Spatial and temporal risk as drivers for adoption of foot and mouth disease vaccination

Railey, A. F., Lembo, T. , Palmer, G. H., Shirima, G. M. and Marsh, T. L. (2018) Spatial and temporal risk as drivers for adoption of foot and mouth disease vaccination. Vaccine, 36(33), pp. 5077-5083. (doi: 10.1016/j.vaccine.2018.06.069) (PMID:29997035) (PMCID:PMC6073883)

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Identifying the drivers of vaccine adoption decisions under varying levels of perceived disease risk and benefit provides insight into what can limit or enhance vaccination uptake. To address the relationship of perceived benefit relative to temporal and spatial risk, we surveyed 432 pastoralist households in northern Tanzania on vaccination for foot-and-mouth disease (FMD). Unlike human health vaccination decisions where beliefs regarding adverse, personal health effects factor heavily into perceived risk, decisions for animal vaccination focus disproportionately on dynamic risks to animal productivity. We extended a commonly used stated preference survey methodology, willingness to pay, to elicit responses for a routine vaccination strategy applied biannually and an emergency strategy applied in reaction to spatially variable, hypothetical outbreaks. Our results show that households place a higher value on vaccination as perceived risk and household capacity to cope with resource constraints increase, but that the episodic and unpredictable spatial and temporal spread of FMD contributes to increased levels of uncertainty regarding the benefit of vaccination. In addition, concerns regarding the performance of the vaccine underlie decisions for both routine and emergency vaccination, indicating a need for within community messaging and documentation of the household and population level benefits of FMD vaccination.

Item Type:Articles
Additional Information:This work was funded by a prime award (OPP1083453) from the Bill & Melinda Gates Foundation and the Paul G. Allen School for Global Animal Health. The foot-and-mouth disease research platform in northern Tanzania was established through support by the Biotechnology and Biological Sciences Research Council (BBSRC), the Department for International Development and the Scottish Government through the Combating Infectious Diseases of Livestock for International Development initiative (projects BB/H009302/1) and is currently funded by a Merck Animal Health (known as MSD Animal Health outside USA and Canada) grant to the University of Glasgow.
Keywords:Uncertainty, vaccination, foot-and-mouth disease, perceived risk, spatial risk, temporal risk.
Glasgow Author(s) Enlighten ID:Lembo, Dr Tiziana
Authors: Railey, A. F., Lembo, T., Palmer, G. H., Shirima, G. M., and Marsh, T. L.
College/School:College of Medical Veterinary and Life Sciences > School of Biodiversity, One Health & Veterinary Medicine
Journal Name:Vaccine
ISSN (Online):1873-2518
Published Online:06 July 2018
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in Vaccine 36(33):5077-5083
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
518811Towards the strategic control of foot-and-mouth disease in Africa: new techniques for a neglected problemSarah CleavelandBiotechnology and Biological Sciences Research Council (BBSRC)BB/H009302/1RI BIODIVERSITY ANIMAL HEALTH & COMPMED