Veterinary & Biosecurity
Making vaccines available & accessible to women & other marginalized livestock farmers
Women in livestock farming in Uganda have been empowered and trained on vaccines access and proper administration for both animals and poultry. This was during a project dubbed the Livestock Vaccine Innovation Fund (LVIF) undertaken to address the barriers faced by women in livestock vaccine systems in Uganda and generating new evidence on how women can better benefit and participate in the vaccination systems.
The Livestock Vaccine Innovation Fund (LVIF) was funded by Canada International Development Research Centre (IDRC), Global Affairs Canada (GAC) and Bill and Melinda Gates Foundation (BMGF) to support the development of affordable livestock vaccines, targeting diseases that affect women and men who are livestock keepers. The project has been implemented through a set of research action based accomplishments including;
The SHeVax+ research (hearing Their Voices, Action Research to Support Women’s Agency and Empowerment in Livestock Vaccine Distribution, delivery and Use is a partnership between the Cumming School of Veterinary Medicine at Tufts University and the Africa One Health University Network (AFROHUN) together with their implementing partners including Makerere University, University of Nairobi and University of Rwanda. Prof. William Bazeyo is the Chief Executive Officer (CEO) of AFROHUN. The project assessed the state of women’s empowerment and gender parity on the vaccine value chain, identified key entry points among women smallholder farmers and entrepreneurs to contribute to and benefit from livestock vaccines thereby improving livestock production and livelihoods. The project was implemented in Sembabule district in Uganda, Machakos County in Kenya, and Nayagatare district in Rwanda.
Advancing Women’s Participation in Livestock Vaccine Value Chain Nepal, Senegal and Uganda research. Implemented by the University of Florida (UF) in collaboration with Makerere University, the project aimed at increasing women’s use of pest des petits ruminants (PPR) vaccines for their small ruminants in Nepal, Senegal, and Uganda as well as Newcastle Disease vaccines for their poultry in Senegal. Recognizing the fact that there are multiple factors that prevent women from vaccinating their animals, most often related to gender and intersectional issues such as class, ethnicity, disability and geographic location, the project introduced the Gender Intersectional Transformative Approach (GITA) with the aim of working with women livestock owners, all levels of animal health workers and trainers with a transformative mind of opening up spaces to allow full participation in the livestock vaccination value chain. In Uganda, the project was implemented in Karamoja Sub region targeting selected sub counties in four districts of Abim, Amudat, Kotido and Moroto.
According to Dr. Evelyn Baraké, the Project Officer- IDRC, the Livestock Innovation Fund was initiated to accelerate the development of new vaccines against neglected livestock diseases, increase the efficacy, marketability and use of existing livestock vaccines and fostering effective partnerships between vaccine researchers and public and private sector actors. The project also focused on animal diseases posing the greatest risk to poor livestock keepers in Sub-Saharan Africa, South and Southeast Asia.
“Our program on Women empowerment and Livestock Vaccines has enhanced the mapping exercise on livestock vaccine value chains. Through this program, we have been able to identify barriers preventing women from accessing vaccines and sought out the effective interventions to increase the demand for vaccines and their use,” she noted.
Dr. Evelyn Baraké also mentioned that IDRC has utilized the programme approach to define and measure changes in gender norms and empowerment hence fostering gender transformative impact.
Majority of rural households in low developing countries are engaged in livestock rearing. This activity is undertaken by both women and men in most cases who are predominantly agro-pastoral smallholders within mixed farming systems. According to Dr. Nargiza Ludgate- the Co-Principal Investigator of the project; Advancing Women’s participation in livestock vaccine value chain, gender and attitudes of animal health service providers can affect their veterinary practice and quality of care. Therefore, developing an understanding of how gender and perceptions can influence veterinary practice is essential to improve the reach and quality of service delivery.
In Uganda, women are often left out of agricultural extension services and technical support. This is because household power imbalances play a key role in animal health services. In the livestock vaccine value chain, women and other marginalized groups such as minority ethnic groups, the elderly and persons living with dis-abilities have less access than men to key inputs such vaccines as well as limited ability to influence decision-making on vaccination and animal health within the households. In addition, women tend to miss out on veterinary services due to the deep- rooted social- cultural biases at household and community levels.
“The unvaccinated animals of women and other marginalized groups are at a higher risk of infection and can spread diseases easily to other livestock. This, consequently undermines community level and global diseases control interventions, such as eradication of peste des petis ruminants by 2030,” noted Agnes Yawe, Head of Grants and Resource Mobilization/ Partnerships, AFROHUN.
Yawe also highlighted the bigger gender gap that has for long existed in the current veterinary curriculum in Uganda when she said, “this curriculum is set by the National Council of Higher Education (NCHE) and must meet the World Health Organization (WHO) for Animal Health standards for veterinarians or para- veterinarians. However, the primary focus of the current curriculum is directed to scientific and technical knowledge or the “hard skills” with little or no space for soft “soft skills” such as gender responsive communication, empathic listening, effective communication and community engagement.”
She further noted the need to integrate gender concepts in refresher courses and workshops for veterinarians and other animal health service providers to enrich their understanding on how best to reach out to women and other marginalized groups.
Prof. Anthony Mugisha, SheVax Country Lead and Co-Principal Investigator in Uganda highlighted the need to increase women’s access to communication tools as a way of enhancing their access to information.
“Women’s limited access to mobile phones and community networks that pass on information also means that they often miss out on the messages related to animal health campaigns. Additionally, those livestock keepers (women and men) who are poor, elderly or living with disabilities or belong to an ethnic group such as the Tepeth who live far away from the community centres on the slopes of Mount Moroto are always left out by veterinary extension agents,” he said.
On Monday 5th March 2023, a multi-stakeholders meeting was convened at Golden Tulip in Kampala, Uganda to; –
- Engage key stakeholders in the livestock vaccine value chain
- Showcase promising approaches for gender responsive and inclusive livestock vaccine value chain
- Disseminate research findings and policy recommendations with key stakeholders
The meeting was officially graced by Hon. Janet Akech Okori-moe, Woman Member of Parliament of Abim district and the Chairperson Agriculture committee of Parliament of Uganda and attended by livestock farmers, policy Makers, research and scientists and media.
Speaking at the meeting, Hon. Janet Akech Okori-Moe said that small ruminants such as goats, sheep and poultry form a bigger part of livelihood enterprise and provide key benefits to most smallholder farmers especially women in the developing countries including Uganda. She also noted that whereas this is so, the animal value chain right from production up to the end point of selling the product quite often leaves out women and other vulnerable groups.
“It is estimated globally that approximately 262 million people at the worst poor keep livestock for food security and income generation and women represent two thirds of this total population. Women being smallholder farmers, face serious challenges and therefore the need to support them, build their confidence in a patriarchal society and allow their participation in matters that affect them through equipping them with information and mindset change training sessions,” she noted.
“Available record also shows that women have poor access to vaccines for the few livestock they manage. They are believed to be good animal care takers compared to their male counter parts hence strategies are needed to ensure that women’s ability to participate and benefit from the vaccine value chains is realized,” she added.
With reference to the existing village health teams, Hon. Janet Akech Okori-Moe called for the consideration for formation of the village animal health teams to attend to challenges affecting livestock farmers in Uganda. She as well urged policymakers to enhance their actions and discussions that support the need to address animal health challenges in Uganda.
Highlighting government support towards livestock farming in Uganda, Hon. Akech Okori-Moe informed participants of the recently launched government Scientific Vaccine Trials that are currently being tested in five centres in Uganda including two prison farms. She acknowledged the tremendous work done by experts from Makerere University, School of Veterinary Medicine at Tufts University, the University of Florida (UF), and the Africa One Health University Network (AFROHUN) through research to empower more women in livestock farming.
In the same spirit, the Honourable Member of Parliament thanked Canada International Development Research Centre (IDRC), Global Affairs Canada (GAC) and Bill and Melinda Gates Foundation (BMGF) for supporting programmmes tailored at addressing dilemmas surrounding animal health in Uganda.
“Thank you for building confidence in women. With your support, their voices are being heard, their actions are being felt, their participation is being noticed in animal health promotion and I pray that this research is replicated with resources and time allowing to other equally deserving areas,” she said.
The project success stories
According to Dr. Hellen Amuguni, the Principal Investigator of Shevax project, Dr. Hellen Amuguni, the project was able to;-
- Train 24 Animal Health Service Providers and well quipped to serve 140,000 households.
- Over 1500 people have received animal health training.
- 1,200 Vaxxer calendars have been disseminated.
She acknowledged the projects efforts to equip farmers with solar powered fridges, vaccine kits and trainings on how and when to access and administer the vaccines to animals and poultry.
Three policy briefs on making vaccines available and accessible to women and marginalized livestock farmers; Gender-responsive and inclusive veterinary extension for health animals, reduced poverty and empowered women; and Gender and social inclusion training for veterinary animal health services providers were developed and shared to key stakeholders.
The project also facilitated the development of IEC materials in form of posters and comic books written and translated in the local languages of the communities that were engaged during the project implementation process.
Women were also trained in basic skills in photography as a way of expressing themselves, tell their stories and enhancing their voices on livestock farming. In seeking to transform the veterinary extension services to become more gender aware, responsive and inclusive, the team recommended the following:
- Putting gender-inclusive livestock policies into practice through actual procedures or processes to improve vaccination programs
- Fostering collaborations between animal health technical providers and community development service providers to reach stakeholders who are left behind
- Gender responsiveness of service provision should be an integral part of animal health technical trainings
- Including women along the animal and poultry Vaccine Value Chain (VVC) improves the efficacy and efficiency of vaccination programs by reaching underserved smallholders
- Government and private Animal Health Service Providers (AHSPs) need to recognize that socio-cultural issues at household and community level prevent women and other marginalized small holders from using and engaging as providers of livestock vaccine services
- Public- private collaboration within the livestock vaccine value chain needs committed leadership from government agencies and relevant departments
- Investing in integrating gender knowledge and communication skills into training and curriculum for veterinarians and animal service providers
- Encouraging women and marginalized groups to become animal health service providers
- Ensuring that Community Animal Health Workers (CAHWs) trainings follow a competence- based learning framework, enriched with gender and soft skills modules and offered as refresher courses
- Strengthening women, the poor, elderly and persons living with disabilities livestock keepers’ access to critical animal health welfare services, such as veterinary care, drugs and information and technology
- Investing in gender transformative approaches in veterinary extension training
- Sensitizing community leaders, CAHWs and other key community stakeholders
Veterinary & Biosecurity
The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase at CoVAB
The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase was held on June 20th, 2024, at the Ruth Keeslings Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity, and for the first time involved CoVAB students.
The Boma was the final event of this year’s CoVAB-Mississippi State University’s (MSU) Tropical Veterinary Medicine and One Health Study Abroad program which started on May 31, 2024. The study abroad course focuses on animal production and health management, conservation medicine, aquatic health, wildlife health, public health, food safety, and security, as well as inculcating One Health principles while suffusing multicultural experiences.
During the presentations, the participants expressed what they enjoyed most while on the program and this included observing the human-wildlife interactions, working on wildlife and the identified difference between the US and Uganda, the animal welfare champion, as well as having Ugandan students included on the program.
The Principal, Prof. Frank Nobert Mwiine officiated at the event characterized by sharing the student’s experiences through presentations made before academicians, researchers, and students. In his remarks, he said the Boma was a great avenue for sharing information and learning from each other drawing from the experiences of the students while out in the community and the wild. Prof. Mwiine commended Mississippi State University for the long relationship they have had with CoVAB and appreciated the inclusion of the Uganda students into the program. He expressed optimism that the summer school will grow into problem-solving partnerships in research, training, and community development.
During the three weeks excursions in Uganda, participating students from Mississippi State University together with their counterparts from CoVAB engaged in experiential field trips with hands-on experience at the interfaces between animals, humans, and the environment.
The Team from Mississippi University appreciated CoVAB for the lead role in organizing the Summer School that brought the students into contact with new areas with most of them being in Africa for the first time. He said the summer school was opening up opportunities for further collaboration in areas like student exchange programs as well as graduate research. It was a great experience for the students to move out of their area to the unknown and the exposure left lifelong in print on the student’s academic, practice, and outlook towards life, said the representative of Prof. Stephen Reichley, the team leader.
Dr. Celsus Sente the Summer School coordinator and lecturer in the Department of Wildlife and Aquatic Resources (WAAR) said the three-week expedition was a great field experiential learning opportunity using one health approach. Students went to different places including Gaba Fish Landing Site, the Murchison conservation area, Mbarara Abattoir where they interacted with the meat inspectors, Kibaale conservation area where they observed wildlife practical activities like birds, undertook activities involving cattle, and goats as well as the feel of the interface between the environment, humans, and animal health, the one health approach at the fishing villages there.
The Boma as a concept in an African context means a meeting that allows learning and a two-way exchange of information between elders and youngsters. African culture involves the transfer of wisdom and knowledge from wise, knowledgeable, and highly experienced elders to the young who are mentored into responsible community members. The concept was therefore used to allow the opportunity to share knowledge from all stakeholders as experienced in the course of learning.
Veterinary & Biosecurity
Rabies Exposure Assessment & Contact Tracing App (REACT), another milestone in rabies surveillance in Uganda; A status update of the implementation of the eRabies project
The eRabies project was launched in March 2023 at the Centre for Biosecurity and Global Health, Makerere University. To date, a lot has been realized through several stakeholders working together toward the global goal of eliminating dog-mediated rabies by 2030.
This project is a collaboration between Makerere University‘s College of Veterinary Medicine, Animal Resources and Biosecurity, and the Universities of Zurich and Bern, and funded by the Swiss National Science Foundation.
The four-year intervention through its seven work streams was initially implemented in the Districts of Kampala, Soroti, and Kyegegwa and has stretched to include Arua, courtesy of other stakeholders including the NGO Mission Rabies that came on board along the way.
By the time of the launch, the stakeholders involved included Makerere University College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB), School of Public Health, College of Health Sciences, and the Infectious Diseases Institute (IDI), working in collaboration with the Universities of Bern and Zurich from Switzerland.
According to Prof. Sonja Hartnack, from the Vetsuisse Faculty, University of Zurich, the project has addressed several work packages in addition to the initial Surveillance systems and integrated dog bite case management. During a project brief with staff at the College of Veterinary Medicine, Animal Resources and Biosecurity recently, it was revealed that the four-year project has made great strides as evidenced by the outcomes of several workshops conducted.
Prof. Sonja Hartnack said further to efforts towards the electronic surveillance of dog bites which started with the launch workshop held in August 2023, another workshop was held in Arua on May 2-3, 2024 for the pilot of the REACT App, a tool created by CDC and Mission Rabies for Integrated Bite Case Management. REACT is the abbreviation for Rabies Exposure Assessment & Contact Tracing App. The workshop brought together stakeholders from both animal and human health sectors, drawn from the district to national levels. During the workshop, there were in-depth discussions regarding the current rabies surveillance system across the four target districts in Uganda. The meeting explored how the REACT App can enhance the integrated bite case management system and data management process in rabies.
Prof. Sonja Hartnack who was in the company of CoVAB’s Terrence Odoch and Prof. Clovice Kankya said the pilot was to focus on integrated bite case management. This is the very first part which is still ongoing and there were concrete follow-up plans to try and foster this integrated bite case management. The Data to be collected was from both the point of view of the human-dog bite victim, but also captures whether the dog was vaccinated, provoked, killed, and a sample taken, all adding up in a true multi-sectoral and one health approach, she observed.
For the second work package which is about community engagement for rabies vaccination and dog bite prevention, she said there was already one Master’s student thesis submitted following both a qualitative and quantitative approach, and currently the student was finalizing the manuscript. Similarly, a paper on the Barriers to Vaccination at the community level and responsible dog ownership on the perceptions of dog owners was also written.
The other studies she said, focused on the identification of one strategy through a sensitization campaign. This would include many respects including mobilizing dog owners to bring their dogs for mass vaccination on selected days and places. Such places like Schools, she said, would enable educating the children. The other option would be conducting mass vaccination campaigns integrated with livestock activities whereby the communities will be asked to come with their dogs close to a point in the farm or to organize jointly with the human health activities.
A consortium of Seven Sub-Saharan countries is implementing a 5-year intervention aimed at building the capacity of improved, sustainable, and locally–led management of antimicrobial resistance (AMR) and Neglected Tropical Diseases (NTDs).
AMR is a public health problem that poses the largest threat to human health, causes death, and threatens economies especially those of developing countries in sub-Saharan Africa and South Asia.
In Uganda, the project is implemented by Makerere University in the College of Health Sciences (CHS) and the College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB). Prof. Dr. Damalie Nakanjako, the Principal CHS, and CoVAB’s Assoc. Prof. Julius Okuni are the Principal investigators.
The other sub-Saharan African states in the consortium include Senegal, Ghana, Nigeria, the Democratic Republic of the Congo, Ethiopia, and Sudan, while the other participants like Leipzig University are drawn from Germany.
At the project kickoff event held at Protea Hotel in Entebbe on Monday 12th May 2024 attended by all implementing partners, it was explained that the five-year project will investigate and sustainably develop the local capacity to identify and intervene with a diverse range of biomedical and sociocultural factors impacting human, animal, and environmental health in sub-Saharan African settings to better control AMR and NTDs.
Through a One Health Approach, the project will work with several stakeholders including Behavior scientists, Data scientists, veterinarians, Human health workers, and policymakers in developing the capacity of anti-microbial stewardship in Sub-Saharan Africa.
The project’s main tasks will include screening of AMR in humans, livestock, and poultry using surveillance and genetic mapping; investigating the relationship between helminthic infection and drug resistance bacteria to better understand the co-infection between pathogens; developing capacities for point of need diagnostics on AMR and NTDs using mobile tests for field use; identifying any changes in antimicrobial use and AMR incidences; controlling communicable disease transmission and building capacity for sustainable leadership.
The kickoff meeting was addressed by stakeholders from different sectors who made proposals aimed at ensuring a successful project implementation. Hon. Dr. Charles Ayume, the Chair of the parliamentary health committee, while addressing the forum urged the implementers to consider involving the political wings of the respective countries and to ensure that the politicians get to appreciate the concerns on Anti-Microbial Resistance and the Neglected Tropical Diseases. He said that in the case of Uganda, the process of the formation of the Parliamentary Forum on AMR was in the initial stages and observed that several politicians were not well informed about the challenges of AMR. He said bringing the politicians on board would help the project implementers and stakeholders lobby for financial allocations towards AMR or else refer to it as unfunded priorities because they do not appreciate its magnitude. Dr. Ayume regretted noting that although innovations were game changers, Research and development were underfunded and mostly anchored in the hands of the donors. He said regarding the success of the project, research was important because of the need to domesticate AMR, by taking it down lower to the communities.
Dr. Ayume said he was cognizant of the fact that there was a lot to do citing the example of the poor state of abattoirs regarding lack of adherence to public health regulations, poor sanitation as well and non-adherence to public health regulations. Legislation is important because several laws like the Public Health Act although amended do not cover AMR, he observed. He cited the recently enacted Animal Feeds Bill, as one example through which the Government can be held accountable. He expressed commitment to further spread the AMR message through the Parliamentary Committees of Health from Africa, where he is a member. For most of the issues that affect the region, he said there was a need to get together, and that this can be a way of domestication of AMR.
The Deputy Principal, CoVAB, Prof James Acai – Okwee who spoke on behalf of the Principal Prof. Frank Nobert Mwiine acknowledged and welcomed the partners from other countries and the German Federal Ministry of Education for the project support. He said Makerere University aspires to translate into a research-led institution including research in AMR. He explained that there was a significant animal factor in AMR, where infection in animals will always be shared in the human population because of the extensive microbial use in animal production. Anti-microbial use is becoming the normal practice in production and therefore 75% of the infections originate from the animals that’s why we appreciate the one health approach in addressing AMR, the environment, food production, and public health he said, while appreciating the need for a multi-sectoral approach in addressing the challenge at hand. He expressed the colleges’ commitment and readiness to work with the project team led by Assoc. Prof. Julius Okuni.
Other presenters at the meeting included a representative of the Director General of Health Services, the Ministry of Health, and the Ministry of Water and Environment, among others.
Later on Wednesday 15th May 2024, the project team visited the College of Veterinary Medicine, Animal Resources, and Biosecurity where they interacted with the leadership and staff and took a guided tour of some of the laboratories.
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