Abstract

Background: Despite the investments made in veterinary diagnostic laboratory service delivery in Uganda, the scope and level of utilization remains low. This study aimed to determine the priority livestock diseases for which farmers and animal health professionals require veterinary diagnostic laboratory services, document the perceptions and opinions of key stakeholders on veterinary diagnostic laboratory services, and determine the factors that influence the delivery and utilization of animal disease diagnostic services in Uganda.Methods: A qualitative study approach involving a survey and key informant interviews was used to collect relevant data from four stakeholder groups: animal health workers, laboratory technologists and technicians, farmers, and key informants. The survey data were exported to excel, and descriptive statistics performed. The key informant interview recordings were transcribed, and thematic analysis performed.Results: The most reported diseases and conditions for which diagnostic services were needed were hemoparasites (including East Coast fever, anaplasmosis, babesiosis, and trypanosomosis), viral (including Foot and mouth disease, lumpy skin disease, rift valley fever, and papillomatosis), bacteria (including brucellosis, colibacillosis, anthrax, leptospirosis, and paratuberculosis) and protozoa diseases (coccidiosis), endoparasites (helminths), and mastitis. The most common diagnostic laboratory tests requested by clients, but laboratories were unable to provide included: rapid tests for contagious bovine pleuropneumonia, Foot and mouth disease, Newcastle disease, acaricide analysis, culture and antimicrobial sensitivity test, serology, and complete blood count. The most frequently reported challenges to providing diagnostic laboratory services were poor or lack of relevant equipment, insufficient or lack of supplies and reagents, high cost of reagents, inadequate or lack of laboratory staff to perform tests, and inadequate training of laboratory staff.Conclusions: This study highlighted the need to improve provision of laboratory diagnostic services to meet the prioritized diagnostic needs of farmers and animal health professionals. Increased intersectoral engagement and funding support from the private, industry, and government sectors is necessary to help address the observed challenges to provision of diagnostic laboratory services, including equipping of the laboratories, provision of supplies, and hiring and training of laboratory staff. Finally, the findings also suggest that the education of farmers and animal health workers on the value and benefits of laboratory diagnostic services may contribute to increase in sample submission and subsequent demand for diagnostic laboratory services.

Highlights

  • Livestock are sources of income, food security and livelihood to over 70% of the households in Uganda

  • Survey results from the laboratory technologists/technicians, animal health workers and farmers, and results from the key informant interviews are presented in the sections below

  • This study aimed to identify the priority livestock diseases for which farmers and animal health professionals require veterinary diagnostics and the key clients for veterinary laboratory diagnostic services, assess the perceptions and opinions of key stakeholders on veterinary diagnostic services, identify the factors that influence diagnostic laboratory service utilization, and to propose relevant strategies that can be adopted by existing and emerging veterinary laboratories to improve animal disease diagnostic service delivery in Uganda

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Summary

Introduction

Livestock are sources of income, food security and livelihood to over 70% of the households in Uganda. Over 6 regional veterinary laboratories and 2 national diagnostics laboratories have been supported through the Ministry of Agriculture, Animal Industry and Fisheries (MAAIF), and the Food and Agriculture Organization as part of efforts to strengthen surveillance, diagnosis and disease reporting [9]. Both the scope and level of utilization of veterinary diagnostic laboratory services in Uganda remains low. Challenges such as insufficient reagents, consumables, human resources to manage laboratories and diagnostic kits have been reported as bottle necks to sustainable laboratory diagnostic service delivery in Uganda [10]. Despite the investments made in veterinary diagnostic laboratory service delivery in Uganda, the scope and level of utilization remains low. This study aimed to determine the priority livestock diseases for which farmers and animal health professionals require veterinary diagnostic laboratory services, document the perceptions and opinions of key stakeholders on veterinary diagnostic laboratory services, and determine the factors that influence the delivery and utilization of animal disease diagnostic services in Uganda

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