Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis

Bovine tuberculosis (BTB) is a zoonotic bacterial infection caused by Mycobacterium bovis and is characterized by the development of granulomatous lesions in the lymph nodes, lungs and other tissues. It poses serious public health impacts and food security challenges to the agricultural sector in te...

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Main Authors: Fanta D. Gutema, Getahun E. Agga, Kohei Makita, Rebecca L. Smith, Monique Mourits, Takele B. Tufa, Samson Leta, Tariku J. Beyene, Zerihun Asefa, Beksissa Urge, Gobena Ameni
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2020.586056/full
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author Fanta D. Gutema
Getahun E. Agga
Kohei Makita
Rebecca L. Smith
Monique Mourits
Takele B. Tufa
Samson Leta
Tariku J. Beyene
Zerihun Asefa
Beksissa Urge
Gobena Ameni
Gobena Ameni
author_facet Fanta D. Gutema
Getahun E. Agga
Kohei Makita
Rebecca L. Smith
Monique Mourits
Takele B. Tufa
Samson Leta
Tariku J. Beyene
Zerihun Asefa
Beksissa Urge
Gobena Ameni
Gobena Ameni
author_sort Fanta D. Gutema
collection DOAJ
description Bovine tuberculosis (BTB) is a zoonotic bacterial infection caused by Mycobacterium bovis and is characterized by the development of granulomatous lesions in the lymph nodes, lungs and other tissues. It poses serious public health impacts and food security challenges to the agricultural sector in terms of dairy and meat productions. In Ethiopia, BTB has been considered as a priority disease because of its high prevalence in urban and peri-urban dairy farms. However, there has not been any national control program in the country. Thus, in order to initiate BTB control program in the country, information on control options is needed to tailor the best option for the Ethiopian situation. The objective of this study was to identify, evaluate and rank various BTB control options in Ethiopia using a multi-criteria decision analysis based on preference ranking organization method for enrichment evaluations (PROMETHEE) approach while accounting for the stakeholders' preferences. Control options were evaluated under two scenarios: with (scenario 1) and without (scenario 2) bacillus Calmette–Guérin (BCG) vaccination. Nine potential control options were identified that include combinations of three control options (1) test and slaughter with or without government support, (2) test and segregation, and (3) BCG vaccination. Under scenario 1, BCG vaccination, BCG vaccination and test and slaughter with partial compensation by government, and BCG vaccination and test and slaughter with full compensation by government were the top three ranked control options. Under scenario 2, test and slaughter with full compensation by government was the preferred control option, followed by test and segregation supported by test and slaughter with full government compensation, and test and slaughter with half compensation by government. Irrespective of the variability in the weighting by the stakeholders, the sensitivity analysis showed the robustness of the ranking method. In conclusion, the study demonstrated that BCG vaccination, and test and slaughter with full compensation by government were the two most preferred control options under scenarios 1 and 2, respectively. National level discussions were strongly recommended for further concretization and implementation of these control measures.
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spelling doaj.art-942e7a8bfdce4d6da8858089f884b6882022-12-21T19:01:18ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-12-01710.3389/fvets.2020.586056586056Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision AnalysisFanta D. Gutema0Getahun E. Agga1Kohei Makita2Rebecca L. Smith3Monique Mourits4Takele B. Tufa5Samson Leta6Tariku J. Beyene7Zerihun Asefa8Beksissa Urge9Gobena Ameni10Gobena Ameni11College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, EthiopiaU. S. Department of Agriculture, Agricultural Research Service, Food Animal Environmental Systems Research Unit, Bowling Green, KY, United StatesDepartment of Veterinary Medicine, School of Veterinary Medicine, Rakukno Gakuen University, Ebetsu, JapanDepartment of Pathobiology, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL, United StatesBusiness Economics Group, Wageningen University, Wageningen, NetherlandsCollege of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, EthiopiaCollege of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, EthiopiaDepartment of Preventive Veterinary Medicine, Ohio State University, Columbus, OH, United StatesCollege of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, EthiopiaEthiopian Institute of Agricultural Research, Addis Ababa, EthiopiaAklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Veterinary Medicine, College of Agriculture, United Arab Emirates University, Al Ain, United Arab EmiratesBovine tuberculosis (BTB) is a zoonotic bacterial infection caused by Mycobacterium bovis and is characterized by the development of granulomatous lesions in the lymph nodes, lungs and other tissues. It poses serious public health impacts and food security challenges to the agricultural sector in terms of dairy and meat productions. In Ethiopia, BTB has been considered as a priority disease because of its high prevalence in urban and peri-urban dairy farms. However, there has not been any national control program in the country. Thus, in order to initiate BTB control program in the country, information on control options is needed to tailor the best option for the Ethiopian situation. The objective of this study was to identify, evaluate and rank various BTB control options in Ethiopia using a multi-criteria decision analysis based on preference ranking organization method for enrichment evaluations (PROMETHEE) approach while accounting for the stakeholders' preferences. Control options were evaluated under two scenarios: with (scenario 1) and without (scenario 2) bacillus Calmette–Guérin (BCG) vaccination. Nine potential control options were identified that include combinations of three control options (1) test and slaughter with or without government support, (2) test and segregation, and (3) BCG vaccination. Under scenario 1, BCG vaccination, BCG vaccination and test and slaughter with partial compensation by government, and BCG vaccination and test and slaughter with full compensation by government were the top three ranked control options. Under scenario 2, test and slaughter with full compensation by government was the preferred control option, followed by test and segregation supported by test and slaughter with full government compensation, and test and slaughter with half compensation by government. Irrespective of the variability in the weighting by the stakeholders, the sensitivity analysis showed the robustness of the ranking method. In conclusion, the study demonstrated that BCG vaccination, and test and slaughter with full compensation by government were the two most preferred control options under scenarios 1 and 2, respectively. National level discussions were strongly recommended for further concretization and implementation of these control measures.https://www.frontiersin.org/articles/10.3389/fvets.2020.586056/fullbovine tuberculosismulti-criteria decision analysisstakeholderscontrolEthiopia
spellingShingle Fanta D. Gutema
Getahun E. Agga
Kohei Makita
Rebecca L. Smith
Monique Mourits
Takele B. Tufa
Samson Leta
Tariku J. Beyene
Zerihun Asefa
Beksissa Urge
Gobena Ameni
Gobena Ameni
Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
Frontiers in Veterinary Science
bovine tuberculosis
multi-criteria decision analysis
stakeholders
control
Ethiopia
title Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
title_full Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
title_fullStr Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
title_full_unstemmed Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
title_short Evaluation of the Control Options of Bovine Tuberculosis in Ethiopia Using a Multi-Criteria Decision Analysis
title_sort evaluation of the control options of bovine tuberculosis in ethiopia using a multi criteria decision analysis
topic bovine tuberculosis
multi-criteria decision analysis
stakeholders
control
Ethiopia
url https://www.frontiersin.org/articles/10.3389/fvets.2020.586056/full
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