For people to stop littering the first step is.. (then add on what you think.)
Example: For people to stop littering the first step is to tell people how it effects our community and the wild life.
Example 2: The first step for people to stop littering is to show an example about what could happen to the world, it could cause diseases towards animals but also to people as well.
Hope this helps :)
Base on the question, that ask to choose among the following choices that states on how does the repetition of words in the first four lines affect the narrative base in the poem or lines in your question, I would say that the answer would letter A. It hints that the fate of the subject was inevitable. Hope this would help
Ex.
Shakespeare, a writer, wrote amazing plays.
A writer is the appositive phrase since it is referring back a noun