TY - JOUR
T1 - Feasibility and acceptability of a new integrated approach to control cystic echinococcosis in Morocco
T2 - Vaccination of sheep and anthelmintic treatment of dogs
AU - Saadi, Aouatif
AU - Antoine-Moussiaux, Nicolas
AU - Sahibi, Hamid
AU - Filali, Hind
AU - Marcotty, Tanguy
AU - Thys, Séverine
N1 - Funding Information:
The Research and Higher Education Academy of Wallonie and Brussels (ARES- Belgium) and Agronomic and Veterinary Institute Hassan II, Rabat, Morocco funded this study.
Publisher Copyright:
© 2021 Elsevier B.V.
PY - 2021/7
Y1 - 2021/7
N2 - Cystic echinococcosis (CE) or hydatidosis is a common parasitic disease worldwide, especially in poor and developing countries. In Morocco, CE is a major zoonosis, despite the implementation of a national control program since 2007. Therefore, in 2016, a field trial that associates the EG95 vaccine (lambs) and anthelmintic treatment (dogs) was started in the Mid Atlas, the most endemic region in Morocco, with preliminary positive results. Here, a qualitative approach was used to analyze the feasibility and social acceptability of this strategy. Fifteen focus group discussions were separately conducted with breeders and with their wives, and forty-two individual interviews were performed with private-sector veterinarians and officers from structures responsible for the CE control program. Recordings were transcribed and analyzed with the R software, using the RQDA package. This qualitative research was validated using the credibility, transferability, dependability and confirmability criteria. This study showed that the professionals' views on sheep vaccination and anthelmintic treatment were divided between acceptability and concerns. Conversely, breeders and their wives highlighted the issue of the costs of procedures the utility of which was not immediately clear to them. All participants proposed solutions to improve this strategy, and also stressed the lack of education on CE. By bringing together the views of the communities and the professionals, this study traced the main lines (targeting the different aspects of CE and taking into account the local socio-cultural beliefs) that must be taken into account to ensure the short- and long-term CE control in Morocco.
AB - Cystic echinococcosis (CE) or hydatidosis is a common parasitic disease worldwide, especially in poor and developing countries. In Morocco, CE is a major zoonosis, despite the implementation of a national control program since 2007. Therefore, in 2016, a field trial that associates the EG95 vaccine (lambs) and anthelmintic treatment (dogs) was started in the Mid Atlas, the most endemic region in Morocco, with preliminary positive results. Here, a qualitative approach was used to analyze the feasibility and social acceptability of this strategy. Fifteen focus group discussions were separately conducted with breeders and with their wives, and forty-two individual interviews were performed with private-sector veterinarians and officers from structures responsible for the CE control program. Recordings were transcribed and analyzed with the R software, using the RQDA package. This qualitative research was validated using the credibility, transferability, dependability and confirmability criteria. This study showed that the professionals' views on sheep vaccination and anthelmintic treatment were divided between acceptability and concerns. Conversely, breeders and their wives highlighted the issue of the costs of procedures the utility of which was not immediately clear to them. All participants proposed solutions to improve this strategy, and also stressed the lack of education on CE. By bringing together the views of the communities and the professionals, this study traced the main lines (targeting the different aspects of CE and taking into account the local socio-cultural beliefs) that must be taken into account to ensure the short- and long-term CE control in Morocco.
KW - Acceptability
KW - Anthelmintic treatment of dogs
KW - Cystic echinococcosis
KW - EG95 vaccine
KW - Feasibility
KW - Morocco
UR - http://www.scopus.com/inward/record.url?scp=85105266787&partnerID=8YFLogxK
U2 - 10.1016/j.prevetmed.2021.105373
DO - 10.1016/j.prevetmed.2021.105373
M3 - Article
C2 - 33971556
AN - SCOPUS:85105266787
SN - 0167-5877
VL - 192
JO - Preventive Veterinary Medicine
JF - Preventive Veterinary Medicine
M1 - 105373
ER -