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Controlling parasites, understanding practices: The biosocial complexity of a One Health intervention for neglected zoonotic helminths in northern Lao PDR

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  • Bardosh, Kevin
  • Inthavong, Phouth
  • Xayaheuang, Sivilai
  • Okello, Anna L.

Abstract

A parasitological survey in northern Lao PDR showed a remote ethnic minority village to be hyper-endemic for Taenia solium, a Neglected Tropical Disease (NTD) that impacts human and pig health. An intervention combining human Mass Drug Administration (MDA) with porcine vaccination and antihelmintic treatment was then implemented, targeting both T. solium and other soil-transmitted helminths. To understand the biosocial complexity of this integrated One Health intervention, we conducted a rapid ethnographic study exploring the transmission dynamics of T. solium and locally acceptable long-term control options. Informed by two years of project work in the village, this included six focus group discussions, 35 semi-structured interviews, a latrine survey, a school-based education meeting, participant observation and many unstructured interviews conducted over two weeks in October 2013. We found that risk behaviours were mediated by various social determinants including limited market access, interrelationships between alcohol, ancestral sacrifices and the consumption of raw pork, seasonal variations and poor latrine coverage. Only sixteen percent of households had latrines, attributed to the unacceptability of dry latrines, lack of water access, poor building techniques and poverty. Whilst women could explain T. solium transmission, most men and children could not, revealing that distributed posters/leaflets relied too heavily on text and ambiguous images. Compliance with MDA was high due to trust between project staff and village leaders. However understandings of pharmacology, minor side effects, human migration and children's fear of worms may lead to resistance in future programmes. Our research highlights the complexities of controlling T. solium and other soil-transmitted helminths in a remote ethnic minority village and the need to integrate biomedical and participatory approaches. Although we showcase the heuristic value of using rapid ethnography to inform intervention strategies as part of a One Health/NTD agenda, we also identify several possible paradoxes and conundrums in embedding locally-grounded biosocial analysis into NTD programmes. These need to be acknowledged and negotiated by multidisciplinary teams.

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  • Bardosh, Kevin & Inthavong, Phouth & Xayaheuang, Sivilai & Okello, Anna L., 2014. "Controlling parasites, understanding practices: The biosocial complexity of a One Health intervention for neglected zoonotic helminths in northern Lao PDR," Social Science & Medicine, Elsevier, vol. 120(C), pages 215-223.
    • Handle: RePEc:eee:socmed:v:120:y:2014:i:c:p:215-223
    DOI: 10.1016/j.socscimed.2014.09.030
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    1. Parker, Melissa & Allen, Tim, 2011. "Does mass drug administration for the integrated treatment of neglected tropical diseases really work?: assessing evidence for the control of schistosomiasis and soil-transmitted helminths in Uganda," LSE Research Online Documents on Economics 44291, London School of Economics and Political Science, LSE Library.
    2. Panter-Brick, Catherine & Clarke, Sian E. & Lomas, Heather & Pinder, Margaret & Lindsay, Steve W., 2006. "Culturally compelling strategies for behaviour change: A social ecology model and case study in malaria prevention," Social Science & Medicine, Elsevier, vol. 62(11), pages 2810-2825, June.
    3. Janet C. Sturgeon & Nicholas K. Menzies & Yayoi Fujita Lagerqvist & David Thomas & Benchaphun Ekasingh & Louis Lebel & Khamla Phanvilay & Sithong Thongmanivong, 2013. "Enclosing Ethnic Minorities and Forests in the Golden Economic Quadrangle," Development and Change, International Institute of Social Studies, vol. 44(1), pages 53-79, January.
    4. Sokrin Khun & Lenore Manderson, 2007. "Community and School-Based Health Education for Dengue Control in Rural Cambodia: A Process Evaluation," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 1(3), pages 1-10, December.
    5. Waterkeyn, Juliet & Cairncross, Sandy, 2005. "Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe," Social Science & Medicine, Elsevier, vol. 61(9), pages 1958-1970, November.
    6. Leach, Melissa & Scoones, Ian, 2013. "The social and political lives of zoonotic disease models: Narratives, science and policy," Social Science & Medicine, Elsevier, vol. 88(C), pages 10-17.
    7. Rheinländer, Thilde & Samuelsen, Helle & Dalsgaard, Anders & Konradsen, Flemming, 2010. "Hygiene and sanitation among ethnic minorities in Northern Vietnam: Does government promotion match community priorities?," Social Science & Medicine, Elsevier, vol. 71(5), pages 994-1001, September.
    8. Manderson, Lenore & Aaby, Peter, 1992. "An epidemic in the field? Rapid assessment procedures and health research," Social Science & Medicine, Elsevier, vol. 35(7), pages 839-850, October.
    9. Andrea Gazzinelli & Rodrigo Correa-Oliveira & Guo-Jing Yang & Boakye A Boatin & Helmut Kloos, 2012. "A Research Agenda for Helminth Diseases of Humans: Social Ecology, Environmental Determinants, and Health Systems," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 6(4), pages 1-11, April.
    10. Bell, Sue E. & Whiteford, Michael B., 1987. "Tai Dam health care practices: Asian refugee women in Iowa," Social Science & Medicine, Elsevier, vol. 24(4), pages 317-325, January.
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