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A participatory methodology to assess
the factors influencing performances of
avian influenza surveillance network in
Northern Vietnam
Alexis Delabouglise1,2, Nicolas Antoine-Moussiaux1,3, Phan Dang Thang4, Nguyen Tien Thanh5, Dao Cong Duan4, Pham Thi Thanh Hoa1, Dao Thi Hiep4, Vu Dinh Ton4, Nguyen Viet
Khong5, Aurélie Binot1, François Roger1, Marisa Peyre1
1 CIRAD, AGIRs, France
2 Laboratoire Espace, Santé et Territoires, Université Paris Ouest, France 3 Université de Liège, Belgique
4 Hanoi Agriculture University, Vietnam 5 National Institute of Veterinary Research, Hanoi, Vietnam
• Outlines
I. Background : need to evaluate AI surveillance
II. Methodology : participatory tools to approach
decision making
III. Results
IV. Conclusions
• Highly pathogenic avian influenza (HPAI) due to
H5N1 persisting in Vietnam since 2004
• Limited evaluations of surveillance programs
• Hypothesis : social and economic interactions
between local actors are key elements to
evaluate acceptability of surveillance systems
Background
Involvement of actors in
disease surveillance:
A decision made
under constraints
INFORMATION
DISCLOSURE
Economic
constraints
Social constraints Animal health
Public health
Institutional
constraints
Methodology
Geographical localization:
� Cẩm Hoàng commune, Hải Dương province, Red river delta
Farms investigated:
Poultry and pig productions
Methodology
Decision making :
An answer to a series of
questions…
Methodology
• Focus group producers
• Description of syndromes and terminology associated
• Use of proportional piling and matrix scoring
What kills my animals? Methodology
Who do I talk to?...and why? Bệnh dịch gà, Niu Cát Sơn, Tụ huyết trùng
….
The village
feed seller
Syndrome:
The town
drug
supplier
....
The trader
technicians of agro-
pharmaceutical companies
Poultry producer
Individual
interview Drug selling + advices
Rapid selling of sick
animals
Methodology
Outbreak announcement: who wins,
who loses?... And who do I listen to?
• What are the
consequences of an
outbreak notification?
• Which types of actors
get benefits or
disadvantages from it?
• Which type of actor
influences my decision?
Methodology
May I report or not report if…? 50% mortality in my
farm in less than 5
days
Price of sick
animals Amount of
compensation
Delay before
compensation
40 000
VND/kg
30 000
VND/kg
20 000
VND/kg
Delay No delay
…
Methodology
50% mortality in my
farm in less than 5
days
Price of sick
animals Amount of
compensation
Delay before
compensation
Proportional piling
REPORT NOT
REPORT ASK OTHER
FARMERS
May I report or not report if…? Methodology
Results
constraints on producer’s decision
Animal
producer
Input supply
stage
Animal
traders Value chain
• Short delays to
refund credits
• Support farmers in
treating and
preventing diseases
• Most contacted in
case of disease
outbreak
FINANCIAL
DEBTS
Results
Results
constraints faced by farmers
Animal
producer
Input supply
stage
Animal
traders Value chain
• Negotiation of price
• Possibility to sell sick
animals at low price
• Drop of prices caused by
outbreak announcement
FINANCIAL
DEBTS
PRICE
INSTABILITY
constraints faced by farmers
Animal
producer
Input supply
stage
Animal
traders Value chain
Other
villagers
• Price variation
affects other
farmers
Relationships FINANCIAL
DEBTS
PRICE
INSTABILITY
FEAR OF
IMPACT ON
PRICE
Results
Constraints faced by farmers
Animal
producer
Input supply
stage
Animal
traders Value chain
Other
villagers Veterinary
Authorities
• Uncertainty of
compensation
programs
• Long delays of
compensations
• More interesting to
sell sick animals Relationships FINANCIAL
DEBTS
FEAR OF
IMPACT ON
PRICE
• Control measures and
compensations only in
case of widespread
epizootic
• Authorities' reaction
often follow media
announcements
PRICE
INSTABILITY
Results
Animal
producer
Input supply
stage
Animal
traders Value chain
Other
villagers Veterinary
Authorities
Relationships
• Resource/budget
constraints
• Local management of
diseases are encouraged
• Reports to higher
authorities are
dissuaded
Local Political
actors
AUTHORITY
Institutional constraints Results
Administration
Who is looking for information?
• Private actors are interested in information on disease outbreaks for: � Preventing disease transmission (feed companies,
input retailers, large scale farmers)
� Anticipating price variation and planning the activities in accordance (feed companies, input retailers, large scale farmers)
� Purchasing poultry at low price (poultry traders)
• Public surveillance is considered a useless source of information. Private actors rely on informal surveillance.
Results
Breed supply
Drug supply
Feed supply
Local input retailers: feed,
chicks and drugs sellers
Small poultry
producers
Big poultry
producers
Poultry traders
District vet
Province vet
Commune vet
INFORMAL NETWORKS
Private
companies
Conclusions 1. Innovative approach • Actors of surveillance = decision makers facing socio-economic constraints
• Interest of combining economic evaluation tools and participatory approach
2. Key elements to enhance the compliance to
surveillance and control programs : • Producers and actors of input supply chain mainly aim at mitigating impact of
epizootics on their income and on market prices
• Existence of a private surveillance centered on feed companies
• Poor sanitary controls on the poultry value chain have an impact on disease
surveillance
• Institutional impediments = need for better control and higher support from
the central administration : encourage local actors to notify diseases
Acknowledgements
• CIRAD, AGIRs, France: Pham Thi Thanh Hoa, Marisa
Peyre, Aurélie Binot, François Roger
• Hanoi University of Agriculture, Vietnam: Phan Dang
Thang, Dao Cong Duan, Dao Thi Hiep, Vu Dinh Ton
• National Institute of Veterinary Research, Hanoi,
Vietnam: Nguyen Tien Thanh, Nguyen Viet Khong
• Université de Liège, Belgique: Nicolas Antoine Moussiaux
Thank you for your attention