BackgroundRift Valley Fever (RVF), is a viral zoonotic disease transmitted by Aedes and Culex mosquitoes. In Kenya, its occurrence is associated with increased rains. In Baringo County, RVF was first reported in 2006–2007 resulting in 85 human cases and 5 human deaths, besides livestock losses and livelihood disruptions. This study sought to investigate the county’s current RVF risk status.Methodology and principal findingsA cross-sectional study on the knowledge, attitudes and practices of RVF was conducted through a mixed methods approach utilizing a questionnaire survey (n = 560) and 26 focus group discussions (n = 231). Results indicate that study participants had little knowledge of RVF causes, its signs and symptoms and transmission mechanisms to humans and livestock. However, most of them indicated that a person could be infected with zoonotic diseases through consumption of meat (79.2%) and milk (73.7%) or contact with blood (40%) from sick animals. There was a statistically significant relationship between being male and milking sick animals, consumption of milk from sick animals, consuming raw or cooked blood, slaughtering sick livestock or dead animals for consumption (all at p≤0.001), and handling sick livestock with bare hands (p = 0.025) with more men than women engaging in the risky practices. Only a few respondents relied on trained personnel or local experts to inspect meat for safety of consumption every time they slaughtered an animal at home. Sick livestock were treated using conventional and herbal medicines often without consulting veterinary officers.ConclusionsCommunities in Baringo County engage in behaviour that may increase their risk to RVF infections during an outbreak. The authors recommend community education to improve their response during outbreaks.

BackgroundMalaria transmission in arid and semi-arid regions of Kenya such as Baringo County, is seasonal and often influenced by climatic factors. Unravelling the relationship between climate variables and malaria transmission dynamics is therefore instrumental in developing effective malaria control strategies. The main aim of this study was to describe the effects of variability of rainfall, maximum temperature and vegetation indices on seasonal trends of malaria in selected health facilities within Baringo County, Kenya.MethodsClimate variables sourced from the International Research Institute (IRI)/Lamont-Doherty Earth Observatory (LDEO) climate database and malaria cases reported in 10 health facilities spread across four ecological zones (riverine, lowland, mid-altitude and highland) between 2004 and 2014 were subjected to a time series analysis. A negative binomial regression model with lagged climate variables was used to model long-term monthly malaria cases. The seasonal Mann–Kendall trend test was then used to detect overall monotonic trends in malaria cases.ResultsMalaria cases increased significantly in the highland and midland zones over the study period. Changes in malaria prevalence corresponded to variations in rainfall and maximum temperature. Rainfall at a time lag of 2 months resulted in an increase in malaria transmission across the four zones while an increase in temperature at time lags of 0 and 1 month resulted in an increase in malaria cases in the riverine and highland zones, respectively.ConclusionGiven the existence of a time lag between climatic variables more so rainfall and peak malaria transmission, appropriate control measures can be initiated at the onset of short and after long rains seasons.

Rift Valley fever (RVF) is a zoonotic disease of great public health and economic importance transmitted by mosquitoes. The main method of preventing the disease is vaccination of susceptible livestock before outbreaks occur. Studies on RVF vaccines have focused on the production processes, safety, and efficacy standards but those on uptake and adoption levels are rare. This study sought to understand the barriers faced by men and women farmers in the uptake of livestock vaccines to inform strategies for optimizing the use of vaccines against RVF in East Africa. The cross-sectional qualitative study utilized the pairwise ranking technique in sex disaggregated focus group discussions to identify and rank these barriers. Results indicate that men and women farmers experience barriers to vaccine uptake differentially. The barriers include the direct and indirect cost of vaccines, distances to vaccination points, availability of vaccination crushes, intra-household decision making processes and availability of information on vaccination campaigns. The study concludes that vaccine provision does not guarantee uptake at the community level. Hence, these barriers should be considered while designing vaccination strategies to enhance community uptake because vaccine uptake is a complex process which requires buy-in from men and women farmers, veterinary departments, county/district and national governments, and vaccine producers.

Conservation agriculture (CA) involves the practice of concurrent minimum tillage, permanent soil cover using crop residue, and crop rotation. Evidence indicates that CA increases agricultural productivity, reduces farming labour requirements, and improves soil quality. While CA is practised in several African contexts, little is known about its interaction with gender. This review synthesized knowledge on the interplay of gender and CA in sub-Saharan Africa. The review highlighted the relative neglect of gender issues in research on CA in SSA. Existing research was limited both in quantity and to a few countries in the region. There was also little critical focus on gender as a social phenomenon: a few of the studies conceptualized gender in terms of the socially constructed roles of men and women while the majority framed it in terms of the sexual categories of male and female. Compared to men, and due largely to gendered barriers, including lack of access to land; machinery; inputs; extension services; and credit facilities, women farmers adopted CA less and disadopted it more. CA increased women's incomes, labour involvement, household food security, as well as risks for land and crop dispossession by men when farming becomes lucrative. It also increased workloads, employment opportunities and health risks for women. CA positively altered gender relations, boosting women's participation in agricultural decision-making at the household level. Deliberately enlisting women as beneficiaries; working with men to advance their understanding of women's needs in agriculture; and offering agricultural inputs directly to women are some strategies that enhanced women's participation in CA. Gaps in current research on gender and CA include: critical focus on and understanding of gender as a social construct in relation to CA; the long-term impacts on CA for gender relations, incomes for men and women, and women's empowerment; the sustainability of strategies for supporting gendered participation in CA; and the dynamics of gendered access to local farmland markets for CA.