Barriers in the livestock health market: Service provision

Animal health services and products are still out of reach for millions of Small-Scale Producers (SSPs) in Sub-Saharan Africa (SSA) and South Asia (SA). One of the reasons for this is that even though SSPs account for a large number of animal keepers in SSA and SA – 35% of cattle head and 43% of sheep and goat head of world respectively, they are scattered, concentrated in rural areas and operate their production on low input, low output system. This makes animal health service provision challenging. SSPs also have less to spend on animal health further pushing away veterinary service from their reach. A veterinary service provider needs to travel long distances to visit just a few farms and a smaller number of animals, which makes their services costly. Consequently, SSPs tend not to treat their animals or in the instances that they do, they get advice from less qualified people and use low-quality medicines inappropriately. This often leads to bigger issues such as antimicrobial resistance (AMR).  It also means a large percentage of animal heads are dying before maturity or performing below capacity after surviving, in absence of effective and reliable animal health service provision.

Filling the gap

More veterinarians are needed to serve and supervise Veterinary paraprofessionals (VPP) work. But this is easier said than done and has been a problem for decades. The ratio of veterinarians to livestock in African countries is 20 times lower than the developed part of the world like Denmark, France, USA. In India, only half of the required number of vets are available currently. In SSA and SA, a small number of veterinarians along with VPPs are expected to carry out a range of animal health services – from vaccination to diagnosis and treatment. This is a big challenge for public, private, and non-profit sectors involved in overall livestock and poultry development to help a large number of SSPs.

One solution that has been tested is filling this gap with trained community-based animal health workers, who perform basic services like vaccination and de-worming. GALVmed for example has worked with trained community animal health workers in supervision of veterinarians in the delivery of millions of doses of Newcastle Disease vaccines to backyard poultry producers. These projects not only served SSPs at their doorstep but also created sustainable employment in rural areas. However, it is not without challenges; including lack of proper visibility of their operations by few veterinarians, making their work difficult to track to ensure quality.

What next then?

The demand for veterinary services in these regions is only going to increase, but the number of vets perhaps not so.  Which is why we need to look at other innovative measures that can help us reach SSPs with services and products. Digital interventions like tele-health platforms have the potential to address some of these requirements, considering the fast growth in the use of the Internet and mobile phones.

Tele-health platforms can quickly connect animal health service providers with SSPs and cut down the unwanted expense in travel and time. Veterinarians can supervise the work of VPPs remotely; diseases and outbreaks can be reported quickly; quality consultation and prescription can stop the use of inferior and fake medicine, and can also help in reducing AMR. Consequently, more animals will survive and produce more to contribute to overall food and nutritional security.

GALVmed is working with partners and veterinary authorities to develop a Telehealth and e-commerce platform with the aim of making products and veterinarian-supervised services available and accessible to SSPs. The Telehealth and e-commerce platform is one of three proposed platforms to deliver a comprehensive, financially sustainable solution that will unlock new opportunities for growth in the animal health industry.

Written by Peetambar Kushwaha, Senior Manager of Commercial Development & Impact, South Asia.

Case study: Strengthening farmers’ access to livestock inputs in Ghana

It is estimated that livestock disease in Africa costs more than nine billion dollars per annum (Grace et al 2015), not including productivity losses or its impact on human health. Small-scale livestock producers lose an estimated 25% of their livestock every year to diseases.

In rural areas of Ghana, the majority of small-scale livestock producers rely on small agrovet shops for products like feed, vaccines and medicines. However, supply is not always guaranteed as agrovet shops routinely run out of stock, as they have to travel to big cities like Accra or Kumasi to source products. This leaves farmers at risk of losing their livestock.

Agrovets are key in the agricultural value chain as they also provide ‘extension services’, where veterinary professionals visit farmers to treat their animals.

The Global Alliance for Livestock Veterinary Medicines (GALVmed) partnered with last mile veterinary distribution company Cowtribe Technology Ltd to create a new company called TribeCo to help agrovets keep their shops well-stocked. GALVmed is providing funding for the project, and manages the project to ensure its objectives are realised.

TribeCo sources vaccines, medicines and feed from local and international manufacturers and distributes them to a network of rural agrovets to ensure a steady supply. This is done with guidance and supervision by local veterinary officials.  Tribecovet has already signed up a number of agrovets across Ghana who are now better equipped to access products.

“Buying the products from the south [of Ghana] which was difficult for us [until] we met TribeCo. They are now doing free delivery for us. Anytime we want them they are available for us”. 

Mahamudu – Veterinary medicines dealer

TribeCo uses an app called Zhulia to simplify the supply chain and help agrovets to efficiently manage their retail services. Agrovet dealers can access products from multiple suppliers and monitor their stocks to avoid running out of products. TribeCo then delivers the product to shops.

“At first we used to get our supplies every month. But with the coming of TribeCo, when you just use the Zhulia app, when you do it in the morning by evening time your goods will arrive. I think that has helped us so much and because they bring the goods free of charge… That has helped the lives of so many farmers, both livestock and then poultry.” 

Margaret – Veterinary medicines dealer

By providing uninterrupted access to livestock health products, GALVmed expects to see a significant increase in small-scale livestock producers’ productivity by avoiding economic losses caused by infectious diseases, improved livelihoods, and availability of affordable animal protein. GALVmed will monitor the impact of the project through surveys and collection of sales data.

“With the coming of TribeCo in my life it has improved a lot the lives of farmers, because there’s decrease in disease outbreaks. This has generated into increase in productivity. It has brought money into the pocket of farmers.” 

Margaret – Veterinary medicines dealer

News by Action for Animal Health. Click here to see more case studies.

Strengthening Access to Livestock Health Products by Small scale Producers in Ghana

In rural areas of Ghana where over the majority of small-scale livestock producers rely on small agrovet shops for livestock health inputs, supply is not always guaranteed as agrovet stores routinely ran out of stock leaving farmers struggling to gain access to critical health inputs that could save their livestock from diseases. GALVmed is working with leading last-mile veterinary delivery company, Tribecovet, to bridge current gaps in access and availability of vital livestock health products by small-scale livestock producers.