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PLOS One logoLink to PLOS One
. 2026 May 15;21(5):e0335295. doi: 10.1371/journal.pone.0335295

Andean agriculture and hand tools: A qualitative approach of exploration of needs, barriers, and opportunities for innovation

Liliana Cruz-Ausejo 1,‡,*, José del Carmen Abad Castillo 2,#, Claudia Cardenal 3,#, MD Zahid Hasan 4,#, Amit Bhattacharya 4,#, Jerome T Galea 5,‡
Editor: In-Ju Kim6
PMCID: PMC13178989  PMID: 42139368

Abstract

Peruvian Andean agriculture primarily consists of subsistence activities that rely on traditional methods. Rural farmers use locally made hand tools, often designed without technical or ergonomic considerations, increasing the risk of musculoskeletal disorders. This study examined farmers’ views, needs, barriers, and support in hand tool design, and how they assess satisfaction with tools during potato harvesting. A qualitative study using a phenomenological design was conducted using semi-structured interviews with 13 rural farmers from Yanaca, Apurímac, Peru. A total of 25 interviews were conducted, audio-recorded, transcribed verbatim, and analyzed via a mixed coding strategy. Data was organized using a thematic approach and triangulated to validate coding. The results from the first guide were organized into five themes: task, human, product, qualitative and environmental. Some aspects such as social and techniques aspects for adopting hand tools emerged as well as enablers like economic accessibility, similarity to traditional tools. Six themes emerged from second guide covering tools conditions for efficient use, pre-work preparation, evaluation of the tool, consequences of a deficient tool, accumulated experience and appropriation; and family and gender dynamics. We found that hand tools used in high-Andean agriculture are shaped by technical features such as weight and handle size, and external aspects like climate effect and cultural familiarity, while material limitations, rough handle surface or inadequate tool size can act as barriers. In addition, efficiency of tools during work, preparation like a sharpened tip, fit between components head and handle, local maintenance facilitates farmers’ satisfaction. These findings suggest that agricultural hand tool design should go beyond technical aspects to incorporate cultural and practical perspectives.

Introduction

Agriculture in Peru is highly diverse, shaped by complex geography, ecological variability, sociohistorical background, forms of productive organization, and uneven technological development [1]. Within this context, diversified smallholder family farming (DSFF) represents 95.7% of productive units. These units cultivate less than 2 hectares, often without certified seeds or modern technologies [2]. Predominantly located in high Andean regions, these smallholder units allocate around 66% of their temporary crops —such as potatoes and wheat—for self-consumption, serving as a primary food source [3]. Despite their key role in food security and the rural economy, DSFF farmers continue to rely primarily on manual agricultural tools [3,4] which may expose them to considerable health risks, particularly musculoskeletal disorders (MSDs) [4,5]. Although these manual tools are widely valued for their suitability to local farming conditions, evidence indicates that ergonomic risk is not determined by the absence of mechanization, but by the design of work systems [6].

Ergonomic risks may arise from repetitive movements and force postures associated with the design of tools, equipment and machinery [6]. Evidence from hand tool use in non-agricultural sectors show that manual work may involve significant risk when tool design and task characteristics do not align with human capabilities [7]. Commonly used tools by peruvian rural farmers included the chaquitaclla (Andean foot plough) [8], allachu (hoe), and various handmade picks. However, from a technical ergonomic perspective, these tools are not always adapted to farmers’ physical characteristics, potentially perpetuating occupational hazards and limiting productivity [9]. Redesigning these tools through a contextual and participatory approach could mitigate these problems. Previous studies showed that modifying traditional agricultural tool based on anthropometric and ergonomic principles, such as adjusting tool length, weight, and handle design, can reduce physiological workload and improve task performance during agricultural activities [10,11].

Potato cultivation plays a central role in Peru´s food security system, as it represents the country´s main annual crop. In 2022, potato production accounted for 41.3% of all annual crops nationwide and is cultivated extensively throughout the Andean highlands, as well as in central and south coastal regions [2]. Given its national relevance and its strong dependence on manual labor during harvesting, potato production constitutes an important context for examining farmers’ interactions with hand tools and ergonomic challenges, including sustained trunk flexion and repetitive movements.

Understanding user-centered design in the context of agrorural labor is essential for developing appropriate technologies that respond to the real challenges faced in the work field. However, there is limited research exploring the intersection between user perceptions, traditional tool usage, and the adoption of new manual technologies in rural agricultural settings. Innovating further on technological solutions must begin with a deep understanding of farmers’ needs, perceptions, and practices. Farmers are not only end-users but also co-creators of innovation. Overlooking their knowledge, culture, and work practices undermines the adoption of new technologies even when they are technically functional [12,13]. To address this need for co-creation, the “double diamond” design model frames innovation as two consecutive cycles of divergence and convergence. The first diamond covers Discover – Define (understanding, identifying real needs from the user’s perspective and framing the problem), and the second diamond Develop-Deliver (developing and refining solutions) [14,15]. For example, Li applied this model to the service design of online agricultural product platforms, using the Discover and Define stages to identify user pain points and synthesize the core problem before proposing solutions directions [16].

In this study we focus on the first diamond, prioritizing identification and comprehension of farmers’ needs and opportunities for tools improvement. This study address this gap through two linked questions:

  • 1)What are the perceptions and needs of rural farmers that should be considered in the design of a manual tool, as well as the barriers and enablers to its adoption?

  • 2)How do rural farmers perceive the use of traditional manual tools during potato harvesting in terms of satisfaction?

Materials and methods

Study design and methods

We conducted a qualitative study following an interpretivist paradigm and a phenomenological design to deeply analyze and interpret the meanings constructed by participants, reflecting their subjective realities [17]. Two semi-structured guides were used.

Interview guides: objectives and alignment with research questions:

Both guides explored hand tool use, they differed in analytical focus, the first emphasized contextual needs and design-related perceptions, whereas the second focused on experiential use and post-harvest satisfaction.

Guide 1 addressed research question one (exploring needs and perceptions to consider in manual tool design, as well as barriers/enablers to adoption). It covered: (i) Work context and harvesting logistics (Q1-Q3); (ii) Current tools and use practices (Q4,Q7); (iii) Perceived tool attributes and experience during digging, including comfort and perceived physical impacts (Q5,Q7,Q8); (iv) Contextual/environmental constraints shaping tools use (Q2, Q3,Q6), (v) Desired design requirements and adoption-related consideration, including reasons for accepting or rejecting a tool (Q9-Q17); and (vi) Sociocultural meaning of farming (Q18-19, see S1 File). In this study, perceptions refer to how individuals observe, understand, interpret, and evaluate an object, action, personal experience, or outcome [18].

Guide 2 addressed research question two (farmers perceived satisfaction with traditional hand tools during potato harvesting). It was administered after the harvest and focused on perceived in-use performance and any need for adjustment or repair (Q1), handling and comfort during use (Q2), perceived ergonomics of weight/size/shape and effort/strain (Q3), post-use condition and signs of wear (Q4), anticipated maintenance needs and perceived ease of maintenance (Q5) and overall satisfaction/ acceptability of the tool (Q6; S1 File)

The first and second interview guides were piloted with a local farmer, which allowed for adjustments in the sequence and wording of questions to ensure clear communication and cultural relevance. To facilitate expression and idea generation, we also used illustrations depicting the available manual tools, allowing farmers to visually indicate desired modifications. Additionally, paper and pencils were provided so participants could sketch and annotate their own proposals for improvement.

Interviews setting and data collection methods

Data collection took place between Tuesday, May 13 and Saturday, May 24, 2025, in Yanaca district, Aymaraes province, Apurímac region, Peru, located at 3,315 meters above sea level and was conducted by a psychologist with expertise in qualitative methods. A prior meeting was held with the president of the local farming community, who authorized the study.

A purposive sampling strategy was applied to recruit 13 rural farmers. Participants were invited during the potato harvest based on referrals from key community contacts. Inclusion criteria included being 30 years or older and having at least six months of continuous engagement in agricultural work. A total of 25 semi-structured interviews were planned: 13 with the first guide and 12 with the second (one of the farmers could not be located after harvest). The selection of this number was based on the study by Hennink et al., which indicates that the range to achieved saturation in qualitative studies falls between 9 and 17 participants [19]. Interviews were held in familiar spaces, usually the participants’ homes, starting around 6:30 p.m. after their workday. The first interviews lasted 30–40 minutes; the second, 15–20 minutes. A local Quechua-speaking interpreter participated, providing translation and cultural mediation in one interview to ensure comprehension and respect for the original language.

Ethical considerations and informed consent

This study was approved by the Institutional Review Board of the Faculty of Medicine at Universidad Nacional Mayor de San Marcos, Perú (study code: 0072–2025) and by the Regional Health Directorate of Apurimac (DIRESA- Apurímac, in Spanish) under Letter N°004–2025-CRPDI-DEGDRH-DIRESA-AP, Registration N°1687. In addition, community-level permission was obtained from the community’s formally recognized leadership. All participants provided informed consent prior to participation and verbally agreed to audio recording. There were no deviations from the established protocol.

Data analysis

To ensure credibility, various methodological strategies were employed. Audio recordings were transcribed and independently reviewed by two researchers (LCA and EMC). A content analysis approach was used, involving systematic procedures to identify, code, and organize meaningful units within participants’ narratives to generate contextualized and relevant interpretations [20].

A mixed coding strategy was applied. Initially, a priori set of analytic domains, informed by a thematic review of the human–hand tool system proposed for the design of manual tools, encompassing four key dimensions: human, product, task and qualitative variables [21]. These four domains were used as an organizing framework based on works by Jain et.al (Jain et al., 2018) to guide data familiarization and initial coding; however, specific codes were developed inductively from participants’ narratives. As coding progressed, a coherent set of environmental conditions emerged as influential for tool use and perceived needs. We therefore incorporated an additional domain into the final analytic framework and results presented. The analytical framework presented in Fig 1 was informed by Interview Guide 1, which focused on perceptions, needs, and design-related considerations. Interview Guide 2 did not contribute to the definition of analytical domains; rather, it was analyzed separately to capture post-harvest experiences and satisfaction with traditional tools.

Fig 1. Domains and codes for farmers’ hand tool design considerations.

Fig 1

To enhance analytical rigor, each researcher conducted an independent analysis, and the findings were subsequently triangulated by investigators to ensure consistency and validity [22]. Pain-related codes were sub-coded by body region. We quantified each code as the number and percentage of participants mentioning pain in each region at least once (presence/ absence per interview), using a binarized code-document table. In addition, we quantified the hand tool characteristics and components which farmers had issues. Atlas.Ti v.25 software was used for data management and coding. Data saturation was achieved when no new codes emerged during analysis (in this case, after the 11th interview). The study followed the COREQ reporting guidelines for qualitative studies in support of rigor and transparency [23] (see S2 File). The anonymized data can be found in OSF repository: https://osf.io/fvr9t

To foster reflexivity, researchers (LCA and EMC) acknowledged their own beliefs and preconceptions throughout the analytic process. This allowed them to identify possible biases and enhance the transparency of findings.

Inclusivity in global research

Additional information regarding the ethical, cultural and scientific considerations specific to inclusivity in global research is included in S3 File.

Results

During the harvesting period in Llullasa, located 4.8 km from the district center, we conducted interviews with 13 persons (6 male, 7 female), aged 41–78 years (average height 155 ± 8.8 cm). Data are presented according to the interview guide used, and illustrative quotes for each of the domains (additional quotes are presented in S4 File). The first interview guide addressed participants’ perceptions and needs that should be considered in designing a manual tool, as well as the barriers and facilitators for its adoption. Domains and codes are presented in Fig 1. Names have been changed to conceal the identity of participants.

Task category

Terrain conditions.

Potato harvesting occurred between May and June, under cold and dry conditions, (10°C to 20°C), which was favorable for the activity. Farmers wore light clothing, such as long-sleeved shirts, trousers, and hats or caps. However, the workers reported difficulties accessing the fields located on slopes reachable only on foot. Another relevant aspect reported by farmers was the condition of the land, as it determined how physically demanding the work was, influencing the ease of using tools (Fig 2).

Fig 2. Farmers during potato harvesting (photo taken by the author).

Fig 2

“The soil in that area is clayey […] and somewhat red… when there’s a lot of moisture in the soil, it’s soft, and when it starts to dry, the soil becomes hard” (p9, man)

Travel conditions and means of transport.

Traveling to the cultivation fields began in the early morning, between 6:00 a.m. and 8:00 a.m. Tools, food, and sometimes young helpers were transported on pack animals: horses, donkeys or mules. Those who did not have access to support must carried all their belongings themselves (Fig 3)

Fig 3. Transport of tools: using pack animals (left), on foot (right).

Fig 3

(photos taken by the author).

“I tie it to the horse…there are some ropes to hold it […] if you do not have that, you must put the old clothes you have, arranging them on the horse’s back. The horse carries the pots where you can cook potatoes […], I carry my baby there on the horse” (p11, woman)

The journey, which took between 1–2 h, included breaks, reflecting the physical exhaustion associated with the distance and time required to reach their fields. Although these breaks provided temporary relief, some workers avoided them due to the urgency of completing their tasks

“It takes me an hour and a half…by the long path with the horses […] I must go quickly to keep up with harvest, otherwise what time would I finish? I don’t get to rest” (p7, woman).

Fit for the user.

During the potato harvest, farmers adapted their tools primarily through physical modification of existing hand tools, prioritizing size, weight, and fit. Tools that could be resized, enlarged or repaired, were especially valued, as they were perceived as personal and tailored.

“…because it’s a bit lighter, and, uh… not heavy […] it fits your hand, a bit smooth, not rough […] you already know your tool, right? Your hand itself already feels that it’s made for you.” (p6, man)

Human category

Companions and family dynamic.

The harvest is a community and family activity involving men, women, and children. Children used small tools to gradually join fieldwork, and families alternated work shifts to provide mutual support during the harvesting process.

“We call it Ayni; in the community everyone works together. There are no individual family plots; all the work is collective, is a communal workday” (p9, man)

Although the participant described agricultural work as fully collective under the Ayni system, land tenure and labor organization in the Andean Highlands were more heterogeneous. Most residents cultivate owned plots that were socially recognized by the community and regulated through titles. However, a proportion of households lacked formal landownership and therefore shared and rotated access to communal parcels. This diversity was also reflected at the national level: in 2022, only 35.5% of agricultural producers held a formal property title for at least one parcel, while 64.5% lacked land titles, shaping varied land-use and labor arrangements [2]

Intergenerational learning.

The transmission of knowledge regarding the use of agricultural tools occurred primarily through intergenerational means, via observation and imitation between parents and children, allowing them to progressively engage in this task.

“You always see your dad working, and you also want to be there, helping like that […] watching your dad working in the field” (p12, man)

Transition in tool use.

Regarding the tools, although the allachu (hoe; Fig 4) was used by elder generations, it has been replaced by the pick nowadays, persisting only in certain cases due to family tradition or as a cultural inheritance.

Fig 4. Traditional hand tools: allachu (left), pick (right).

Fig 4

“I still remember my dad when I was a kid. Back then, there were no picks; my dad only used the allachu. Then, little by little, picks appeared […] and now there are no allachu left.” (p9, man)

Discomfort and bodily pain.

Farmers described experiencing discomfort and pain in the arms, wrists and lower back while harvesting and using hand tools, highlighting the physically demanding nature of their activity.

“When you work constantly or spend all day on something heavy, the next day everything hurts” (p11, woman)

Table 1 summarizes the distribution of self-reported bodily pain by body region during hand-tool use. The most common reported pain region was the lower back (9/13; 69.2%), followed by arms (6/13; 46.2%) and shoulders (4/13; 30.8%). Pain in the elbows and hands were reported by three of 13 participants, whereas neck and fingers pain were less frequent. When stratified by sex, women reported elbow and hand pain more frequently compared with men; lower-back pain remained high in both groups.

Table 1. Self-reported musculoskeletal pain by body region during hand tool use overall and by sex.
Body region Total
n = 13
Sex
Men
n = 6
Women
n = 7
Neck 1 (7.7) 1 (16.7) 0 (0)
Shoulder 4 (30.8) 2 (33.3) 2 (28.6)
Arms (46.2) 3 (50.0) 3 (42.9)
Elbow 3 (23.1) 0 (0) 3 (42.9)
Hand 3 (23.1) 0 (0) 3 (42.9)
fingers 1 (7.7) 0 (0) 1 (14.3)
Lower back 9 (69.2) 5 (83.3) 4 (57.1)
Knees 3 (23.1) 2 (33.3) 1 (14.3)
Non-specified 2 (15.4) 0 (0) 2 (28.6)

n: number of participants who mentioned pain in that body region at least once.

Participants could report more than one region.

Processes of bodily adaptation.

Farmers perceived discomfort and pain as a natural aspect of their work. Over time they reported adapting by incorporating these sensations into their daily routines and managing them through brief rest periods. Participants reported that, in this community, potato harvesting during the study period typically lasted around seven consecutive days, with workdays extending from approximately 8:00 a.m. to 5:00 p.m. This sustained and repetitive exposure was described as physically demanding and contributed to cumulative fatigue and bodily strain during harvest period.

“Sometimes you’re not used to this… you feel a bit tired; your spine is affected” (p6, man)

“The first day your spine hurts, the arms…you have to get used to” (p11, woman)

Social and technical adoption (barrier and enabler).

One aspect highlighted was the influence of social and technical factors on the adoption and use of hand tools such as familiarity, local maintenance, the use of local materials and the resemblance to traditional tools.

“…that tools were made from local woods, from Tasta or hardwoods or lloje” (p3, man)

“For usefulness… it should always resemble the pick” -referring to the pick head (p11, woman)

Product

Types and functions of the tool.

Farmers considered two manual tools for potato harvesting: the allachu (hoe), a traditional single-pointed digging tool and the pick (Fig 4), with a pointed end and a blade for loosening soil, extracting potatoes and removing stones or clods. The pick was appreciated for its versatile features in terrain: digging, extraction and removing soil.

“The pick has two points, but the allachu has only one. […] The pick has two functions: this flat side (referring to the blade) can open the soil a bit wider […] and this pointed side is for digging and pulling out stones” (p6, man).

Access to tools.

Both hand tools featured locally crafted wooden handles (tasta or chachas wood) and metal heads, adapted to the terrain and considered as more practical than mechanization on slopes. The allachu was used by elders and traditionally crafted with wooden handles shaped by farmers and metal heads forged by the blacksmiths. When tools were not available, they were either shared among community members or improvised with materials at hand. After work, tools were stored at home or buried near the fields for safekeeping.

“Of course, we make them ourselves for our own use, for what we need.”, “Nowadays they don’t make allachu anymore, just like that; I mostly find picks, I don’t find allachu anymore” (p6, man)

Technical characteristics.

In harvesting, lightweight and slender tools were required, with metal heads featuring thin edges to prevent cutting the tubers. Deep digging techniques were considered essential, as shallow excavation increased the risk of damage. In the case of picks, the use of the point is valued over the blade, while curved handles were considered impractical for the task.

“The pick should be medium-sized, so you don’t get tired, right? Sometimes it’s big or small, and if it’s smaller you get tired from bending over” (p10, woman)

“With the tip of the pick, it’s so you don’t split it; since it has a tip, you don’t break the potato.” (p13, man)

Use, maintenance and repair.

The tools used show natural wear resulting from climatic and working conditions. Their restoration and adjustment were carried out locally, often with the assistance of blacksmiths, to extend their lifespan and preserve their functionality.

“Sometimes, after working extensively on the pick blade, it loses its sharpness. It needs to be sharp, so we sharpen it ourselves; if it becomes completely worn out, then we take it to the blacksmith to be repaired, so we can continue working. This is something we always do.” (p7, woman)

Physical characteristics of the tool (barriers and enablers).

Participants identified physical characteristics of the tool that functioned as barriers or enablers for their adoption and continued use. Among these, weight (average of 3.0 ± 0.2 kg; mean ± SD, n = 12), emerged as key attribute influencing whether farmers retained, replaced or sought alternative tools. Tools perceived as excessively heavy discouraged continued use, whereas overly light tools were considered functionally insufficient, leading participants to prefer an intermediate weight that enabled effective soil penetration. Other relevant characteristics included handle surface and shape.

“There are other rough handles that make your hand hurt and are uncomfortable […] they have splinters that damage your hand, of course […] they give you blisters.” (p6, man)

“…There’s a small pick, but it doesn’t dig in well. I usually use this large pick, but it’s too heavy […] I’m thinking of buying one like this.” (p5, woman)

Table 2 presents the measured physical characteristics of the hand tools: picks (n = 10) and allachu (n = 2). Overall, the pick showed higher values for weight, total length and handle length compared with the allachu. The average handle diameter of both tools was 39.75 ± 3.1 mm, however across tools it differed by approximately 3 mm (40.3 vs 37.3) mm. Head dimensions also differed: the pick had a tip length of 222 ± 32.2 mm and a blade length of 224.5 ± 35.9 mm, whereas the allachu, having a single tip, showed a tip length of 200 mm and a smaller head junction. Based on the anthropometric data of the sample (S5 File), the mean maximum grip diameter for women was 39.7 ± 2.3 mm, whereas for men it was 43.3 ± 3.1 mm. These findings indicated that the current tool handle diameter was suitable for 67% of the participants, corresponding to 83.3% of men and 50% of women.

Table 2. Physical and ergonomics characteristics of hand tools.
Hand tool type Weight (kg) Total length (mm) Handle length (mm) Handle diameter (mm) Tip length (mm) Blade length (mm) Head juntion width (mm)
Pick 3.1 ± 0.2 895.7 ± 63.6 835 ± 84.5 40.3 ± 3.2 222 ± 32.2 224.5 ± 35.9 93.8 ± 4.9
Allachu 2.7 ± 0.3 822.5 ± 81.3 720 ± 84.9 37.3 ± 0.4 200 ± 0.0 80.0 ± 14.1

Availability and access (barrier and enabler).

The availability of tools, such as picks, through local hardware stores or local vendors was reported as facilitating their use within the community. Participants also mentioned that tool´s affordable cost contributed to their prioritization and adoption.

“If you have the allachu, well, you take the allachu. If you have the pick, you take the pick… but mostly it’s the pick we buy at the hardware store”. A pick at the hardware store costs around 25 to 35 soles” (p11, woman)

Product consideration: weight, size, handle, material characteristics and durability.

Farmers highlighted key features of hand tools, including their weight, size, and the appropriate shaping of the head and tip to enable comfortable use. Tools should not be excessively heavy, as this may hinder the work of women and older adults. At the same time, they must be made of durable materials, such as dry wood and metal, that could withstand impact

“Because of the weight, it should be light so you can carry it far” (p13, man)

“Women use smaller picks and men use slightly bigger ones… the pick is light for men, but for other tasks, as I was saying, they’re a bit larger” (p9, man)

“The tip should have a sharper point. The head should be longer.” (p13, man)

“A handle that’s smooth, you know, for your hand, so it’s a bit soft and not rough”, “Sometimes this handle is too short; I’d prefer the handle to be a bit longer, you know? So, it can reach further […] it needs a slightly bigger handle.” (p6, man)

Table 3 presents the main characteristics and components of the tools in which farmers reported inconveniences or conflicts. The most frequently cited issues included the curvature of the handle and inappropriate handle length (either too long or too short). Regarding tool weight, 57.1% of female farmers reported that the tool was excessively heavy for them. In contrast, 33.3% of male farmers indicated the need for repairs and surface improvements, as the presence of splinters required sanding to ensure safe use.

Table 3. Tool characteristics, components and reported inconveniences by gender.
Tool characteristics and components Total
n = 13
Sex
Men
n = 6
Women
n = 7
Tool perceived as excessively heavy 5 (38.5) 1 (16.7) 4 (57.1)
Tool perceived as optimal weight 5 (38.5) 2 (33.3) 3 (42.9)
Handle characteristics
Needs repair 2 (15.4) 2 (33.3) 0 (0)
Curved handle 2 (15.4) 2 (33.3) 0 (0)
Handle too long 1 (7.7) 0 (0) 1 (14.3)
Handle too wide 1 (7.7) 1 (16.7) 0 (0)
Handle too short 4 (30.8) 2 (33.3) 2 (28.6)

n indicates the number of participants who mentioned the characteristic.

Environmental

Effects of climate on the tool.

In the Andes highlands, climatic factors such as humidity, rainfall, solar radiation, and soil type negatively affected the maintenance and preservation of tools, reducing their useful life. Among these, humidity and rainfall stand out as the conditions that affected their preservation. About the handle a farmer said: “rain makes it rot!”; and about the iron head, he added: “ah, that rusts” (p4, man)

Qualitative

Value attributed to tools.

Farmers described a sense of familiarity and attachment to their working tools developed through everyday use. The importance of a lightweight handle to facilitate use is highlighted: “I like when the handle is smooth… not so heavy” which was associated with ease of handling rather than performance alone. In addition, the allachu was recognized as an object of special significance and value with some participants noting that “the allachu is kept as a relic”, even when it was no use regularly. This relationship extends beyond functionality, reflecting familiarity and continuity over time.

Improvement proposal and preferences according to the user.

The aspects mentioned led participants to express their wishes and suggestions for improving the physical and technical characteristics of the tools. The proposals were recorded in sketches made by the participants (S6 File). Preferences leaned toward lightweight, sharpened and medium-sized instruments, with these considerations frequently appearing in the design improvement proposals.

“A tool a little easier, that doesn’t weigh too much because I’m older, and it would be helpful if it weighed less.” (p3, man).

“This head should be sharper… or made bigger, so that with one strike, with two strikes, it would go deeper into the soil.” (p13, man)

“Between the allachu and the pick…the two-pronged pick […] I would prefer it because with the pointed end you can dig, and with the blade you can pull” (p7, woman)

The following section addressed the second research question, aimed at understanding the perceived satisfaction of farmers regarding the use of traditional hand tools. The resulting categories and codes are presented in Fig 5, and additional representative quotes are presented in S7 File.

Fig 5. Domains and codes for rural farmers’ satisfaction with hand tools in potato harvest.

Fig 5

Tools conditions for efficient use.

This category covered the technical and material aspects affecting tools efficiency during potato harvesting. While weight was initially identified as a physical attribute influencing tool choice (product dimension), its relevance became more evident through farmers’ in-use experiences. Farmers associated satisfaction with efficiency, which depended on balancing attributes such as weight: heavier tools increased fatigue and bodily strain, whereas lighter tools reduced effectiveness in soil loosening. Perceptions of optimal weight, varied according to individual characteristics. Additionally, keeping the tool head sharp and well-maintained was considered essential for sustained performance with minimal effort.

“Let’s see, one of them is a little heavy, I look for a small pick that isn’t heavy, that’s the one I have to take. Light” (p7, woman)

“Normal, right? It’s not very heavy anyway”, “Since it’s very light, I haven’t gotten tired” (p3, man)

“I’m going to take it to have it sharpened… to make the tip sharp again” (p1, woman)

“With so much work, the tip wears down, so I have to take it to the blacksmith to fix it, I mean, to sharpen the point” (p3, man)

Farmers emphasized not only the materials of their tools, such as the wood of the handle or the iron of the head, but also qualities like origin, strength, and durability. They considered the proper fit between components, especially handle and head, essential to avoid detachment and ensure control. Likewise, comfort was a key criterion, understood beyond ergonomics to include familiarity and adaptability for each worker.

“You need to put more little pieces of wood in this spot to tighten it. Some woods, when they dry… If the head loosens, it’s because of the wood” (p2, men)

“The handles sometimes loosen with use. They put in a wedge, little sticks or nails; others use rubber to make it fit properly” (p12, men)

“No, all good. I haven’t felt any discomfort” (p1, woman)

“…something that bothered me was that it was kind of shaking (loose), since I work with it every day…” (p5, woman)

Pre-work preparation.

This category referred to preparatory practices that farmers performed to anticipate failures and optimize tool use, demonstrating their technical self-management. These actions varied by task but commonly included drying the handle before attaching it to the head to avoid looseness, and making temporary adjustments, such as wedges, to extend the tool´s life and ensure safety.

“Of course, if we’re going to the harvest, we must change the handle. How is this one, old? Already worn, right? After a year it must be replaced; it must be new” (p7, woman)

“My tool, I have to take it ready, yes, you have to make sure it doesn’t come loose” (p10, woman)

“…yes, we have to bring wood. I look for it, let it dry, cut it… we also scrape it and attach it to the head” (p4, man)

“The metal head had come loose. It was something that made noise, so I was hitting it on the stone so it wouldn’t move” (p5, woman)

“Just hitting it… maintenance isn’t that difficult” (p6, man)

Evaluation of the tool.

Evaluation emerged in the field interviews as a core aspect of farmers’ satisfaction, encompassing both functional performance and the comfort/displeasure using hand tools. Positive assessments arose when tools met user’s expectations and working conditions. However, tools were not uniformly accepted, as specific design features appeared to influence the performance and ease of use.

“Everything was fine, there were no problems” (p2, woman)

“It has been very smooth, and there were hardly any failures, it did a great job!” (p13, man)

“Yesterday I took aunt Sandra’s pick, right? But it bothered me a little and I don’t know, I didn’t like it… I couldn’t dig properly, so I just used my own pick. I don’t know if was the tip of her pick that felt very strange… hers had a wide tip” (p10, woman)

“…there was a pick that Mr. Jose brought, it was wider. But that pick, since it’s wide, can break the potato; it must be a thin pick” (p12, man)

Consequences of a deficient tool.

This category referred to the negative effects of poorly maintained tools, including fatigue, physical discomfort, and wear caused by loose handles, worn tips, or shifting heads during work. Beyond structural flaws, these issues exposed the limitations of daily labor and the physical risks of a poorly fitted head, generating concern among workers.

“What happens if the metal head falls in the field? In the field, the handle breaks, and you can’t work” (p7, woman)

“When it’s blunt, I mean it’s not sharp, it doesn’t go into the soil” (p5, woman)

“It’s already worn, and in these areas, since you’re holding it as it’s worn, your hand itself starts to hurt”, “If they don’t sand this part (handle) well, little splinters remain, and that bothers your hand and sticks into your palm” (p10, woman)

Accumulated experience and appropriation.

This category encompassed farmers’ narratives regarding the prolonged use of their tools and the relationship they develop with them over time. As they consistently use their tools, farmers developed increasing familiarity with their tools, which shaped their confidence and preference during use.

“Yes, just now when I hold it, I also felt it move a little (hitting sounds), it’s loose” (p4, man)

“Yeah, this is a little bit it loosens where the metal head is” (p6, man)

“For my liking, it has to be tight, otherwise I can’t work” (p7, woman)

“The first days (…) when you get a pick made like this, while you’re working you feel that it’s a little heavy or not to your liking, and then you have to fix it” (p10, woman)

Family and gender dynamics.

Perceptions and practices related to the maintenance and repair of tools were distributed according to gender within the farmers’ family and work contexts. The narratives indicated that men assume technical repair tasks, which ranged from obtaining handles and commissioning the manufacture of specific parts to anticipating potential failures.

“My husband, here, almost everyone does their own maintenance; they put on the metal head and the little stick themselves” (p10, woman)

“The men usually do it, I don’t know how, but they have to scrape the metal head”, “My husband takes care of these things, makes sure everything is fine…”,“When they have time, they sand it, sand it, measuring it, until it reaches the right size; once it’s ready, they just leave it as is” (p10, woman)

Discussion

Farmers identified five key aspects in tool design: human, product, task, qualitative and environmental areas. These dimensions emerged from the participants’ narratives and align with Jain´s et.al (2018) proposal for improving non-powered hand tools to prevent work-related problems [21], while adding environment as a new theme within their narratives (Fig 1).

Farmers placed a central emphasis on technical characteristics such as weight. In our measurements, tool weight was approximately 3 kg. General hand tool ergonomics guidance recommends keeping tool weight as low as practicable and cites 2.3 kg as an upper value to help reduce fatigue [24]. Tools perceived as too heavy were described as increasing fatigue in hands, arms and shoulders and limiting use by women and older adults, whereas an excessively light tool were perceived as ineffective for breaking soils. Although lightness was valued, participants emphasized the need for a functional balance. In clay soils with compacted clods, the complementary use of pointed and flat ends was perceived as more effective despite the additional weight. In addition, inadequate dimensions can reduce effective force transfer, requiring greater impact speed and thereby increasing the risk of slippage and injuries [25,9]. These findings suggest that tool weight should be carefully balanced in future design efforts, minimizing fatigue while maintaining sufficient mass to ensure effectiveness under demanding soil conditions.

Regarding the handle, its shape and finish are critical for grip comfort and injury prevention. A small or poorly finished handle may slip, whereas an appropriately design handle can provide greater safety [9,26]. Grant et.al. [27] noted that handle diameter directly affects grip strength and, consequently, the muscular effort required. In this study, handle diameter measured at the primary grip zone ranged from 37.3 to 40.3 mm with a general diameter of 39.75 ± 3.1 mm. Based on the sample anthropometric data, the handle diameter was compatible with 67% of the participants (83.3% of men and 50% of women), suggesting a closer fit for male users in this sample.

Tool length is also relevant, the Canadian Centre for Occupational Health and Safety (CCOHS), indicates that total tool length with the blade placed on the ground should be approximately at the user’s elbow height [28]. While national anthropometric references values for Peru are limited, Escobar [29] reports estimated standing elbows height of approximately 103.1 cm for men and 95.0 cm for women. However, anthropometric variability in Andean populations should also be considered. Evidence from highland Peru shows relatively shorter limb segments under conditions of environmental stress, reflecting growth trade-offs that prioritize essential functions over limb length [30]. This suggests that ergonomic guidelines derived from non-Andean populations may not be directly applicable and could result in tools that are suboptimal in length for local users. In our study, the measured total tool lengths were generally below the reference values, which may increase bending during harvesting tasks. When considered alongside the pain distribution reported by participants, particularly the presence of hand and finger discomfort among women, and the frequent reporting of lower-back pain, these measurements suggest that handle-hand fit and tool length are important aspects to consider in future redesign efforts. The testimonies collected in this study reinforce that an appropriate diameter, shape and tool length contribute to perceived control and familiarity during use and are closely linked to comfort and physical strain.

Another relevant feature is the design of the tool head and tip, which directly influences potato protection and efficiency when working in clay soils. In this regard, farmers expressed a preference for sharp tips and even multiple and interchangeable heads, emphasizing the need for a flexible tool design that responds to crop-specific practices and farmer´s operational needs. Durability also emerged as a central factor: while local woods such as tasta are valued for their strength, others like eucalyptus are perceived as fragile. Although most handles are made from local wood, both quality and design are crucial, as inadequate configurations increase the likelihood of injury [25,9]. Additionally, climatic conditions such as humidity and rainfall may accelerate handle deterioration, promote head detachment, and increase the frequency of local replacements. Tool degradation may also result from mechanical wear caused by repeated contact with soil and its conditions including the presence of rocks, in addition to corrosion processes such as rust formation. In agricultural contexts, these abrasive interactions can contribute to the wear of tool edges, which may explain the frequent need for sharpening reported by participants.

Likewise, barriers to the adoption of hand tools were identified, including poor finishes, dull tips, or short handles that increase fatigue. Economically, the need for constant maintenance, such as sharpening, represents an additional cost that limits accessibility. Social factors were also observed to hinder the adoption of innovations as tools that differ from traditional models are often perceived as unfamiliar, which can reduce acceptance [31]. Beyond these, a previous study has discussed a perceived tension between comfort and productivity in agricultural work. In this context, some farmers may associate heavier or more demanding tools with greater effectiveness, even if they increase physical strain. While this study did not directly assess productivity outcomes, this perception may help to explain resistance to adopting more ergonomically tools, despite their potential benefits for reducing fatigue over time [32].

In contrast, enablers emerged, such as the possibility of local repairs through community blacksmiths or the use of accessible replacement parts. A particularly relevant factor is the ergonomic fit of the handle, as adaptation to the hand not only enhances comfort and safety but also promotes adoption [33]. However, fieldwork revealed that blacksmithing is not a full-time occupation in the community, but rather a secondary activity performed by local farmers upon request. As a result, tool reparability depends on the limited availability of these individuals, which may delay repairs and reduce accessibility. Under these conditions, commercially available replacement parts and imported tools may contribute to transition toward externally manufactured tools. In this context, local organizations or agricultural extension services could play a role in supporting the preservation of existing blacksmithing practices through training and technical reinforcement, helping sustain locally adapted repair systems.

In relation to the second question, farmers’ satisfaction emerged as a complex phenomenon, resulting from the balance between functionality and subjective appropriation. A central aspect is comfort of use, which encompasses adequate weight, a firm grip, and a secure assembly. These elements align with FAO recommendations, which identify one of the main problems of hand tools as the use of soft, low-quality wooden handles [34]. Another key factor is the possibility of performing self-maintenance, such as sharpening the tip, adjusting the handle, or replacing damaged parts, which reinforces a sense of control over the tool. These practices are grounded in farmer’s experiential knowledge and may be further supported by basic technical criteria, to enhance their effectiveness [34].

Satisfaction was also linked to familiarity built through experience, often transmitted intergenerationally. This form of learning, which in many cases acts in place of formal training or written instructions, strengthens both appropriation and the bond with the tool. In this regard, dissatisfaction may not necessarily stem from tool design itself but rather from the absence of adequate training that would normally accompany the introduction of externally developed tools within a more formalized context [21]. Nevertheless, in the rural agricultural context, characterized by informality and the lack of systematic training structures, pragmatic learning ensures the continuity of the craft and reinforces a sense of belonging, while potentially perpetuating technical limitations that affect both efficiency and satisfaction. These findings highlight the importance of participatory design approaches, such as the double diamond model, that integrate local knowledge with technical design criteria to ensure that innovations are both contextually appropriate and functionally effective.

Although previous studies have emphasized the importance of weight and ergonomics in tool design [25,33], less attention has been paid to aspects such as local reparability, intergenerational learning, and the symbolic dimensions of tools [35]. These differences may be explained by methodological approaches and by the indicators prioritized by workers, particularly productivity [12]. In this study, these factors are further shaped by ongoing demographic and technological changes. Field observations indicate that the agricultural workforce is predominantly composed of middle-aged and older adults [36], as younger generations increasingly migrate to urban areas or mining-related employment. Within this transition, manufactured tools have gained importance, while older, locally crafted implements, such as the allachu, are increasingly rare. Though traditional knowledge persists, farmers have shifted toward tools such as the pickaxe due to their perceived versatility, particularly the dual-function head. At the same time, the widespread availability of imported tools and replacements parts through local hardware stores offers faster access compared to locally made or repaired tools, whose production depends on limited local craftsmanship.

These findings highlight that the adoption of innovations in agriculture does not depend solely on the introduction of improved techniques driven by technological feasibility [12,37], but rather on recognizing the complex interaction between technical characteristics, durability, accessibility, climate, and culture. In this context, tool sustainability is closely linked not only to design features but also to their capacity to be adapted and repaired within local systems. Approaches such as participatory ergonomics and co-design, which integrate workers’ needs and local capacities are therefore essential to ensure that hand tools remain usable and valued over time [35,37].

Strengths and limitations

These findings provide substantial insights into the needs, perceptions, barriers, and satisfaction of rural farmers regarding their use of manual tools. As part of a broader research project aimed at establishing an initial baseline from a cultural perspective, the results help identify opportunities that inform not only the design and adaptation of technologies to rural contexts but also reflect on the social and cultural ties that shape the relationship between communities and their tools.

Although this study examined tools that are ubiquitous in the Andes within potato harvesting, one of the most common smallholder farming activities in this context, the sample was restricted to a single agricultural community. This may limit the transferability of the findings to other crop systems, agricultural tasks, or Andean communities with different environmental conditions and tool repertories not documented in this article. In addition, resource constraints prevented extending data collection to multiple communities, which would have strengthened broader applicability.

Conclusion

This study highlighted that the use and adoption of hand tools in high- Andean agriculture are shaped by a combination of technical, ergonomic, environmental, and sociocultural factors. Farmers emphasized the importance of tool weight, handle design, length and material durability, in relation to comfort, efficiency, and physical strain during potato harvesting. Rather than prioritizing minimal weight alone, participants value a functional balance that allows effective soil loosening while limiting fatigue, with variations according to sex, age and physical capacity. Beyond physical characteristics, tool adoption was influenced by familiarity, perceived efficiency, and the possibility of adjustment and maintenance. The ability to repair or modify tools locally, whether through self-maintenance or access to community-based repair skills, emerged as a key supporting continued used. In contexts where local repair capacity is limited, commercially available tools and replacement parts increasingly shape farmers’ choices.

The implication of these findings suggest that agricultural tool design should move beyond technical considerations to incorporate local work practices, user diversity, and repairability with rural systems. Approaches such as participatory ergonomics and co-design, may contribute to more sustainable and context-appropriate hand tools in high-Andean agriculture.

Supporting information

S1 File. Semi-structured guides (1 and 2).

(DOC)

pone.0335295.s001.doc (37.5KB, doc)
S2 File. COREQ guidelines.

(DOC)

pone.0335295.s002.doc (61KB, doc)
S3 File. Inclusivity in global research questionnaire.

(DOCX)

pone.0335295.s003.docx (67.7KB, docx)
S4 File. Additional illustrative quotes for each of the emergent themes (first guide).

(DOCX)

pone.0335295.s004.docx (25.1KB, docx)
S5 File. Anthropometric characteristics of participants.

(DOC)

pone.0335295.s005.doc (49KB, doc)
S6 File. Improvement proposal sketches created by the participants.

(DOC)

pone.0335295.s006.doc (524KB, doc)
S7 File. Additional illustrative quotes for each of the emergent themes (second guide).

(DOCX)

pone.0335295.s007.docx (19KB, docx)

Acknowledgments

We would like to thank to the community leader and the rural farmer community from Yanaca, Apurímac, Perú. We also thank psychologist Enma Maco Condezo (EMC) for her role in the interviews.

Data Availability

De-anonymized data can be found in OSF repository: https://osf.io/fvr9t.

Funding Statement

This work was funded by the Consejo Nacional de Ciencia, Tecnología e Innovación Tecnológica (CONCYTEC) and the Programa Nacional de Investigación Científica y Estudios Avanzados (PROCIENCIA) within the framework E077-2023-01-BM “Becas en Programas de Doctorado en Alianzas Interinstitucionales contest, grant number (PE501090201-2024-PROCIENCIA-BM) and the E033-2023-01-BM “Alianzas Interinstitucionales para Programas de Doctorado”, grant number (PE501084306-2023-PROCIENCIA-BM). The sponsor had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Additional Editor Comments :

Thank you for submitting your manuscript (PONE-D-25-54226) entitled "Andean agriculture and hand tools: a qualitative approach of exploration of needs, barriers, and opportunities for innovation" to PLOS ONE.

The manuscript has now been evaluated by two expert reviewers. Both reviewers recognise the novelty, relevance, and potential contribution of the study, particularly in documenting farmer perspectives on hand tool use in Andean agriculture, an underrepresented area within occupational health, ergonomics, and innovation studies. However, both reviewers raise substantial methodological, analytical, and interpretive concerns that must be addressed before the manuscript can be considered for publication.

On this basis, a major revision is required to incorporate these changes. These changes will enhance the manuscript's alignment with PLOS ONE's criteria for technical soundness, reproducibility, and broad relevance. Please address the following key points in your revision:

1) Methodological enhancements: Clarify the two interview guides' objectives, differences, and links to research questions in the Methods section. Defend the focus on potato harvesting. Specify if themes emerged from coding or guides.

2) Ergonomic and quantitative integration: Include tool dimensions (weight, length, size) and ergonomic analysis to address health/MSD issues from the introduction. Quantify findings (e.g., theme frequencies) to make results more robust, accounting for gender differences.

3) Results and visualisation: Enhance tool modification sketches (e.g., via CAD). Avoid quote repetition. Clarify ambiguities in language and consolidate related findings (e.g., weight preferences).

4) Discussion and broader implications: Base discussions on quantified results. Expand on shifts to manufactured tools, mechanisation impacts, blacksmith decline, and repair sustainability. Link tradeoffs (productivity vs. comfort) explicitly to data. Rewrite the conclusion to clearly highlight the major findings.

5) Data sharing: Anonymise and share source testimonies per PLOS ONE policy. Explain any ethical constraints.

6) Minor edits: Correct terminology, rephrase for neutrality, avoid overgeneralization, and place figures in-text.

Provide a point-by-point response to these comments and the original reviewer’ details. We look forward to your revised submission.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

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Reviewer #1: Partly

Reviewer #2: Yes

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Reviewer #1: N/A

Reviewer #2: N/A

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Reviewer #2: No

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-->5. Review Comments to the Author

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Reviewer #1: Abstract: Concise and well-formed

Introduction: well written

Material and methods: nicely explained, but no scientific approach is used to collect data.

Results: Tables and figures are elaborated very well. Each head was clearly explained. The statements made by participants clearly depict the existing situation of respondents by using hand tools. It is a detailed qualitative approach for analyzing hand tools.

However;

In the introduction, health hazards and MSDs caused by the use of poorly designed hand tools were discussed. But in the study, the ergonomic points of the tools' analysis were missing

Since no statistical tool has been employed to infer the findings, the results do not appear to be statistically sound.

· Health risks and MSDs brought on by using a hand tool with inadequate design were covered in the introduction. However, in the study, ergonomic tool analysis is absent.

Second, the results are not inferred using any statistical tools. As a result, the study's overall findings are lacking. The result should focus on some clear and quantifiable information, like which parts of the hand tool were deemed to have poor ergonomic design or require revision.

Further, both men and women were included in the study as samples; however, they differ greatly in their physical characteristics and how they use hand tools.

· In the results, dimensions of hand tools are missing, which are necessary for assessing the tool, such as weight, length, and size. It is not ergonomically sound to analyze tools just based on statements

· Farmer-provided or farmer-made sketches for modifying the current tool design are unclear. All recommendations for creating or making changes to the tool design can be included in a sketch or drawing (in CAD). It will be a meaningful finding and feedback for further investigation.

Discussion: Comprehensively written by detailing each component.

But the discussion is only made based on statements of farmers, not on the crux of the results. A statement made by one farmer does not reflect the opinion/point of view of other farmers. So there should be some quantification of data/results to interpret the findings in a meaningful manner.

Conclusion: Not explaining the exact picture of the result. It should be rewritten to highlight the major findings of the study.

Supporting information: The detailing of each component is added and clearly exhibits the research.

Reviewer #2: The paper is a quite focused study of farmer attitudes and perceptions regarding their hand tools in a Peruvian Andean community. It is a bit reduced in terms of overall scope and sample size, the latter of which the authors acknowledge. It would have been nice to do the study across a number of communities with a smaller set of farmers in each community, to increase the generalizable nature of the results. However as this is a relatively novel aspect of a more general occupational health/literature, there is something to be learned here. My two main critiques of the paper and reason for major revisions are first, that the methods and especially the survey guides need to be more clearly explained in terms of their objectives, link to the research questions, differentiation among the two, and description of the areas covered or the technique. Sometimes the objective of a guide is only found in the results, very late for building up the understanding of the methodology. Without this, the thematic areas of the results seem rather haphazard.

Second, within the limitations of a small and potentially overly ‘unique’ (ie one village) sample size which is already acknowledged, I would urge the authors to expand a bit on the wider meaning and implications of the results. What about the observation that manufactured tools are increasingly prevalent and older, bespoke tools are increasingly rare? Are there implications from increasing mechanization and demographic change?

In general, there is a need for a bit more detail in certain areas of the paper where the logical flow or background to information is missing, as is noted below in the detailed line by line comments.

Also, for ease of reviewing if I review this manuscript again, I would ask that the figures be placed within the text, it makes it much easier and actually increases the speed and quality of the review.

One last point, I have indicated that I don’t feel this paper meets the data sharing standards of PLOS One. That is because individual access with consent of the authors to the data is not really essential in my view. It should be possible to anonymize the source testimony material and erase any personal mentions such that the database would remain as a textual resource showing in a more detailed way all the attitudes towards tools and their context. If the ethics board is denying this option then the authors may claim so, and perhaps the main editor will disagree, but I would urge you just to prepare a text resource in this way, with no personal or geographic information, and share, even in the online materials. That is very broadly in line with ethics standards, especially as these are opinions about management and tools rather than personal, health, or family details.

Detailed comments with line numbers:

47 ecological variability not variety

55 Looking at your references here, I think that you should approach the statement “many of which lack ergonomic principles” with more skepticism. I am wondering whether you are conflating lack of ergonomic principles with lack of mechanization which could lead to less overall effort and fatigue? At least in some of the Andean contexts where I have worked, and in fact as you document in this paper, farmers indicate strong preference for certain of their tools and even will approach blacksmiths with particular design elements that make tools more suited to their work setting. However this may be different in Peruvian Andean contexts if all tools are increasingly manufactured outside (e.g. Brazil, China) and imported to the region – but perhaps separating effort, fatigue, and efficiency is important. you may be able to use the literature on hand tool use from beyond the region that you already cite, that will speak to this point?

62 This is a very generic reference to a textbook (Harrington 2000, Occupational Health) for the notion that tool redesign could help farmers --- could you provide a more specific reference focused on farm environments, or examples of tool design that id in fact help farmers, if you mean to link this to literature?

67 I would say “ innovating further on technological solutions “ rather than “Developing”--- the hand tools analysed are in fact already a technological solution, sometimes developed by farmers, and you are making the point here that their context and knowledge should be respected!

71-72 more details on this design model? It’s not commonly known, e.g. what do the “two diamonds” refer to? An example of more detail being needed to fully understand your objectives – a few sentences

75 are these the two objectives of the two instruments below in methods? Do a better job identifying how the methods address these two main questions, then. Also, I am thinking that the first question is more general around needs and context, and the second is more specific around their specific reactions to a set of tools in harvesting. If that is the case, use that terminology (general/context vs. specific etc.) to aid the reader’s understanding.

77 I think you need defend the choice of one particular operation of potato harvesting. Why choose that compared to say, carrot peeling or compost pile turning – tools are used for all of these? I am assuming the choice of potato harvesting was not just opportunistic? It's a pretty central focus of agriculture in Peru etc.

83 – you mention two guides but don’t say how they differed, what was the purpose of each, why two? - if that is the meaning of “and” later in the sentence, enumerate these as the two purposes. More detail and clarity needed.

142 “Data are presented according to the interview guide used” but I don’t understand the difference between the two interview guides, as the methods are incomplete, and here just below you say the first interview guide described perceptions, but again it’s not clear and doesn’t distinguish this from the second guide.

151 Task category – is this a structure from the interview guide, or an emergent theme from coding?—this all needs to be presented more clearly. IPerhaps linking to the figures with the different guide numbers to a greater degree within the text will help?

184 adapt as in choosing different alternatives, or adapt as in modifying their tools? Two different things. Again, the language here is not very specific and seems to lack the complexity that is promised in the introduction.

194 here I would say just children, without the definite article The – we are not talking about particular children.

196 Is this really true that there are no individual plots? Is this a communal sectoral fallow system with use rights granted by a communal entity like a consejo? Because in many areas of Peru labor exchanges may be practiced (some labor is thought of in a common way) but in fact the plots are held privately by families. It would be good to clarify this so that you are not propagating a vague or romantic image of communities holding land in common, if it is not the case, to complement what the farmer said. Maybe clarify this using a comment on this quotation.

221 it is always 7 days, or just as reported by the participants in this study? – or that this is somehow important to the particular focus on the design of hand tools? I find it hard to believe that some other factors like weather or yield levels might not make it last more or less time? In general this seems to reveal a weakness of doing a study in one community in one year, it needs to be carefully presented to not overgeneralize, and it would have been nice to have participants from a range of communities instead of just one, seems like pseudoreplication of sorts.

231 What should resemble the pick? Use parentheses to identify the referent.

247 this actually parallels what I observed in Bolivia in the 2000s, both allachu (called wiluku, there) and picks were used. Given the emphasis on physical lightness of the tools, did no one comment on the fact that a pick is more versatile with two sides but in fact obligates one to carry the weight of a function that is not always used, versus having more or less pointed allachus that are lighter and perhaps more adapted to to the main task of potato harvesting? Also, is the soil in this community rocky, so that extracting or moving rocks is such an important task?

248 is the prevalence of blacksmiths decreasing or staying the same? Did you ask about this? It seems like if blacksmithing skills are lost this would be a natural explanation for the transition to different pick tools that come from outside, and this could be an implication of the study, a need to support more local tradespeople or accomplish that function within local agencies or development organizations?

275 “3.0+/- 0.2 kg” is the +/- a standard error, standard deviation range mentioned by interviews, what? Please note quickly.

281 I think that what p5 is describing here is a sort of local optimum of weight, neither too light or too heavy , as you also say in lines 343 – maybe these results on intermediate weight and relation to age and gender could be consolidated.

317 this is the same quote as in the previous section that presumably comes from the first interview guide and here the second? It seems a bit repetitive as it makes the same point.

332 only now you describe what the second interview guide is about! All this should be described clearly in the methods section.

430 Please change to Jain et al.’s (2018) proposal for improving…. To clarify that this is a reference to an existing paper. Also Jain is not a single author, etc.

431 rephrase as “While adding environment as a new theme within their narratives” or similar. The colon is awkward here since only two words follow it. At a minimum you can say “the environmental theme” (and also refer to the figure 5 again with these themes)

446 by multiple heads please clarify whether you mean a tool with two heads (or more?) or just multiple tools with different sized heads to adapt in the field to the soil conditions.

453 I don’t know that you need a reference to explain the connection between humidity, rain and rotting of wood. Better to stay focused on the farmer viewpoints, rotting and weakening is a well known process.

462 Can you specifically point to where in your research or in which aspects farmers identified the tradeoff between productivity and comfort? I am not remembering a farmer talking about this and since it is a bit contentious, would like to have the connection to the testimonies clearly described. Would not an uncomfortable tool fatigue a farmer more and thus lead to a shortened and thus less productive work day? So it needs to be clearly explained.

478 instead of substitutes would say “acts in place of” or “substitutes for” , I slightly prefer the former because it is somewhat more neutral, not privileging formal or written learning pathways.

481 although you seek to correct a bias in favor of formal versus informal intergenerational training in the next sentences, you could strengthen that perspective in this line by saying “ but rather from the absence of training that would accompany an outside tool in a more formalized technology context” ? because I think the formal training route only applies to tools or methods that are brought from outside? (Whether or not they are effective; sometimes outside tools and formal training can be effective, but as you point out local pragmatic learning enhances a sense of ownership of the tool technology)

492 no capital C on characteristics.

502 I’m glad you recognize the sample within one community as a limitation, I agree – better to document this limitation for readers than ignore it.

512-515 You mention the way that a local repair function is an enabler but I think maybe this should be included in the last few lines that are the main prescriptive outcomes of the paper – that is, whether tools are made locally or come from outside, they will be much more valuable in communities like this one if they are repairable and modifiable. As I noted regarding the results section, it might also flag the availability of skilled blacksmiths in these communities or near to them, as a key factor in the sustainability of hand tool use that should be explored in addition to the other factors mentioned.

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PLoS One. 2026 May 15;21(5):e0335295. doi: 10.1371/journal.pone.0335295.r002

Author response to Decision Letter 1


12 Feb 2026

LETTER OF RESPONSE

Dear editor and reviewers

We would like to thank you for the suggestions and comments made on this manuscript. We are sure of the improvement of this based on your recommendations.

Below you will find the answer to each point.

Kind regards.

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Response: The manuscript has been revised to adjust PLOS ONE´s style requirements.

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Please remove any funding-related text from the manuscript and let us know how you would like to update your Funding Statement.

Response: Thank you for the clarification. The funding statement states as follows:

This work was funded by the Consejo Nacional de Ciencia, Tecnología e Innovación Tecnológica (CONCYTEC) and the Programa Nacional de Investigación Científica y Estudios Avanzados (PROCIENCIA), within the framework of the E077-2023-01-BM “Becas en Programas de Doctorado en Alianzas Interinstitucionales” contest, grant number N° PE501090201-2024-PROCIENCIA-BM and the E033-2023-01-BM “Alianzas Interinstitucionales para Programas de Doctorado”, grant number N° PE5010843066-2023-PROCIENCIA-BM. The sponsor did not play any role in the study design, data collection and analysis, publication decision, or manuscript preparation”

4. We note that you have indicated that there are restrictions on data sharing for this study. PLOS only allows data to be available upon request if there are legal or ethical restrictions on sharing data publicly. For more information on unacceptable data access restrictions, please see http://journals.plos.org/plosone/s/data-availability#loc-unacceptable-data-access-restrictions.

Response: The de-anonymized dataset has been uploaded to the OSF repository and is available at: https://osf.io/fvr9t

Reviewer’s comments

Reviewer #1:

1. Abstract: Concise and well-formed

Introduction: well written

Material and methods: nicely explained, but no scientific approach is used to collect data.

Results: Tables and figures are elaborated very well. Each head was clearly explained. The statements made by participants clearly depict the existing situation of respondents by using hand tools. It is a detailed qualitative approach for analyzing hand tools. However, In the introduction, health hazards and MSDs caused by the use of poorly designed hand tools were discussed. But in the study, the ergonomic points of the tools' analysis were missing. Since no statistical tool has been employed to infer the findings, the results do not appear to be statistically sound. Health risks and MSDs brought on by using a hand tool with inadequate design were covered in the introduction. However, in the study, ergonomic tool analysis is absent Second, the results are not inferred using any statistical tools. As a result, the study's overall findings are lacking. The result should focus on some clear and quantifiable information, like which parts of the hand tool were deemed to have poor ergonomic design or require revision. In the results, dimensions of hand tools are missing, which are necessary for assessing the tool, such as weight, length, and size. It is not ergonomically sound to analyze tools just based on statements

Response: Thank you for the comments. We strengthened the methodology and results section of the manuscript by complementing the qualitative findings with descriptive quantitative synthesis. In the results section, pain-related codes were quantified by body region at the participant level and are now reported as the number and percentage of participants who mentioned pain in each region at least once (presence/absence per interview), using a binarized code–document table in ATLAS.ti v25. These results are now presented in Table 1 (n/N, %), including stratification by sex. In addition, we incorporated an ergonomic description of the hand tools assessed, reporting their physical/ergonomic characteristics in Table 2. And a summary of tool components/parts reported by farmers as problematic. Quotations were retained only as illustrative examples; the interpretation and discussion are now grounded on the quantified results and tool measurements. It is worth mentioning that a more comprehensive ergonomic assessment (anthropometry, observational evaluation such as REBA, biomechanical analysis, and sEMG) is addressed in a separate manuscript; however, this paper remains focused on farmers’ experiences while incorporating the above descriptive quantitative summaries and tool characteristics to support and contextualize the findings.

2. Further, both men and women were included in the study as samples; however, they differ greatly in their physical characteristics and how they use hand tools.

Response: We agree. Men and women can differ in physical characteristics (anthropometry, height, etc.) and in how they use hand tools, which may affect discomfort and tool suitability. We updated the manuscript to present the MSDs outcomes (pain and discomfort) stratified by sex and to interpret these differences in relation to the measured physical/ergonomic characteristics of the tools. Also, we added an anthropometric measurements table in supplementary file 5, to complement and better understand physical characteristics differences among participants. Lines 285-294.

3. Information added: Farmer-provided or farmer-made sketches for modifying the current tool design are unclear. All recommendations for creating or making changes to the tool design can be included in a sketch or drawing (in CAD). It will be a meaningful finding and feedback for further investigation.

Response: We appreciate the suggestion. The sketches produced by the farmers were included as originally made in the Supplementary Material because our aim is to faithfully preserve the feedback generated during the participatory process. These drawings serve as qualitative inputs to identify opportunities for improvement (e.g., adding a cutting edge to the blade/tip, adjustments to weight, length etc.), rather than as proposals with defined dimensions and geometry. For this reason, we did not convert them into CAD in this manuscript. Producing CAD models would require assuming measurements and technical details that are neither contained nor validated by the original sketches and could therefore introduce an artificial level of precision. The translation of these suggestions is undertaken later during the detailed design stage.

4. Discussion: Comprehensively written by detailing each component. But the discussion is only based on statements of farmers, not on the crux of the results. A statement made by one farmer does not reflect the opinion/point of view of other farmers. So, there should be some quantification of data/results to interpret the findings in a meaningful manner.

Response: We agree with this observation. To ensure the discussion is grounded in the core results and not only on individual farmers’ statements, but we also incorporated a quantitative summary of the findings. Specifically, we added results on bodily discomfort and pain reported by farmers stratified by sex, and we present these outcomes in relation to the physical and ergonomic characteristics of the hand tools used. This allows the discussion to reflect patterns across the sample and supports a more meaningful interpretation. Lines 539-570

5. Conclusion: Not explaining the exact picture of the result. It should be rewritten to highlight the major findings of the study.

Response: Thank you for the suggestion. We rewrote the conclusion section to include relevant findings. Lines 661-677

6. Supporting information: The detailing of each component is added and clearly exhibits the research.

Response: Thank you

Reviewer #2.

1. The paper is a quite focused study of farmer attitudes and perceptions regarding their hand tools in a Peruvian Andean community. It is a bit reduced in terms of overall scope and sample size, the latter of which the authors acknowledge. It would have been nice to do the study across a number of communities with a smaller set of farmers in each community, to increase the generalizable nature of the results. However, as this is a relatively novel aspect of a more general occupational health/literature, there is something to be learned here. My two main critiques of the paper and reason for major revisions are first, that the methods and especially the survey guides need to be more clearly explained in terms of their objectives, link to the research questions, differentiation among the two, and description of the areas covered or the technique. Sometimes the objective of a guide is only found in the results, very late for building up the understanding of the methodology. Without this, the thematic areas of the results seem rather haphazard.

Response: Thank you for these comments. We agree that conducting the study across multiple communities would have strengthened generalizability; however, this was not feasible due to limited financial and human resources, and we now state this more explicitly as a study limitation. Regarding the methodology, we revised the Methods to clarify the objectives and scope of each guide, their alignment with the two research questions, and the differences between guide 1 and 2. We strengthen the Data analysis section to make clear how the results were organized: coding was guided by a priori analytic domains (human, product, task, qualitative), with codes developed inductively from the data; an additional environmental domain emerged during coding and was incorporated as a fifth domain. Finally, we state that results are reported according to these five analytic domains. Lines 109-129; 168-180

2. Second, within the limitations of a small and potentially overly ‘unique’ (i.e. one village) sample size which is already acknowledged, I would urge the authors to expand a bit on the wider meaning and implications of the results. What about the observation that manufactured tools are increasingly prevalent and older, bespoke tools are increasingly rare? Are there implications from increasing mechanization and demographic change? In general, there is a need for a bit more detail in certain areas of the paper where the logical flow or background to information is missing, as is noted below in the detailed line by line comments.

Response: Thank you for the comment. We have expanded the Discussion section to improve the logical flow and to situate our results within wider demographic and technological changes occurring in Andean agricultural context. Drawing on field observations, we added a paragraph describing how rural out-migration of younger populations, the aging agricultural workforce, and the availability of imported tools and replacement parts shape farmers’ decisions. Lines 626-638

3. Also, for ease of reviewing if I review this manuscript again, I would ask that the figures be placed within the text, it makes it much easier and actually increases the speed and quality of the review.

Response: Dear reviewer Initially, we included the images within the manuscript as requested; however, according to the PLOS editorial policy, images must be submitted as separate files, which is why we could not finally include them within the manuscript.

4. One last point, I have indicated that I don’t feel this paper meets the data sharing standards of PLOS One. That is because individual access with consent of the authors to the data is not really essential in my view. It should be possible to anonymize the source testimony material and erase any personal mentions such that the database would remain as a textual resource showing in a more detailed way all the attitudes towards tools and their context. If the ethics board is denying this option then the authors may claim so, and perhaps the main editor will disagree, but I would urge you just to prepare a text resource in this way, with no personal or geographic information, and share, even in the online materials. That is very broadly in line with ethics standards, especially as these are opinions about management and tools rather than personal, health, or family details.

Response: Thank you for this recommendation. In line with Plos One data sharing standard, we have prepared a de-identified textual dataset derived from the source testimony material. All direct identifiers and potentially identifying details (e.g., names, personal references) were removed to minimize re-identification. Data is available at: https://osf.io/fvr9t

Detailed comments with line numbers:

47 ecological variability not variety

Response: text corrected. Line 48

55 Looking at your references here, I think that you should approach the statement “many of which lack ergonomic principles” with more skepticism. I am wondering whether you are conflating lack of ergonomic principles with lack of mechanization which could lead to less overall effort and fatigue? At least in some of the Andean contexts where I have worked, and in fact as you document in this paper, farmers indicate strong preference for certain of their tools and even will approach blacksmiths with particular design elements that make tools more suited to their work setting. However, this may be different in Peruvian Andean contexts if all tools are increasingly manufactured outside (e.g. Brazil, China) and imported to the region – but perhaps separating effort, fatigue, and efficiency is important. you may be able to use the literature on hand tool use from beyond the region that you already cite, that will speak to this point?

Response: Thank you for the observation. We revised the text to clarify that Ergonomic adequacy should not be equated with the absence of mechanization, but rather the design of work systems, including tools. We emphasize that manual tools may generate musculoskeletal risk when tool design and task demands are not aligned with human capabilities, even when such tools are locally preferred. In addition, we incorporated evidence from hand tool use in non-agricultural settings to support this distinction. The revisions are included in lines 56-63

62 This is a very generic reference to a textbook (Harrington 2000, Occupational Health) for the notion that tool redesign could help farmers --- could you provide a more specific reference focused on farm environments, or examples of tool design that id in fact help farmers, if you mean to link this to literature?

Response: We thank the reviewer for this comment. The

Attachment

Submitted filename: Response to reviewers 1202.doc

pone.0335295.s009.doc (88.5KB, doc)

Decision Letter 1

In-Ju Kim

19 Mar 2026

-->PONE-D-25-54226R1-->-->Andean agriculture and hand tools: a qualitative approach of exploration of needs, barriers, and opportunities for innovation-->-->PLOS One

Dear Dr. -->Liliana Cruz-Ausejo,-->

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Additional Editor Comments:

Thank you for the revised manuscript "Andean agriculture and hand tools: a qualitative approach of exploration of needs, barriers, and opportunities for innovation" (PONE-D-25-54226R1).

The manuscript has now been evaluated by two expert reviewers. Both reviewers are satisfied with your responses to prior comments.

The manuscript is now technically sound, the data support the conclusions, the underlying data are available, and the writing is clear.

They endorse publication after minor editorial polishing.

Below, the detailed feedback is provided to substantiate the above decision.

Abstract & Introduction

• Line 35: Add phrase to mark results (e.g., “We found that hand tools used in…”).

• Line 44: Clarify/spell out “MeSH terms.”

• Line 49: Use “diversified smallholder farming” instead of “subsistence systems.”

• Ensure consistent tenses (present for general/intro; past for methods/results).

• Fix typos/transitions: lines 69 (“tools”), 72 (add period), 74–75 (“annual” not “temporary”), 76 (insert word), 78 (“important context”), 88 (add transition to “double diamond”), 93 (“define”).

Methods & Results

• Lines 97, 113, 120, 123, 129, 171, 188, 190, 197, 218: Simplify phrasing, use past tense, parentheses for supplemental refs, rephrase Jain citation, change “de-anonymized” to “anonymized,” add figure spaces.

• Lines 257, 260, 273, 288, 326, 334, 353, 368: Add comma (“collective, is…”), use “private/owned,” remind “allachu (hoe),” simplify fractions, clarify woods, confirm singular/plural, lowercase “barriers and enablers,” consistent “grip diameter.”

• Tables 2 & 3: Remove redundant circumference if equivalent; shorten title; simplify columns (absolute/percentage + denominator in heading).

• Lines 415–416, 446, 447, 474, 489, 491, 515, 538, 548, 559, 579: Clarify rust/soil wear (optional), flag second-question transition, delete redundant “however,” maintain past tense, rephrase unclear sentences (e.g., familiarity, inherent experiences), move site factors (rocky soils) to environment if better fit, add concluding sentence on heavy tools (fatigue vs. soil benefits), fix “total tool length” phrasing.

Discussion & Conclusion

• Lines 562, 579, 605, 613, 622, 633, 655: (Optional) Consider Andean body proportions for tool length; note soil type in wear; “emerged” not “emerges”; nuance to “include” technical criteria (balance with local knowledge); strengthen participatory design transition; add comma; briefly defend sample focus/limitation.

Figures

• Correct spelling/grammar: Fig. 1 (“terrain conditions,” “means of transport,” “discomfort and bodily pain”); Fig. 5 (“deficient”); capitalise first words in lists.

Please address these points in a point-by-point response and submit the final revision.

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Reviewers' comments:

Reviewer's Responses to Questions

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Reviewer #1: All comments have been addressed

Reviewer #2: (No Response)

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Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #2: N/A

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Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #2: Yes

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-->6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)-->

Reviewer #1: Abstract: Well-structured and provides a clear overview of the objectives, methodology, major findings, and significance of the study. It effectively summarizes the core aspects of the research and reflects the essence of the manuscript.

Introduction: clearly establishes the importance and relevance of the topic. The background information is well articulated and supported by appropriate and relevant literature. The cited studies help in establishing the research gap and justify the need for the present investigation.

Materials and methods: This section is now systematically organized and clearly presented. The headings and subheadings effectively describe the procedures and methodological approaches adopted for data collection and analysis. The section is sufficiently detailed to allow readers to understand the research design and the processes followed in conducting the study.

Results: The results section reflects the considerable effort made by the researcher to present the findings comprehensively. The major recommendations provided in the earlier review appear to have been incorporated. The findings are well organized and presented in a technically sound manner.

Discussion: The researcher has made a commendable effort to interpret the results and explain the underlying reasons for the observed findings. The discussion appropriately relates the results to the perceptions of respondents regarding agricultural work and the use and application of hand tools in their daily work practices.

Conclusion: Concise and clearly highlights the major findings derived from the study.

Overall, the researcher has made significant efforts to improve the manuscript. The revisions have strengthened the quality and clarity of the paper. In its present form, the manuscript represents a meaningful contribution to the field and will be useful for future researchers working in this domain.

Recommendation

Based on the improvements made and the overall quality of the manuscript, the paper is recommended for publication.

Reviewer #2: I am pleased to say that the authors have addressed the questions in my review and have substantially improved the manuscript. I am only making some detailed suggestions for editing that should be considered to remove errors and make the manuscript more readable. These should take very little time and I then endorse the manuscript for publication.

Detailed comments

35 would suggest inserting here “We found that hand tools used in…” to delineate this section of the abstract as results

44 what are MeSH terms? Maybe spell out or just write them?

49 It may not be germane to the research topic, but especially if you are setting the bar at 97% of farms, I don’t think these are exclusively subsistence systems. As you clarify below, some of their crops are for sale presumably if 66% is for home consumption? It’s not crucial for your study but I would find a different term, perhaps diversified smallholder farming (because income streams are increasingly diverse, not just farming, mining etc.). It doesn’t undermine any of your design or findings, not a dealbreaker so to speak, but is just a chance not to perpetuate myths about Andean farmers.

52 allocate, the previous sentences are in present tense as is appropriate and here past tense is appearing. Please check tenses throughout; intro generally present, methods, results narrated as past; and discussion probably a mix of present and past…I think I found most of the instances of mis-tensed verbs but a check would be good.

69 tools

72 period at end of sentence

74,75, etc. temporary, I would say annual. Temporary does not have that implication in English; annual vs. perennial crops is the usual distinction.

76 I think you are missing a word, national importance or prevalence (to not be redundant with importance below)?

78 I would say important context rather than particular

88 More of a transition is needed, e.g. “To address this need for co-creation, the “double diamond” design model… otherwise too sudden.

93 define not defines

97 I am not sure that the text after the colon is needed, … two questions: 1….2… is sufficiently clear. Was “a contextual question (needs…) “ extra text left after editing? Because it is quite confusing – reword or omit.

113 (same for line 123) Less awkward is simply “Guide 1 addressed research question one…” (past tense needed)

120 put (Q18-19; see supplemental file one) in parentheses at end rather than as a sentence, or “For more details, see supplemental file 1” . more readable.

129 Similar to above, parentheses can be combined as (Q6; supplemental file 1)

171 Jain et al. works – I would rewrite this slightly, probably “works by Jain et al. (e.g. Jain et al., 2018)” – if I see correctly in your discussion the other Jain reference, with at least one key reference for the reader.

188 slight rephrasing ...emerged during analysis (in this case, after the 11th interview).

190 is it not ‘anonymized data?’ de-anonymized would be with the names put back in, not what is wanted!

197 Would just shorten to “ ..is included in Supplemental file 3.”

218 I am not sure it is in the pdf but please check spaces in e.g. Fig. 2, Fig. 3 – should have a space between fig. and number.

257 perhaps better written with a comma, unless I am understanding the farmer wrong: “…is collective, is a communal workday” this reflects better the speech pattern, for me.

260 If they are regulated through titles I think the word in English would be ‘private’ rather than inherent; or “owned” ? Inherent does not have that meaning.

273 could remind the reader of the meaning of allachu here with allachu (hoe) and maybe even (hoe; Fig. 4)

288 I would write simply “…three of 13 participants” in the text (no “each”, or I am somehow not understanding what you mean by each); the table fractions are well understood.

326 I think tasta and chachas are woods? Maybe say (made from tasta or chachas wood) to complete the thought.

334 did the farmer use the singular? They did not say ‘allachus’ ? just checking.

353 (barriers and enablers) no capital B

368 Which diameter? That of the handle? And this was measured where the hand engages it? Below you use the term grip diameter which is very clear, probably say that?

Table 2 – is circumference of grip redundant with diameter of grip (handle), ie. Just multiplied by 3.14156…? if so probably only one is needed, to simplify the table, I would just cite the diameter.

387 you may want to shorten this title somewhat, it usually should not run to two lines in the journal, eg. After the colon: “..weight, size, design and other material characteristics” ?

Table 3 this is a nice addition, gives some very specific design considerations. I wonder whether it is necessary to give the /13 or /7 e.g. in the columns, probably just giving the absolute and percentage is enough, since you give the denominator in the heading. And, in the heading you could just say “ out of 13” e.g.

415 (side topic) I would be interested in knowing if, assuming tools are put away in a relatively dry place, whether it is rust or the physical wear in the soil/rocks (which is definitely apparent in older tools I have seen) that is most important (e.g. for you, line 458). A worked tool quickly regains its shine in the soil eg.

416 Are we switching to the second research question and interview guide now? Would be good to flag that! You say that in line 437, but does it actually begin here and deserves noting?

446 would delete however, redundant with while

447 associated if we are still in results (past tense, not general knowledge)

474 varied, included, -- keep the results in past tense as you are doing throughout moste of these paragraphs.

489 Was this something that became apparent in the fieldwork (Evaluation as the core of satisfaction?) or a general statement coming from your research framework? If the former, maybe “Evaluation emerged in the field interviews as core to … “

491 I don’t quite understand the phrase “though not all are fully accepted” – the assessments? The expectations? Implicit tool criteria? Please reword for clarity.

515 I think you mean “Were inherent”? but in any case the phrase “experiences were inherent to agricultural activity but also became more familiar” is unclear to me, as regards both literal meaning and significance? Can you rephrase? Maybe stressing that the familiarity of the tool is an important component as the quotes seem to suggest?

538 You place only weather impacts on the tool in the environment category; is it possible to place other site factors there that are presently in the ‘task’ category, e.g. terrain conditions like slope, rocky soils that may wear a tool more quickly; arguably the latter is as impactful or more so on the wear of a tool than a rainy climate and rotting handle?

559 “total tool length with the blade placed on the ground should be approximately….” Is the way to write this. Total is repeated and it is unclear.

579 conditions

548 I feel that there may be an unstated conclusion here that you may want to bring out more explicitly, that a) it should be considered that tools are too heavy in design work going forward because they create too much fatigue but b) there may be reasons for a heavy tool in heavy soils, drawn from your participatory design effort. I wonder if a concluding sentence to the paragraph could say something like this.

562 Have you considered the literature regarding how Andean highland conditions may have produced human evolution towards shortened extremities (for heat conservation, or also unfortunately as a response to stress in childhood e.g. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0051795 )? It may be worth looking at, I don’t know if there has been a generational fading of this body shape pattern but it was definitely the case in my experience that Andean craft knitters had to deliberately lengthen the sleeves of sweaters for Northern tourists in past decades, if they used local arm models, sleeves were too short. This would make elbow height an unreliable guide and might produce tools that are too long and potentially more tiring; i.e. hard to swing; there may be an adaptedness of a shorter tool for shorter arms, in spite of bending tradeoffs. More generally considering whether the principles of tool measures from outside the region may be valid but the exact values might not be?

579 again soil type might be an additional factor accelerating wear of the tool tip?

605 I would say emerged not emerges (because in this sentence you are referring to the second question and therefore particular instance of results rather than generality)

613 Perhaps overstating the point, but I wonder if the conclusion here should be more nuanced in line with the other elements of the discussion such as in the next paragraph; they should perhaps ‘include technical criteria’ because the other principle you are demonstrating in the discussion is the local knowledge and adaptations of tool users? Rather than ‘adhering to’ which suggests that farmers may have a higher risk of getting it wrong. In my experience farmers who have enough experience to repair or modify tools often have a great deal of understanding of the particular problem they are trying to solve and are more often successful (and also line up well with technical criteria)

622 this is a nice point and balances well against the rest of the paragraph. It might be a chance to stress the importance of participatory design (e.g. double diamond?) that ignores neither local knowledge nor the potential improvements from innovation with design criteria? – and perhaps a good transition to the next paragraph which deepens this argument?

633 would insert a comma “..older, locally crafted implements, …”

655 I think you could insert a short phrase here defending the fact that you chose high frequency of use tools within a major and relatively universal Andean cropping activity (potato harvesting) --- eg. “ Although we examined tools that are ubiquitous in the Andes and a corresponding activity that is one of the more common Andean smallholder farm activities, the small sample may limit…”

Figures – some errors in spelling:

Fig. 1: check these: terrain conditions, means of transport not mean, discomfort and bodily pain,

Fig. 5: deficient tool not defficient; check that all bulleted entries on lists in boxes are capitalized on first word

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Reviewer #2: No

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PLoS One. 2026 May 15;21(5):e0335295. doi: 10.1371/journal.pone.0335295.r004

Author response to Decision Letter 2


25 Mar 2026

LETTER OF RESPONSE

Dear editor and reviewers

We would like to thank you for the suggestions and comments made on this manuscript. We are sure of the improvement of this based on your recommendations.

Below you will find the answer to each point.

Kind regards.

Reviewer´s comments

Reviewer #1:

1. Abstract: Well-structured and provides a clear overview of the objectives, methodology, major findings, and significance of the study. It effectively summarizes the core aspects of the research and reflects the essence of the manuscript.

Introduction: clearly establishes the importance and relevance of the topic. The background information is well articulated and supported by appropriate and relevant literature. The cited studies help in establishing the research gap and justify the need for the present investigation.

Materials and methods: This section is now systematically organized and clearly presented. The headings and subheadings effectively describe the procedures and methodological approaches adopted for data collection and analysis. The section is sufficiently detailed to allow readers to understand the research design and the processes followed in conducting the study.

Results: The results section reflect the considerable effort made by the researcher to present the findings comprehensively. The major recommendations provided in the earlier review appear to have been incorporated. The findings are well organized and presented in a technically sound manner.

Discussion: The researcher has made a commendable effort to interpret the results and explain the underlying reasons for the observed findings. The discussion appropriately relates the results to the perceptions of respondents regarding agricultural work and the use and application of hand tools in their daily work practices.

Conclusion: Concise and clearly highlights the major findings derived from the study.

Overall, the researcher has made significant efforts to improve the manuscript. The revisions have strengthened the quality and clarity of the paper. In its present form, the manuscript represents a meaningful contribution to the field and will be useful for future researchers working in this domain.

Recommendation

Based on the improvements made and the overall quality of the manuscript, the paper is recommended for publication.

Response: Thank you for the comments.

Reviewer #2:

I am pleased to say that the authors have addressed the questions in my review and have substantially improved the manuscript. I am only making some detailed suggestions for editing that should be considered to remove errors and make the manuscript more readable. These should take very little time and I then endorse the manuscript for publication.

Detailed comments

1. 35 would suggest inserting here “We found that hand tools used in…” to delineate this section of the abstract as results

Response: Corrected. Line 35-36

2. 44 what are MeSH terms? Maybe spell out or just write them?

Response: Thank you for the comment. MeSH (Medical Subject Headings) terms are standardized keywords used in biomedical databases to index and organize articles. The term has been spelled out. Line 44.

3. 49 It may not be germane to the research topic, but especially if you are setting the bar at 97% of farms, I don’t think these are exclusively subsistence systems. As you clarify below, some of their crops are for sale presumably if 66% is for home consumption? It’s not crucial for your study but I would find a different term, perhaps diversified smallholder farming (because income streams are increasingly diverse, not just farming, mining etc.). It doesn’t undermine any of your design or findings, not a dealbreaker so to speak, but is just a chance not to perpetuate myths about Andean farmers.

Response: Thank you for the observation. We agree that the term “subsistence family farming” may not fully capture the complexity of these farming systems. Accordingly, we have revised the text to use “diversified smallholder family farming,” which better reflects the combination of self-consumption and market production, as well as the diversity of income sources among these households. Lines 49-50, 54.

4. 52 allocate, the previous sentences are in present tense as is appropriate and here past tense is appearing. Please check tenses throughout; intro generally present, methods, results narrated as past; and discussion probably a mix of present and past…I think I found most of the instances of mis-tensed verbs but a check would be good.

Response: Thank you for the comment, we checked the tense time use throughout the manuscript

5. 69 tools

Response: Corrected. Line 66.

6. 72 period at end of sentence

Response: Corrected. Line 72

7. 74,75, etc. temporary, I would say annual. Temporary does not have that implication in English; annual vs. perennial crops is the usual distinction.

Response: Thank you for this clarification. We corrected the term. Line 74

8. 76 I think you are missing a word, national importance or prevalence (to not be redundant with importance below)?

Response: Thank you for the observation. We added the missing word “relevance”. Line 76.

9. 78 I would say important context rather than particular

Response: Thank you for the observation. We corrected the term to clarify the idea. Line 78

10. 88 More of a transition is needed, e.g. “To address this need for co-creation, the “double diamond” design model… otherwise too sudden.

Response: Thank you for this comment, we corrected the phrase to improve transition. Line 88.

11. 93 define not defines

Response: Corrected. Line 93.

12. 97 I am not sure that the text after the colon is needed, … two questions: 1….2… is sufficiently clear. Was “a contextual question (needs…) “ extra text left after editing? Because it is quite confusing – reword or omit.

Response: Thank you for the comment. We have removed the additional text after the colon, as it was unnecessary and caused confusion.

13. 113 (same for line 123) Less awkward is simply “Guide 1 addressed research question one…” (past tense needed)

Response: Corrected. Lines 113, 123

14. 120 put (Q18-19; see supplemental file one) in parentheses at end rather than as a sentence, or “For more details, see supplemental file 1”. more readable.

Response: Thank you for this suggestion. We have revised the text by placing the reference to the supplemental file in parentheses at the end of the sentence to improve readability. Line 120.

15. 129 Similar to above, parentheses can be combined as (Q6; supplemental file 1)

Response: Corrected. Line 129.

16. 171 Jain et al. works – I would rewrite this slightly, probably “works by Jain et al. (e.g. Jain et al., 2018)” – if I see correctly in your discussion the other Jain reference, with at least one key reference for the reader.

Response: Thank you for this suggestion. We have revised the text to “works by Jain et al.” and included a representative reference (Jain et al., 2018). Line 171,172.

17. 188 slight rephrasing ...emerged during analysis (in this case, after the 11th interview).

Response: Thank you for the suggestion. We rephrased the sentence. Line 188,189

18. 190 is it not ‘anonymized data?’ de-anonymized would be with the names put back in, not what is wanted!

Response: Thank you for this observation. We corrected the term to: “anonymized data”. Line 190.

19. 197 Would just shorten to “ ..is included in Supplemental file 3.”

Response: Corrected. Line 197.

20. 218 I am not sure it is in the pdf but please check spaces in e.g. Fig. 2, Fig. 3 – should have a space between fig. and number.

Response: We checked the documented and corrected the spaces.

21. 257 perhaps better written with a comma, unless I am understanding the farmer wrong: “…is collective, is a communal workday” this reflects better the speech pattern, for me.

Response: We added a comma to clarify the speech pattern. Line 256.

22. 260 If they are regulated through titles I think the word in English would be ‘private’ rather than inherent; or “owned” ? Inherent does not have that meaning.

Response: We agree that, so we changed the term to “owned”. Line 259.

23. 273 could remind the reader of the meaning of allachu here with allachu (hoe) and maybe even (hoe; Fig. 4).

Response: Thank you for this suggestion. We have clarified the term by adding “allachu (hoe; Fig. 4)” to remind the reader of its meaning. Line 272.

24. 288 I would write simply “…three of 13 participants” in the text (no “each”, or I am somehow not understanding what you mean by each); the table fractions are well understood.

Response: Corrected. Line 287.

25. 326 I think tasta and chachas are woods? Maybe say (made from tasta or chachas wood) to complete the thought.

Response: That´s correct. We added “wood” to complete the thought. Line 326.

26. 334 did the farmer use the singular? They did not say ‘allachus’ ? just checking.

Response: that’s correct, the farmer refers to allachu in singular.

27. 353 (barriers and enablers) no capital B

Response: Corrected. Line 354.

28. 368 Which diameter? That of the handle? And this was measured where the hand engages it? Below you use the term grip diameter which is very clear, probably say that?

Response: Thank you for this comment. We have clarified the terminology to avoid confusion. “Handle diameter” is used to refer to the tool measurement, whereas “grip diameter” refers to the user’s hand measurement. Accordingly, we specify “the average handle diameter of both tools…” and, in the following lines, “the maximum grip diameter for women was…”. This distinction helps to clearly differentiate between both terms. Line 369.

29. Table 2 – is circumference of grip redundant with diameter of grip (handle), ie. Just multiplied by 3.14156…? if so probably only one is needed, to simplify the table, I would just cite the diameter.

Response: Thank you for this observation. While circumference grip and handle diameter are not identical measures, they are directly related and therefore convey overlapping information. To simplify the table and avoid redundancy, we have removed the circumference grip measure and retained only the handle diameter.

30. 387 you may want to shorten this title somewhat, it usually should not run to two lines in the journal, eg. After the colon: “..weight, size, design and other material characteristics” ?

Response: Thank you for this suggestion. We have shortened the title to improve readability while preserving the key elements. Now it says: “product consideration: weight, size, handle, material characteristics and durability”. Line 388,389.

31. Table 3 this is a nice addition, gives some very specific design considerations. I wonder whether it is necessary to give the /13 or /7 e.g. in the columns, probably just giving the absolute and percentage is enough, since you give the denominator in the heading. And, in the heading you could just say “ out of 13” e.g.

Response: Thank you for this suggestion. We have revised Table 3 by removing the denominators from the cells and indicating the sample size in the column headings.

32. 415 (side topic) I would be interested in knowing if, assuming tools are put away in a relatively dry place, whether it is rust or the physical wear in the soil/rocks (which is definitely apparent in older tools I have seen) that is most important (e.g. for you, line 458). A worked tool quickly regains its shine in the soil eg.

Response: Thank you for this interesting observation. In our field data, participants primarily referred to climatic factors such as humidity and rainfall as contributors to tool deterioration. However, we agree that mechanical wear resulting from repeated contact with soil and rocks is likely to play a significant role, particularly under intensive use. While this aspect did not emerge explicitly in participants’ narratives, we have incorporated a brief reflection in the discussion to acknowledge that tool degradation may result from both environmental exposure and abrasive interactions during use.

33. 416 Are we switching to the second research question and interview guide now? Would be good to flag that! You say that in line 437, but does it actually begin here and deserves noting?

Response: Thank you for this observation. The transition to the second research question is introduced later in the text. To avoid confusion, we have made this transition more explicit by clearly indicating the shift to the second research question and interview guide.

Now it says: “The following section addressed the second research question, aimed at understanding the perceived satisfaction of farmers regarding the use of traditional hand tools. The resulting categories and codes are presented in Fig. 5, and additional representative quotes are presented in Supplemental file 7”. Lines 438-441.

34. 446 would delete however, redundant with while

Response: Corrected. Line 447.

35. 447 associated if we are still in results (past tense, not general knowledge)

Response: Corrected. Line 449.

36. 474 varied, included, -- keep the results in past tense as you are doing throughout most of these paragraphs.

Response: Thank you for this observation. We have revised the verb tense in the Results section to ensure consistency and maintain the use of past tense throughout.

37. 489 Was this something that became apparent in the fieldwork (Evaluation as the core of satisfaction?) or a general statement coming from your research framework? If the former, maybe “Evaluation emerged in the field interviews as core to … “

Response: Thank you for this observation. This aspect emerged from fieldwork. We have revised the text to clarify that evaluation was identified through participants’ accounts as a core aspect of satisfaction. Now it says: “Evaluation emerged in the field interviews as a core aspect of farmers’ satisfaction, encompassing both functional performance and the comfort/displeasure using hand tools…” Line 491,492.

38. 491 I don’t quite understand the phrase “though not all are fully accepted” – the assessments? The expectations? Implicit tool criteria? Please reword for clarity.

Response: Thank you for this observation. We have reworded the sentence to clarify that tool acceptance was not uniform and depended on specific design features, such as the shape and width of the tip, which influenced the ease of use. Now it says: “Positive assessments arose when tools met user’s expectations and working conditions. However, tools were not uniformly accepted, as specific design features appeared to influence the performance and ease of use”. Lines 493-495.

39. 515 I think you mean “Were inherent”? but in any case the phrase “experiences were inherent to agricultural activity but also became more familiar” is unclear to me, as regards both literal meaning and significance? Can you rephrase? Maybe stressing that the familiarity of the tool is an important component as the quotes seem to suggest?

Response: Thank you for this observation. We have rephrased the sentence to improve clarity and emphasize that familiarity with the tool, developed through repeated use. Now it says: “This category encompassed farmers’ narratives regarding the prolonged use of their tools and the relationship they develop with them over time. As they consistently use their tools, farmers develop increasing familiarity with their tools, which shapes their confidence and preference during use”. Line 516-519.

40. 538 You place only weather impacts on the tool in the environment category; is it possible to place other site factors there that are presently in the ‘task’ category, e.g. terrain conditions like slope, rocky soils that may wear a tool more quickly; arguably the latter is as impactful or more so on the wear of a tool than a rainy climate and rotting handle?

Response: Thank you for this insightful observation. Terrain conditions were indeed identified by participants; however, they were primarily described in relation to task demands, such as physical effort and ease of tool use, rather than their impact on tool wear. For this reason, they were categorized under the “task” domain. The classification in this study reflects how participants framed their ex

Attachment

Submitted filename: Response to reviewers.docx

pone.0335295.s010.docx (31.3KB, docx)

Decision Letter 2

In-Ju Kim

1 Apr 2026

Andean agriculture and hand tools: a qualitative approach of exploration of needs, barriers, and opportunities for innovation

PONE-D-25-54226R2

Dear Dr. Cruz-Ausejo Liliana,

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Additional Editor Comments (optional):

Thank you for submitting the revised version of your manuscript entitled "Andean agriculture and hand tools: a qualitative approach of exploration of needs, barriers, and opportunities for innovation" (PONE-D-25-54226R2) to PLOS ONE.

I have now received the reports from both reviewers. Reviewer 1 is fully satisfied with the revisions and recommends publication. Reviewer 2 confirms that the authors have adequately addressed all previous comments, with only minor editorial polishing needed. The authors’ detailed point-by-point response shows that every suggestion has been carefully implemented.

Both reviewers agree that the manuscript is now technically sound, that the data support the conclusions, that all underlying data are fully accessible (de-anonymised transcripts in the OSF repository), and that the writing is clear and in standard English. The study makes a meaningful contribution to the fields of participatory design, ergonomics, and occupational health in Andean smallholder agriculture.

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Congratulations on the acceptance of your work.

Reviewers' comments:

Acceptance letter

In-Ju Kim

PONE-D-25-54226R2

PLOS One

Dear Dr. Cruz-Ausejo,

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Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 File. Semi-structured guides (1 and 2).

    (DOC)

    pone.0335295.s001.doc (37.5KB, doc)
    S2 File. COREQ guidelines.

    (DOC)

    pone.0335295.s002.doc (61KB, doc)
    S3 File. Inclusivity in global research questionnaire.

    (DOCX)

    pone.0335295.s003.docx (67.7KB, docx)
    S4 File. Additional illustrative quotes for each of the emergent themes (first guide).

    (DOCX)

    pone.0335295.s004.docx (25.1KB, docx)
    S5 File. Anthropometric characteristics of participants.

    (DOC)

    pone.0335295.s005.doc (49KB, doc)
    S6 File. Improvement proposal sketches created by the participants.

    (DOC)

    pone.0335295.s006.doc (524KB, doc)
    S7 File. Additional illustrative quotes for each of the emergent themes (second guide).

    (DOCX)

    pone.0335295.s007.docx (19KB, docx)
    Attachment

    Submitted filename: Response to reviewers 1202.doc

    pone.0335295.s009.doc (88.5KB, doc)
    Attachment

    Submitted filename: Response to reviewers.docx

    pone.0335295.s010.docx (31.3KB, docx)

    Data Availability Statement

    De-anonymized data can be found in OSF repository: https://osf.io/fvr9t.


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