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. 2020 May 15;10:100142. doi: 10.1016/j.onehlt.2020.100142

Table 1.

Using a One Health Research Framework for investigating low productivity of cocoa farmers (this conceptualisation used the framework developed by Lebov et al. [12]).

Farming factors Potential environmental factors Potential animal factors Potential human health factors Potential human behaviour/susceptibility factors
Cash crop (cocoa, copra) production

Food crop production

Farm management skills

Income diversification

Number and size of blocks

Market knowledge

Pests
Farm management

Water sources

Soil degradation

Deforestation

Forest conservation

Food security

Climate uncertainty
Domestic animals

Pigs

Chickens

Wild animals

Loss of animal habitat

Extinction

Food sources
Malaria

Disease vectors (mosquitoes)

Tuberculosis

Respiratory diseases

Communicable diseases

Non-
Communicable diseases

Other chronic conditions (Diabetes)

Lack of medications

Lack of health professionals

Lack of health services

Prevalence of Domestic violence
Poor adoption of improvedproduction methodologies

Few incentives to increase production

High price volatility

Fortress crop (crops for cash when needed)

Labour shortages

Poor education

Poor access to government services (health, education, agriculture and veterinary)

Poor roads

Poor transport systems and market access

Low borrowing capacity (Banks)

Poor housing conditions

Unimproved water sources

Unimproved sanitation

Proximity to animals

Food insecurity

Nutrition insecurity

Women's roles

Cultural norms (births, deaths)

Beliefs (health, food, witchcraft)

Religion

Many uncertainties relate to low production of cocoa – A One Health methodology explores the possible factors associated with poor cocoa production. Factors in bold are new One Health factors.

This is not a comprehensive list, but the key areas that arose during discussions with the research team and workshop participants.