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Providing animal health services to the poor in Northern Ghana: rethinking the role of community animal health workers?

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Abstract

The Community Animal Health Workers (CAHWs) system has been promoted as an alternative solution to providing animal health services in marginal areas. Yet, access to quality animal health services still remains a fundamental problem for livestock dependent communities. This paper uses the concepts of accessibility, affordability, and transaction costs to examine the perceptions of livestock keepers about the various animal health service providers. The empirical analysis is based on a survey of 120 livestock-keeping households in the Tolon-Kumbungu and Savelugu-Nanton districts in the Northern Region of Ghana. A multinomial logit model was used to determine the factors that influence households’ choice of alternative animal health service providers. The results show that the government para-vets are the most preferred type of animal health service providers while CAHWs are the least preferred. Reasons for this observation include high transaction costs and low performance resulting from limited training. In areas with few or no government para-vets, farmers have resorted to self-treatment or to selling sick animals for consumption, which has undesirable health implications. These practices also result in significant financial losses for farmers. This paper finds that the CAHWs’ system is insufficient for providing quality animal health services to the rural poor in marginal areas. Therefore, market-smart alternative solutions requiring strong public sector engagement to support livestock farmers in marginal areas and setting minimum training standards for animal health service providers merit policy consideration.

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Notes

  1. The assumption of IIA is that the choice of a given alternative over the other is not affected by the presence of other alternatives (Hilbe 2009:396).

References

  • Awa, D.N. and Achukwi, M.D., 2010. Livestock pathology in the central African region: some epidemiological considerations and control strategies, Animal Health Research Reviews, 11, 235–44

    Article  PubMed  Google Scholar 

  • Cameron, A.C. and Trivedi, P.K., 2010. Microeconometrics using stata, Revised edition, (Stata Press, Texas)

    Google Scholar 

  • Catley, A., Leyland, T., Mariner, J.C. and Akabwai, D.M.O., 2004. Para-veterinary professionals and the development of quality, self-sustaining community-based services Why community-based animal health workers are appropriate. Revue Scientifique et Technique, 23, 225–252

    CAS  PubMed  Google Scholar 

  • Cheng, S. and Long, J.S., 2007. Testing for IIA in the Multinomial Logit Model, Sociological Methods & Research, 35, 583–600

    Article  Google Scholar 

  • FAO (Food and Agriculture Organization), 2011. World Livestock 2011: Livestock in food security, (FAO, Rome)

    Google Scholar 

  • Garrett, K., Dobson, A.D.M., Kroschel, J., Natarajan, B., Orlandini, S., Tonnang, H.E.Z. and Valdivia, C., 2013. The effects of climate variability and the color of weather time series on agricultural diseases and pests, and on decisions for their management, Agricultural and Forest Meteorology, 170, 216–227

    Article  Google Scholar 

  • Gearhart, A., Booth, D.T., Sedivec, K. and Schauer, C., 2013. Use of Kendall’s coefficient of concordance to assess agreement among observers of very high resolution imagery, Geocarto International, 28, 517–526

    Article  Google Scholar 

  • Hilbe, J., 2009. Logistic Regression Models, (Chapman & Hall/CRC, Florida)

    Google Scholar 

  • Irungu, P., Omiti, J.M. and Mugunieri, L.G., 2006. Determinants of farmers’ preference for alternative animal health service providers in Kenya : a proportional hazard application, Agricultural Economics, 35, 11–17.

    Article  Google Scholar 

  • Kuunibe, N. and Dary, S., 2012. Choice of healthcare providers among insured persons in Ghana, Research on Humanities and Social Sciences, 2 , 2222-2863 http://www.iiste.org/Journals/index.php/RHSS/article/view/3383

  • Lamichhane, D.K. and Shrestha, S., 2011. Determinants of farmers’ choice for veterinary service providers in Nepal Mountains, Tropical Animal Health and Production, 44, 1163–1168

    Article  PubMed  Google Scholar 

  • Leonard, D.K., Bloom, G., Hanson, K., O’Farrell, J. and Spicer, N., 2013. Institutional solutions to the asymmetric information problem in health and development services for the poor, World Development, 48, 71–87

    Article  Google Scholar 

  • Mcleod, A. and Wilsmore, A., 2002. The delivery of animal health services to the poor : a review. In: Perry, B., Randolph, T.F., McDermott, J.J., Sones, J.R., Thornton, P.K. (eds.), Investing in animal health research to alleviate poverty, (International Livestock Resarch Institute, Nairobi), appendix 11

  • Milberg, P. and Hallgren, E., 2004. Yield loss due to weeds in cereals and its large-scale variability in Sweden, Field Crops Research, 86, 199–209

    Article  Google Scholar 

  • Randolph, T.F., Schelling, E., Grace, D., Nicholson, C.F., Leroy, J.L., Cole, D.C., Demment, M.W., Omore, A., Zinsstag, J. and Ruel, M., 2007. Invited review: role of livestock in human nutrition and health for poverty reduction in developing countries, Journal of Animal Science, 85, 2788–2800

    Article  CAS  PubMed  Google Scholar 

  • Rich, K. M. and Perry, B. D., 2011. The economic and poverty impacts of animal diseases in developing countries: new roles, new demands for economics and epidemiology, Preventive Veterinary Medicine, 101, 133–47

    Article  PubMed  Google Scholar 

  • WATSAN (Water and Sanitation), 2009. WATSAN Mapping Report for Savelugu-Nanton & Tolon-Kumbungu, (Unpublished docment from Savelugu-Nanton & Tolon-Kumbungu District Assemblies)

  • Zhu, C.W., Livote, E.E., Ross, J.S. and Penrod, J.D., 2010. A random effects multinomial logit analysis of using Medicare and VA healthcare among veterans with dementia, Home Health Care Services Quarterly, 29, 91–104

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

The first author acknowledges the financial support from the German Academic Exchange Services (DAAD), Germany. We appreciate the logistical support from the Animal Research Institute, Nyankpala-Ghana during the field survey. We are thankful to all respondents for their willingness to share information. We thank the anonymous reviewers for making useful comments, which led to improving the article.

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The authors declare they have no conflict of interest.

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Correspondence to Jonathan Mockshell.

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Mockshell, J., Ilukor, J. & Birner, R. Providing animal health services to the poor in Northern Ghana: rethinking the role of community animal health workers?. Trop Anim Health Prod 46, 475–480 (2014). https://doi.org/10.1007/s11250-013-0518-9

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