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Outcome mapping for fostering and measuring change in risk management behaviour among urban dairy farmers in Nairobi, Kenya

机译：肯尼亚内罗毕城市奶农中促进和衡量风险管理行为变化的成果图

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A study was undertaken to investigate and mitigate the risk from zoonotic Cryptosporidium associated with dairy farming in Dagoretti division, Nairobi, Kenya. Outcome mapping (OM), a relatively new tool for planning and evaluation, was used to foster and then monitor changes in farmer management of health risks. Elements of the OM framework, including the vision, mission and expected progress markers, were developed in participatory sessions and a set of progress markers was used for monitoring behaviour change in farmers participating in the project (the boundary partners). Behaviour change (the outcome challenge) was supported by a range of awareness and educational campaigns, working with strategic partners (extension agents and administrative leaders). The farmers the project worked with made considerable progress according to the markers; they demonstrated an understanding of cryptosporidiosis, established or maintained clean and well drained cattle sheds, and took conscious effort to reduce possible infection. Farmers who did not participate in the project (non-contact farmers) were found to be less advanced on the progress marker indicators. Non-contact farmers who carried out risk-reducing practices had done so independently of the project team. The administration leaders, as strategic partners, had a positive attitude towards the project and confidence in their ability to support project objectives. The study demonstrates the utility of OM in helping to identify and support behavioural change.
机译：在肯尼亚内罗毕的达戈雷蒂分部进行了一项研究，以调查和减轻人畜共患隐孢子虫与奶牛养殖相关的风险。结果映射（OM）是一种相对较新的计划和评估工具，用于促进和监控农民健康风险管理的变化。在参与会议上制定了OM框架的要素，包括愿景，任务和预期进度标志，并使用一组进度标志来监视参与该项目的农民（边界合作伙伴）的行为变化。行为改变（结果挑战）得到了与战略合作伙伴（推广人员和行政领导）合作开展的一系列意识和教育活动的支持。根据指标，与项目合作的农民取得了长足的进步；他们表现出对隐孢子虫病的理解，建立或保持清洁，排水良好的牛棚，并采取有意识的努力以减少可能的感染。发现未参加该项目的农民（非接触农民）在进度标记指标上不那么先进。采取降低风险措施的非接触式农民独立于项目团队而这样做。行政领导人作为战略合作伙伴，对该项目持积极态度，并对他们支持项目目标的能力充满信心。这项研究证明了OM在帮助识别和支持行为改变方面的效用。

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