Abstract
Gender sensitivity in health promotion has been widely recommended, yet attention to gender roles and gender-disaggregated studies is often lacking in disease research and public health intervention planning. In the rural Mnisi community of Mpumalanga, South Africa, where zoonotic pathogens are known to contribute to acute febrile illness, community and household tasks may increase an individual’s risk of exposure, and these tasks are likely to be influenced by gender. This study described the roles and responsibilities of community residents, specifically those that have been identified as critical control points for infectious pathogen exposure, by gender. Male gender-typed tasks included those associated with livestock and poultry husbandry, hunting and slaughtering wildlife, and rodent control. Female gender-typed tasks included animal-sourced food preparation, domestic cleaning and maintenance, and caregiving to children and ill family members. Given the gender-specific nature of these tasks, potential pathogen exposure and transmission patterns of infectious diseases may be also gender specific. These data can inform the development and revision of health promotion strategies, such as the community-based One Health Training and Leadership program, prioritizing outcomes for male and female participants alike. Gender-disaggregated analysis is recommended for effective risk mitigation and community-wide health promotion using a One Health approach.
Similar content being viewed by others
References
Amuguni H, Mugisha A, Bagnol B, Kyewalabye E, Talmage R, Shah N (2018) Gender, One Health and Infectious Disease Management Training Module. USAID One Health Workforce. Available: http://ohcea.org/index.php?option=com_content&view=article&id=168&Itemid=1055. Accessed February 28, 2019.
Bagnol B, Alders R, McConchie R (2015) Gender issues in human, animal and plant health using an Ecohealth Perspective. Environment and Natural Resources Research 5(1):62–76
Bartram J, Hunter P (2015) Bradley Classification of disease transmission routes for water-related hazards. Routledge Handbook of Water and Health 38–55
Berrian AM, Martínez-López B, Quan V, Conrad PA, van Rooyen J, Simpson GJG, Frean J, Weyer J, Rossouw J, Knobel D, Blumberg L (2019) Risk factors for bacterial zoonotic pathogens in acutely febrile patients in Mpumalanga Province, South Africa. Zoonoses and Public Health 66(5):458–469
Berrian AM, Smith MH, van Rooyen J, Martínez-López B, Plank MN, Smith WA, Conrad PA (2018) A community-based one health education program for disease risk mitigation at the human-animal interface. One Health 5:9–20
Berrian AM, van Rooyen J, Martínez-López B, Knobel D, Simpson GJG, Wilkes MS, Conrad PA (2016) One Health profile of a community at the wildlife-domestic animal interface, Mpumalanga, South Africa. Preventive Veterinary Medicine 130:119–128
Centers for Disease Control and Prevention (CDC) (2015) One Health Program: South Africa Regional Global Disease Detection Center. Available: https://www.cdc.gov/globalhealth/countries/southafrica/what/one_health.htm. Accessed October 11, 2019.
Clark H (2018) Report card shows gender is missing in global health. The Lancet 391(10124):918–920
Cosivi O, Grange JM, Daborn CJ, Raviglione MC, Fujikura T, Cousins D, Robinson RA, Huchzermeyer HF, de Kantor I, Meslin FX (1998) Zoonotic tuberculosis due to Mycobacterium bovis in developing countries. Emerging Infectious Diseases 4(1):59–70
Creswell JW, Plano Clark VL (2011) Designing and Conducting Mixed Methods Research, Los Angeles: SAGE Publications, Inc.
de Blas I (2006) WinEpi software, working in Epidemiology. Available: http://www.winepi.net/sp/index.htm. Accessed January 1, 2017.
Fawole OI, Bamiselu OF, Adewuyi PA, Nguku, PM (2016) Gender dimensions to the Ebola outbreak in Nigeria. Annals of African medicine 15(1):7–13.
Frean J, Blumberg L, Ogunbanjo GA (2008) Tick bite fever in South Africa. South African Family Practice 50(2):33–35
Friedson-Ridenour S, Dutcher TV, Calderon C, Brown LD, Olsen CW (2019) Gender Analysis for One Health: Theoretical Perspectives and Recommendations for Practice. EcoHealth 16(2):306–316
Gebreyes WA, Dupouy-Camet J, Newport MJ, Oliveira CJB, Schlesinger LS, Saif YM, Kariuki S, Saif LJ, Saville W, Wittum T, Hoet A (2014) The global one health paradigm: challenges and opportunities for tackling infectious diseases at the human, animal, and environment interface in low-resource settings. PLOS Neglected Tropical Diseases 8(11):e3257
Georges-Courbot MC, Sanchez A, Lu CY, Baize S, Leroy E, Lansout-Soukate J, Tévi-Bénissan C, Georges AJ, Trappier SG, Zaki SR, Swanepoel R (1997) Isolation and phylogenetic characterization of Ebola viruses causing different outbreaks in Gabon. Emerging Infectious Diseases 3(1):59–62
Gratz NG (1997) The burden of rodent-borne diseases in Africa south of the Sahara. Belgian Journal of Zoology 127:71–84
Harrison LH, Ezzell JW, Center VLI, Abshire TG, Kidd S, Kaufmann AF (1989) Evaluation of serologic tests for diagnosis of anthrax after an outbreak of cutaneous anthrax in Paraguay. Journal of Infectious Diseases 160(4):706–710
Hatch JA (2002) Doing Qualitative Research in Education Settings, Albany, NY: State University of New York Press
Krueger RA, Casey MA (2014) Focus groups: A practical guide for applied research, Thousand Oaks, CA: Sage Publications
Kruger to Canyons Biosphere Region (2018) Environmental Monitors. Available: http://www.kruger2canyons.org/ems.html. Accessed December 26, 2018.
Lucero D, Morrissey L, Rizzo D, Rodas A, Garnica R, Stevens L, Bustamante D, Monroy C (2013) Ecohealth interventions limit triatomine reinfestation following insecticide spraying in La Brea, Guatemala. American Journal Tropical Medicine Hygiene 88:630–637
McDermott JJ, Arimi S (2002) Brucellosis in sub-Saharan Africa: epidemiology, control and impact. Veterinary Microbiology 90(1-4):111–134
McIntosh B, Russell D, Gear J (1980) Rift Valley fever in humans in South Africa. South African Medical Journal 20:803–806
Mwenye K, Siziya S, Peterson D (1996) Factors associated with human anthrax outbreak in the Chikupo and Ngandu villages of Murewa district in Mashonaland East Province, Zimbabwe. The Central African Journal of Medicine 42(11):312–315
Östlin P, Eckermann E, Mishra US, Nkowane M, Wallstam E (2006) Gender and health promotion: A multisectoral policy approach. Health Promotion International 21(suppl_1):25–35
Open Street Map (2019) South Africa Protected Areas Data. Available: https://www.openstreetmap.org/#map=12/-24.6327/31.4236&layers=DG. Accessed January 20, 2020.
Paige SB, Frost SD, Gibson MA, Jones JH, Shankar A, Switzer WM, Ting N, Goldberg TL (2014) Beyond bushmeat: animal contact, injury, and zoonotic disease risk in Western Uganda. Ecohealth 11(4):534–543
Peeters M, Courgnaud V, Abela B, Auzel P, Pourrut X, Bibollet-Ruche F, Loul S, Liegeois F, Butel C, Koulagna D, Mpoudi-Ngole E (2002) Risk to human health from a plethora of simian immunodeficiency viruses in primate bushmeat. Emerging Infectious Diseases 8(5):451
Siamudaala VM, Bwalya JM, Munangandu HM, Sinyangwe PG, Banda F, Mweene AS, Takada A, Kida H (2006) Ecology and epidemiology of anthrax in cattle and humans in Zambia. Japanese Journal of Veterinary Research 54(1):15–23
Simpson GJG, Quan V, Frean J, Knobel DL, Rossouw J, Weyer J, Marcotty T, Godfroid J, Blumberg LH (2018) Prevalence of selected zoonotic diseases and risk factors at a human-wildlife-livestock interface in Mpumalanga Province, South Africa. Vector-Borne and Zoonotic Diseases 18(6):303–310
Statistics South Africa (2012) Census 2011 Municipal Report—Mpumalanga. Available: https://www.statssa.gov.za/publications/P03014/P030142011.pdf. Accessed January 1, 2017.
The World Bank (2017) South African road shapefile. Available: https://datacatalog.worldbank.org/dataset/roads-south-africa/resource/8a6f8c59-b435-4bd6-8db5-e515b717ba86. Accessed January 20, 2020.
Triana DRR, Mertens F, Zuniga CV, Mendoza Y, Nakano EY, Monroy MC (2016) The Role of Gender in Chagas Disease Prevention and Control in Honduras: An Analysis of Communication and Collaboration Networks. EcoHealth 13(3):535–548
United Nations (2015) United Nations Sustainable Development Goals. Available: http://www.un.org/sustainabledevelopment/sustainable-development-goals/. Accessed October 12, 2019.
University of Pretoria (2019) Mnisi Community Programme. Available: https://www.up.ac.za/mnisi-community-programme. Accessed August 25, 2019.
van Rooyen J, Coetzer J (2011) The mnisi community programme: innovative platform for applied training and research within the “one health” concept. Ecohealth 7:S166
World Health Organization (WHO) (2011) Taking sex and gender into account in emerging infectious disease programmes: an analytical framework, Geneva: WHO Press
Acknowledgements
First and foremost, the authors would like to extend our sincere appreciation to the members of the Mnisi community who gave their time and thoughtful input to this study. A special thanks to the Environmental Monitors, in particular Mr. Stanley Mathebula and Ms. Addlove Sibuyi, of the Mnisi Community Programme and their line manager, Ms. Jeanette Wentzel. We would also like to acknowledge the dedication and support of the Kruger to Canyons Biosphere Reserve, in collaboration with South African National Parks, in coordinating the Environmental Monitor program in and around the Mnisi area. This work was conducted within the framework of the University of Pretoria Faculty of Veterinary Science One Health Research and Training Platform based at the Hans Hoheisen Wildlife Research Station, Orpen Gate, Kruger National Park. We are grateful to Dr. Ilana van Wyk, Research Coordinator, for her support and dedication to ensuring relevant and community-engaged research in this region. Finally, the authors would also like to extend their sincere appreciation to Mr. Connor Stephens, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, for lending his technical expertise to map production.
Funding
This work was made possible thanks to the generous funding provided by the University of California School of Veterinary Medicine Office for Global Programs Underserved Community Research and Experience Fellowship and International Summer Externship.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no personal or financial conflict of interest.
Rights and permissions
About this article
Cite this article
Coyle, A.H., Berrian, A.M., van Rooyen, J. et al. Gender Roles and One Health Risk Factors at the Human–Livestock–Wildlife Interface, Mpumalanga Province, South Africa. EcoHealth 17, 233–247 (2020). https://doi.org/10.1007/s10393-020-01478-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10393-020-01478-9