Skip to main content

Research, Policy and Practice

COVID-19 in pastoral contexts in the greater Horn of Africa: Implications and recommendations

Abstract

COVID-19 is a global pandemic that continues to spread around the world, including to Africa where cases are steadily increasing. The African Centres for Disease Control and Prevention is leading the pandemic response in Africa, with direction from the World Health Organization guidelines for critical preparedness, readiness, and response actions. These are written for national governments, lacking nuance for population and local differences. In the greater Horn of Africa, conditions unique to pastoralists such as inherent mobility and limited health and service infrastructure will influence the dynamics of COVID-19. In this paper, we present a One Health approach to the pandemic, consisting of interdisciplinary and intersectoral collaboration focused on the determinants of health and health outcomes amongst pastoralists. Our contextualized public health strategy includes community One Health teams and suggestions for where to implement targeted public health measures. We also analyse the interaction of COVID-19 impacts, including those caused directly by the disease and those that result from control efforts, with ongoing shocks and vulnerabilities in the region (e.g. desert locusts, livestock disease outbreaks, floods, conflict, and development displacement). We give recommendations on how to prepare for and respond to the COVID-19 pandemic and its secondary impacts on pastoral areas. Given that the full impact of COVID-19 on pastoral areas is unknown currently, our health recommendations focus on disease prevention and understanding disease epidemiology. We emphasize targeting pastoral toponymies with public health measures to secure market access and mobility while combating the direct health impacts of COVID-19. A contextualized approach for the COVID-19 public health response in pastoral areas in the Greater Horn of Africa, including how the pandemic will interact with existing shocks and vulnerabilities, is required for an effective response, while protecting pastoral livelihoods and food, income, and nutrition security.

Introduction

Coronavirus disease (COVID-19) is an infectious disease of humans caused by a coronavirus newly discovered in 2019—SARS-CoV-2. COVID-19 has been declared a global pandemic by the World Health Organization (WHO) and continues to spread around the world. Amongst the Intergovernmental Authority of Development (IGAD) countries in the Greater Horn of Africa (GHA), 46,620 cases have been reported with 1293 fatalities as of 21 July 2020 (IGAD 2020). The response to COVID-19 in Africa is being led by the Africa Centres for Disease Control and Prevention, a specialized technical institution of the African Union. It is directed in part by WHO guidelines for critical preparedness, readiness, and response actions (PRRAs) for COVID-19 (World Health Organization 2020). However, these guidelines are intended for national governments, and not specific to any population.

Human health programmes often fail to reach pastoralists in the GHA due to their inherent mobility and marginalization, and the limited health infrastructure in the region’s arid and semi-arid lands (ASALs) (Dubale and Mariam 2007; Griffith et al. 2020). Mobility is not only a defining and differential feature of pastoralist livelihoods, but it is also essential to the present and future viability of livestock production in most of the world’s drylands (de Jode 2010; Nugteren and Le Côme 2016; Manzano and Salguero 2018; Molina-Flores et al. 2020). Considering that mobility restrictions have proven to be the most effective measure to control the spread of COVID-19, the management of the pandemic amongst pastoralists is likely to be particularly challenging (Kissler et al. 2020). Moreover, the impacts of COVID-19 interventions (e.g. economic disruption due to controlled shutdowns of non-essential business activities and constraints on supply chains for goods and services) will interact with and compound ongoing shocks in the region, threatening pastoral livelihoods and food, income, and nutrition security. It is therefore necessary to develop contextualized public health strategies and examine how pastoral livelihoods can be protected in the face of the COVID-19 pandemic. In this paper, we define the GHA as comprising nine countries: Ethiopia, Somalia, Eritrea, Djibouti, Kenya, Uganda, Sudan, South Sudan, and Tanzania (Fig. 1).

Fig. 1
figure 1

The Greater Horn of Africa region. Created by EFG with ArcMap 10.6.1. Data sources: ArcGIS, US National Park Service

Pastoralism is a livelihood and a food production system found all over the world’s rangelands and seasonally on large areas of farmlands. Primarily a herding system, pastoralism has a unique ability to convert non-human-edible proteins unpredictably distributed throughout highly variable ecosystems into meat, milk, livelihoods, and income (Food and Agriculture Organization of the United Nations 2011). For this reason, it can be described as a specialization to take advantage of environmental variability (Ministry of State for Development of Northern Kenya and other Arid Lands 2012). While the GHA has a young age structure with relatively few people older than 65 years old, much of the traditional ecological knowledge that livestock productivity relies on in these systems is held by community elders (Oba 2012; United Nations Economic Commission for Africa 2015)—a particularly relevant fact for a disease-like COVID-19 affecting mostly old people (Lloyd-Sherlock et al. 2020). According to the United Nations Food and Agriculture Organization (FAO), over 268 million people rely on pastoralism as a livelihood (Food and Agriculture Organization of the United Nations 2018). But the number of those who benefit from pastoralism is much larger, as these systems supply important value chains, provide critical ecosystem services, and contribute to maintaining landscape functionality (Hoffmann et al. 2014). Pastoralism is particularly widespread in the GHA because of the economic advantage that milk-based economies historically provided in ASALs and the integration of camels in some areas as a species capable of longer lactation during dry seasons (Gebremichael and Girmay 2019; Marshall 1990; Nori et al. 2006). The importance of milk is sustained for the long-term upcoming trends in the region (Nori 2010; Manzano and Yamat 2018). In the GHA ASALs, pastoralism is practised extensively and makes contributions to national gross domestic products (GDP)—19%, 13%, 8%, and 7.5% in Ethiopia, Kenya, Uganda, and Tanzania, respectively, and 80% of agricultural GDP in Sudan (African Union 2013; Nyariki and Amwata 2019). It is also critical for food security, providing milk to remote populations and 90% of the meat consumed in East Africa (Nyariki and Amwata 2019). Pastoralists in Sudan and Somalia are major exporters of livestock to the Gulf States (African Union 2013).

COVID-19 transmissibility is directly related to population density and mobility, as both of these factors increase contacts between infectious and susceptible people (Fang et al. 2020; Rocklöv and Sjödin 2020). The low population densities common to pastoral areas could reduce COVID-19 transmissibility, but movement inherent to pastoralism increases mixing and contact, thereby increasing transmissibility. Markets and population centres likely pose the highest risk to pastoralists and can provide a source of infections that can introduce COVID-19 to pastoral lands. Thus, the COVID-19 response should focus on preventing transmission in these locations, while also protecting pastoral livelihoods from the secondary effects of disease control efforts.

It is important to centre COVID-19 prevention and control efforts on understanding its epidemiology in pastoral contexts. Diagnostic testing should also be emphasized in the early stages of the outbreak to guide prevention and control strategies (Nkengasong and Mankoula 2020). Lessons from the Ebola outbreak in West Africa can contribute to tracking the spread of COVID-19 in pastoral areas, specifically through phylodynamic analysis of how the epidemiology and immunology of a virus interact to shape its evolution to help estimate the effective reproductive number of the disease (du Plessis and Stadler 2015; Lai et al. 2020; Stadler et al. 2014).

In this paper, developed in part through an expert-opinion elicitation, we discuss the components of a One Health approach to the COVID-19 pandemic, with a focus on disease epidemiology, prevention, and protecting food, income, and nutrition security and pastoral livelihoods (Table 1). One Health aims to promote human, animal, and environmental health through multidisciplinary and multisectoral approaches. Zoonotic disease has predominantly been at the centre of One Health, leading to the collaboration between human and animal health sectors. Yet, this narrow application fails to fully address the social, environmental, and economic drivers (i.e. determinants) of health. Fully realizing the potential of One Health requires expanding partnerships across economic, environmental, and health sectors, an approach that is increasingly being adopted in the GHA (Vétérinaires Sans Frontières International 2020). Thus, for the purposes of this paper, a One Health approach to the COVID-19 pandemic can be thought of as an interdisciplinary and intersectoral collaboration focused on the determinants of health and health outcomes amongst pastoralists that take into account the ongoing shocks and vulnerabilities in the GHA. The goals of this strategy include limiting the spread of COVID-19 in pastoral areas, especially amongst elders, while protecting food, income, and nutrition security and pastoral livelihoods. We do not describe a one-size-fits-all solution to COVID-19 or address the entirety of the medical or public health response in GHA pastoral contexts but rather describe locally appropriate general principles of COVID-19 prevention and epidemiology based on previous research and experience.

Table 1 Experts consulted for this paper and their affiliations

Pastoral public health during COVID-19: Epidemiology and prevention

Public service delivery amongst pastoralists in the GHA is limited by programmes ill-suited to remote, mobile populations and logistical, organizational, and financial constraints (Abakar et al. 2016; Schelling et al. 2015; Zinsstag et al. 2016). Previous examples show that community health workers (CHWs) and community-based animal health workers (CAHWs) are cost-effective and locally available service providers in remote, pastoral areas that can help to overcome these constraints. Community health workers have provided preventative, promotive, and limited curative primary healthcare services for pastoralists and therefore may be able to help with COVID-19 response activities (El Shiekh and van der Kwaak 2015; World Health Organization 2017). Similarly, CAHWs play a substantial role in providing localized animal health services in pastoral areas. Evaluation of CAHW programmes in the GHA found they were trusted, accessible, improved animal health and livelihoods, and played a critical role in emergency response (Leyland et al. 2014). Community-based animal health workers have worked with CHWs previously to provide public health services (e.g. case reporting and promotional activities), including responding to cholera outbreaks in cattle camps in South Sudan (Vétérinaires Sans Frontières Germany 2018). It therefore may be possible for CHWs and CAHWs working together in community One Health teams(COHTs) to contribute to COVID-19 prevention measures summarized in Table 4. These health workers are members of the community, forming a direct link between health professionals and pastoralists, which would allow for the implementation of prevention strategies as pastoralists engage in daily mobility and migration across territorial boundaries. However, CHWs and CAHWs interact with health care structures and providers for reporting and supervisory purposes and in the case of CAHWs resupply drugs and other equipment in market centres. These are settings where the risks of COVID-19 transmission are high, and therefore, COVID-19 surveillance and testing in CHWs and CAHWs should be prioritized.

Community health volunteers (CHVs) and livestock community disease reporters (CDRs) in Turkana County, Kenya, are already being trained on COVID-19 case definitions and WHO and government guidelines towards its prevention to contribute to case reporting and health promotion activities under the guidance of the Turkana County One Health Committee (Kipkemoi Table 1). Important considerations of COHTs with suggested solutions are summarized in Table 2.

Table 2 Important considerations of COHTs and COVID-19 public health activities with suggested solutions

Similar to the One Health Committee in Turkana, a Regional One Health Task Force in the Somali and Oromiya regions of Ethiopia is taking the lead in COVID-19 preparedness and response activities (Onyango in Table 1). These examples, in addition to what is presented in Table 3, illustrate One Health coordination structures that can contribute to the pandemic response through addressing livelihood, food, income, and nutrition security and health concerns.

Table 3 Examples of a One Health approach in pastoral areas in the GHA (Griffith et al. 2020; Kamadjeu et al. 2015; Lankester et al. 2019; Mtui-Malamsha et al. 2020; Musoke et al. 2016; Ndejjo et al. 2019; Onyango et al. 2019; United Nations Environment Programme and International Livestock Research Institute 2020)

The WHO prerparedness, readiness and response actions include risk communication and community engagement, surveillance, case finding, contact tracing and management, and public health measures (World Health Organization 2020). Community engagement has been conducted in pastoral areas through participatory community dialogue with key influencers (Table 4). Participatory community dialogue has been used in a variety of processes including rapid needs assessments, disease outbreak investigations, and awareness and sensitization (Vétérinaires Sans Frontières Suisse 2019). It can also help to build trust and involve communities in the development of socially acceptable and beneficial interventions and development (Grillos 2014). Communication infrastructure is limited in pastoral areas of the GHA, posing a challenge to risk communication. We provide examples of communication tools and methods that can be utilized for COVID-19 risk communication in Table 4.

Table 4 Contextualized WHO critical preparedness, readiness, and response actions in pastoral areas in the GHA

Community health workers on One Health teams, and where appropriate CAHWs, can be trained to report into COVID-19 surveillance systems, particularly mechanisms such as hotlines that One Health Task Forces have established for emergency COVID-19 reporting. In five northern Kenyan counties, CDRs (and other animal health agents) play an active role in surveillance systems through the use of smartphone apps linked to a cloud server that generates disease trends that can be used to inform targeting of response interventions in space and time (Bodha et al. 2017; CGIAR 2018; Long’or et al. 2018). In Tanzania, the One Health AfyaData app was trialled in Morogoro and Ngorongoro districts by CHWs and professionals in the public and animal health fields for disease reporting and included a One Health Knowledge Repository that provided users with information on human and animal diseases such as case definitions (Karimuribo et al. 2017). Traditional healers can also contribute to case finding, if given the appropriate training and support (Sima et al. 2019).

Participatory epidemiology practised by animal and public health professionals has been used in multiple settings to elucidate the epidemiology of emerging and transboundary diseases (Bett et al. 2015; Jost et al. 2010; Mariner et al. 2012, 2014; The International Livestock Research Institute 2011; Walker et al. 2015). A similar approach, in concert with phylodynamic analysis and diagnostic testing described previously, can be implemented by One Health coordination structures responding to the pandemic to identify potential outbreaks of COVID-19 and understand disease epidemiology as it occurs in pastoral settings. However, the risks of surveillance and data collection methods such as these, which depend on outside experts visiting pastoral communities and inadvertently introducing COVID-19 while asymptomatic, should be kept in mind; public health measures put in place to limit these risks; and preference given whenever possible to approaches such as community One Health teams and remote data collection that do not bring outsiders into contact with at-risk communities.

Pastoral toponymies, including markets and water points, are high transmission risk areas. It is therefore necessary to implement public health measures in relation to these areas, including hand hygiene to reduce the risk of surface/fomite transmission, and cloth face covering distribution to reduce the risk of aerosol/airborne transmission at gathering points (Table 4). The availability of water and soap at markets makes this a feasible strategy, while investments in public health measures at other toponymies should be emphasized by the governments and response partners. Equally important are high transmission risk behaviours like greetings and communal food sharing. Public health measures, including hand hygiene, respiratory etiquette, and social distancing, can also help to decrease the risk of these behaviours (Table 4). Community One Health teams can implement public health measures through health promotion activities. In addition, participatory community dialogue can be used to develop and implement local context-specific public health measures.

Pastoral food and livelihood security: Offsetting the secondary impacts of the public health response

Food insecurity and malnutrition are common amongst pastoralists in the GHA, with many contributing factors including: seasonal environmental variation; weak services and infrastructure and shocks e.g. desert locusts, drought, livestock diseases outbreaks, floods, conflict and livestock raiding, food price increases, and market closures. There are also long-term trends (e.g. governance problems, development displacement, and environmental degradation particularly of pastures related to regional climatic shifts) (Catley et al. 2009). These risk and vulnerability factors will interact and compound issues raised by COVID-19 (Table 5).

Table 5 Recommendations for how to combat the combined impact of COVID-19 and ongoing shocks and stressors

The epidemiology of COVID-19 is influenced by co-morbidities and health status. Pastoralists generally have poor health compared to national averages, with pre-existing acute and chronic health conditions, and widespread malnutrition that put them at increased risk from COVID-19. For example, due to limited access to care, pastoralists in Ethiopia receive inadequate treatment for tuberculosis (Nooh et al. 2019). Tuberculosis infection increases susceptibility to COVID-19 and disease severity (Liu et al. 2020). Further, pastoralist children and women are more at risk of acute malnutrition compared to those in sedentary populations (Schelling et al. 2016). The immune response is weakened by inadequate nutrition, leading to negative impacts of malnutrition in relation to COVID-19 (Caccialanza et al. 2020).

Decreased access to pastoral areas due to COVID-19 control measures (e.g. movement restrictions) will impact desert locust control, human and livestock disease prevention and control, and disaster relief. An ongoing wave of locusts in the GHA has led to the destruction of crops and pasture, with climate conditions expected to result in a dramatic increase in locust numbers during the coming months (Regional Desert Locust Alliance 2020). COVID-19 may limit entry into pastoral areas by locust control personnel and result in personal protective equipment (PPE) “competition,” as both locust control and health activities require PPE. Designation of locust control as essential can ensure access to pastoral areas, while a coordinated response by governments and development partners can help to ensure that PPE specialized for use in pesticide application is available (Regional Desert Locust Alliance 2020). Livestock disease outbreaks negatively impact pastoral livelihoods through morbidity and mortality, decreased production, and market bans (Catley et al. 2009). Thus, control measures for ongoing livestock disease outbreaks in the region (e.g. foot and mouth disease, Rift Valley fever), the peste des petits ruminants eradication campaign, and for endemic diseases of importance like contagious caprine pleuropneumonia are critical (Njeumi et al. 2020; ProMED-mail 2020a, b). Decreased or limited access to pastoral areas by animal health personnel can harm these efforts. Animal health officials can contribute to these efforts through disease surveillance and control measures, while adhering to COVID-19 public health measures. The GHA is also currently experiencing extreme flooding events (FloodList 2020). Emergency support personnel coming from population centres to pastoral areas could act as a source of infection, or movement restrictions could restrict emergency support. Emergency services should be designated essential, and personnel should undertake COVID-19 public health measures during the response.

Pastoralist movement restrictions due to COVID-19 will interact with development displacement and ongoing regional shocks to decrease access to pasture and water and increase pressure on rangelands. These will negatively impact livestock health and productivity. Livestock mobility is driven by livestock nutritional needs and can be thought of as short range (i.e. daily grazing mobility) or long range (i.e. migration), in response to highly variable resource availability and predictable spatio-temporal variation in rangeland conditions, respectively (Turner and Schlecht 2019). Daily grazing and migration should be protected, as these are essential aspects of pastoral livelihoods. Local mobility needs and dynamics can be supported through participatory community dialogue using community planning techniques such as participatory rangeland management or community-based natural resource management committees (Flintan et al. 2018). To support mobility, COHTs can undertake COVID-19 risk communication and community engagement for herders travelling with their livestock. Public health measures at pastoral toponymies (e.g. encampment and water points) should be emphasized. Direct support, such as voucher systems to purchase livestock fodder, can also be implemented when necessary to ensure livestock nutritional needs that may arise because of mobility restrictions. Reduced mobility and resource limitations can contribute to conflict (Avis 2018). This will have additive effects on food security and livelihoods, as conflicts in pastoral areas resulting in asset losses, especially livestock assets, trigger heightened needs for humanitarian assistance and worsen household food insecurity (Catley et al. 2016).

Livestock market closures negatively impact food security and livelihoods (Catley et al. 2009). Pastoralists sell animals when they need cash to purchase food or for secondary expenditures (e.g. health services) (Little et al. 2014). With the closure of livestock markets, already occurring in the GHA due to COVID-19, pastoralists’ ability to buy food will decrease, contributing to malnutrition. This is especially true for poorer households who have greater food purchasing needs (Little et al. 2014). Market access can be preserved through a nuanced approach to COVID-19 that keeps markets open while implementing public health measures (Table 4) (USAID Bureau for Resilience and Food Security 2020). Livestock insurance activation and selective destocking programmes by the national governments can also alleviate cash shortages for pastoralists (Jensen et al. 2017). Efforts to support pastoralists’ access to markets and food and income nutrition must adhere to COVID-19 PHMs as well as to the Humanitarian Charter and minimum standards for emergency responses (Sphere Association 2018; LEGS 2014; SEEP 2017). However, participatory assessments used for the design of interventions must be modified for and adhere to COVID-19 public health measures.

Gender-related differences in vulnerability are influenced by asset ownership and income, risk preferences, and cultural and social norms amongst men and women (Flintan 2008). It is therefore important to understand the different, but complementary, roles of men and women in pastoralist systems to identify how the pandemic will impact them. Table 6 summarizes gender roles in pastoral systems and anticipated gendered impacts of the pandemic. While globally men have a higher mortality rate from COVID-19 compared to women, possibly due to more prevalent co-morbidities (e.g. cardiovascular and lung disease), socio-cultural barriers in pastoral contexts result in women and girls having less access to healthcare than men and boys, resulting in health disparities that will likely be exasperated by COVID-19 (The Lancet 2020). With sick men and children in the household, women may adopt additional caregiver tasks, take on traditionally male-gendered livelihood tasks, and adopt social tasks as COVID-19 spreads through a community affecting multiple households. Health and livelihood support measures should consider the existing gender dynamics in pastoral communities and adapt accordingly (e.g. food assistance and supplementary animal fodder for women can help to meet household and livestock nutrition needs). Women and children are also at increased risk of domestic violence during pandemics (Peterman et al. 2020). Policy options to combat domestic violence include bolstering response systems and expanding social safety nets (Peterman et al. 2020) (Table 6).

Table 6 Existing gender dynamics amongst pastoralists with predicted impacts of COVID-19 (Flintan 2008; Kristjanson et al. 2014)

Conclusion

Responding to COVID-19 in GHA ASALs requires understanding the dynamics that are inherent to these pastoral systems, identifying successful health intervention strategies, and examining how ongoing shocks and vulnerabilities will interact with COVID-19 epidemiology and control measures. Currently, the direct health impacts of the virus on GHA ASALs appear limited, but little is known about its potential spread. Thus, our recommendations focus on disease prevention and understanding the epidemiology that will allow for a more effective allocation of resources. Based on our analysis of how COVID-19 control efforts will negatively impact pastoral livelihoods, food, income, and nutrition security, we recommend targeting high transmission risk areas and behaviours with public health measures to protect market access and ensure mobility. Food, income, and nutrition security and livelihood support measures for the GHA’s pastoralists that adhere to COVID-19 public health measures should be prioritized, along with public health interventions. Our paper is specific to the GHA. However, it can provide suggestions on how to contextualize the COVID-19 response to pastoralists in other parts of the world through a community-based approach that enables mobility and market access, while considering factors influencing pastoralist health and livelihoods in their totality (Bisson 2020).

Availability of data and materials

Not applicable

Abbreviations

CAHWs:

Community-based animal health workers

CBO:

Community-based organization

CDC:

Centres for Disease Control and Prevention

CDRs:

Community disease reporters

CHWs:

Community health workers

COHT:

Community One Health team

COVID-19:

Coronavirus disease 2019

FAO:

Food and Agricultural Organization of the United Nations

FINS:

Food, income, and nutrition security

GDP:

Gross domestic product

GHA:

Greater Horn of Africa

HTRA:

High transmission risk area

HTRB:

High transmission risk behaviour

MTN:

Mobile Telecommunication Network

NGO:

Non-governmental organization

PCD:

Participatory community dialogue

PHMs:

Public health measures

PRRAs:

Preparedness, readiness, and response actions

RCCE:

Risk communication and community engagement

SMS:

Short message service

TTCL:

Tanzania Telecommunication Corporation

WHO:

World Health Organization

References

  • Abakar, M., E. Schelling, M. Béchir, B. Ngandolo, K. Pfister, I. Alfaroukh, et al. 2016. Trends in health surveillance and joint service delivery for pastoralists in West and Central Africa. The future of pastoralism (J. Zinsstag, E. Schelling & B. Bonfoh, eds). Revue Scientifique et Technique (International Office of Epizootics) 35 (2): 683–691.

    CAS  Google Scholar 

  • African Union. (2013). Policy framework for pastoralism in Africa: Securing, protecting and improving the lives, livelihoods and rights of pastoralist communities. Retrieved from https://au.int/sites/default/files/documents/30259-doc-pastoral_policy_framework_-_low_res.pdf

    Google Scholar 

  • Avis, W. 2018. Rebuilding pastoralist livelihoods during and after conflict. Brighton: IDS.

  • Bett, B., M. McLaws, C. Jost, L. Schoonman, F. Unger, J. Poole, et al. 2015. The effectiveness of preventative mass vaccination regimes against the incidence of highly pathogenic avian influenza on Java Island, Indonesia. Transboundary and Emerging Diseases 62 (2): 163–173.

    Article  CAS  Google Scholar 

  • Bisson, Loïc. (2020). When pandemic meets poverty: Pandemonium for pastoralists in the Sahel (CRU Policy brief). The Hague: Clingendael – Netherlands Institute of International Relations; Retrieved from https://www.clingendael.org/sites/default/files/2020-07/PB_When_pandemic_meets_poverty.pdf. Accessed 20 July 2020.

  • Bodha, B., Katelo, H., Basele, S., Kihara, A., Chuchu, S., Kiara, H., Wamwere-Njoroge, G. and Bett, B. 2017. Using electronic syndromic surveillance system to collect animal health and meat inspection records in Marsabit County, Kenya. Technical report. Nairobi: ILRI.

  • Caccialanza, R., A. Laviano, F. Lobascio, E. Montagna, R. Bruno, S. Ludovisi, et al. 2020. Early nutritional supplementation in non-critically ill patients hospitalized for the 2019 novel coronavirus disease (COVID-19): Rationale and feasibility of a shared pragmatic protocol. Nutrition 42: 110835.

  • Catley, A., F. Chabari, Y. Aklilu, and D. Abebe. 2009. Policy framework for food security in pastoralist areasConsultative Draft. Lusaka: COMESA

  • Catley, A., J. Lind, and I. Scoones. 2016. The futures of pastoralism in the Horn of Africa: Pathways of growth and change. Office international des epizooties revue scientifique et technique 35 (2): 389–403.

    Article  CAS  Google Scholar 

  • CGIAR. (2018). Outcome impact case report: Reporting 2018 evidences. Retrieved from https://marlo.cgiar.org/projects/A4NH/studySummary.do?studyID=2776&cycle=Reporting&year=2018&fbclid=IwAR25RXldX2pcAEpqbAlFrE4NHDpn_7hyyaeCgv1wpp6Lvj1aEeXBYrmd-oY

    Google Scholar 

  • de Jode, H. (Ed.). (2010). Modern and mobile: the future of livestock production in Africa's drylands. United Kingdom: International Institute for Environment and Development (IIED) and SOS Sahel International UK.

  • du Plessis, L., and T. Stadler. 2015. Getting to the root of epidemic spread with phylodynamic analysis of genomic data. Trends in Microbiology 23 (7): 383–386.

    Article  CAS  Google Scholar 

  • Dubale, T., and D.H. Mariam. 2007. Determinants of conventional health service utilization among pastoralists in northeast Ethiopia. Ethiopian Journal of Health Development 21 (2): 142–147.

    Article  Google Scholar 

  • El Shiekh, B., and A. van der Kwaak. 2015. Factors influencing the utilization of maternal health care services by nomads in Sudan. Pastoralism 5 (1): 23.

    Article  Google Scholar 

  • Fang, Hanming, Wang, Long and Yang, Yang, (2020), Human Mobility Restrictions and the Spread of the Novel Coronavirus (2019-nCoV) in China, No 26906, NBER Working Papers, National Bureau of Economic Research, Inc, https://EconPapers.repec.org/RePEc:nbr:nberwo:26906

  • Flintan, F. (2008). Women’s empowerment in pastoral societies. Nairobi: World Initiative for Sustainable Pastoralism, Global Environment Facility, International Union for Conservation of Nature, United Nations Development Programme; Retrieved from https://www.iucn.org/sites/dev/files/import/downloads/gender_format.pdf

  • Flintan, F., Ebro, A., Eba, B., Reytar, K. and Gebreyohannes, Z. 2018. An evaluation of participatory rangeland management in Ethiopia: Its impact on land security and land use planning, rangeland governance and productivity. Poster. March 2018. Nairobi: ILRI.

  • FloodList. (2020). Africa. Retrieved from http://floodlist.com/africa

    Google Scholar 

  • Food and Agriculture Organization of the United Nations. 2011. World livestock 2011–Livestock in food security. Rome: FAO.

    Google Scholar 

  • Food and Agriculture Organization of the United Nations. (2018). Pastoralism in Africa’s drylands. Retrieved from Rome: http://www.fao.org/3/CA1312EN/ca1312en.pdf

    Google Scholar 

  • Gebremichael, B., and S. Girmay. 2019. Camel milk production and marketing: Pastoral areas of Afar, Ethiopia. Pastoralism 9 (1): 16.

    Article  Google Scholar 

  • Griffith, E.F., J.R. Kipkemoi, A.H. Robbins, T.O. Abuom, J.C. Mariner, T. Kimani, and H. Amuguni. 2020. A One Health framework for integrated service delivery in Turkana County, Kenya. Pastoralism 10 (1): 1–13.

    Article  Google Scholar 

  • Grillos, T. 2014. Enhancing governance to support drought resilience in Marsabit County: Recommendations for the BOMA governance program. Governance audit. Retreived from https://scholar.harvard.edu/files/grillos/files/enhancing_govenance_to_support_drought_resilience.pdf. Accessed 10 June 2020.

  • Hoffmann, I., T. From, and D. Boerma. 2014. Ecosystem services provided by livestock species and breeds, with special consideration to the contributions of small-scale livestock keepers and pastoralists. Rome: FAO http://www.fao.org/3/a-at598e.pdf.

    Google Scholar 

  • IGAD. (2020). IGAD Member States: Novel coronavirus (COVID-19) situation. Retrieved from https://igad.int/coronavirus/igad-covid-19-tracker. Accessed 21 July 2020.

  • Jensen, N.D., C.B. Barrett, and A.G. Mude. 2017. Cash transfers and index insurance: A comparative impact analysis from Northern Kenya. Journal of Development Economics 129: 14–28.

    Article  Google Scholar 

  • Jost, C., S. Nzietchueng, S. Kihu, B. Bett, G. Njogu, E.S. Swai, and J.C. Mariner. 2010. Epidemiological assessment of the Rift Valley fever outbreak in Kenya and Tanzania in 2006 and 2007. The American Journal of Tropical Medicine and Hygiene 83 (2_Suppl): 65–72.

    Article  Google Scholar 

  • Kamadjeu, R., A. Mulugeta, D. Gupta, A. Abshir Hirsi, A. Belayneh, M. Clark-Hattingh, et al. 2015. Immunizing nomadic children and livestock–experience in North East Zone of Somalia. Human Vaccines & Immunotherapeutics 11 (11): 2637–2639.

    Article  Google Scholar 

  • Karimuribo, E.D., E. Mutagahywa, C. Sindato, L. Mboera, M. Mwabukusi, M.K. Njenga, et al. 2017. A smartphone app (AfyaData) for innovative one health disease surveillance from community to national levels in Africa: Intervention in disease surveillance. JMIR Public Health and Surveillance 3 (4): e94.

    Article  Google Scholar 

  • Kissler, S.M., C. Tedijanto, E. Goldstein, Y.H. Grad, and M. Lipsitch. 2020. Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period. Science 368 (6493): 860–868.

    Article  CAS  Google Scholar 

  • Kristjanson, P., A. Waters-Bayer, N. Johnson, A. Tipilda, J. Njuki, I. Baltenweck, et al. 2014. Livestock and women’s livelihoods. In Gender in agriculture, eds. Agnes R. Quisumbing, Ruth Meinzen-Dick, Terri L. Raney, André Croppenstedt, Julia A. Behrman, Amber Peterman, 209–233. Dordrecht: Springer.

  • Lai, A., A. Bergna, C. Acciarri, M. Galli, and G. Zehender. 2020. Early phylogenetic estimate of the effective reproduction number of SARS-CoV-2. Journal of Medical Virology 92 (6): 675–679.

    Article  CAS  Google Scholar 

  • Lankester, F., A. Davis, S. Kinung’hi, J. Yoder, C. Bunga, S. Alkara, et al. 2019. An integrated health delivery platform, targeting soil-transmitted helminths (STH) and canine mediated human rabies, results in cost savings and increased breadth of treatment for STH in remote communities in Tanzania. BMC Public Health 19 (1): 1398.

    Article  Google Scholar 

  • LEGS. 2014. Livestock emergency guidelines and standards. 2nd ed. Rugby: Practical Action Publishing https://www.livestock-emergency.net/download-legs/.

    Google Scholar 

  • Leyland, T., R. Lotira, D. Abebe, G. Bekele, and A. Catley. 2014. Community-based animal health workers in the Horn of Africa. An evaluation for the Office of Foreign Disaster Assistance. Addis Ababa and Vetwork UK, Frinton-on-Sea: Feinstein International Center, Tufts University Africa Regional Office.

  • Little, P.D., D.N. Debsu, and W. Tiki. 2014. How pastoralists perceive and respond to market opportunities: The case of the Horn of Africa. Food Policy 49: 389–397.

    Article  Google Scholar 

  • Liu, Y., L. Bi, Y. Chen, Y. Wang, J. Fleming, Y. Yu, et al. 2020. Active or latent tuberculosis increases susceptibility to COVID-19 and disease severity. medRxiv. https://doi.org/10.1101/2020.03.10.20033795.

  • Lloyd-Sherlock, P., S. Ebrahim, L. Geffen, and M. McKee. 2020. Bearing the brunt of Covid-19: Older people in low and middle income countries. BMJ 368: m1052.

  • Long'or, B., Bodha, B., Kihara, A., Hambe, H., Chemis, V., Kutu, A., Abdisemet, O., Kiara, H., Wamwere-Njoroge, G. and Bett, B. 2018. Mobile phone-based syndromic surveillance system for early detection and control of livestock diseases. Poster prepared for the CGIAR Platform for Big Data in Agriculture Convention, Nairobi, 3–5 October 2018. Nairobi: ILRI.

  • Manzano, P., and C. Salguero. 2018. Mobile pastoralism in the Mediterranean: Arguments and evidence for policy reform and to combat climate change. Geneva: Mediterranean Consortium for Nature and Culture.

    Google Scholar 

  • Manzano, P., and L.E. Yamat. 2018. Livestock sector in the Ngorongoro District: Analysis, shortcomings and options for improvement. Wasso & Dar es Salaam: Ngorongoro District Council and GIZ.

    Google Scholar 

  • Mariner, J.C., J.A. House, C.A. Mebus, A.E. Sollod, D. Chibeu, B.A. Jones, et al. 2012. Rinderpest eradication: Appropriate technology and social innovations. Science 337 (6100): 1309–1312.

    Article  CAS  Google Scholar 

  • Mariner, J.C., B.A. Jones, S. Hendrickx, I. El Masry, Y. Jobre, and C.C. Jost. 2014. Experiences in participatory surveillance and community-based reporting systems for H5N1 highly pathogenic avian influenza: A case study approach. Ecohealth 11 (1): 22–35.

    Article  Google Scholar 

  • Marshall, F. 1990. Origins of specialized pastoral production in East Africa. American Anthropologist 92 (4): 873–894.

    Article  Google Scholar 

  • Ministry of State for Development of Northern Kenya and Other Arid Lands. 2012. ‘Releasing our full potential.’ Sessional paper no. 8 of 2012, on the National Policy for the Sustainable Development of Northern Kenya and other Arid Lands. Nairobi: Government of Kenya

  • Molina-Flores, B., P. Manzano-Baena, and M.D. Coulibaly. 2020. The role of livestock in food security, poverty reduction and wealth creation in West Africa. Accra: FAO.

    Google Scholar 

  • Mtui-Malamsha, N., J. Assenga, E. Swai, F. Msemwa, S. Makungu, H. Chinyuka, et al. 2020. Subnational operationalization of one health: Lessons from the establishment of One Health rapid response teams in Tanzania. Transactions of The Royal Society of Tropical Medicine and Hygiene 114(7):538–540.

  • Musoke, D., et al. 2016. The role of environmental health in one health: A Uganda perspective. One Health 2: 157–160.

    Article  Google Scholar 

  • Ndejjo, R., et al. 2019. History, evolution and future of environmental health in Uganda. Archives of Environmental & Occupational Health 74 (1–2): 66–75.

    Article  Google Scholar 

  • Njeumi, F., D. Bailey, J. Soula, B. Diop, and B.G. Tekola. 2020. Eradicating the scourge of peste des petits ruminants from the world. Viruses 12 (3): 313.

    Article  Google Scholar 

  • Nkengasong, J.N., and W. Mankoula. 2020. Looming threat of COVID-19 infection in Africa: Act collectively, and fast. The Lancet 395 (10227): 841–842.

    Article  CAS  Google Scholar 

  • Nooh, F., L. Crump, A. Hashi, R. Tschopp, E. Schelling, K. Reither, et al. 2019. The impact of pastoralist mobility on tuberculosis control in Ethiopia: A systematic review and meta-synthesis. Infectious Diseases of Poverty 8 (1): 73.

    Article  Google Scholar 

  • Nori, M. 2010. The golden udder: Marketing milk from camels in Puntland, Somalia. In Adding value to livestock diversity – Marketing to promote local breeds and improve livelihoods, ed. Paul Mundy, 99–106. Rome: LPP, LIFE Network, IUCN–WISP and FAO.

  • Nori, M., M.B. Kenyanjui, M.A. Yusuf, and F.H. Mohammed. 2006. Milking drylands: The marketing of camel milk in north-east Somalia. Nomadic Peoples 10 (1): 9–28.

    Article  Google Scholar 

  • Nugteren, H., and C. Le Côme. 2016. Unleashing the potential of pastoralism to develop West Africa. The Hague: SNV & KIT.

    Google Scholar 

  • Nyariki, D.M., and D.A. Amwata. 2019. The value of pastoralism in Kenya: Application of total economic value approach. Pastoralism 9 (1): 9.

    Article  Google Scholar 

  • Oba, G. 2012. Harnessing pastoralists’ indigenous knowledge for rangeland management: Three African case studies. Pastoralism: Research, Policy and Practice 2 (1): 1.

    Article  Google Scholar 

  • Onyango, D., Fascendini, M., Wieland, B., Ikiror, D., Sircely, J., & Tefera, S. (2019). One Health policy context of Ethiopia, Somalia and Kenya: One Health Units for Humans, Environment, Animals and Livelihoods (HEAL) Project. Retrieved from https://cgspace.cgiar.org/bitstream/handle/10568/106965/One_Health_Policy.pdf?sequence=1&isAllowed=y

    Google Scholar 

  • Peterman, A., Potts, A., O’Donnell, M., Thompson, K., Shah, N., Oertelt-Prigione, S., & van Gelder, N. (2020). Pandemics and violence against women and children. Center for Global Development Working Paper (in press).

    Google Scholar 

  • ProMED-mail. (2020a). Foot & mouth disease - Kenya: (Kajiado) Livestock. Retrieved from https://promedmail.org/promed-posts/

    Google Scholar 

  • ProMED-mail. (2020b). Rift Valley fever - Eastern Africa. Retrieved from https://promedmail.org/

    Google Scholar 

  • Regional Desert Locust Alliance. (2020). Addressing the double-crisis of locusts and COVID-19 in the greater Horn of Africa [press release]. Retreived from https://reliefweb.int/report/somalia/addressing-double-crisis-locusts-and-covid-19-greater-horn-africa.

  • Rocklöv, J., and H. Sjödin. 2020. High population densities catalyze the spread of COVID-19. Journal of Travel Medicine 27(3):taaa038.

  • Schelling, E., H. Greter, H. Kessely, M. Abakar, B. Ngandolo, L. Crump, et al. 2016. Human and animal health surveys among pastoralists. Revue scientifique et technique (International Office of Epizootics) 35 (2): 659–671.

    CAS  Google Scholar 

  • Schelling, E., M.B. Mahamat, J. Zinsstag, and M. Tanner. 2015. Integrated One Health Services. In One Health: The theory and practice of integrated health approaches, eds. Jakob Zinsstag, Esther Schelling, David Waltner-Toews, Maxine Whittaker, Marcel Tanner, 230-242. Wallingford: CABI.

  • SEEP. 2017. Minimum economic recovery standards. 3rd ed. Washington DC: the SEEP Network and Rugby, UK, Practical Action Publishing https://seepnetwork.org/Resource-Post/Minimum-Economic-Recovery-Standards-Third-Edition-exist-190.

    Google Scholar 

  • Sima, B.T., T. Belachew, G. Bjune, and F. Abebe. 2019. Traditional healers’ role in the detection of active tuberculosis cases in a pastoralist community in Ethiopia: A pilot interventional study. BMC Public Health 19 (1): 721.

    Article  Google Scholar 

  • Sphere Association. 2018. The sphere handbook: Humanitarian charter and minimum standards in humanitarian response. 4th ed. Geneva: www.spherestandards.org/handbook.

  • Stadler, T., D. Kühnert, D.A. Rasmussen, and L. du Plessis. 2014. Insights into the early epidemic spread of Ebola in Sierra Leone provided by viral sequence data. PLoS Currents Outbreaks. . https://doi.org/10.1371/currents.outbreaks.02bc6d927ecee7bbd33532ec8ba6a25f.

  • The International Livestock Research Institute. (2011). Operational research for Indonesia for more effective control of highly pathogenic avian influenza. Retrieved from https://cgspace.cgiar.org/bitstream/handle/10568/35218/ORI%20HPAI-FinalProjectReport.pdf?sequence=1&isAllowed=y&fbclid=IwAR1HGRlcPpT2rL8ZMAsEv8WGkpIKXzfJRBuD5tMq29Y66GuB_W39PmJW7Vg

    Google Scholar 

  • The Lancet. 2020. The gendered dimensions of COVID-19. Lancet 395 (10231): 1168.

    Google Scholar 

  • Turner, M.D., and E. Schlecht. 2019. Livestock mobility in sub-Saharan Africa: A critical review. Pastoralism 9 (1): 13.

    Article  Google Scholar 

  • United Nations Economic Commission for Africa. (2015). The demographic profile of African countries.

    Google Scholar 

  • United Nations Environment Programme and International Livestock Research Institute. 2020. Preventing the next pandemic: Zoonotic diseases and how to break the chain of transmission. Nairobi: UNEP.

  • USAID Bureau for Resilience and Food Security. (2020). Guidance on supporting safe and functioning food markets. Retrieved from https://www.marketlinks.org/sites/marketlinks.org/files/resources/rfs_safe_and_functioning_markets_during_covid-19_technical_guidance.pdf

    Google Scholar 

  • Vétérinaires Sans Frontières Germany. (2018). 2018 annual report. Retrieved from http://www.vsfg.org/fileadmin/docs-vsfg/Annual_Reports/HP_Annual_report_2018.pdf

    Google Scholar 

  • Vétérinaires Sans Frontières International. (2020). One Health implementation in the Global South: A holistic approach to address the key challenge of livestock-dependent communities

    Google Scholar 

  • Vétérinaires Sans Frontières Suisse. (2019). Community dialogue handbook. Retrieved from https://issuu.com/veterinairessansfrontieressuisse/docs/2017-08-22-community_dialogue_handb

    Google Scholar 

  • Walker, P., C. Jost, A. Ghani, S. Cauchemez, B. Bett, M. Azhar, et al. 2015. Estimating the transmissibility of H5N1 and the effect of vaccination in Indonesia. Transboundary and Emerging Diseases 62 (2): 200–208.

    Article  CAS  Google Scholar 

  • World Health Organization. (2017). Community health worker programmes in the WHO African region: Evidence and options—Policy brief.

    Google Scholar 

  • World Health Organization. (2020). Critical preparedness, readiness and response actions for COVID-19. Retrieved from https://www.who.int/publications-detail/critical-preparedness-readiness-and-response-actions-for-covid-19

    Google Scholar 

  • Zinsstag, J., M. Abakar, M. Ibrahim, R. Tschopp, L. Crump, B. Bonfoh, and E. Schelling. 2016. Cost-effective control strategies for animal and zoonotic diseases in pastoralist populations. Revue Scientifique et Technique (International Office of Epizootics) 35 (2): 673–681.

    CAS  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the consulted experts for their valuable contributions to this manuscript and for their time.

Funding

Not applicable

Author information

Authors and Affiliations

Authors

Contributions

LP and EFG developed the concept for the manuscript. EFG wrote the manuscript with close consultation with LP. PM provided content suggestions. CJ provided substantial content suggestions and editing. All authors approved the final manuscript for submission.

Corresponding author

Correspondence to Evan F. Griffith.

Ethics declarations

Ethics approval and consent to participate

Not applicable

Consent for publication

The views and opinions expressed in this article are the authors’ own and do not necessarily reflect the official policy or position of USAID or the US government.

Competing interests

The authors declare that they have no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Griffith, E.F., Pius, L., Manzano, P. et al. COVID-19 in pastoral contexts in the greater Horn of Africa: Implications and recommendations. Pastoralism 10, 22 (2020). https://doi.org/10.1186/s13570-020-00178-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1186/s13570-020-00178-x

Keywords