Beyond the Gender of the Livestock Holder: Learnings from Intersectional Analyses of PPR Vaccine Value Chains in Nepal, Senegal, and Uganda

SIMPLE SUMMARY: The peste des petits ruminants (PPR) is one of the deadliest viral diseases of small ruminants and is endemic in Africa, the Middle East, and Asia. While PPR vaccination programs exist in these contexts, many factors restrict their reach and effectiveness, which go beyond the often cited financial, technological, and logistical constraints. This paper examines these less investigated factors, in particular the role of gender norms and other social and cultural factors, in affecting which livestock keepers are unable to access PPR vaccines and which groups are less reached by the vaccine distribution systems. Across three countries selected for our study, we find that, overall, women derive fewer benefits from the system than men; in addition, belonging to certain ethnic groups, being of low caste, or living in remote regions are additional markers of exclusion and marginalization from accessing livestock vaccines. ABSTRACT: The peste des petits ruminants (PPR) is a deadly viral disease of small ruminants, which are an important source of livelihood for hundreds of millions of poor smallholders throughout Africa, the Middle East, and Asia. PPR vaccination efforts often focus on overcoming financial, technological, and logistical constraints that limit their reach and effectiveness. This study posits that it is equally important to pay attention to the role of gender and other intersecting social and cultural factors in determining individual and groups’ ability to access PPR vaccines or successfully operate within the vaccine distribution system. We compare three study contexts in Nepal, Senegal, and Uganda. Qualitative data were collected through a total of 99 focus group discussions with men and women livestock keepers and animal health workers, 83 individual interviews, and 74 key informant interviews. Our findings show that there are not only important gender differences, but also interrelated structures of inequalities, which create additional sites of exclusion. However, these intersections are not generalizable across contexts—except for the intersection of gender and geographic remoteness, which is salient across vaccine distribution systems in the three countries—and social markers such as caste, ethnicity, and livelihood are associated with vulnerability only in specific settings. In order to address the distinct needs of livestock keepers in given settings, we argue that an intersectional analysis combined with context-dependent vaccination approaches are critical to achieving higher vaccination rates and, ultimately, PPR disease eradication by 2030.