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Table 7 Interventions discussed by different stakeholders to increase pyrethroid use

From: Conflict of interest: use of pyrethroids and amidines against tsetse and ticks in zoonotic sleeping sickness endemic areas of Uganda

Possible intervention

Main strengths

Main weaknesses

More sensitisation to communities

Education can address the many information gaps in disease transmission, the rationale for pyrethroid use and improve application strategies

Sensitisation has been on-going sporadically since 1998. Requires long-term engagement through repeated campaigns to significantly alter behaviour

The nature of poverty in a subsistence-level economy will mean that the cheapest product will attract the most support

Creation of village bylaws

Creates collective ownership and a locally agreed enforcement strategy

Difficult to implement and sustain since the region is still recovering from decades of conflict and economic marginalisation

Most communities are not willing or able to enforce spraying routines collectively

Encouragement of private sprayers

Increases supply of pyrethroids through the private market

Services are available in many areas but face challenges since farmers spray at different intervals

Cattle can be organised every month for village-wide spraying

People support mass cattle treatments if they are free of charge or subsidised

Strengthens access to veterinary services

Sprayer groups, such as those established through SOS, require incentives to reach the poorest communities and to make spray services a viable business as selling other veterinary services to farmers is seen to be more lucrative

Provides local skills development and employment

Cultivation of community spray groups

Group motivation facilitates compliance

Has been used in the past with little success

Government/NGOs provide initial free inputs

Groups often fall apart due to insufficient local ownership

Rehabilitation of dips

Transfer of responsibility to government

Population density prevents/deters farmers from the movement of cattle

Regular full body wash

User fees do not have local support

People would rather spray according to their own schedule

Subsidise pyrethroid products

Equalises the perceived discrepancy in price (ml for ml) between pyrethroids and amitraz compounds

Requires continued outside financial support from public or private bodies

Removal or alteration of subsidy can become a barrier to uptake and adoption

Educate veterinary shops and animal health workers

Relatively quick and can improve the skills of animal health workers

Shop owners and animal health workers already understand the benefits of pyrethroids but stock amitraz to meet customer demand

Government restriction of amitraz acaricides

Fastest solution that would avoid difficulties of facilitating behaviour change from farmers

In a liberalised economy, market restriction requires support from the central government, which could take a long time

Informal regulation of the market

Avoids the need for behaviour change and engaging in formal policy change

Requires political will at the district level