Factors associated with knowledge, attitudes, and practices of mixed crop-livestock farmers on Crimean-Congo hemorrhagic fever (CCHF) and other zoonoses in Burkina Faso. - 2025
Factors associated with knowledge, attitudes, and practices of mixed crop-livestock farmers on Crimean-Congo hemorrhagic fever (CCHF) and other zoonoses in Burkina Faso.
Ilboudo, Abdoul Kader; Dione, Michel; Nijhof, Ard Met al.
[en] [en] BACKGROUND: The burden of zoonotic diseases remains high in low and middle-income countries. Among the most prevalent zoonoses, Crimean-Congo hemorrhagic fever (CCHF) can pose economic and health threats, particularly among at-risk professionals. We aimed to assess the knowledge, attitudes, and practices regarding CCHF and other zoonoses among mixed-crop livestock farmers in the rural settings of Burkina Faso.
METHODS: A cross-sectional study that involved selected households from sixteen villages was conducted. Consenting participants aged six and above were randomly included, and a structured questionnaire that collected socio-economic data, knowledge, attitudes, and practices concerning CCHF and other zoonoses was administered. Two index outcome variables were created based on an elaborated scale: i) attitudes and practices at risk of CCHF; and ii) knowledge of zoonoses. Descriptive statistics were performed, and univariable ordinary least squares (OLS) and seemingly unrelated regression (SUR) were used for univariable and multivariable modeling, respectively, to assess the drivers of both outcomes.
RESULTS: Of the 717 respondents, 66.4 % were male, and 20.4 % were under 15 years old. The attitudes and practices at risk were high (48.1 %), and the knowledge toward zoonoses was limited for 47.8 % of the farmers. Our multivariable SUR model shows higher odds of attitudes and practices associated with CCHF risk in men (Coef [95 %CI] = 2.85[2.14;3.56]; p-value<0.001). This risk increases with the distance to the livestock grazing area, and among the households owning their livestock grazing area (Coef [95 %CI] = 1.57[0.47;2.66]; p-value = 0.005). The farmers' age (Coef[95 % CI] = 0.02[0.002;0.04]; p-value = 0.028), the male gender (Coef 95 %CI] = 1.5[0.94;2.14]; p-value<0.001), the household's farming surface (Coef[95 %CI] = 0.03[0.002;0.6]; p-value = 0.032), were the significant factors driving knowledge of zoonoses among the farmers.
CONCLUSION: The study reveals concerning high-risk behavior associated with CCHF among mixed-crop livestock farmers in rural Burkina Faso. The identified socio-demographic drivers underscore the importance of targeted educational and preventive measures to mitigate the impact of CCHF in this vulnerable population.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Ilboudo, Abdoul Kader; International Livestock Research Institute (ILRI), Human and Animal Health, Kenya ; Freie Universität Berlin, Institute for Parasitology and Tropical Veterinary Medicine, Berlin, Germany ; Institut de Recherche en Sciences de la Santé, National Influenza Reference Laboratory, Unit of Epidemic Prone Diseases, Emerging Diseases and Zoonoses, Department of Medical Biology and Public Health (IRSS/CNRST), Ouagadougou, Burkina Faso
Dione, Michel; International Livestock Research Institute (ILRI), Human and Animal Health, Kenya
Nijhof, Ard M; Freie Universität Berlin, Institute for Parasitology and Tropical Veterinary Medicine, Berlin, Germany ; Freie Universität Berlin, Veterinary Centre for Resistance Research, Berlin, Germany
Groschup, Martin H; Friedrich-Loeffler -Institut, Institute of Novel and Emerging Diseases, Insel Riems, Germany
Traoré, Ousmane; Université Norbert Zongo, Economics and Management Sciences Research Unit, Koudougou, Burkina Faso
Ilboudo, Guy S; International Livestock Research Institute (ILRI), Human and Animal Health, Burkina Faso
Tarnagda, Zekiba; Institut de Recherche en Sciences de la Santé, National Influenza Reference Laboratory, Unit of Epidemic Prone Diseases, Emerging Diseases and Zoonoses, Department of Medical Biology and Public Health (IRSS/CNRST), Ouagadougou, Burkina Faso
Savadogo, Madi ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) ; Institut de Recherche en Sciences de la Santé, National Influenza Reference Laboratory, Unit of Epidemic Prone Diseases, Emerging Diseases and Zoonoses, Department of Medical Biology and Public Health (IRSS/CNRST), Ouagadougou, Burkina Faso ; Directorate of Animal Health, Directorate General of Veterinary Services, Ministry of Agriculture, Animal et Halieutic Resources, Ouagadougou, Burkina Faso
Bett, Bernard; International Livestock Research Institute (ILRI), Human and Animal Health, Kenya
Language :
English
Title :
Factors associated with knowledge, attitudes, and practices of mixed crop-livestock farmers on Crimean-Congo hemorrhagic fever (CCHF) and other zoonoses in Burkina Faso.
The authors wish to thank the Federal Ministry for Economic Cooperation (BMZ), Germany, which funded this study as part of the applied research activities that were being implemented under the One Health Research Education and Outreach Centre (OHRECA). Additional funding was obtained from the CGIAR One Health Initiative, \u201CProtecting human health through a One Health approach\u201D that is supported by contributors to the CGIAR Trust Fund (https://www.cgiar.org/funders/)\u201D. Consortium of International Agricultural Research Centers
Zoonoses [Internet]. Available from https://www.who.int/news-room/fact-sheets/detail/zoonoses, 2023.
Jones, K.E., Patel, N.G., Levy, M.A., Storeygard, A., Balk, D., Gittleman, J.L., et al. Global trends in emerging infectious diseases. Nature 451:7181 (2008), 990–993.
Chan, E.H., Brewer, T.F., Madoff, L.C., Pollack, M.P., Sonricker, A.L., Keller, M., et al. Global capacity for emerging infectious disease detection. Proc. Natl. Acad. Sci. 107:50 (2010), 21701–21706.
Africa Sustainable Livestock 2050: Livestock and Viral Emerging Infectious Diseases [Internet], 2022, FAO [cited 2023 Aug 8]. Available from http://www.fao.org/documents/card/en/c/cc2160en.
Chauhan, R.P., Dessie, Z.G., Noreddin, A., El Zowalaty, M.E., Systematic review of important viral diseases in Africa in light of the ‘one health’ concept. Pathogens, 9(4), 2020, 301.
Balinandi, S., Patel, K., Ojwang, J., Kyondo, J., Mulei, S., Tumusiime, A., et al. Investigation of an isolated case of human Crimean-Congo hemorrhagic fever in Central Uganda, 2015. Int. J. Infect. Dis. 68 (2018), 88–93.
Mirembe, B.B., Musewa, A., Kadobera, D., Kisaakye, E., Birungi, D., Eurien, D., et al. Sporadic outbreaks of crimean-Congo haemorrhagic fever in Uganda, July 2018-January 2019. PLoS Negl. Trop. Dis., 15(3), 2021, e0009213.
Kizito, S., Okello, P.E., Kwesiga, B., Nyakarahuka, L., Balinandi, S., Mulei, S., et al. Notes from the field: Crimean-Congo hemorrhagic fever outbreak - Central Uganda, august-September 2017. MMWR Morb. Mortal Wkly. Rep. 67:22 (2018), 646–647.
Aradaib, I.E., Erickson, B.R., Karsany, M.S., Khristova, M.L., Elageb, R.M., Mohamed, M.E., et al. Multiple Crimean-Congo hemorrhagic fever virus strains are associated with disease outbreaks in Sudan, 2008-2009. PLoS Negl. Trop. Dis., 5(5), 2011, e1159.
Nasirian, H., Crimean-Congo hemorrhagic fever (CCHF) seroprevalence: a systematic review and meta-analysis. Acta Trop. 196 (2019), 102–120.
Vawda, S., Goedhals, D., Bester, P.A., Burt, F., Seroepidemiologic survey of Crimean-Congo hemorrhagic fever virus in selected risk groups, South Africa. Emerg Infect Dis. 24:7 (2018), 1360–1363.
Akuffo, R., Brandful, J.A., Zayed, A., Adjei, A., Watany, N., Fahmy, N.T., et al. Crimean-Congo hemorrhagic fever virus in livestock ticks and animal handler seroprevalence at an abattoir in Ghana. BMC Infect. Dis., 16, 2016, 324.
Zoma-Traoré, B., Soudré, A., Ouédraogo-Koné, S., Khayatzadeh, N., Probst, L., Sölkner, J., et al. From farmers to livestock keepers: a typology of cattle production systems in South-Western Burkina Faso. Trop. Anim. Health Prod. 52:4 (2020), 2179–2189.
Ouédraogo, D., Soudré, A., Ouédraogo-Koné, S., Zoma, B.L., Yougbaré, B., Khayatzadeh, N., et al. Breeding objectives and practices in three local cattle breed production systems in Burkina Faso with implication for the design of breeding programs. Livest. Sci., 232, 2020, 103910.
Saluzzo, J.F., Digoutte, J.P., Cornet, M., Baudon, D., Roux, J., Robert, V., Isolation of Crimean-Congo haemorrhagic fever and Rift Valley fever viruses in upper Volta. Lancet, 1(8387), 1984, 1179.
Ilboudo, A.K., Oloo, S.O., Sircely, J., Nijhof, A.M., Bett, B., Spatial analysis and risk mapping of Crimean-Congo hemorrhagic fever (CCHF) in sub-Saharan Africa. Sci. Rep., 15(1), 2025, 2292.
Waltner-Toews, D., Zoonoses, one health and complexity: wicked problems and constructive conflict. Philos. Trans. R Soc. B Biol. Sci., 372(1725), 2017, 20160171.
Ergonul, O., (eds.) Crimean-Congo Hemorrhagic Fever: A Global Perspective, 1. ed., 2007, Springer Netherland, Berlin, 328.
Atim, S.A., Ashraf, S., Belij-Rammerstorfer, S., Ademun, A.R., Vudriko, P., Nakayiki, T., et al. Risk factors for Crimean-Congo Haemorrhagic fever (CCHF) virus exposure in farming communities in Uganda. J. Inf. Secur. 85:6 (2022), 693–701.
Msimang, V., Weyer, J., le Roux, C., Kemp, A., Burt, F.J., Tempia, S., et al. Risk factors associated with exposure to Crimean-Congo haemorrhagic fever virus in animal workers and cattle, and molecular detection in ticks, South Africa. PLoS Negl. Trop. Dis., 15(5), 2021, e0009384.
Celina, S.S., Černý, J., Samy, A.M., Mapping the potential distribution of the principal vector of Crimean-Congo haemorrhagic fever virus Hyalomma marginatum in the Old World. PLoS Negl. Trop. Dis., 17(11), 2023, e0010855.
Okely, M., Anan, R., Gad-Allah, S., Samy, A.M., Mapping the environmental suitability of etiological agent and tick vectors of Crimean-Congo hemorrhagic fever. Acta Trop., 203, 2020, 105319.
Spengler, J.R., Estrada-Peña, A., Garrison, A.R., Schmaljohn, C., Spiropoulou, C.F., Bergeron, É., et al. A chronological review of experimental infection studies of the role of wild animals and livestock in the maintenance and transmission of Crimean-Congo hemorrhagic fever virus. Antivir. Res. 135 (2016), 31–47.
Gargili, A., Estrada-Peña, A., Spengler, J.R., Lukashev, A., Nuttall, P.A., Bente, D.A., The role of ticks in the maintenance and transmission of Crimean-Congo hemorrhagic fever virus: a review of published field and laboratory studies. Antivir. Res. 144 (2017), 93–119.
Nejati, J., Mohammadi, M., Okati-Aliabad, H., Knowledge, attitudes, and practices regarding Crimean-Congo hemorrhagic fever in a high-prevalence suburban community, southeast of Iran. Heliyon, 10(1), 2023, e23414.
Ahmed, A., Saqlain, M., Tanveer, M., Tahir, A.H., Ud-Din, F., Shinwari, M.I., et al. Knowledge, attitude and perceptions about Crimean Congo Haemorrhagic fever (CCHF) among occupationally high-risk healthcare professionals of Pakistan. BMC Infect. Dis., 21(1), 2021, 35.
Ayebare, D., Menya, M., Mulyowa, A., Muhwezi, A., Tweyongyere, R., Atim, S.A., Knowledge, attitudes, and practices of Crimean Congo hemorrhagic fever among livestock value chain actors in Kagadi district, Uganda. PLoS Negl. Trop. Dis., 17(2), 2023, e0011107.
Jamil, H., Din, M.F.U., Tahir, M.J., Saqlain, M., Hassan, Z., Khan, M.A., et al. Knowledge, attitudes, and practices regarding Crimean-Congo hemorrhagic fever among general people: a cross-sectional study in Pakistan. PLoS Negl. Trop. Dis., 16(12), 2022, e0010988.
Declaration of Helsinki, Recommendations guiding medical doctors in biomedical research involving human subjects. Med. J. Aust. 1:7 (1976), 206–207.
West, C.T., Roncoli, C., Ouattara, F., Local perceptions and regional climate trends on the central plateau of Burkina Faso. Land Degrad. Dev. 19:3 (2008), 289–304.
Traore, O., Chang, W., Rehman, A., Traore, S., Rauf, A., Climate disturbance impact assessment in West Africa: evidence from field survey and satellite imagery analysis. Environ. Sci. Pollut. Res. 27:21 (2020), 26315–26331.
Ayantunde, A.A., Asse, R., Said, M.Y., Fall, A., Transhumant pastoralism, sustainable management of natural resources and endemic ruminant livestock in the sub-humid zone of West Africa. Environ. Dev. Sustain. 16 (2014), 1097–1117.
Institut National de la Statistique et de Demographie (INSD), Cinquième Recensement Général de la Population et de l'Habitation du Burkina Faso, Résultats Préliminaires. 2020.
Lwanga, S.K., Lemeshow, S., Organization WH, Sample size Determination in Health Studies: a Practical Manual [Internet]. 1991, World health Organization [cited 2024 May 12]. Available from https://apps.who.int/iris/handle/10665/40062?locale-attribute=zh&utm_source=transaction&utm_medium=email.
ODK - Collect data anywhere [Internet]. Available from https://getodk.org, 2024.
Zellner, A., An efficient method of estimating seemingly unrelated regressions and tests for aggregation Bias. J. Am. Stat. Assoc. 57:298 (1962), 348–368.
Fabrigar, L.R., Petty, R.E., Smith, S.M., Crites, S.L. Jr., Understanding knowledge effects on attitude-behavior consistency: the role of relevance, complexity, and amount of knowledge. J. Pers. Soc. Psychol. 90:4 (2006), 556–577.
Dernburg, A.R., Fabre, J., Philippe, S., Sulpice, P., Calavas, D., A study of the knowledge, attitudes, and behaviors of French dairy farmers toward the farm register. J. Dairy Sci. 90:4 (2007), 1767–1774.
Heidari, S., Keshavarz, S., Mirahmadizadeh, A., Application of seemingly unrelated regression (SUR) in determination of risk factors of fatigue and general health among the employees of petrochemical companies. J. Health Sci. Surveill. Syst. 5:4 (2017), 180–187.
Baltagi, B.H., The efficiency of OLS in a seemingly unrelated regressions model. Economic Theory 4:3 (1988), 536–537.
Keshavarzi, S., Ayatollahi, S.M.T., Zare, N., Pakfetrat, M., Application of seemingly unrelated regression in medical data with intermittently observed time-dependent covariates. Comput. Math. Methods Med., 2012, 2012, 821643.
Ngoshe, Y.B., Etter, E., Gomez-Vazquez, J.P., Thompson, P.N., Knowledge, attitudes, and practices of communal livestock farmers regarding animal health and Zoonoses in far northern KwaZulu-Natal, South Africa. Int. J. Environ. Res. Public Health, 20(1), 2022, 511.
Ayim-Akonor, M., Krumkamp, R., May, J., Mertens, E., Understanding attitude, practices and knowledge of zoonotic infectious disease risks among poultry farmers in Ghana. Vet. Med. Sci. 6:3 (2020), 631–638.
Swai, E.S., Schoonman, L., Daborn, C.J., Knowledge and attitude towards zoonoses among animal health workers and livestock keepers in Arusha and Tanga, Tanzania. Tanzan. J. Health Res. 12:4 (2010), 280–286.
Sorvillo, T.E., Rodriguez, S.E., Hudson, P., Carey, M., Rodriguez, L.L., Spiropoulou, C.F., et al. Towards a sustainable one health approach to crimean–Congo hemorrhagic fever prevention: focus areas and gaps in knowledge. Trop. Med. Infect. Dis., 5(3), 2020, 113.
Özlü, H., Atasever, M., Atasever, M.A., Knowledge, attitude, and practices of cattle farmers regarding zoonotic diseases in Erzurum, Turkey. Austral. J. Vet. Sci. 52:3 (2020), 79–85.
Mangesho, P.E., Neselle, M.O., Karimuribo, E.D., Mlangwa, J.E., Queenan, K., Mboera, L.E.G., et al. Exploring local knowledge and perceptions on zoonoses among pastoralists in northern and eastern Tanzania. PLoS Negl. Trop. Dis., 11(2), 2017, e0005345.
Srivastava, V.K., Dwivedi, T.D., Estimation of seemingly unrelated regression equations: a brief survey. J. Econ. 10:1 (1979), 15–32.
Saenz, J.L., Beam, C.R., Zelinski, E.M., The association between spousal education and cognitive ability among older Mexican adults. J. Gerontol. B Psychol. Sci. Soc. Sci. 75:7 (2020), e129–e140.
Keshavarzi, S., Ayatollahi, S.M.T., Zare, N., Sharif, F., Quality of life of childbearing age women and its associated factors: an application of seemingly unrelated regression (SUR) models. Qual. Life Res. 22:6 (2013), 1255–1263.
Kazianga, H., Wahhaj, Z., Gender, social norms, and household production in Burkina Faso. Econ. Dev. Cult. Chang. 61:3 (2013), 539–576.
Neumayer, K., Gender Dimensions of Rainwater and Livelihoods Management in Rural Crop-Livestock Systems: Practices and Innovations in the Nakanbé River Basin in Burkina Faso [Internet]. PhD Thesis. [cited 2024 Mar 3]. Available from https://cgspace.cgiar.org/handle/10568/42435, 2014.
Hemmings-Gapihan GS. Climate change, subsistence farming, food security, and poverty: the consequences of agricultural policies on women and men farmers in Burkina Faso and cote d'Ivoire. Afr. Policy J. 2008 [cited 2024 Mar 3];4. Available from: https://www.researchgate.net/profile/Grace-Hemmings/publication/303552769_Climate_Change_Subsistence_Farming_Food_Security_and_Poverty_The_Consequences_of_Agricultural_Policies_on_Women_and_Men_Farmers_in_Burkina_Faso_and_Cote_d'Ivoire/links/574849b908ae707fe21fbad3/Climate-Change-Subsistence-Farming-Food-Security-and-Poverty-The-Consequences-of-Agricultural-Policies-on-Women-and-Men-Farmers-in-Burkina-Faso-and-Cote-dIvoire.pdf.
Adegoke, A.T., Abioye, A.A., Improving livestock productivity: assessment of feed resources and livestock management practices in Sudan-savanna zones of West Africa. Afr. J. Agric. Res. 11:5 (2016), 422–440.
Gerber, P., Mooney, H.A., Dijkman, J., Tarawali, S., de Haan, C., Livestock in a Changing Landscape, Volume 2: Experiences and Regional Perspectives. 2010, 10.5555/20103153035 [cited 2024 May 28]. Available from.
Nyokabi, S., Birner, R., Bett, B., Isuyi, L., Grace, D., Güttler, D., et al. Informal value chain actors’ knowledge and perceptions about zoonotic diseases and biosecurity in Kenya and the importance for food safety and public health. Trop. Anim. Health Prod. 50:3 (2018), 509–518.
Singh, BB, Kaur, R, Gill, GS, Gill, JPS, Soni, RK, Aulakh, RS, Knowledge, attitude and practices relating to zoonotic diseases among livestock farmers in Punjab, India. Acta Trop 189 (2019), 15–21.