How to bridge the divide across Africa’s fragmented veterinary medicine sector

This blog was written by GALVmed CEO, Carolin Schumacher and published by CNBC-Africa.

From backyard chicken raising to the grazing cattle of nomadic pastoralists, across much of rural Africa, animal diseases travel faster and wider than veterinary medicine.

An estimated 800 million people keep chickens, goats and cattle across the continent as valuable sources of food, income, fuel and fibre. Yet across Africa, the most prominent livestock diseases cost an estimated $9 billion every year – roughly 6% of the total value of the continent’s livestock sector.

Protecting and treating animals across such a vast and disparate population and geographic expanse is complicated and costly. Getting vaccines and medicine to livestock in remote areas of Africa is often limited by a lack of knowledge, manpower, funding and reliable refrigerated transport. Even when resources exist, they are typically spread too thin to systematically protect animal health and, by extension, the incomes of livestock keepers.

With a rapidly growing population and demand for animal-derived protein, enabling the veterinary sector to address the diverse needs and challenges of small-scale producers is not only possible, but also critical to Africa’s sustainable development.

Entrusted with the safeguarding of national herds, government veterinary services have historically focused on the most detrimental diseases affecting large-scale livestock operations, leaving many small-scale farmers behind.

Efforts in the past have successfully dealt with damaging infectious livestock diseases, including eradicating the deadly cattle disease rinderpest in 2011 through an integrated global campaign. Yet existing government-led efforts to manage other contagious livestock diseases are now lagging.

Facing rising economic pressures and a significantly broadened mandate, many African governments can no longer achieve sufficient vaccination coverage and deliver “last mile” services that saw volunteers across the continent contribute to rinderpest’s eradication even in the most remote communities.

Comprehensive livestock health management today requires governments and other livestock health organisations to think holistically and consider the infectious diseases limiting small-scale livestock producers’ potential. This includes foot and mouth disease, lumpy skin disease and contagious bovine pleuropneumonia (CBPP) in cattle, as well as peste des petits ruminants (PPR), sheep and goat pox and contagious caprine pleuropneumonia (CCPP) in sheep and goats.

Meanwhile, the global veterinary medicine industry has traditionally focused on addressing livestock health issues of the Global North, where the profitable markets justify the high cost of investments in research and development of new products.

Small-scale producers of large and small ruminants – cattle, sheep, and other grazing animals – in the Global South have not benefitted from such investment. A commercially viable market for ruminant vaccination does not currently exist. Where it does, it can be regularly undermined by free mass vaccination by governments, non-governmental organisations and development agencies. Simply put, there are not enough private veterinary vaccination efforts supporting small-scale livestock producers.

In recent years, the Global Alliance for Livestock Veterinary Medicines (GALVmed) and several private animal health companies have succeeded in developing and bringing to market a more complete portfolio of affordable animal vaccines and medicines for small-scale livestock producers in the Global South. Further, combined efforts in the poultry sector have demonstrated that governments and businesses sharing responsibility can foster a functioning veterinary service sector and vibrant, locally adapted veterinary medicine infrastructure and industry that caters to the specific needs of small-scale producers.

In practice, this means creating demand through increased awareness about livestock diseases while providing uninterrupted access to affordable veterinary products at the farm level. Adequately addressing the needs of the continent’s tens of millions of small-scale producers requires opening the ruminant vaccines market for private sector development, particularly for vaccine suppliers, local supply chain actors and private veterinary service providers.

Improving product registration and distribution will also help to equip farmers across Africa with the tools needed to preserve their animals’ health and support food security and economic growth on the continent, including their own.

Together with our partners, GALVmed has delivered more than 1.2 billion vaccines and other animal health products to farmers across Africa and South Asia, preventing the deaths of more than 23 million livestock – and the associated impacts this has on farmers’ incomes and food security.

Currently, GALVmed’s partners are developing a suite of combination vaccinations that address multiple infectious livestock diseases with a single intervention. These new vaccines promise to facilitate and improve vaccination access for farmers. Preventing multiple diseases at a lower cost will protect their livestock and livelihoods more completely and for the long term.

The vision of a food-secure, resilient African continent is well worth the efforts of removing the barriers to the functioning of the African small-scale livestock-producing sector. When governments, policymakers, veterinarians and veterinary medicine developers put the needs of small-scale producers first, they can help fill the gaps of the fragmented livestock health sector. Today, most tools are available but stakeholders will have to work together to deliver them to the farmers who need them most, for the benefit of Africa’s small-scale livestock-producing sector and society at large.

Photo credit: GALVmed/Buta Photography. A woman selling veterinary medicines in Ghana, 2022.

Stronger regulations would bolster food security and livelihoods in Africa

Originally published by S&P Global. Written by Lois Muraguri, Senior Director of Enabling Environment & Partner Engagement.

Across the African continent, livestock are one of the leading sources of food security and resilient livelihoods. Livestock production contributes 30-80% of the continent’s total agricultural gross domestic product (GDP) and provides jobs and nutrition for millions. Yet, Africa’s livestock sector faces several growing challenges – not least the spread of diseases, which threaten to disrupt the incomes and livelihoods of rural communities.

Diseases like foot-and-mouth disease, Newcastle disease and peste des petits ruminants cause widespread animal and productivity losses across the continent. In total, more than 20% of the world’s animal production is lost to animal diseases, with the burden exceptionally higher in regions like sub-Saharan Africa.

In most cases, veterinary medicines and vaccines are a vital solution to these challenges, helping to safeguard the livelihoods and food supply that livestock provide. Yet, across Africa, the regulatory frameworks by which new veterinary medicines can be registered and approved to address these challenges are either outdated, ineffective or simply non-existent.

In the last decade, great strides have been made to improve regulatory frameworks in sub-Saharan Africa. There have been various initiatives aimed at improving the regulation of veterinary medicines in sub-Saharan Africa. Most of these, such as initiatives under HealthforAnimals, have focused on improving capability of regulators through training and offering technical assistance on specific areas. Others, such as the UK’s Veterinary Medicines Directorate’s sub-Saharan Africa program, have looked at options for regulatory harmonization. These, plus efforts by the WOAH and others, have raised awareness and increased understanding of the need for improving regulatory frameworks in sub-Saharan Africa. 

With climate change and accelerating continental trade hastening the spread of livestock diseases, Africa needs a functioning regulatory environment for veterinary medicines. An efficient regulatory framework benefits all players – regulators, product manufacturers and ultimately, livestock producers and farmers. In the last decade, great strides have been made by regulators. A functioning regulatory framework will help to equip livestock producers with quality products, supporting them to protect their livelihoods and their vital contributions to continental food security.

To begin with, a functioning and harmonized regulatory environment for veterinary medicines can unlock further private-sector investment, which has been constrained across the continent. At present, animal health companies are discouraged from registering their products in some countries across sub-Saharan Africa. Global and local companies alike face significant regulatory and commercial barriers. This is in part because of unclear and unpredictable regulatory frameworks, which are often driven by limited capacity to assess the safety and efficacy of veterinary medicines.

Creating a functioning environment for regulating veterinary medicines will begin to address private sector concerns, enabling animal health companies and manufacturers to invest and register new products that are subsequently adopted by Africa’s livestock keepers.

Regulation of novel and cutting-edge technologies requires experienced regulators to assess the next generation of innovations. Africa’s regulatory agencies often lack the necessary expertise and resources to efficiently regulate novel, innovative veterinary products thereby reducing the likelihood of these products’ availability in African markets. Similarly, for emerging diseases, the lack of a long-term market and clear regulatory pathway inhibits the development of vaccines.

Void for vet meds

The lack of safe, quality, effective veterinary products creates a void that is currently being filled by poor-quality counterfeit products, which do not offer benefits to livestock producers and whose ineffectiveness may instead undermine confidence in the effects and benefits of livestock vaccination. Similarly, regulators in sub-Saharan Africa facing inefficient regulatory systems encounter numerous challenges that affect various aspects of public health, animal welfare and the economy. The prevalence of substandard, counterfeit products is not an issue for livestock producers and private sector only – these products hamper regulators’ disease control efforts. Inefficient systems discourage private sector investment which leads to potential loss of revenues from registration fees and taxes. Ineffective regulation can adversely affect livestock health leading to lower productivity, higher mortality rates and economic losses for farmers ultimately resulting in lower national productivity.

By unlocking greater investment from animal health companies through a functioning regulatory environment, we can also deliver multiple benefits for the African continent’s millions of livestock producers. Due to the inadequate existing regulatory framework, Africa’s livestock producers typically do not have adequate access to medicines or cannot be sure of their quality, with many therefore choosing not to vaccinate their animals.

Yet we know losses from livestock diseases can be preventable – if only farmers can be made aware and assured of the quality of these medicines. A more predictable and clear registration process for new veterinary medicines can therefore improve the availability of quality veterinary medicines, whose use can prevent livestock disease, improve livestock production and boost producers’ incomes.

A well-functioning regulatory system provides immense benefits to regulators as well. It ensures only safe and effective veterinary medicines reach the market, protecting both animal health and public health, thereby preventing zoonotic diseases. It ensures medicines are manufactured to high standards reducing the risk of substandard or counterfeit products. The economic benefits that flow from a functioning regulatory framework, such as improved market access, increased investment and trade facilitation, are compounded at national level contributing to rural economies and GDP. Regulators also have a stake in improved disease control; effective regulation ensures timely availability of veterinary medicines for the prevention and control of animal diseases directly contributing to countries’ disease control efforts.  

Ultimately, facing evolving disease threats because of climate change and global trade, the animal health private sector and livestock producers need a greater say in the development of Africa’s regulatory system in order to deliver much-needed improvements to its efficiency. Improving regulatory frameworks requires regulators, the private sector and livestock producers to come together to develop an accessible and time- and cost-effective regulatory system for veterinary medicines.

GALVmed work

Parties like GALVmed, for example, can be an invaluable convener. GALVmed is already supporting the implementation of the East African Community Mutual Recognition Procedure project, which is helping to harmonize registration requirements for veterinary medicines across eight countries in East Africa. By allowing companies to seek approval for multiple countries simultaneously, rather than bilateral applications at a national level, this project incentivises animal health companies to seek licences in multiple countries, thereby increasing their market.

This creates more choice and support for livestock producers and offers a model for harmonizing regulations for veterinary medicines across the continent, working hand-in-hand with the private animal health sector.

GALVmed is also working in collaboration with WOAH, the Veterinary Medicines Directorate and the East African Community on a new project called Improving Access to Quality Veterinary Products via Better Regulation. This will support regulatory agencies across Africa to identify their capacity-building needs and how they could be addressed, helping to improve the regulation of veterinary medicines at scale.

Ultimately, the inadequate and inefficient regulatory system for veterinary medicines that prevails across most of Africa causes negative impacts throughout the value chain – for regulators, animal health companies, livestock farmers and the continent’s food security at large. The momentum from past and current efforts by various parties must be accelerated. Well-functioning regulatory frameworks will lead to increased investment, confidence in the system, resulting in availability of more safe and effective veterinary medicines in the market. 

Achieving this goal will help ensure Africa’s livestock producers have quality veterinary medicines that address the rising disease challenges they face while safeguarding their contribution to the future of food security in Africa.

Quantifying our impact: A modelling framework to estimate the economic benefits of our initiatives

As an organisation with a wide geographic footprint across Africa and South Asia, it is challenging to assess the impact of our programmes at scale using rigorous field studies. However, together with our wider network of funders and partners, we need to know that the investments we are making are producing productivity and income benefits for small-scale livestock producers (SSPs) that warrant the financial investment in these initiatives.

In this regard, we partnered with Supporting Evidence based Interventions-Livestock (SEBI-L) to develop a model for practical use for our market development programmes. The model is used to estimate the economic impact of the initiatives on SSPs, prioritise product development decisions, and to direct market development effort. Furthermore, these analyses can be used to advocate for further investment in the SSP animal health sector.

In a paper published in Frontiers in Veterinary Science, the model was applied to estimate the impact of products sold during GALVmed’s People and Livelihoods 2 (PL2) programme. The PL2 programme, which was implemented between 2014 and 2017 in Africa and South Asia, supported the production and distribution of poultry anthelminthics and vaccines against Newcastle disease, fowl pox, sheep and goat pox, peste des petits ruminants, and East Coast fever.

The modelling framework

The model is conceptualised in terms of three components:

  • Products: this includes sales of products and the number of animals that are expected to be treated with the product (depending on the different pack sizes).
  • Disease epidemiology: this comprises the conditions that are treated, number of infections, mortality rates and impact on growth rate.
  • Economics: this comprises losses from reduced productivity and losses from livestock mortality.

The economic impacts from mortality and growth inhibition are estimated at the individual animal level for poultry, small ruminants, and cattle. As SSPs are using veterinary products to prevent or minimise loss due to disease, we model the key ways in which those losses are experienced by SSPs and estimate the proportion of those losses that are averted by using specific animal health products. By factoring in the cost of the product and the number of doses sold, we give the net economic benefit (NEB).

The model can be adapted to incorporate new products and parameters as needed. The framework will evolve as GALVmed initiatives change over time.

The results

The model estimates a total NEB of $105.1M to the 3,664,114 customers reached by the PL2 initiatives. This translates to $139.9M in present value, and $37.97 on average per customer, many of whom were small scale poultry producers.

Within Sub-Saharan Africa, the greatest net economic benefit was realized from vaccines against East Coast fever and Newcastle disease, while in South Asia, peste des petits ruminants and Newcastle disease vaccines had the greatest net economic benefits.

The paper with the complete results and analysis is available here: A high level estimation of the net economic benefits to small-scale livestock producers arising from animal health product distribution initiatives.

By understanding how GALVmed’s interventions translate into economic benefit for SSPs, we can continuously refine and optimise our approaches, ultimately driving a greater positive change in the economic progression and well-being of SSPs across Africa and South Asia.

This blog was written by the M&E team.

Celebrating 2 years of achievements with PREVENT

Poultry is an affordable and accessible asset for small-scale producers in Africa, but the effectiveness of vaccination has been limited and rural producers can have their flocks wiped out overnight due to preventable diseases.

PREVENT was launched in April 2021 as an initiative to establish an innovative and pragmatic veterinary health approach in Africa through medium-size hatchery vaccination. PREVENT comprises various workstreams and operations that are connecting the key pieces to achieve this endgame, and in this blog, we explore some of our achievements so far.

  • Hatchery vaccination: The initiative aims to equip 36 mid-size African hatcheries with the necessary equipment and expertise (vaccination techniques, maintenance, hatchery biosecurity practice, quality assurance, and vaccination monitoring) so that the hatcheries will be able to provide customers with large numbers of chicks vaccinated against the major infectious poultry diseases. Farmers and poultry producers buying these vaccinated chicks will have better chances at ensuring flock health, reducing risk of bird losses, securing income, and overall, running more successful businesses. PREVENT has launched activities in 8 countries (Tanzania, Nigeria, Ethiopia, South Africa, Rwanda, Ghana, Burkina Faso, Zimbabwe) and onboarded 24 hatcheries so far. This has allowed the initiative to administer 109 million doses of vaccines to 37 million day-old chicks (an average of 3 vaccine doses per chick). Diseases against which the chicks are vaccinated include Infectious bursal disease, Newcastle disease, Infectious bronchitis, and Marek’s disease.
  • Training and market development: Vaccination alone is not enough, and the lack of technical support and information about circulating infectious diseases is also a major constraint. To date, PREVENT has trained 100 Field Technicians in Tanzania, Nigeria, Ivory Coast, and Ethiopia to provide advice and technical support to small-scale poultry keepers. In serving as the link between the hatcheries and the poultry farmers, the field technicians will also foster demand for, and create markets for vaccinated day-old chicks. Since activities started in September 2022, these field technicians have visited 1,800 farms and held over 100 meetings with farmers.
  • Gender inclusion: The PREVENT initiative seeks to bring a pragmatic level of understanding of gender dynamics within the poultry sector with the goal of positively impacting women chicken producers through the hatchery intervention. To serve this purpose, a rapid gender landscaping analysis was conducted in 3 countries representing East, West, and Southern Africa (Tanzania, Nigeria and Zimbabwe).
  • Epidemiological studies: This is an integrated component of the initiative that aims to explore and describe the epidemiology of poultry diseases at the level of small-scale poultry producers. To date, activity has started in Tanzania, Nigeria and Cote d’Ivoire where 52 samples have been collected.

Introducing changes upstream, at the hatchery level, echoes the positive impact all the way down to the farmer level, and contributes to creating a sound and sustainable system that will lead to an improvement in poultry productivity and efficiency in the targeted African countries.

April 2023 marks the second anniversary of this 4-year initiative. Much has been achieved so far, and much is yet to come.

The PREVENT initiative (PRomoting and Enabling Vaccination Efficiently, Now and Tomorrow) is a partnership between Ceva Santé Animale (a global veterinary health company) and GALVmed, with the support of the Bill & Melinda Gates Foundation.

This blog was written by Patricia Valdeón Noya as part of the campaign “Celebrating 2 years of PREVENT”

How one man’s dream is supporting generations

When we meet Moses Kuppa in the outskirts of Iringa town in the southern highlands of Tanzania, his chicken farm is a hive of activities. Two farm hands are busy cleaning the various poultry houses and feeding the more than two thousand chickens. Occasionally, traders arrive at his gate on motorbikes looking to purchase chickens from the farm. At 36-year-old, Moses has accomplished what many small-scale livestock producers aim to achieve, generating a steady income from their produce. But for the father of one, the journey has not been easy. Sheer hard work, passion and knowledge of his trade has contributed to his success as an entrepreneur.

Moses attending to his chicks

Moses started his chicken business back in 2013 with only a few chicks. As with any young business, there were challenges along the way, including having to deal with various poultry diseases that threatened to wipe his entire flock and cut his dreams short. But with time, he gained the knowledge and experiences needed to run a successful poultry farm. Key among the game-changers for his business is hatchery vaccinations. Moses buys his day-old chicks from Silverlands Tanzania, a hatchery that produces high quality poultry feed and day-old chicks which are then sold to smaller businesses and other farmers across the East Africa region. All day-old chicks from Silverland are fully vaccinated from various poultry diseases which gives the farmers peace of mind.

In addition, Silverlands also runs a poultry training college, and it is through these trainings that Moses learned how to properly run his business and deal with challenges such as biosecurity, which is the weakest link for many small-scale poultry farmers.

“We follow all the right processes of production that we have been taught, from feeding, vaccinations and even avoiding mixing the different ages of chickens so that there is no cross-termination.” He says.

Moses then sells his chick from seven weeks old up to nine weeks old to other smaller-scale producers and businesses around. He is what is called a mother-unit, meaning other farmers buy chicks from him to rear and sell to supermarkets, restaurants and even to neighbours for home consumption and social gatherings. By selling his chicks at such a young age, Moses saves on the cost of rearing the chicks to fully grown ages. “Other farmers sell at three months at the same price that I do but having spent a lot extra on the cost of feeds, heating and other essentials,” says Moses.

Moses talks to a trader who has come to purchase chicks from his farm

What Moses has been able to accomplish with his profits is clearly visible. He has built a big family house and at the back, he has constructed modern chicken houses that can house over 2,000 chicks, separated by ages. He also built extra rooms for his relatives who depend on him and help him on the farm.

“My house is built with income from my chicken business. I am no longer renting. Even though I double a bit on crop farming, much of my income comes from my chicken business. I also stay with my brother’s child and other family members who look up to me as their provider.” Says Moses.

Moses has built a modern family house with income from poultry business

A bigger business

But for Moses, this is just the beginning.

“I have big dreams for this business. I want to own a big enterprise and to start exporting chicks regionally. This is my long-term goal.”

In April 2021 GALVmed and animal health company Ceva Santé Animale launched PREVENT (PRomoting and Enabling Vaccination Efficiently, Now and Tomorrow), an initiative that will work with medium-size hatcheries in target countries to annually distribute more than 50 million vaccinated day-old-chicks to farmers such as Moses.

These chicks will be effectively protected against the major infectious poultry diseases thereby improving overall flock health and boosting small-scale producers’ financial prospects.

 Written by Beatrice Ouma, GALVmed Senior Communications Manager

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.

Hatchery vaccination to boost opportunities for poultry producers in Africa

Poultry is an important protein source and an asset for small-scale producers in Africa. However, losses due to preventable diseases continue to significantly impact farmers’ livelihoods and financial stability. Low poultry vaccination combined with inadequate information about circulating diseases and how to treat them form a constant barrier to production by small-scale producers (SSPs).

In April 2021 GALVmed and Ceva Santé Animale launched PREVENT, an initiative designed to establish an innovative and pragmatic veterinary health platform in Sub-Saharan Africa through hatchery vaccination. PREVENT will work with medium-size hatcheries in target countries to annually distribute more than 50 million vaccinated-old-chicks to SSPs. These chicks will be effectively protected against the major infectious poultry diseases thereby improving overall flock health and boosting SSPs’ financial prospects.

Apart from vaccination, there are other key elements in preventing and dealing with animal diseases, such as awareness, knowledge, adequate treatment, etc. In this understanding, the project will train and collaborate with a team of field technicians to assist and provide husbandry advice to poultry SSPs leading to best flock management practices.

PREVENT is an initiative not only focused on the clear benefits of poultry vaccination, but also set to be gender intentional. Intensification in poultry farming typically leads to erosion of the participation of women in management activities. This project will make deliberate efforts to minimise this trend in partner poultry SSPs households.

Lastly, there is a need of building knowledge on diseases that affect small-scale poultry production in scoped countries. To meet this need, an elaborate epidemiological study will be undertaken where samples will be collected at SSPs’ level for further analysis. It is believed that this knowledge will not only be valuable for the project but also inform future interventions.

In a nutshell, by implementing vaccination at the level of the hatcheries, there will be an impact all the way across the value chain that will ultimately improve the sustainability of poultry production system across the target Africa countries (Nigeria, Ivory Coast, Ghana, Tanzania, Ethiopia, Rwanda, and Mozambique). Healthy poultry equals more opportunities to small-scale producers, who will minimise their losses and develop their business to get a more financially secure future.

The PREVENT project was officially launched on April 7, 2021. PREVENT (PRomoting and Enabling Vaccination Efficiently, Now and Tomorrow) is a 4-year initiative in partnership with the animal health company CEVA.

Press release

Written by Patricia Valdeón Noya