm business—Specialised Dairy Farming vs. Multifunctional Farming; b) intensity of milk production—Low Input vs. High Input Farming and c) naturalness of breeding—Farming with Artificial Insemination vs. Farming with Natural Service.A pair-wise comparison within each strategic option showed that each pair differed significantly with regard to farm characteristics, farm goal and animal production goals. However, there were only minor or no significant differences within each pair with regard to overall breeding goal. For each strategic option, big differences were found within each pair as regards preferred cattle breeds and crossbreeds. Farmers in the Specialised Dairy Farming and High Input Farming groups preferred milk-type cattle (Holstein and Holstein crossbreeds), while farmers in the Multifunctional Farming and Low Input Farming groups preferred various native Dutch breeds. But even farmers with a similar strategy (within one group) differed strongly in their choice of breeds and crossbreeds. These results indicate that organic farmers are going through process of learning by doing, experimenting as they search for breeds or crossbreeds that are optimally suited to their farm environment and that best agree with their farm development strategy. In this, the growing preference for keeping bulls on the farm for natural service is remarkable.     

Dairy technology adoption in smallholder farms in “Dejen” district, Ethiopia

Factors influencing dairy technology adoption and impact on milk yield were studied in 240 smallholder farms in Dejen district, Ethiopia. The majority of the smallholders had more than 20 years of farming experience and were living at more than 10 km distance from market or trading centers (67% and 54% in that order). The dairy technologies studied included the use of crossbred animals, improved feed technologies and improved management practices. Application of acaricides, deworming, vaccination, heat-detection and haymaking had wide application (more than 80% adoption levels) while urea straw treatment, silage making, rotational grazing and fodder beet development were the least practiced ones. Only 20 percent of the cows were crossbred animals. It has been found that higher level of technology adoption is associated with better milk yield regardless of the breed of cattle (local or crossbred) owned by the farmers. Milk yields in local breeds increased by 0.07 times when the number of technologies increased by one unit. In crossbred cows, this rate of increase was five fold higher (0.38 times for one unit increase). Correlation coefficients between and within farm household characteristics and technologies adoption were, generally, significant. Male-headed households adopted significantly higher number of technologies than female-headed households (P?<?0.001). Technology adoption rates increased significantly with increased education level and family size and decreasing distance from market or trade centers (P?<?0.01). The level of technology adoption by smallholder farmers is still unsatisfactory and is highly dependent on gender, family size and level of education of smallholder farmers and location of farms.     

Productivity and socio-economic profile of dairy cattle farmers amongst rural smallholder communities in northern Vietnam

The objective of this field questionnaire survey was to describe the productivity and socio-economic profile of dairy cattle farmers in northern Vietnam considering regional differences in rural smallholder farming communities which have been targeted by a governmental dairy development policy. Using two-stage cluster sampling, a total of 99 dairy farming households (11 per commune) were recruited from 9 of 32 communes in Ba Vi District, Ha Tay Province, northern Vietnam. The results from this study indicate that there were regional differences in relation to basic management practices such as effective utilisation of agricultural by-products for feeding and hygiene practices. These can be explained by variation amongst the regions with respect to environmental factors affecting agricultural activities such as constraints on land use and access to water resources. There were also regional differences in the use of governmental support such as agricultural extension services and financial institutions. These can be attributed to proximity of the communities to each of the extension institutions as well as the phased and community-specific approach to the provision of governmental financial support for dairy development.     

奶牛高产养殖技术要点分析

随着人民物质生活水平的不断提升,畜禽产品的需求量也在不断增大,奶牛产业作为畜牧业的重要组成部分,是农牧民增产、增收的重要途径。奶牛饲养过程中,泌乳量的多少直接影响奶牛养殖场（户）的经济效益,如何让奶牛充分发挥其泌乳性能一直是奶牛养殖过程中需要解决的问题。本文在阐述高产奶牛生产特点的基础上,从多个角度分析了奶牛高产养殖技术的要点,为奶牛养殖场（户）正确进行饲养和管理,充分发挥奶牛生产性能提供理论基础。     

绿色养殖技术在优质奶牛养殖中的应用

优质奶牛的绿色养殖技术是一种先进的新型养殖技术,是我国奶牛养殖行业实现现代化、科学化的必经之路,也是我国农业先进程度的重要标志。绿色养殖技术能够在帮助农牧民增产增收的同时更好的保护周围的生态环境,使畜牧业发展和生态环境保护相得益彰。本文介绍了绿色养殖技术的内涵,阐述了绿色养殖技术的具体要求和在优质奶牛养殖中的应用,以期帮助广大奶牛养殖人员正确的认识绿色养殖技术,能够熟练的将这一技术应用于优质奶牛的养殖环节中,从而促进奶牛产业的持续健康发展。     

Economic contribution and viability of dairy goats: implications for a breeding programme

To augment the incomes of smallholder farmers in Kenya and consequently improve their nutrition and income, many development organisations and policy makers are increasingly promoting dairy goat farming. Among the key organisations supporting the initiative is Heifer Project International—Kenya (HPIK). However, the economic contribution and viability of dairy goats under the HPIK project have not been studied so far. The aim of the present study was to determine the contribution of dairy goats to household income and the performance of the dairy goat enterprise using gross and net margins from dairy goat farming as an indicator of economic viability. A survey covering 71 farmers was carried out in the Coast, Nyanza, and the Rift Valley provinces of Kenya using a set of pre-tested structured and semi-structured questionnaires. Results showed that, on average, the dairy goat enterprise contributed, correspondingly, about 15.2% and 4.8% to the total livestock and overall household income and was viable. Differences in gross and net margins across agroecological zones were attributed to milk prices. Despite the existence of non-viable enterprises in two of the provinces, the few present suggest the possibility of obtaining reliable incomes from the enterprise. Redoubling of effort or re-orientation of production to match the local and external requirements would, however, be necessary. Costs and revenues were similar across the agroecological zones. Farmers with positive gross margins had better milk and stock sales and vice versa. The success of a dairy goat enterprise is attributed to location and good management. Besides, farmers’ awareness of the market demands within and outside the community is important in establishing production goals and may be crucial to achieving a positive gross margin.     

Adaptive conjoint analysis to determine perceived risk factors of farmers, veterinarians and AI technicians for introduction of BHV1 to dairy farms

A study was carried out to determine the possibility of a more-closed farming system for (Dutch) dairy farms. The objective of the study was to provide effective and economically profitable management advice for improving the animal-health status of farms. Management measures will only be successfully applied if supported by farmers and their advisors (such as veterinarians). Therefore, the perception of farmers and advisors of the importance of various risk factors for the introduction of diseases to a farm was determined by using bovine herpes virus type 1 (BHV1) as an example.

As part of the study, an evening-long workshop was organized and run thrice. In total, 49 farmers, veterinarians and AI technicians participated in these workshops. The computerized questionnaire technique was based on adaptive conjoint analysis (ACA). ACA has the advantage that participants can work with a large number of risk factors in a relatively short period of time. Another advantage of ACA (compared with standard questionnaires) is that the answers from each participant can be checked with regard to consistency with respect to the importance assigned to them. Data from participants with inconsistent responses can be excluded from further analyses. The results of the ACA interview were compared with the risk factors reported in the literature as being associated with BHV1 status (e.g. purchase of cattle, participation in cattle shows) and with farmers' actual management to prevent the introduction of diseases.

The workshop participants were all operating in the dairy sector and they seemed well aware of the risk of direct animal contacts for the introduction of BHV1. Farmers thought visitors to be more risky than did AI technicians and (especially) veterinarians. Farmers who purchased cattle or participated in cattle shows were of the opinion that the risks of direct animal contacts were more important than did farmers who were not involved in those practices. Farmers whose farms were BHV1-positive (and participated in cattle shows more often) thought the risk of participation smaller than did farmers with BHV1-negative farms.