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Rural Veterinary Service Delivery in East 
Africa: Challenges and Prospects 
Samuel A. Adediran 
10th African Dairy Conference and Exhibition. 
KICC, Nairobi, Kenya. 
Sept 23rd – 26, 2014
Outlines 
Slide 2 
β€’ GALVmed – background 
β€’ Livestock in poverty alleviation 
β€’ Veterinary service delivery 
β€’ Galvmed facilitates Public Private Partnership
GALVmed - Who we are 
β€’ Animal health Product development & adoption Partnership organisation 
β€’ A not-for-profit Public-Private Partnership – registered charity 
β€’ Sponsored by the UK Department for International Development (DFID) and 
The Bill & Melinda Gates Foundation (BMGF) and with projects funded by 
BMGF, DFID and EC. 
β€’ Pro-poor focus: working with key partners to make a sustainable difference 
in access to animal health products for poor livestock keepers 
GALVmed Purpose 
Protecting Livestock, Improving Human Life 
Mission 
To make a sustainable and impactful 
difference to the livelihoods of resource-poor 
farmers in developing countries by 
providing animal health tools within a 
sustainable economic framework 
Slide 3
GALVmed - What we do 
We support 
development and 
encourage adoption 
of animal health 
solutions by persons 
for whom livestock is 
a LIFELINE. We do 
this by intervention in 
all necessary links 
of the livestock 
value Slide 4 
chain.
β€’ 60-70% of world rural poor depend on Livestock (FAO, 2010) 
β€’ Livelihood of ~1 Billion in Africa & Asia – 60% women 
β€’ Agriculture provides ~30% GDP & Livestock 10 - 40% of it. 
β€’ Livestock offers avenue for poverty alleviation 
Slide 5 
Livestock in Poverty Alleviation 
Background 
Livestock: Key factor in 
the poverty alleviation 
equation. 
Animal Diseases is the greatest threat to the livelihood 
of ~ One billion persons in developing countries
ECF Vaccine: Enablement & Education 
Mr Jeremiah Mebolokini (right). 
β€œThe sale of my father’s cattle, thanks to the ECF vaccine, 
enabled me to go to English medium school. Now I am 
studying at university, this is due to the benefits of the vaccine.” 
Courtesy Stuart Brown Galvmed 
Slide 6
Dairy Gender empowerment & Nutrition 
Slide 7 
β€’ Women small holder Dairy Farmers earned 7 times more income 
compared with those local breeds. 
β€’ Consumed 22% more milk and 30% more calories per day 
β€’ Can afford 36% higher food expenditures, leading to the intake of a 
more nutritious diet.
Slide 8 
1200.0 
1000.0 
800.0 
600.0 
400.0 
200.0 
0.0 
Livestock in Poverty Alleviation 
Livestock and human population growth (Africa 1961-2009) 
1961 1971 1981 1991 2001 
N 
u 
m 
b 
e 
r 
( 
m) 
Years 
Livestock pop 
Human Pop 
β€’ Global population increases by ~90 million people annually. 
β€’ Food production have to increase by 50% to feed about 2 billion more 
- next 35 years
Opportunities in the animal health sector in 
Demand-driven opportunities - Animal protein intake 
Slide 9 
East Africa 
β€’ Extraordinarily projected increases in demand for animal-sourced 
food. 
By 2050 
β€’ meat market projected at 34.8million tons 
β€’ milk ~82.6 million tonnes 
(145% - 155% respectively over 2005/07 levels). 
β€’ Kenya - highest per capital (pc) milk consumer, 
β€’ Uganda is the highest (pc) pork consumer in Africa 
Good - Huge demand = favourable business opportunities 
Bad - Africa is anticipated to increasingly become a net importer 
of animal-sourced foods – Why? 
β€’ Production has not kept pace with demand
Rural Veterinary service delivery 
Challenges 
β€’ Demand or supply? Availability – personnel or service 
β€’ Weak business training of veterinarians? 
β€’ Lack of Business Start-up Capital? 
β€’ Availability of cold chain & diagnostic kits 
β€’ Quicker return on investment in consumer vs. livestock 
Slide 10 
health products 
β€’ Unfavourable Policy environment? 
β€’ Unfair competition - Globalisation, Donor orgs, 
Government. Etc 
β€’ Poor planning and poorly organised sector. 
β€’ Food for fuel, Global economic recession, Livestock’s long 
shadows
Slide 11 
Which Veterinary services can be privatised? 
Private Private with public 
support for facilities 
Industry Levies & Public 
Clinical interventions & 
Treatments 
Vaccine production Public good extension 
Endemic diseases Diagnostic Services Public good research 
Sales of drugs and 
vaccines 
Veterinary Clinic Control of Epidemics 
Some Extension & 
research 
Dips Zoonotic disease control 
Food-borne disease 
control 
Drug quality control 
οƒΌ Governments role is setting, monitoring and enforcing standards for service 
delivery and making info available to the public – regulation 
οƒΌ Provision of Toll good services e.g. vaccine production, diagnostic labs, vet 
clinics, dip tanks etc can be managed by private organisations e.g. Vet. 
Societies
Opportunities in the animal health sector in 
Technical opportunities 
β€’ Scarcity in the midst of plenty – Commercially biased AH 
industry 
β€’ What is the production philosophy of animal health products 
service providers? 
β€’ Huge knowledge gaps means Info Tech can play huge roles - 
iCow, Mpesa, etc. 
Slide 12 
East Africa
Opportunities in the animal health sector in 
Institutional/Funding support 
β€’ Donor organisations like BMGF,FAO, UNDP, IFAD 
giving tremendous financial support to livestock. 
β€’ Huge number of livestock value chain partners in 
East Africa (TechnoServe, EADD, Heifer Int, USAID, 
etc). 
Slide 13 
East Africa 
Opportunities in Policy: 
β€’ Economic pressure - Global economic recession, 
Competing needs for resource allocation, Climate change 
β€’ East Africa Economic block offers great scope for regional 
trade and policy harmonisation (Vaccine registration) 
β€’ What does national governments want to do to promote 
livestock?
Slide 14 
PPP Pathways for improved RVS? 
1. Service Structure Innovation (SSI) 
2. Enabling Environment Innovation (EEI) 
1. Service Structure Innovation (SSI) 
οƒ˜ Manpower – Number, Diversity (para-vets), business skills. 
οƒ˜ Financial incentives to public-employed or new vets e.g. EU credit 
scheme in Kenya. 
οƒ˜ Public cost recovery measures – e.g. UK 
οƒ˜ Contracting out e.g. Morocco 
οƒ˜ Private operated public toll goods – Dip Tanks, Diagnostic Labs etc 
οƒ˜ Role for Regional organisations-ECOWAS, SADC, AUPANVAC etc 
οƒ˜ OIE supported National Laboratories Twinning Projects
Slide 15 
Enabling and facilitating PPP environment 
2. Enabling Environment Innovation (EEI) 
ο‚· Innovative, privatised? Policy landscape (Training) 
ο‚· Support to Cooperatives - legislation, regulation & training (e.g. EADD 
Kenya). 
ο‚· Empowered Collective Action Organisations (CAO) e.g. Veterinary 
assoc. farmers (dairy) Cooperatives/pastoral assoc., Kenya, FMD 
eradication - Bolivia , vet clubs new-Zealand, India & Indonesia 
ο‚· Improved Market Access for livestock producers & service providers 
ο‚· Access to Micro-finance and Livestock Insurance schemes e.g. Kilimo 
Salama 
ο‚· Provide Agri-Business Service (ABS) support – successful donor 
funded models in urban areas.
Slide 16 
Take Home message 
1. Service Structure Innovation (SSI) 
2. Enabling Environment Innovation (EEI) 
Pluralistic system where government at local 
and regional levels, ECOWAS, SADC, EAEC, 
AU-IBAR, AU-PANVAC, OIE etc, NGO’s, for-profit 
companies, veterinary and farmers’ 
organizations all play a role in service provision. 
οƒ˜ Clear Role Definition – Dialogue at PPP FORUM 
οƒ˜ Proactive response from the private sector and Collective Action 
Organisations
Small Scale Livestock: What must change 
Alternative production pathways – Pros & Cons 
β€’ Increase number of Livestock 
β€’ Increase production per animal 
Slide 17 
β€’ Greater commitment to Livestock – MDG goals. 
β€’ Application of adapted science & technology. 
β€’ Engage youths in livestock production 
β€’ Invest in Human Capital 
β€’ Stop talking, start working 
β€’ Learn from global lessons 
β€’ Make hay …. While donor support lasts! 
β€’ Eschew bitter politics
Investment in Animal Health as bedrock for Livestock 
Slide 18 
Conclusions 
Development. 
When animals can survive through full vaccination against 
preventable diseases such as ECF, RVF, CBPP, PPR, ND etc 
and treated for other common illnesses, the future gets a lot 
more predictable. 
… Livestock farmers start making decisions based on the 
reasonable expectation that their animals will live, they can 
keep fewer more productive animals, invest in nutrition and 
take more proactive steps to improve production, thus 
improved livelihood and food secure human society.
Slide 19 
Rural Veterinary Service Delivery in East Africa: 
Challenges and Prospects 
Thank You
GALVmed Facilitates Public-Private-Partnership for 
improved rural veterinary service delivery 
Slide 20 
Private sector services can be more cost 
effective and efficient. 
β€’ Cost of tsetse fly control was ~35% 
lower using private compared to public 
VSD: Zimbabwe & Botswana 2000 
β€’ Vaccination in Morocco cost ~40% less 
with >27% coverage 
β€’ Drug availability and use significantly 
increased in countries that have 
privatised the drug importation e.g. 
Cameroon, CARep, Cote D’Ivoire, 
Ghana, Mali etc.
Veterinary Product Value Chain : Lessons from Case Studies 
Retailer in 
rural areas 
Manufacturer 
Distributor 
Traditional 
manufacturers 
Re sellers 
at market 
Vaccinators 
Farmers 
Traditional 
NGO 
Free service 
Subsidized service 
Fully paid service
Pilot project 
Business support 
Model 
Development 
Model 
Implementation ADOPTION 
Availability + access + demand οƒ  Adoption 
β€’ Priming market 
β€’ Private sector 
β€’ pilot projects 
PPP with GALVmed Products : Kenya, Tanzania and Uganda 
1. ECF vaccine Distribution – GALVmed – 
Sidai Africa partnership -Kenya 
2. ND vaccine marketing - Tanzania 
3. ECF product registration challenges – 
Uganda.
Slide 23 
Veterinary Product Value Chain : Lessons from Case Studies 
1. Challenges exists at all levels of the chain 
2. Roles of the different stakeholders are not clear in practice. 
3. Challenges in Traditional market channels - unfair competition 
4. Unusual factors distort the markets 
5. Lack of capital hinders private practice set up 
6. Agri-business service support to bridge Low business skills gaps 
7. Assure sustainability

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Rural Veterinary Service Delivery in East Africa: Challenges and Prospects-Samuel A. Adediran

  • 1. Rural Veterinary Service Delivery in East Africa: Challenges and Prospects Samuel A. Adediran 10th African Dairy Conference and Exhibition. KICC, Nairobi, Kenya. Sept 23rd – 26, 2014
  • 2. Outlines Slide 2 β€’ GALVmed – background β€’ Livestock in poverty alleviation β€’ Veterinary service delivery β€’ Galvmed facilitates Public Private Partnership
  • 3. GALVmed - Who we are β€’ Animal health Product development & adoption Partnership organisation β€’ A not-for-profit Public-Private Partnership – registered charity β€’ Sponsored by the UK Department for International Development (DFID) and The Bill & Melinda Gates Foundation (BMGF) and with projects funded by BMGF, DFID and EC. β€’ Pro-poor focus: working with key partners to make a sustainable difference in access to animal health products for poor livestock keepers GALVmed Purpose Protecting Livestock, Improving Human Life Mission To make a sustainable and impactful difference to the livelihoods of resource-poor farmers in developing countries by providing animal health tools within a sustainable economic framework Slide 3
  • 4. GALVmed - What we do We support development and encourage adoption of animal health solutions by persons for whom livestock is a LIFELINE. We do this by intervention in all necessary links of the livestock value Slide 4 chain.
  • 5. β€’ 60-70% of world rural poor depend on Livestock (FAO, 2010) β€’ Livelihood of ~1 Billion in Africa & Asia – 60% women β€’ Agriculture provides ~30% GDP & Livestock 10 - 40% of it. β€’ Livestock offers avenue for poverty alleviation Slide 5 Livestock in Poverty Alleviation Background Livestock: Key factor in the poverty alleviation equation. Animal Diseases is the greatest threat to the livelihood of ~ One billion persons in developing countries
  • 6. ECF Vaccine: Enablement & Education Mr Jeremiah Mebolokini (right). β€œThe sale of my father’s cattle, thanks to the ECF vaccine, enabled me to go to English medium school. Now I am studying at university, this is due to the benefits of the vaccine.” Courtesy Stuart Brown Galvmed Slide 6
  • 7. Dairy Gender empowerment & Nutrition Slide 7 β€’ Women small holder Dairy Farmers earned 7 times more income compared with those local breeds. β€’ Consumed 22% more milk and 30% more calories per day β€’ Can afford 36% higher food expenditures, leading to the intake of a more nutritious diet.
  • 8. Slide 8 1200.0 1000.0 800.0 600.0 400.0 200.0 0.0 Livestock in Poverty Alleviation Livestock and human population growth (Africa 1961-2009) 1961 1971 1981 1991 2001 N u m b e r ( m) Years Livestock pop Human Pop β€’ Global population increases by ~90 million people annually. β€’ Food production have to increase by 50% to feed about 2 billion more - next 35 years
  • 9. Opportunities in the animal health sector in Demand-driven opportunities - Animal protein intake Slide 9 East Africa β€’ Extraordinarily projected increases in demand for animal-sourced food. By 2050 β€’ meat market projected at 34.8million tons β€’ milk ~82.6 million tonnes (145% - 155% respectively over 2005/07 levels). β€’ Kenya - highest per capital (pc) milk consumer, β€’ Uganda is the highest (pc) pork consumer in Africa Good - Huge demand = favourable business opportunities Bad - Africa is anticipated to increasingly become a net importer of animal-sourced foods – Why? β€’ Production has not kept pace with demand
  • 10. Rural Veterinary service delivery Challenges β€’ Demand or supply? Availability – personnel or service β€’ Weak business training of veterinarians? β€’ Lack of Business Start-up Capital? β€’ Availability of cold chain & diagnostic kits β€’ Quicker return on investment in consumer vs. livestock Slide 10 health products β€’ Unfavourable Policy environment? β€’ Unfair competition - Globalisation, Donor orgs, Government. Etc β€’ Poor planning and poorly organised sector. β€’ Food for fuel, Global economic recession, Livestock’s long shadows
  • 11. Slide 11 Which Veterinary services can be privatised? Private Private with public support for facilities Industry Levies & Public Clinical interventions & Treatments Vaccine production Public good extension Endemic diseases Diagnostic Services Public good research Sales of drugs and vaccines Veterinary Clinic Control of Epidemics Some Extension & research Dips Zoonotic disease control Food-borne disease control Drug quality control οƒΌ Governments role is setting, monitoring and enforcing standards for service delivery and making info available to the public – regulation οƒΌ Provision of Toll good services e.g. vaccine production, diagnostic labs, vet clinics, dip tanks etc can be managed by private organisations e.g. Vet. Societies
  • 12. Opportunities in the animal health sector in Technical opportunities β€’ Scarcity in the midst of plenty – Commercially biased AH industry β€’ What is the production philosophy of animal health products service providers? β€’ Huge knowledge gaps means Info Tech can play huge roles - iCow, Mpesa, etc. Slide 12 East Africa
  • 13. Opportunities in the animal health sector in Institutional/Funding support β€’ Donor organisations like BMGF,FAO, UNDP, IFAD giving tremendous financial support to livestock. β€’ Huge number of livestock value chain partners in East Africa (TechnoServe, EADD, Heifer Int, USAID, etc). Slide 13 East Africa Opportunities in Policy: β€’ Economic pressure - Global economic recession, Competing needs for resource allocation, Climate change β€’ East Africa Economic block offers great scope for regional trade and policy harmonisation (Vaccine registration) β€’ What does national governments want to do to promote livestock?
  • 14. Slide 14 PPP Pathways for improved RVS? 1. Service Structure Innovation (SSI) 2. Enabling Environment Innovation (EEI) 1. Service Structure Innovation (SSI) οƒ˜ Manpower – Number, Diversity (para-vets), business skills. οƒ˜ Financial incentives to public-employed or new vets e.g. EU credit scheme in Kenya. οƒ˜ Public cost recovery measures – e.g. UK οƒ˜ Contracting out e.g. Morocco οƒ˜ Private operated public toll goods – Dip Tanks, Diagnostic Labs etc οƒ˜ Role for Regional organisations-ECOWAS, SADC, AUPANVAC etc οƒ˜ OIE supported National Laboratories Twinning Projects
  • 15. Slide 15 Enabling and facilitating PPP environment 2. Enabling Environment Innovation (EEI) ο‚· Innovative, privatised? Policy landscape (Training) ο‚· Support to Cooperatives - legislation, regulation & training (e.g. EADD Kenya). ο‚· Empowered Collective Action Organisations (CAO) e.g. Veterinary assoc. farmers (dairy) Cooperatives/pastoral assoc., Kenya, FMD eradication - Bolivia , vet clubs new-Zealand, India & Indonesia ο‚· Improved Market Access for livestock producers & service providers ο‚· Access to Micro-finance and Livestock Insurance schemes e.g. Kilimo Salama ο‚· Provide Agri-Business Service (ABS) support – successful donor funded models in urban areas.
  • 16. Slide 16 Take Home message 1. Service Structure Innovation (SSI) 2. Enabling Environment Innovation (EEI) Pluralistic system where government at local and regional levels, ECOWAS, SADC, EAEC, AU-IBAR, AU-PANVAC, OIE etc, NGO’s, for-profit companies, veterinary and farmers’ organizations all play a role in service provision. οƒ˜ Clear Role Definition – Dialogue at PPP FORUM οƒ˜ Proactive response from the private sector and Collective Action Organisations
  • 17. Small Scale Livestock: What must change Alternative production pathways – Pros & Cons β€’ Increase number of Livestock β€’ Increase production per animal Slide 17 β€’ Greater commitment to Livestock – MDG goals. β€’ Application of adapted science & technology. β€’ Engage youths in livestock production β€’ Invest in Human Capital β€’ Stop talking, start working β€’ Learn from global lessons β€’ Make hay …. While donor support lasts! β€’ Eschew bitter politics
  • 18. Investment in Animal Health as bedrock for Livestock Slide 18 Conclusions Development. When animals can survive through full vaccination against preventable diseases such as ECF, RVF, CBPP, PPR, ND etc and treated for other common illnesses, the future gets a lot more predictable. … Livestock farmers start making decisions based on the reasonable expectation that their animals will live, they can keep fewer more productive animals, invest in nutrition and take more proactive steps to improve production, thus improved livelihood and food secure human society.
  • 19. Slide 19 Rural Veterinary Service Delivery in East Africa: Challenges and Prospects Thank You
  • 20. GALVmed Facilitates Public-Private-Partnership for improved rural veterinary service delivery Slide 20 Private sector services can be more cost effective and efficient. β€’ Cost of tsetse fly control was ~35% lower using private compared to public VSD: Zimbabwe & Botswana 2000 β€’ Vaccination in Morocco cost ~40% less with >27% coverage β€’ Drug availability and use significantly increased in countries that have privatised the drug importation e.g. Cameroon, CARep, Cote D’Ivoire, Ghana, Mali etc.
  • 21. Veterinary Product Value Chain : Lessons from Case Studies Retailer in rural areas Manufacturer Distributor Traditional manufacturers Re sellers at market Vaccinators Farmers Traditional NGO Free service Subsidized service Fully paid service
  • 22. Pilot project Business support Model Development Model Implementation ADOPTION Availability + access + demand οƒ  Adoption β€’ Priming market β€’ Private sector β€’ pilot projects PPP with GALVmed Products : Kenya, Tanzania and Uganda 1. ECF vaccine Distribution – GALVmed – Sidai Africa partnership -Kenya 2. ND vaccine marketing - Tanzania 3. ECF product registration challenges – Uganda.
  • 23. Slide 23 Veterinary Product Value Chain : Lessons from Case Studies 1. Challenges exists at all levels of the chain 2. Roles of the different stakeholders are not clear in practice. 3. Challenges in Traditional market channels - unfair competition 4. Unusual factors distort the markets 5. Lack of capital hinders private practice set up 6. Agri-business service support to bridge Low business skills gaps 7. Assure sustainability

Editor's Notes

  1. β€œAt the macro level, agriculture is an important means of broad based income generation: a 1% gain in GDP originating in agriculture generates a 6% increase in overall expenditure of the poorest 10% of the population compared to zero in non-agricultural sectors. Livestock is an integral part of agriculture. It contributes 40% of the global value of agricultural output and supports the livelihoods and food security of almost a billion people.” β€œLivestock keeping is particularly relevant for marginalised groups such as women. Two-thirds of the world’s poor livestock keepers are women.” Globalisation – Market access, Trade regulations Domestic producer protection in EU, America & Japan, Subsidy creates Market distortion and dumping of cheap imports on developing countries Obtain farmers views – perpectives The purpose of the paper is to explore Livestock in the context of -Rural Development -Poverty Alleviation -Food Security Poverty – What is it? – Initially considered absolute measured in terms of Income Threshold - <1.25D/day. Deprivation of access - Poverty and social exclusion (PSE) from ordinary patterns, customs and activities of society. – Peter Townsend. Consensual – uses public opinion to determine minimum acceptable standards for lack of resources not by choice. The β€˜minimum budget standards’ approach tackles this question by identifying a basket of essential goods and costing those goods so as to set a minimum budget necessary to live without poverty Capabailities, rights and wellbeing. The β€˜developing world’ is poorer than we often realize (β€˜paved road bias’). β€’ Heterogeneity prevails – one size will not fit all (e.g. emerging β€˜middle class’ in EA&P). β€’ The poor predominantly live in rural areas and food and agriculture are central to their livelihoods.
  2. The existing ECF vaccine – while technically cumbersome and relatively pricey is stopping cattle dying and helping to pay for basic human healthcare and school books. The vaccine’s enabling the education of people like Jeremiah here who has gone on to study business administration at University on the proceeds of cattle protected by the vaccine. An ECF Consortium, led by the International Livestock Research Institute ILRI is leading work on developing a new vaccine. Meanwhile GALVmed and ILRI have been supporting technology transfer of the existing vaccine to the Centre for Ticks and Tick-borne Diseases in Malawi (CTTBD).
  3. The existing ECF vaccine – while technically cumbersome and relatively pricey is stopping cattle dying and helping to pay for basic human healthcare and school books. The vaccine’s enabling the education of people like Jeremiah here who has gone on to study business administration at University on the proceeds of cattle protected by the vaccine. An ECF Consortium, led by the International Livestock Research Institute ILRI is leading work on developing a new vaccine. Meanwhile GALVmed and ILRI have been supporting technology transfer of the existing vaccine to the Centre for Ticks and Tick-borne Diseases in Malawi (CTTBD).