participatory approaches for evaluating surveillance systems: insights from a training-related study...
DESCRIPTION
Presented by Antoine-Moussiaux, N., Vu, M.Q.G., Delabouglise, A., Thi, T.P.H., Peyre, M., Binot, A., Baudon, E., Calba, C., Valeix, S., Nguyen, T.T., Phan, D.T., Noopataya, S. and Jost C. at the PENAPH First Technical Workshop, Chiangmai, Thailand, 11 – 13 December 2012.TRANSCRIPT
Participatory approaches for
evaluating surveillance systems
Antoine-Moussiaux, N.1,2, Vu, M.Q.G.1, Delabouglise, A.1, Thi, T.P.H.1,3, Peyre, M.1, Binot, A.1,
Baudon, E.1, Calba, C., Valeix, S.1, Nguyen, T.T.4, Phan, D.T.5, Noopataya, S.6 and Jost C.7
1 CIRAD, AGIRs Research Unit, Montpellier, France 2 Tropical Veterinary Institute, University of Liege, Belgium 3 National Institute of Animal Science, Hanoi, Vietnam 4 National Institute for Veterinary Research, Hanoi, Vietnam 5 Faculty of Animal Science and Aquaculture, Hanoi
University of Agriculture, Vietnam 6 Dept of Livestock Development, Ministry of Agriculture
and Cooperatives, Thailand 7 EcoServe Solutions, Kenya
Participatory Epidemiology Network
for Animal and Public Health
First Technical Workshop 11-13 December 2012, Chiang Mai, Thailand
Insights from a training-related study from Vietnam
Animal Health Surveillance
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Call for Interdisciplinarity
Drivers Drivers
Economic Economic Social Social
Political Political
Epidemiological Epidemiological
National level National level
Province Province
District District
Commune Commune
Farmers Farmers
National level
2
Informal surveillance
...some thoughts from social sciences
The project...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Acceptability
“To report or not to report?”
• Individual decision-
maker
• Under influence
• Both financial and social
factors of the decision
Stigmatization Responsibility
Loss of reputation
Loss of trust
Why Participatory Epidemiology ?
• Need to talk...
– with the decision-makers (at all levels)...
– about animal diseases...
• Need to be open to discovery...
– Qualitative data are crucially needed
– Quantitative too (evaluation)
– Diversity and uniqueness of situations
– Hence, flexible methods
• Need to build interdisciplinarity...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Why participatory epidemiology ?
• Need to build interdisciplinarity
– Build a common language
– Build a common approach
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Some fears/questions before training
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Will it be possible
to speak about
such a sensitive
topic ?
Will it be a problem
for Vietnamese
people to talk in
groups ?
Will it be possible Will it be possible
to share a common
language between
disciplines ? How specific should How specific should
we be, regarding the
diseases and species
addressed ?
How to build upon
concerns ?
How to build upon
PE to fit to our
concerns ?
The training
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
• 12 researchers (Vietnam, Thailand, France, Belgium)
– Epidemiology, anthropology, economics
• Aims
– Provide basic PE principles and tools
– Catalyze interdisciplinarity
– Build upon PE for adapted tools
• 10 days
– 5 days classroom
– 5 days field
The field study
Zone
Luong Dien Commune, Cam Giang District, Hai Duong Province, Vietnam
Objective
estimate the occurrence and reporting of sudden death in poultry
Hypothesis
sudden death occurs in flocks but are not always reported
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
First learning outputs...
• Yes, people were willing to speak about animal diseases... Even sudden death in poultry
• To get their attention, talk about the species that interest them...
– You want to know about chickens? Ask about pigs!
– Regarding decision-making, we get interesting information from comparison between species
• Flexibility was experienced at the first day!
Why do some people not report cases ?
=> Why do some people report ?
• The need to step down and acknowledge the farmer’s expertise
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Some difficulties...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Some difficulties...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
• Data management
– Data recording !
– Data aggregation
– Data analysis
Flexibility Standardisation
Some difficulties...
• Time management
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Building upon PE...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Building upon PE...
• Get the focus on
– social aspects
– Health information rather than disease itself
• Some tracks to adapt tools
– Tree-PP for semi-quantification of declaration
– MS adapted to cross “social impact” and “diseases” or “case disclosure”
– Flow diagram and PP for “social network analysis” • Change of it upon disease occurrence?
– Discuss the information flow based on maps
– Use of PP to estimate • Decision probability regarding information disclosure
• Weight of actors, motives in decision-making...
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Major lessons learnt
• PE can be mobilized as a basis for other topics in animal health research involving a field approach
• The training itself helped in building...
– Communication
– Common principles
– Common tools
• As such, the PE training should be recommended as a crucial step in any interdisciplinary field work around animal health
PENAPH First Technical Workshop. 11-13 December 2012, Chiang Mai, Thailand
Department of Livestock
Development
SEA-PREID Participatory Research on Emerging
Infectious Diseases in South East Asia