Conclusion

In summary, implementing and sustaining a BTB control program is a difficult and costly task. However, it is always important to begin with the end in mind:

• Therefore, the objective of the program has to be stated clearly from the outset.

• The national coordinating office, led by the Department of Animal Health and Livestock Development, should be given a clear mandate for developing an activity roadmap.

• It is necessary to develop policy documents (legal, administrative) and technical guidelines, including standard operating procedures.

• It is equally essential to establish standards for training, surveillance, and diag­nosis at the national level.

• Epidemiologic research is an integral part of any BTB control program. There­fore, apart from enhancing the diagnostic capability, it is also important to enhance the computing ability of researchers at various levels.

• Because of the volume and cost of the work, Malawi needs financial and technical assistance from international donors to strengthen its personnel, diagnostic, and institutional capacity.

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