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dc.contributor.authorSchelling, E.
dc.contributor.authorBechir, M.
dc.contributor.authorAhmed, M.A.
dc.contributor.authorWyss, K.
dc.contributor.authorRandolph, Thomas F.
dc.contributor.authorZinsstag, J.
dc.date.accessioned2013-07-03T05:25:42Z
dc.date.available2013-07-03T05:25:42Z
dc.date.issued2007
dc.identifier.citationEmerging Infectious Diseases;13(3): 373-378
dc.identifier.urihttps://hdl.handle.net/10568/32887
dc.description.abstractVaccination services for people and livestock often fail to achieve sufficient coverages in Africa's remote rural settings because of financial, logistic, and service delivery constraints. In Chad from 2000 through 2005, we demonstrated the feasibility of combining vaccination programs for nomadic pastoralists and their livestock. Sharing of transport logistics and equipment between physicians and veterinarians reduced total costs. Joint delivery of human and animal health services is adapted to and highly valued by hard-to-reach pastoralists. In intervention zones, for the first time &tilde;10% of nomadic children (>1-11 months of age) were fully immunized annually and more children and women were vaccinated per day during joint vaccination rounds than during vaccination of persons only and not their livestock (130 vs. 100, p<0.001). By optimizing use of limited logistical and human resources, public health and veterinary services both become more effective, especially at the district level.
dc.language.isoen
dc.sourceEmerging Infectious Diseases
dc.subjectVACCINATION
dc.subjectNOMADISM
dc.subjectMANKIND
dc.subjectANIMALS
dc.subjectCHAD
dc.subjectPUBLIC HEALTH
dc.subjectVETERINARY SERVICES
dc.subjectPASTORAL SOCIETY
dc.subjectCHILDREN
dc.subjectWOMEN
dc.subjectLIVESTOCK
dc.subjectCOST ANALYSIS
dc.subjectFINANCING
dc.titleHuman and animal vaccination delivery to remote nomadic families, Chad
dc.typeJournal Article
cg.subject.ilriVACCINES
cg.subject.ilriANIMAL HEALTH
cg.subject.ilriLIVESTOCK
cg.subject.ilriPASTORALISM
cg.subject.ilriLIVESTOCK
cg.identifier.statusOpen Access
cg.identifier.doihttps://dx.doi.org/10.3201/eid1303.060391


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