Abstract

BackgroundThe dominance of veterinary paraprofessionals in the animal health markets has been linked to the decline in quality of veterinary services. This study uses a role play experiment to analyze how the interaction of farmers and service providers influences the quality and the demand for clinical services for cattle. The quality of clinical services was measured by scoring the accuracy of the service provider prescribing the appropriate drug for selected cattle diseases.MethodsThe game was played in four rounds. Farmers were given “animal medical card” with the name of the disease written on it both in English and the local language in each round. Service providers were asked to write the clinical signs, and prescribe the drugs.ResultsThe results show that the ability to identify the signs of different diseases and the accuracy of prescriptions by veterinarians is not significantly different from that of paraprofessionals trained in veterinary science. However, the ability of service providers who are not trained in veterinary medicine to perform these tasks is significantly lower than that of service providers trained in veterinary science. The continued interaction between paraprofessionals and veterinarians gradually leads to an improvement in the ability of paraprofessionals trained in general agriculture and social sciences to perform these tasks. This was not the case for paraprofessionals with no formal training or education. Farmers do not easily change their beliefs about paraprofessionals, even if they receive information on their inability to diagnose diseases correctly and prescribe the correct drugs. Belief updating depends not only on the outcome of the previous round, but also on the gender of the farmer and the livestock production system.ConclusionThis paper argues that the slow pace in which farmers update their beliefs about paraprofessionals limits paraprofessionals’ willingness to learn or consult with veterinarians. However, the use of “animal health cards” (records of diagnoses and treatments) could induce paraprofessionals to provide services of better quality clinical services for cattle and enable farmers to measure the quality of these services.

Highlights

  • The dominance of veterinary paraprofessionals in the animal health markets has been linked to the decline in quality of veterinary services

  • The term “veterinarian” as used in this paper includes both the veterinarians and the government animal health assistants trained in veterinary science, who acted as veterinarians in the role play in the pastoral area

  • Community animal health workers (CAHWs) are those service providers who have received some training in animal health services, but do not hold a diploma or certificate

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Summary

Introduction

The dominance of veterinary paraprofessionals in the animal health markets has been linked to the decline in quality of veterinary services. This study uses a role play experiment to analyze how the interaction of farmers and service providers influences the quality and the demand for clinical services for cattle. The quality of clinical services was measured by scoring the accuracy of the service provider prescribing the appropriate drug for selected cattle diseases. This paper is concerned with measuring and assessing the quality of clinical veterinary services in developing countries, using Uganda as an example. The existence of veterinarians and paraprofessionals of varying skills and training can be a major problem in animal health markets [1]. Since service providers interact repeatedly with farmers, farmers’ failure to differentiate the quality of the service leads to high quality service providers being displaced or nudged off the market. As argued by Ly [3], a market for “lemon” has occurred in animal health markets in most developing countries, and the veterinary paraprofessionals have dominated the animal health market

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