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Livestock Services and the Poor: A global initiative - IFAD

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Quality concerns about<br />

community-based<br />

services<br />

88<br />

LIVESTOCK SERVICES AND THE POOR<br />

Community animal<br />

health workers can<br />

deliver quality<br />

services<br />

High-quality services<br />

require a technical<br />

support system<br />

Several stakeholders have raised concerns about <strong>the</strong> quality of<br />

<strong>the</strong> services of community animal health workers, particularly <strong>the</strong><br />

practice of underdosing, which may lead to resistant pathogen<br />

strains, <strong>and</strong> overdosing, which can be dangerous for humans who<br />

consume animal products.<br />

However, a survey of community animal health workers in Ghana<br />

<strong>and</strong> Mozambique (Dasebu et al., 2003) shows that <strong>the</strong> workers<br />

performed a higher percentage of correct dosing of acaricides <strong>and</strong><br />

de-wormers than did government technicians, although <strong>the</strong> 50%<br />

correct dosing rate leaves room for improvement. Both <strong>the</strong> workers<br />

<strong>and</strong> <strong>the</strong> technicians did significantly better than farmers, who almost<br />

universally underdosed. Quality problems are normally due to <strong>the</strong><br />

lack of a proper technical support system (Stem <strong>and</strong> Sode, 1999).<br />

This is especially <strong>the</strong> case in government systems (Catley, 1996).<br />

Preconditions for quality community-based services<br />

A number of conditions are necessary to ensure <strong>the</strong> high quality<br />

of community-based services.<br />

Community-based systems can ensure high-quality services<br />

provided <strong>the</strong>y are grounded on:<br />

<strong>the</strong> selection <strong>and</strong> support of <strong>the</strong> agent by <strong>the</strong> community;<br />

agents who carry out community animal health tasks when<br />

needed as part-time employment;<br />

sufficient <strong>and</strong> appropriate training <strong>and</strong> refresher courses;<br />

broad skills <strong>and</strong> services that can enhance income;<br />

full user payments <strong>and</strong> a commercial approach;<br />

reliable supplies of drugs;<br />

professional supervision <strong>and</strong> quality control; <strong>and</strong><br />

responsiveness when clients are dissatisfied.<br />

The development of an effective <strong>and</strong> recognized training<br />

curriculum <strong>and</strong> <strong>the</strong> supply of sufficient training would represent<br />

enabling functions for government in <strong>the</strong> establishment of highquality,<br />

community-based services.<br />

The provision of free drugs as emergency aid in times of<br />

drought or disease undermines <strong>the</strong> viability of private (veterinary

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