IntroductionLivestock are central to pastoral livelihoods. A major constraint in pastoral production is livestock diseases, which is often exacerbated by inadequate surveillance systems. Reporting of disease outbreaks from pastoral communities to animal health workers is one of the challenges that affects effective and timely response to disease outbreaks. This study aimed to understand animal disease reporting and response in pastoral areas of Northern Kenya. Stakeholders, their roles, information flow among them and methods used for both livestock disease reporting and response and their strengths and challenges were identified.MethodsThe study was carried out in Marsabit County, a pastoral county in Kenya. Pretested tools were used to guide data collection through Focus Group Discussions, Narrative and Key Informant Interviews with pastoralists, County government Animal Health Workers, agrovets and private animal health workers, Community Disease Reporters, Chiefs, County Public Health Officers and local Non-Governmental Organization staff. Net mapping was further used where participants drew links among the various stakeholders and assigned them perceived influence and power. Output from thematic analysis, notes taken during data collection and net maps were used to produce a network of stakeholders and their links using Gephi software. Centrality measures were generated and recorded. Perceived power and influence scores were used to produce a graph and the reasons for the scores documented. Methods used for livestock disease reporting and response were obtained from thematic analysis.ResultsA network of 19 stakeholders with 67 links among them was identified. Major stakeholders were the Animal Owners/Pastoralists, Government Animal Health Workers, County Director of Veterinary Services, the Chief and radio based on network indices of Total degree and Betweenness Centrality, and also based on perceived scores of influence and power. Pastoralists had pivotal roles in both livestock disease reporting and response, Government Animal Health Workers (GAHWs) were mainly involved in disease surveillance and mass interventions including treatment and vaccinations. Non-state actors like NGOs and iNGOs collaborated and supported the County Government with resources to manage outbreaks. Various methods were used for reporting diseases, with use of mobile phones highly mentioned while for response to disease occurrences, the methods included trainings and treatment by both Government and Private AHWs and use of alternative veterinary practices by pastoralists. Various challenges constraining livestock disease response were highlighted, the most frequent challenges centered around low numbers and under resourcing of Animal Health Workers.ConclusionThese findings show that designing an efficient livestock disease surveillance system in pastoral areas requires recognition and utilization of all stakeholders and understanding of their roles. Gaps highlighted in disease response should be prioritized by the government and its development partners for improved animal health service delivery in pastoral areas. These inadequacies in livestock disease response have a direct effect on veterinary practice as mandated by the Government of Kenya Veterinary Surgeons and Para-professionals Act. The results are important for guiding policy formulation to support mitigation of disease impacts in similar areas with limited access to quality veterinary services.