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The Future of Smallholder Farming in Eastern Africa - Uganda ...

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It is argued that these workers need to be an <strong>in</strong>tegral part <strong>of</strong> the veter<strong>in</strong>ary delivery system by<br />

act<strong>in</strong>g as a l<strong>in</strong>k between farmers and veter<strong>in</strong>ary staff. <strong>The</strong> level <strong>of</strong> contact between these two<br />

pathways, however, will be dictated by several factors, some <strong>of</strong> which <strong>in</strong>clude the work<strong>in</strong>g<br />

rapport, the distance between them, and the pr<strong>of</strong>essional challenges encountered by the lessqualified<br />

group (CBAHWs) <strong>in</strong> their day-to-day activities. If the CBAHWs handle lesschalleng<strong>in</strong>g<br />

tasks, then there is bound to be less contact. Seventy-one percent <strong>of</strong> these<br />

workers reported that they had made one or more referrals to pr<strong>of</strong>essionally tra<strong>in</strong>ed animal<br />

health workers dur<strong>in</strong>g the period they had been practic<strong>in</strong>g. Total cases referred for each<br />

livestock type for all the workers is given <strong>in</strong> Table 5. A total <strong>of</strong> 83 referrals had been made<br />

s<strong>in</strong>ce the <strong>in</strong>ception <strong>of</strong> the program, giv<strong>in</strong>g an average <strong>of</strong> 6.4 cases per year. It is difficult to<br />

judge the effectiveness <strong>of</strong> the program on the basis <strong>of</strong> the number <strong>of</strong> referrals, unless the<br />

nature <strong>of</strong> cases handled is also evaluated. Nonetheless, this study establishes that there is<br />

some level <strong>of</strong> pr<strong>of</strong>essional exchange between the two channels <strong>of</strong> animal health delivery.<br />

Table 5 -- Total number <strong>of</strong> cases per livestock type referred to pr<strong>of</strong>essionals by<br />

CBAHWs s<strong>in</strong>ce <strong>in</strong>ception <strong>of</strong> the program<br />

Livestock type<br />

Total number <strong>of</strong> cases referred<br />

Cattle 52<br />

Poultry 19<br />

Sheep 7<br />

Goats 5<br />

Source: Survey data, 2001.<br />

CBAHWs were on average 33.5 kilometers from the nearest tra<strong>in</strong>ed veter<strong>in</strong>ary<br />

personnel and 13.5 kilometers from the nearest veter<strong>in</strong>ary drug shop (Table 6). It would be<br />

better to establish whether these two channels complement or constra<strong>in</strong> the activities <strong>of</strong><br />

CBAHWs. Tra<strong>in</strong>ed veter<strong>in</strong>ary personnel could either be an avenue for CBAHWs to enhance<br />

their pr<strong>of</strong>essional capability, or they could be an alternative source <strong>of</strong> animal health services.<br />

<strong>The</strong> same applies to veter<strong>in</strong>ary drug shops, which could act as accessible sources <strong>of</strong> drugs to<br />

enhance the activities <strong>of</strong> CBAHWs, or they could be an alternative channel <strong>of</strong> health services<br />

delivery to livestock keepers. <strong>The</strong>se issues are addressed <strong>in</strong> the next section.<br />

Table 6 -- Accessibility <strong>of</strong> CBAHWs to personnel and facilities that could <strong>in</strong>fluence<br />

their work<br />

Personnel or facility<br />

Mean distance<br />

(km)<br />

Standard<br />

deviation<br />

M<strong>in</strong>imum<br />

distance<br />

(km)<br />

Maximum<br />

distance<br />

(km)<br />

Town 12.10 10.33 1 40<br />

Veter<strong>in</strong>ary <strong>of</strong>ficer 33.50 22.30 1 65<br />

Para-veter<strong>in</strong>arian 21.20 13.61 2 60<br />

Road open all year 12.82 15.81 0 62<br />

round<br />

Seasonal road 7.94 12.17 0 40<br />

Market 8.10 8.02 0 32<br />

Veter<strong>in</strong>ary drug shop 13.50 10.73 1 40<br />

Source: Survey data, 2001.

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