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Systems-oriented One Health approach addresses structural and social barriers in family poultry disease controlNew strategies help family poultry farmers control bird flu risks

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Key Takeaway
Consider a systems-oriented One Health approach to address structural, governance, and equity barriers in poultry disease control.

This rapid review synthesizes evidence from 110 peer-reviewed publications and 27 policy and guidance documents to identify factors influencing HPAI and LPAI prevention and control within family poultry systems. The review focuses on the integration of a systems-oriented One Health approach to address both poultry productivity and zoonotic risks.

The authors identify three complementary themes influencing disease control. These include structural constraints such as locally adapted genotypes, market access, and feed systems. Governance, institutional, and social barriers were identified, emphasizing the need for culturally appropriate protocols. Finally, the review highlights gender and socio-economic equity, advocating for participatory approaches, inclusivity, transparency, and accountability.

A primary limitation of this evidence is the rapid review methodology. The findings are policy-oriented and do not provide clinical trial data. The review suggests that effective control strategies should be embedded in a systems-oriented strategy that values smallholder knowledge and utilizes a multi-hazard risk management approach to address food security and zoonotic risk.

How this fits prior evidence

This rapid review addresses a gap in understanding the socio-economic and structural barriers to controlling HPAI and LPAI in family poultry systems. While previous coverage identified NDV isolates from Kazakhstan chicken carcasses with vaccine-like F protein cleavage motifs, this review focuses on the broader systemic and governance factors influencing disease management and poultry productivity.

Small-scale poultry farmers often face a difficult balancing act. They need to keep their birds healthy and productive while protecting their communities from diseases like bird flu. Because these farms are often family-run, standard industrial solutions don't always fit their specific needs or local markets.

Researchers looked at over 100 publications and 27 policy documents to see what actually works for these producers. They found that success depends on three main areas. First, farmers need better access to local feed systems and ways to manage common diseases. Second, safety rules must be culturally appropriate so they make sense for the local community. Finally, programs must be inclusive, ensuring that all farmers, regardless of their background, have an equal voice in the process.

While this review is a broad look at policy rather than a clinical trial, it points toward a big shift. Instead of just treating the birds, the goal is to build a system that supports the farmer's livelihood. This means using a multi-hazard approach that addresses food security and safety at the same time.

What this means for you:
Better bird flu control for small farms requires local knowledge, fair policies, and inclusive support systems.

Common questions

What makes bird flu control different for family farms?

Family farms face specific hurdles like limited market access and the need for locally adapted systems. Unlike large industrial farms, these producers need solutions that account for their specific feed systems and the local diseases their birds face daily. The research suggests that control measures must be tailored to their unique social and economic realities.

How can policy changes help these farmers?

Effective control depends on moving toward a systems-oriented approach. This means creating policies that are culturally appropriate and inclusive. By focusing on transparency and accountability, these programs can help manage bird flu while also improving the overall productivity and safety of the poultry products they provide.

What role does community inclusion play in disease control?

The research highlights that gender and socio-economic equity are vital. Using participatory approaches ensures that all farmers have a voice. When programs are inclusive and transparent, they are better at addressing both the risk of disease jumping to humans and the need for stable food security for the local community.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
Early detection and control of high- and low-pathogenicity avian influenza (HPAI, LPAI) in family poultry flocks remain challenging in settings where mortality from enzootic diseases such as Newcastle disease (ND) and infectious bursal disease (IBD) is persistently high. High background mortality obscures recognition of unusual disease events and delays reporting. In addition to epidemiological constraints, rebuilding trust among family poultry producers, particularly those affected by uncompensated culling during previous HPAI outbreaks, is essential for effective control. Locally grounded, participatory approaches that recognize the lived experience of both women and men poultry keepers are required to strengthen surveillance, reporting, and response. This policy-oriented rapid review synthesized 110 peer-reviewed publications and 27 policy and guidance documents to examine the structural, epidemiological and socio-economic factors influencing HPAI and LPAI prevention and control in family poultry systems. Effective HPAI and LPAI control should be embedded within a broader, systems-oriented strategy that improves overall poultry productivity and explicitly values smallholder knowledge and participation. A multi-hazard risk management approach grounded in One Health is required, i.e., one that addresses equity, food and nutrition security, livelihoods, climate resilience, and global health. Building on a nine-factor assessment of the factors shaping avian influenza control feasibility, we group practical entry points into three complementary themes: (1) structural constraints within family poultry production systems, including the use of locally adapted poultry genotypes, safe, improved access to safe markets and sustainable feed systems, and effective control of enzootic vaccine-preventable diseases; (2) governance, institutional and social barriers, including culturally appropriate outbreak preparedness and response protocols; (3) gender and socio-economic equity, encompassing participatory approaches grounded in inclusivity, transparency, and accountability. Functional cross-sectoral collaboration between public health, animal health, and environmental sectors, along with local government, is essential if One Health approaches are to deliver tangible, cost-effective reductions in zoonotic risk and effective response while supporting sustainable household food and nutrition security.
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