Participatory methods were used to assess the impact of a community-based animal health worker (CAHW) project in two remote pastoralist districts of Ethiopia. The CAHW project had been operating for 3 years at the time of the assessment. Participatory methods were standardized and repeated with 10 groups of informants in the project area. The assessment showed significant reductions in disease impact for diseases handled by CAHWs compared with diseases not handled by CAHWs. In camels, there was significant reduction (p < 0.001) in the impact of mange, trypanosomosis, helminthosis, anthrax and non-specific respiratory disease. In cattle there was a signficant reduction (p < 0.001) in the impact of blackleg, anthrax and helminthosis. In sheep and goats there was a sign reduction (p < 0.001) in the impact of mange, helminthosis, contagious caprine pleuropneumonia, orf and non-specific diarrhoea. In order of importance, these reductions in disease impact were attributed to (1) increased use of modern veterinary services provided by CAHWs, (2) vaccination campaigns involving CAHWs, (3) good rainfall and availability of grazing and (4) decreased herd mobility. Decreased herd mobility was also associated with negative impact of tick infestation. Community-based animal health workers were considered to be highly accessible, available, affordable and trustworthy relative to other service providers. They were also perceived to be suppliers of a good quality service. Specific types of positive impact attributed to CAHW activities were increases in milk, meat, income and draught power.

Under a national Livestock Policy Forum in Ethiopia the impact of livestock vaccination during drought was assessed in order to inform the development of a best-practice guideline. For each of the different types of vaccine used during drought years there was no significant difference in livestock mortality, for any species, in vaccinated compared with non-vaccinated herds. The limited impact of vaccination on livestock mortality was attributed to weaknesses in the design and implementation of vaccination programmes, including use of inappropriate vaccines, low vaccination coverage, problems with vaccine dosing, incorrect timing of vaccination and problems with vaccine storage. If these weaknesses could be overcome vaccination could be a useful means to protect livestock assets, with considerable benefit-cost ratios. Vaccination should be conducted as a standard preventive measure during normal years, and programme design should be informed by participatory epidemiological studies.

This study was conducted in November, 2015 in selected Woredas of Amhara region with the aim of assessing the impact of veterinary cost recovery on efficiency of public private livestock services and to share the experience of the region with other regional states. Structured questionnaire and a field survey with focus group discussion were applied on a total of 475 randomly selected households. Animal health service in the Amhara region is clearly dominated by the public sector. Private-sector involvement was prominent only in the veterinary drug sales and treatment services. Seventy five percent of livestock owners responded that they received veterinary services from their residence within 1km radius. The results indicated that only 18% of respondents were satisfied by clinical examination provided by public sector. There was wide disparity in the effectiveness of delivery of animal health services between public and private sectors in the study Woredas. Majority of farmers were not been satisfied with the services provided by private sector. The supply of drugs is increasing especially after implementation of veterinary cost recovery scheme but with the limited ranges. Most respondents had positive views regarding availability of veterinary drugs (62.2%) and vaccines (78.1%). Many livestock owners believed that illegal veterinary drug sales have decreased after implementation of veterinary cost recovery scheme (VCRS). The fact that payment for veterinary services has already been adopted by livestock owners in the study Woredas could be considered as a good opportunity to start a full cost recovery scheme as well as pave the way for initiating veterinary privatization in some pilot Woredas.