"He who relies on his brother’s property dies poor": the complex narratives of livestock care in northern Tanzania

Davis, A. et al. (2021) "He who relies on his brother’s property dies poor": the complex narratives of livestock care in northern Tanzania. Frontiers in Veterinary Science, 8, 749561. (doi: 10.3389/fvets.2021.749561) (PMID:34805339) (PMCID:PMC8595325)

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Background: Endemic zoonoses have important impacts for livestock-dependent households in East Africa. In these communities, people's health and livelihoods are severely affected by livestock disease losses. Understanding how livestock keepers undertake remedial actions for livestock illness has the potential for widespread benefits such as improving health interventions. Yet, studies about livestock and human health behaviours in the global south tend to focus on individual health choices. In reality, health behaviours are complex, and not solely about individualised health experiences. Rather, they are mediated by a range of “upstream” factors (such as unequal provision of services), which are beyond the control of the individual. Methods: This paper presents qualitative research conducted from 2014 to 2019 for a study focused on the Social, Economic, and Environmental Drivers of Zoonoses in Tanzania (SEEDZ). Qualitative data were collected via focus group discussions, community meetings, informal interviews, formal in-depth interviews, observations and surveys that addressed issues of health, disease, zoonotic disease risks, and routes for treatment across 21 villages. Thematic analysis was carried out on in-depth interviews and focus group discussions. Conceptual analyses and observations were made through application of social science theories of health. Findings: Livestock keepers undertake a range of health seeking strategies loosely categorised around self and formal treatment. Two key themes emerged that are central to why people make the decisions they do: access to resources and trust in health care providers. These two issues affect individual sense of agency which impacts their ability to act to improve livestock health outcomes. We suggest that individual choice and agency in veterinary health seeking decisions are only beneficial if health systems can offer adequate care and health equity is addressed. Significance: This study demonstrates the value of in-depth qualitative research which reveals the nuance and complexity of people's decisions around livestock health. Most importantly, it explains why “better” knowledge does not always translate into “better” practise. The paper suggests that acknowledging and addressing these aspects of veterinary health seeking will lead to more effective provision.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Sharp, Professor Jo and De Glanville, Dr William and Lankester, Dr Felix and Halliday, Dr Jo and MMBAGA, Professor Blandina Theoph and Davis, Dr Alicia and Cleaveland, Professor Sarah and Virhia, Miss Jennika and Thomas, Dr Kate
Authors: Davis, A., Virhia, J., Buza, J., Crump, J. A., de Glanville, W. A., Halliday, J. E.B., Lankester, F., Mappi, T., Mnzava, K., Swai, E. S., Thomas, K. M., Toima, M., Cleaveland, S., Mmbaga, B., and Sharp, J.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
College of Science and Engineering > School of Geographical and Earth Sciences
College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
College of Medical Veterinary and Life Sciences > School of Biodiversity, One Health & Veterinary Medicine
Journal Name:Frontiers in Veterinary Science
Publisher:Frontiers Media
ISSN (Online):2297-1769
Copyright Holders:Copyright © 2021 Davis, Virhia, Buza, Crump, de Glanville, Halliday, Lankester, Mappi, Mnzava, Swai, Thomas, Toima, Cleaveland, Mmbaga and Sharp
First Published:First published in Frontiers in Veterinary Science 8: 749561
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
190825Social, economic and environmental drivers of zoonoses in Tanzania (SEEDZ)Sarah CleavelandBiotechnology and Biological Sciences Research Council (BBSRC)BB/L018926/1Institute of Biodiversity, Animal Health and Comparative Medicine
190785Molecular epidemology of brucellosis in northern TanzaniaDaniel HaydonBiotechnology and Biological Sciences Research Council (BBSRC)BB/L018845/1Institute of Biodiversity, Animal Health and Comparative Medicine