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Supporting the global eradication of wildpoliovrisu (WPV), this project aimed to provide polio and measles vaccines to a population frequenty missed by immunization services and campaigns, ethnic Somali children living among mobile populations within Kenya's Northeastern Region. Additionally, nutritional support, albendazole (for treatment of intestinal parasites) and vitamin A were provided to improve children's health and in accordance with regional vaccination campaign practices. To better understand movement patterns and healthcare-seeking behaviors within this population, we trained community-based data collectors in qualitative and geospatial data collection methods. Data collectors conducted focus group and participatory mapping discussions with ethnic Somalis living in the region. Qualitative and geospatial data indicated movement patterns that followed partially definable routes and temporary settlement patterns with an influx of ethnic Somali migrants into Kenya at the start of the long rainy season (April–June). Community members also reported concerns about receiving healthcare services in regional health facilities. Using these data, an 8-week vaccination campaign was planned and implemented: 2196 children aged 0–59 months received polio vaccine (9% had not previously received polio vaccine), 2524 children aged 9–59 months received measles vaccine (27% had not previously received measles vaccine), 113 were referred for the treatment of severe acute malnourishment, 150 were referred to a supplementary feeding program due to moderate acute malnourishment, 1636 children aged 12–59 months were provided albendazole and 2008 children aged 6–59 months were provided with vitamin A. This project serves as an example for how community-based data collectors and local knowledge can help adapt public health programming to the local context and could aid disease eradication in at-risk populations. [ABSTRACT FROM AUTHOR]

In Uganda, the borders are highly porous to animal movement, which may contribute to zoonotic disease spread. We piloted an animal adaptation of an existing human‐focused toolkit to collect data on animal movement patterns and interactions to inform One Health programs. During January 2020, we conducted focus group discussions and key informant interviews with participatory mapping of 2 national‐level One Health stakeholders and 2 local‐level abattoir representatives from Kampala. Zoonotic disease hotspots changed in 2020 compared with reports from 2017–2019. In contrast to local‐level participants, national‐level participants highlighted districts rather than specific locations. Everyone discussed livestock species; only national‐level participants mentioned wildlife. Participants described seasonality differently. Stakeholders used the results to identify locations for zoonotic disease interventions and sites for future data collection. This implementation of an animal‐adapted population mobility mapping exercise highlights the importance of multisectoral initiatives to promote One Health border health approaches. [ABSTRACT FROM AUTHOR]

Smallholder farmers in Sub-Saharan Africa (SSA) are not only dealing with decreased production from land degradation, but are also impacted heavily by climate variability. Farmers perceive decreased rainfall or shortened rainy seasons throughout SSA; however, the link between perceptions and climate variability is complex, especially in areas with increasing land degradation. Moreover, little is known about climate variability and farmers' perceptions in central equatorial Africa. The purpose of this study is to quantify interannual rainfall variability from 1983 to 2014 in western Uganda and to relate the rainfall variability and associated changes in soil moisture to perceptions and coping strategies of local farmers. Surveys of 308 farming households and 14 group interviews were conducted near Kibale National Park, and daily satellite-based rainfall data for the region were extracted from the African Rainfall Climatology version 2 database. Results indicate a decrease in the long rains by approximately 3 weeks throughout much of the region; thus, soil-water deficits have intensified. Farmers perceived later onsets of both the short rains and long rains, while also reporting decreasing soil fertility and crop yields. Therefore, farmers' perceptions of rainfall variability in the Kibale region may reflect more the decrease in soil fertility than the shortened rainy seasons and decreased soil moisture. Expanding croplands has been the farmers' most prevalent coping strategy to decreased yields; however, nearly all the unfarmed land in western Uganda is now in protected areas. Consequently, western Uganda is facing a crisis at the nexus of population growth, land use change, and climate change. [ABSTRACT FROM AUTHOR]