| Cote: | 972 |
| Auteur: | MOSIMANN Laura |
| Année: | Septembre 2015 |
| Titre: | Quantitative and qualitative determinants of effectiveness in rabies control: the case of a small-scale vaccination campaign in Bamako, Mali |
| Sous la direction de: | Prof. René Véron et Prof. Jakob Zinsstag |
| Type: | Mémoire de master en géographie |
| Pages: | 88 |
| Complément: | 38 pages d'annexes paginées: photos du terrain, article soumis à la publication, questionnaire |
| Remarques: | Ce mémoire a donné lieu à la publication d'un article : Mosimann, L., Traoré, A., Mauti, S., Léchenne, M., Obrist, B., Véron, R., … Zinsstag, J. (2017). A mixed methods approach to assess animal vaccination programmes: The case of rabies control in Bamako, Mali. Acta Tropica, 165, 203‑215. https://doi.org/10.1016/j.actatropica.2016.10.007 |
| Mots-clés: | Rabies / Bamako / mass vaccination / effectiveness / mixed methods / effectiveness determinants / Mali / local understandings / sociocultural factors / dog / human-dog relationships |
| Résumé: | Rabies is one of the so-called neglected tropical diseases transmitted from animals to humans and responsible for about 60'000 human deaths worldwide each year. Affecting namely the poorest people in developing countries, the disease constitutes a major public health issue, also in Mali. Recent studies show that most human deaths are caused by domestic dogs, and thereby, the disease can be controlled and eliminated by means of dog mass vaccination programs. However, rabies control is a community-based and multi-stakeholder issue, influenced by local understandings of the disease and perceptions of human-dog relationships. This study evaluates the effectiveness of a small-scale vaccination campaign implemented in two communes of Bamako, and analyses the various determinants of effectiveness by means of a mixed methods approach. Availability turned out to be the key parameter for the low final effectiveness of the intervention, due to a lack of information. Sociocultural elements such as ethnicity or religion did not emerge as decisive factors. Another key issue was a lack of collaboration and commitment of some stakeholders. Therefore, more emphasis should be put into the information campaign preceding the vaccination program as well as on improved collaboration between the stakeholders. Moreover, children emerged as key actors and should be closer involved to increase community awareness. This work contributes vital information for the optimization and scaling-up of effective canine rabies control programs in Bamako. Including the local perception of the disease as well as of the dog's place in society and integrating the context's specificities in future intervention designs might increase community participation and, thereby, lead to enhanced sustainability of the intervention. |