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    PUBLIC AND PRIVATE SECTOR ROLES

    IN THE SUPPLY OF VETERINARY

    SERVICES

    Cornelis de Haan and Dina L. Umalis

    Introduction

    Poor livestockhealth remainsone of the main constraints o livestockdevelopment n many

    developingcountries. While globaldata are not available,data from individualcontinentsand

    countries lead to an estimateof several billiondollars in losses n animal products caused by diseases.

    For example, in Sub-SaharanAfrica losses becauseof diseasesare estimatedat US$2 billion per year,

    of which half could be attributed o direct losses due to mortality,and the other half to indirect losses

    through reduced growth, fertility, and work output (FAO 1985).Similarly, n Latin America, five

    diseases alone (hog cholera, foot and mouth disease, brucellosis, uberculosis,and rabies) are

    estimated o cause losses of US$900 million annually FAO 1990).

    But the

    losses caused by animal diseasesare not restricted to lower outputs. Diseases

    prevent

    the introductionof livestock n certain areas (for example, n Africa loss of large tracks of high

    potential and because of African animal sleepingsicknessand the skin disease

    dermatophilosis)

    nd

    preclude the use of more productiveanimals such as crossbreddairy cattle and improvedpigs and

    poultry breeds in others. Furthermore, certain livestockdiseases are directly transmitted o man, and

    disease control hus not only acquires economic,but also social and political mportance.

    Disease controlservices,

    therefore, have been, and still are, an important nput into livestock

    sector development.Fifteen percent of the Bank's livestock ending, or an average of about US$66

    million per year, was destinedover the last decade o veterinaryhealth improvements see figure 1).

    This share is particularly mportant n

    Sub-SaharanAfrica, althoughmuch less in the other regions

    (table 1). Furthermore, in most developingcountries,veterinaryservices consumeabout 60 to 80

    percent of the budget allocated

    o livestocksupportefforts.

    Historically, veterinary services

    have been the domainof the public sector

    and in many

    developingcountries hey remain so. This is partly

    a result of their original establishment s a

    detachmentof the army to protect horses and other pack animals, and largely reinforced by the

    public-sector

    orientation n the 1960s and 1970swhich viewed

    governmentas the main spur of

    development.Furthermore, past veterinaryservices were involvedalmostexclusively n the

    prevention of highly infectiousdiseases, which have strong public good characteristicsor externalities

    associatedwith their utilization. However,more recentlyan increasingnumber of functionsare

    carried out

    in cooperationwith, or transferred o, private operators.

    Livestock Adviserand Consultant

    n the AgriculturalTechnologyand NaturalResources

    Division, Agriculture

    and Rural DevelopmentDepartmentof the World

    Bank. The authors wish to

    thank Gershon Feder and T. Schillhornvan Veen for their insightfulcommentson a previous draft of

    this paper.

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    Figure 1. Livestock

    Health and Total

    LivestockFunding n Bank Projects, 1982-91

    So0

    400-

    400

    200

    100

    0

    1222 1224

    1925 1227

    1222 1221i

     ealith r:;

    Total Livoestck

    Source:

    World Bank data.

    Table 1. Percentage

    Share of LivestockHealth

    Expendituresover Total Livestock Funding in

    Bank Projects by Region,

    1982-91

    Region

    Percentage

    Africa

    62

    Asia

    14

    Latin America and the Caribbean

    9

    Europe, Middle East, and North

    America

    8

    Source:World Bank data.

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    This paper provides an overviewof (a) the trends which spur increasedprivatization;

    (b) the

    economicconceptsunderlying

    he efficiencyof delivery of veterinaryservices and that

    subsequently

    govern private and public sector roles; (c) the progress in privatizationof veterinary services,

    includingsome examplesof successfulprivatization; nd (d) the future technologyneeds and policy

    requirements o facilitateprivatization.

    The Need for Privatization

    Privatizationof some veterinary serviceshas received a strong impetus n the developing

    world over the last decade. Several factors contributed o this trend:

    Fiscal constraintsand poor management f resourceshave led to a decline n the

    operational fficiency of public

    sector services.The number of veterinary staff has grown faster

    than the means (such as vehicles and fuel, drugs and vaccines) o support them in many African and

    Asian countries, thus forcing the services to cut back on field activities.For example, while 33

    percent of the budgets of the veterinary servicesof six Saheliancountrieswas allocated o operating

    expenditures n 1961-62, his share has declined o 25 percent by 1975and to sixteen percent by 1988

    (de Haan and Bekure 1991). Five countries n West Africa allocated ess than 5 percent of their

    national livestockbudget to the fundingof nonsalary ecurrent expenditures.While the situation in

    other regions may be less serious han in these Saheliancountries, he general tendencyof relatively

    decreasingavailabilityof recurrent funds is evident in most of the developingworld.

    The development f new technologieshas shifted the focus from mostly herd-level

    prevention which is more compatiblewith public ntervention o the treatmentof individual

    animals which is more suitablefor privatehandling.Declining and areas for grazing due to

    populationpressures have led to more intensiveproduction.This, in turn, spurred the use of more

    capital intensive echnologies,such as higher value hybrid animals, or which individual reatments

    are more easily economically ustified. Moreover, he introductionof mass fabricationof veterinary

    pharmaceuticals as reduced heir cost of productionand subsequently heir prices, making individual

    interventionsmore attractive economically.

    Traditional ivestock arming s shifting toward more commercialized perations.Cattle

    ownership s shifting from the traditionalcattle-owning thnic groups with considerable ndigenous

    knowledge, o much less experienced ommercialcrop farmers in severalregions of Africa and

    China. These commercialoperations equire a higher level of service. At the same time, there is an

    increasingawarenessby traditional ivestockherders of the benefitsof modern veterinary medicine.

    Increasing upply of veterinarians nd

    shrinkingpublic market.Due to fiscal contraints,

    governmentshave been forced to abandon heir policy of employing ll veterinarygraduates. In

    addition, some regions

    (that is, the Anglophonedevelopingworld, particularlyIndia and East Africa),

    have seen a proliferationof

    veterinary aculties esulting n an increasingsupplyof

    veterinarians.

    Private

    practice is further enhancedby the openingof opportunities

    o sell related products such as

    drugs, feeds, and farm tools. These factors contribute o the large numbersof veterinariansseeking to

    establishprivate practice.

    Thus demand for veterinary serviceshas increased tronglyover the last decades, whereas

    public sector supply in many

    countriesstagnatedor deteriorated.At the same time a

    group of young

    graduates, all keen

    to establish hemselvesprivately,has become available n many developing

    countries.Togetherthese factors are generatinga significant

    orce for privatization.

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    Types of Veterinary Services

    Veterinary services can be classified n four categories:(a) curativeservices,particularly the

    diagnosisand treatment o treat diseased animals; (b)preventiveservices o stop the

    emergenceand

    spreading of diseases through vaccination,vector control and control measures, such as quarantine

    and forced slaughter of affected animals; (c)productionof veterinarypharmaceuticals;

    nd (d)

    human

    healthprotection, such as sanitary nspection

    of animalproducts.

    Economic Principles

    In assessingwhether these servicescan be privatized, t is necessary o obtain a clear

    understandingof the nature of the service (Umali,Feder, and de Haan 1992).Veterinary services can

    be classified nto four categories table 2):

    Private good.

    A good or service wherein the personwho paid for the good or service

    exclusivelybenefits from it and no one else is able to avail of the good or service at the same time

    (for

    example, treatmentof an animal's broken

    leg).

    Private good with externalities.A private good or servicewhose productionor consumption

    has spillovereffects on other individuals,although he other individualsare not chargedfor the

    spilloverbenefits or compensated or the negativespillovereffects(for example, vaccinationprovides

    spilloverdisease protection to animalsowned by others).

    Private good with moral hazardproblems.A private good or service whose quality is not

    transparent or cannot be easily assessed (for example, vaccine qualitycannot be easily evaluated).

    Public good. A good or service wherein he consumption f the good or service by one

    individualdoes not reduce its availability o others and the person who paid for the service cannot

    excludeothers from free riding or using the serviceas well (for example, food hygiene and

    inspection).

    Following his classification, able 2 defines the appropriatesectoraldistributionof

    responsibilities.Clinicalcare provided to animals s generallya private good.

    1

    Vaccination gainst

    contagiousdiseases involvesexternalities protectionof animalsbelonging o other farmers and export

    interests), which to some extent can be internalized hrough government nterventions.These

    measures may take the form of mandatory egulations uch as the issuanceof vaccinationcertificates

    or the subsidization f vaccinations.However, n the absenceof good enforcementmeasures for such

    ex-antecontrols in many developingcountries, he direct involvement f the government s required

    either through direct provisionor subcontracting o private operators. Veterinarysurveillance,which

    ensures hat proper steps are taken to avoid the spread of a highly contagiousdisease to other

    farmers, is a public good.

    In vector control, the economicnature of the control measure dependson the technology

    used. The classical methodsof vector control nvolveexternalities dipping)and free-rider problems

    (aerial spraying). More recent technologyusing individualherd or animal treatments, such as special

    screens and traps,

    minimize he externalities nvolved n their utilizationand enable individual armers

    to capture the benefits almostexclusively.They are, therefore, more suitable or individual

    management nd payment.

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    Table 2. EconomicClassification

    of

    the Types of

    LivestockServices

    Livestock 7vpe of EconomicGood Measures o Correctfor Sectoral Qerv

    service

    Public Private

    Externality Moral Hazard Public Private

    Curative

    Diagnosis

    Xo

    YY

    Treatment

    Xw

    YY

    Preventive

    Vaccination

    X'

    y yy

    Vaccineproduction X YY

    Vector

    control

    Tick control

    X

    Y

    YY

    Tsetse control X X Y YY

    Veterinary surveillance X

    yy

    Diagnosticsupport

    X*

    Y YY

    Quarantine

    X YY

    Drug quality

    control

    X YY

    Veterinary

    research X X YY YY

    Human healthprotection

    Food hygiene/inspection X

    YY

    Provision of

    veterinary upplies

    Production X YY

    Distribution

    X

    YY

    Note: * private goods with externalities;

    **

    privategood with externalities

    only in the case of

    infectiousdiseases; YY economically

    ustified; Y economicallyustified under special

    circumstances.

    Source:

    Umali,

    Feder, and

    de Haan 1992.

    The productionof

    pharmaceuticals

    vaccinesand drugs)

    is a private good. Although he

    profits of

    new veterinary pharmaceuticals

    an be appropriated

    more easily, the

    market for veterinary

    medicines

    againstspecific

    tropical diseases in many developing

    countries

    s so small. This

    presents a

    major disincentive o research nto socially desirableproductsby local privatepharmaceutical

    companies.

    Unless

    internationalmarkets

    can be tapped(the strategypursued

    by multinationals),

    ome

    public sector

    assistance and even from

    international ublic agencies)will be required o bridge

    this

    gap.

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    EconomicViability

    Entry into the veterinaryservices market by a privatepractitionerwill depend on whether a

    practice can be profitablysustained. f a favorableeconomicenvironment lready exists, private

    profitabilitywill depend primarily on the type of productionsystem, the prevailing livestock density,

    and the extent to which economiesof scale apply (Umali,Feder, and de Haan 1992). Economiesof

    scale are highly relevant in veterinary services, because heir provision nvolves a large proportion of

    fixed costs. The provisionof clinicaland preventivecare requires veterinarians nd veterinary

    auxiliary personnel to travel to the points of servicedelivery (for example, he farm,

    veterinary posts,

    or a designated top). In such situations, he larger the number of units of service provided to clients

    at each point of service delivery, the lower will be the cost per unit. Specifically, he veterinarian's

    fee, transportation, and other transport-related osts can be spread over a larger number of animals

    and thus reduce the per unit cost of the service. The lower the costs, the more economicallyattractive

    they become to livestock armers.

    Because he provisionof veterinary services entailssignificant ndivisible ixed costs,

    veterinarianswill not set up private practices unless he market for their services is large enough to

    sustain profitable operations.Thus, high density ivestockareas will favor private sector participation,

    because these localities can generate a volumeof demand sufficient o sustain private veterinary

    practice. From the farmer's perspective, his cost differentialcan becomea screening device as to

    who can afford veterinary services. Farmers with large herds are better able to take advantageof

    veterinary services than small farmers, because heir cost per unit is smaller and thus makes the

    services more affordable. However,small farmers can overcome his handicap hrough membership n

    producer organizationsand cooperatives hat provide livestockhealth and support services. As a result

    of the pooling of veterinary service needs of smallholder armers through hese organizations, hey

    are able to take advantageof economiesof scale in the deliveryof the services as well as provide

    farmers with a mechanism or internalizing he externalities ssociatedwith some services.

    Using World Bank data on the cost of establishinga privateveterinary practice in Cameroon

    (1986), Guinea (1986), Kenya (1988), and Uganda(1990), Umali, Feder,

    and de Haan (1992),

    estimated he financialbreakevennumber of veterinary ivestockunits for traditional, semi-intensive

    and intensiveproductionsystems. The results are presented n table 3. They clearly demonstrate he

    importanceof the type of productionsystem and the importanceof pharmaceutical ales on the

    financialviabilityof a private veterinary practice.To earn

    a minimum eturn of US$15,000 a year,

    assuming240 trips a year and a 50 percent marginon drug sales, a veterinarianwould have to treat

    an additional7,600 to 13,400 veterinary ivestockunits (VLUs) in traditionalsystems and about 755

    to 1,344 VLUs in the intensivesystems. If it is assumed hat the veterinarian ravels within a 15

    kilometerradius or an area

    of 707 square kilometers, he breakeven ivestockdensity in Guinea will

    be 15.3 VLUs per square kilometer,slightlymore than the prevailing ivestockdensity of 14 VLUs

    per square kilometer. In such cases, auxiliaries,with much

    lower remunerationexpectations,become

    attractive alternatives.

    Thus privatization cannot and should not be undertaken as a broad

    strategy; instead a

    selective policyshould be pursued, taking into account the economic character of each of the

    veterinary services and the economic feasibility

    of

    private practice. As a first step, the transfer of

    private good services to the private sector

    shouldbe promoted.Secondservices that involve

    externalitiesor moral hazard problemswill require some form of public intervention.Subcontracting

    to private operators is one option. Third choicesalso have to be made regarding the type of veterinary

    practitioner o promote. In many livestockproductionsystems,

    he establishmentof professional

    practices is not viable financiallyand lower cost operators such as auxiliariesneed to be promoted.

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    Table 3. BreakevenVLUs for Private VeterinaryPractice in Cameroon,Guinea, Kenya, and

    Uganda by ProductionSystem

    Countr

    Cameroon Guinea Kenya Uganda

    Production ystem

    (1986) (1986)

    (1988) (1990)

    Traditional

    Pure vet service 6,775 3,997 11,281 5,352

    Vet service +

    25

    margin 3,413 3,672 10,500 4,014

    Vet service + 50% margin 51 3,347 9,720 2,677

    Intermediate

    Pure vet service 1,129 666 1,880 892

    Vet service +

    25

    margin 569 612 1,750 669

    Vet service + 50% margin NA 558 1,620 446

    High intensity

    Pure vet service 0677 400 1,128 535

    Vet service + 25% margin 341 367 1,050 401

    Vet service + 50% margin NA 335 972 268

    Note:Fees are assumed o be-traditional = US$2, intermediate= US$12, and high

    intensity = US$20; 240 trips a year. NA--at50 percent margin, drug sales exceed total costs of

    operations.

    Experiences in Veterinary Privatization

    In the developedworld, veterinaryservices are mostly privatelyoperated. Veterinaryservices

    in these countriesshare several commoncharacteristics.The government ole is generally educed to

    the deliveryof pure public goods. This includescontrol over epizootics nd zoonosesand food

    control and hygiene. Growing priority is also given to the enforcementof animal welfare legislation

    by the public veterinary services. Externalities nvolved n the controlof enzooticdiseases are

    internalized hrough the creation of disease control

    funds, financedby compulsorymemberships n

    insuranceschemes

    and producer organizationsand specialproduct levies. The private input supply

    companies(pharmaceuticals nd feed) are becoming ncreasingly nvolved n extension.

    In the developingworld, overall progress in privatizingveterinary services has been slow. A

    survey of livestockspecialists rom the World Bank and other governmentagenciescarried out by

    Umali, Feder, and de Haan (1992) showed hat in only a small number of developingcountriesare

    veterinary services provided by private practitioners table 4). The progress in Africa is noteworthy.

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    Table 4. Sectoral Channelfor the Deliveryof the Clinicaland Prophylactic

    Veterinary Services n the DevelopingWorld

    1991

    Numberof Countries n the Region

    Partly government

    Region Mainlypublic partly private Mainlyprivate Total

    Africa

    Clinical 12 14 5 31

    Vaccinations 25 6 - 31

    Latin America

    Clinical 1 2 2 5

    Vaccinations 2 1 2 5

    SoutheastAsia

    Clinical 6 2 - 8

    Vaccinations 8 - 8

    Source:Umali, Feder, and de Haan 1992.

    Examples of Successful Veterinary Privatization

      he

    Central African Republic

    The Central African Republic CAR)offers an interestingexampleof a private, almost

    exclusivelyuser-run, animal health care system. On the one hand, the very limitednumber of

    veterinary graduates and the low livestockdensity mpeded he establishment f profitable private

    professionalpractices; on the other hand, the high prevailingdisease challengemade access to

    veterinary inputs highly critical. In response o the increasingdemand for animal health services, two

    successiveBank projectshave built a basic animal health care system under the auspices of the

    nationalherders organization FNEC) which suppliesproducerswith inputs and provides raining in

    the use of these inputs (for a more detaileddiscussion efer to de Haan and Bekure 1985; Umali,

    Feder, and de Haan 1992). Training is provided n cooperationwith drug suppliers, who finance a

    large part of the productionof adapted raining materials.Compulsoryvaccinations s the only activity

    retained by the government.

    The following discussions llustratesome of the main experiences.After veterinary drug

    distributionwas transferred o FNEC, the sale of veterinarypharmaceuticals rew strongly, thus

    refuting he allegations hat farmers wouldnot be willing o purchasedrugs at full cost. Veterinary

    pharmaceutical ales through the formal sector umped from US$12,000a year in 1982 o

    approximatelyUS$2.1 million n 1991(de Haan and Bekure 1991).

    As a result of the development f a reliableopen market system, purchasesof veterinary

    pharmaceuticals rom the black market dropped. Successive ouseholdbudget surveys showed that,

    while in 1982, 67

    percent of the farmers bought their veterinarypharmaceuticals rom the black

    market, this percentagedropped to 18 percent in 1985and to only 7 percent in 1988(de Haan and

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    Bekure 1991).This significantdrop providesa strong counterargumentagainstrestrictivedistribution

    policies. The exclusiveright of government ervices and professional eterinarians o distribute and

    administerdrugs is advocated requentlyby the publicsector becauseof concern hat the distribution

    and administration f veterinarypharmaceuticals y laymenwould ead to drug resistance and adverse

    consequences o human health. However,recent experience eems to show that such restrictive

    policies lead to a much more dangerous ituationof covert and improperuse, and poses a greater

    danger to public health. If the official distribution

    ystem cannotprovide adequatesupplies, and

    provided that farmers are given proper educationand training in the use of veterinary drugs, they

    should be allowed access to these drugs.

    Poor herders procured relativelymore veterinarydrugs than the wealthier ones. Household

    surveys in the CAR showed hat poor farmers used on average 50 percent more veterinarydrugs per

    head than wealthier ones (Umali, Feder, and de Haan 1992).The finding hat a commercialopen

    system is more equitable han a subsidizedpublicsystem is confirmedby Leonard's (1985) findings in

    Kenya, where he showed that the transition o a more commercial ystem increased he number of

    visits the animal health agents carried out by a factor of ten, and those visits especiallybenefitedpoor

    farmers. In effect Leonard found that the agents graduated heir charges according o their assessment

    of a farmer's ability to pay, and that the poorer farmers on average paid less for the same service

    than the wealthier ones.

    However, the CAR operation s still not completely ustainable.Although in the beginningof

    the program the operationsof FNEC were managed trictly on a commercialbasis, their success has

    led donors and government o try to add socialobjectives o the organization.First for political

    reasons, the input distributionsystem was forced to expandsales to low-density ivestock areas, while

    obliging it to maintainuniform prices throughout ts distributionnetwork. Seconddonors and the

    governmentadded other socialfunctions o the organization uch as literacy campaignsand range

    management ctivities, which further burdened commercial perations.Third there is a continuing

    tendency of public interference n the day-to day FNEC management temming rom government's

    apprehensionof fostering an independent ower base at its side. Finally here is evidence of rent-

    seeking from governmentofficials.Future strategieswill, therefore, need to isolate this activityfrom

    donor and government nterference.

    Morocco

    In Morocco he privatizationof the animalhealth services was introducedas part of a

    structural adjustmentprogram in 1985. The livestockdensities n the high potentialarea of the

    country and the profitabilityof the intensivedairy and poultry farms permit the establishmentof

    private professionalpractices. From only two private veterinarians n 1983, the number soared to

    seventy-sixby the end of 1989 and to ninety-threeby the end of 1991. Currentlymore than one-third

    of all Moroccanveterinary graduatesoperates in the private sector (World Bank data). They have

    concentrated n the high potentialareas, coveringabout 42 percent of the country's cattle population

    and 30 percent of its sheep population.

    Two key governmentpoliciesbrought about this success: (a) a policy of subcontracting ome

    of the veterinary services to accreditedprivateveterinarians,particularly he compulsoryvaccination

    campaigns(these schemes account for about one-third o one-halfof the private veterinarian's net

    income and provide essential ob security to the incumbent rivate veterinarian);and (b) a strict

    governmentpolicy o curtail the provisionof all curative services and the sale of veterinary inputs and

    noncompulsory accinationsas soon as a private veterinarian s established n the area.

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    These policies have resulted in net savings

    for the governmentand improved ivestock

    protection: (a) the average cost a head vaccinatedby the public veterinary service was calculatedat

    DH4.58 a head vaccinated, whereas he fees paid by government o private veterinarians amounted o

    DH3 a head; and (b) in 1989 he private veterinariansvaccinated66 percent of the stock in their area

    on average, whereas he coverageof the publicsector reached only 52 percent (World Bank data).

    Policy Requirements or Privatization

    These experiences ead to the identification f the followingmain policies required to bring

    about privatization.

    Eliminationof policiesthat promoteunfair competition.Subsidizedservices and

      moonlighting y governmentveterinaryagents are one of the most serious barriers to entry. The

    introductionof full cost recoveryfor private good services and suppliesprovided by the public sector

    is thus a key prerequisite for any privatization ffort. Other barriers to entry, which should be

    eliminated, includeveterinary drug import and distribution estrictionsand price controls. Studies in

    the developedworld (for example, Wise

    1988),as well as indications rom the developingworld,

    show that the sale of pharmaceuticals ccounts or between30 and 50 percent of the incomeof a

    veterinary practice.

    Institutionof attractive ubcontractingpolicies.Manyof the public good services (meat

    inspectionand diagnosticservices) and private goods with externalities compulsoryvaccinations)can

    be very effectively ubcontracted o private operators under government upervision.

    Establishment f mutual nsurance chemesand/or producergroups to create the

    fundingmechanisms or the control of diseases,whichcannot be funded through direct

    payment.The creation of an autonomous und wouldprovide a more reliable source of financingfor

    the paymentof private subcontractors han the unreliablegovernmentbudget and would, therefore, be

    an important eature of any privatization ffort.

    Establishment f the enabling egislation adapted o

    the

    conditionsof the country which

    will protect and stimulate private animal health practice. This means that in those countries where

    the availabilityof private professionalveterinarians nd/or the nature of the economic environment

    constrains he establishmentof private professionalpractices, legislativeprovisionsshould be

    established or auxiliary practices. Past legislation n the developingworld has tended to copy the

    very restrictiveEuropean regulations,

    which eserved the right to administermost veterinary

    drugs to

    professionalveterinarians.

    Researchand Technology

    Needs

    Veterinaryresearch ends to concentrateon disease control echnologyas such, with

    inadequateattentiongiven to the capabilities f the system o deliver this technology.However, the

    delivery system most likely will remain poor in much of the developingworld, and future control

    strategiesand technologies, herefore, need to be tailored increasingly o fit deficientfunding and

    poor infrastructure.This means that greater priority needs to be given to the definitionof the cost-

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    effectiveness

    f the disease

    controlmeasuresand the development f diagnostic

    and control

    techniques, which are low cost and can be manipulated y nonprofessional taff under poor

    infrastructureconditions.

    Cost-effective

    isease control measurescan only

    be developedon the basis of a good

    understandingof the relative importanceof different

    diseases. This information s notoriouslyabsent

    in developingcountries, and the use of cost-benefit nalyses in decisionmaking oncerning he

    launchingof a disease control campaignor moving rom control o eradicationpolicies is very rare.

    Staffavailabilityand political pressureseem to be more important riteria. A better definitionof the

    relative importanceof different diseases n any given environment nd of the economic eturns to

    eventual control or eradicationcampaignsdeservesa high priority in publicly sponsoredanimal health

    research programs.

    Low-cost and easily manipulablediagnostic ools and control echnologieswill also be

    important nputs into sustainableanimal health care systems.The followingexiting research is being

    carried out in this area, which could revolutionizeanimalhealth care systems.

    Animalside diagnostic ets. Monoclonal ntibody echniqueswill yield simple test sets to

    allow lay persons to diagnosedisease types with a high degree of reliability (WinrockInternational

    forthcoming).

    Genetically esistantanimals.Clearly, geneticallybased disease resistance s the most

    sustainable orm of disease control and there is increasing vidence hat there is considerablegenetic

    resistance to several diseases, such as Africananimal sleepingsicknessand internal parasites. Further

    developmentof disease resistancewill be assistedby the considerableongoing esearch effort in

    identifyinggenetic markers, which will allow early identification nd acceleratedmultiplication f the

    most resistant genotypes ILRAD 1991).

    User-friendlyparasitecontrolmethods.Great promise is provided by the developmentof

    screens and traps to catch tsetse flies (the transmitterof African animal sleepingsickness)and by a

    new generation of pyrethroid-based nsecticideswith a long residual effect, which kills the flies before

    they can transmit the disease.

    These technologies re simple o apply

    and their benefitsaccrue almost

    exclusively o the owner and thus eliminatesome of the free rider and spilloverproblems involved n

    the classical methodsof aerial spraying against he tsetse fly and dipping of cattle for tick control

    respectively.The system of fly traps and screens, used by nomadicherders in the Central African

    Republic, has been demonstrated o reduce fly population o 5 to 10 percent of their original size

    (Cuissance1989).

    User-friendlyvaccines.Considerable rogress is being made in developinga thermostable

    vaccine against Rinderpest, insteadof the present thermosensitive accine, which requires an

    expensiveand difficult to managecold chain. Similarly, he developmentof a thermostablevaccine

    against Newcastledisease in poultry, which can be mixed in the feed (Spradbrowand Latif 1991),

    removes one of the

    key constraints o village poultry productionand is now being introducedon a

    national scale in SoutheastAsia. More attention till needs to be directed

    to the developmentof

    multivalentvaccines, which again would

    significantly implify heir deliveryand reduce costs.

    Conclusion

    A pragmaticapproach o the organizationof veterinarydelivery services

    is required. First we

    need to have a clear understanding

    f the economic mportanceof the disease to decide

    on curative

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    and

    prophylacticstrategies. Second he nature

    of the service required

    will, to a large degree,

    determinewhether

    private delivery will

    result in a sociallyoptimal evel of supply. Active

    involvementof government n the supervision f disease

    control,with private operators

    carrying out

    the actual

    implementation, s in

    many cases an attractive

    alternative.Third the nature of the disease

    and the profitabilityof the livestock

    enterprisewill determine

    whether private

    delivery is economically

    feasible.

    The economic easibilityof

    private supplywill depend

    on several key factors including

    whetherprofessionalor nonprofessionaltaff will be used, and to what extent economiesof scale can

    be achieved.Thepromotionof producer organizations

    s an option. Fourth modern

    technological

    developmentswill

    have a significant mpacton these choices,because hey

    will lower costs and

    simplify he applicationof disease

    control nterventions, nd

    thereby increase he opportunities

    or

    private operators.

    Endnotes

    1. The exception s the diagnosis

    and treatmentof infectious

    diseaseswhich involve

    spillovereffects

    on other animals.

    2. Private sector participation

    will be sustainabledespite

    low livestockdensities

    and high per unit

    costs

    if high-valueanimals

    (for example, dairy cows and purebred horses)

    are involved. The high

    value of the animalsand thus

    the risk of seriouseconomic

    osses providessufficient ncentives for the

    livestock armer to insure

    that the animals eceivethe required veterinary

    services (Umali, Feder,

    and

    de Haan 1992).

    3. The traditionalproductionsystem

    is characterized y smallholder/pastoralist

    armingand low

    productivity for example,

    less than 500 liters

    of milk a year and less than 12 percent offtake),

    while

    the intermediateproductionsystem is typified

    by more capital ntensive

    operationsand higher

    productivity for example, from

    500 to 2,500 liters of milk

    a year and 12 to 18 percent

    offtake). The

    high intensityproductionsystem includesfeedlots,ranching, and intensivedairy production;it is very

    capital intensive with levelsof production

    greater than 2,500

    liters of milk a year and greater than 18

    percent offtake.

    4. A veterinary livestock

    unit is an animal

    unit introduced o aggregate he work requirements

    for

    animal health care of different livestock pecies;

    it is equivalent o 1 cow

    or 1 camel or 2 horses or

    2

    pigs or 2 donkeys

    or 10 small ruminants

    or 100fowl (de

    Haan and Bekure 1991).

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