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A Path to Prosperity New Directions for African Livestock

GALVmed Impetus Strategy Paper

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One of the problematic issues over the past<br />

decades has been the reluctance of the veterinary<br />

establishment <strong>to</strong> allow private vets <strong>to</strong> legally utilise<br />

veterinary para-professionals (para-vets) <strong>to</strong> boost<br />

their business viability. The para-vet can increase<br />

the area a private practice covers, build links with<br />

widely-dispersed and often inaccessible clients,<br />

increase turnover and make a business<br />

profitable 73 74 75 . This reluctance is based on<br />

concerns about quality of service, accuracy of<br />

diagnoses, un-controlled drug distribution, the<br />

possibility of drug residues and the quality of advice<br />

given 76 . These are legitimate concerns that do need<br />

<strong>to</strong> be managed. The concerns are compounded<br />

by fears within the profession of not being able<br />

<strong>to</strong> replace para-vets with vets once para-vets are<br />

legally recognised. However there is some evidence<br />

that attitudes are slowly changing. Since 2004, OIE<br />

guidelines allow <strong>for</strong> veterinary para-professionals 7 77 .<br />

A survey of chief vets carried out by OIE in 2009<br />

showed a generally positive attitude <strong>to</strong>wards<br />

para-professionals and CAHWs and that these<br />

cadres were the preferred options <strong>to</strong> leveraging<br />

and extending the services availed by vets <strong>to</strong> small<br />

farmers 78 . Un<strong>for</strong>tunately, these favourable attitudes<br />

are rarely supported by regula<strong>to</strong>ry change. Senior<br />

vets may turn a blind eye <strong>to</strong> the use of para-vets <strong>for</strong><br />

surveillance and outbreak control in remote areas<br />

because they know there are few practical<br />

alternatives, but don’t provide the legal recognition<br />

that a private practice would need <strong>to</strong> utilise<br />

para-vets as business strategy. The scaling up of<br />

private practices that utilise para-vets there<strong>for</strong>e<br />

remains slow, despite strong evidence of their<br />

effectiveness 79 80 81 82 83 (Box 4). Scaling up<br />

profitable private practice in rural Africa using<br />

veterinary supervised para-vets is, arguably,<br />

a quick win in terms of addressing producer<br />

competitiveness and complementing improved<br />

drug quality. Despite the evidence mentioned in<br />

Box 4, the sustainability of mechanisms using<br />

teams of veterinarians supported by veterinary<br />

para-professionals in remote areas still needs<br />

further testing in SSA .<br />

7 A Veterinary para-professional: means a person who, <strong>for</strong> the purposes of the OIE Terrestrial Code, is authorised by the veterinary statu<strong>to</strong>ry<br />

body <strong>to</strong> carry out certain designated tasks (dependent upon the category of veterinary para-professional) in a terri<strong>to</strong>ry, and delegated <strong>to</strong> them<br />

under the responsibility and direction of a veterinarian. The tasks <strong>for</strong> each category of veterinary para-professional should be defined by<br />

the veterinary statu<strong>to</strong>ry body depending on qualifications and training, and according <strong>to</strong> need.<br />

The Impetus Strategy Paper I Page 31

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