Veterinary herd health management (VHHM) programmes have been shown to be economically effective in the past. However, no current information is available on costs and benefits of these programmes. This study compared economics and farm performance between participants and non-participants in VHHM programmes in 1013 dairy farms with over 40 cows. Milk Production Registration (MPR) data and a questionnaire concerning VHHM were used. Based on the level of participation in VHHM (as indicated in the questionnaire), costs of the programmes were calculated using a normative model. The economic value of the production effects was similarly calculated using normative modelling based on MPR data. Participants in VHHM had a better performance with regard to production, but not with regard to reproduction. Over 90 per cent of the VHHM participants were visited at least once every six weeks and most participants discussed at least three topics. In most farms, the veterinarian did the pregnancy checks as part of the VHHM programmes. There was a benefit to cost ratio of about five per cow per year for VHHM participants, and a mean difference in net returns of €30 per cow per year after adjusting for the cost of the programme. This portrays that participation in a VHHM programme is cost-efficient. There is, however, much unexplained variation in the net returns, possibly due to diverse approaches by veterinarians towards VHHM or by other factors not included in this analysis, like nutritional quality or management abilities of the farmer.
IntroductionVeterinary herd health management (VHHM) programmes are meant to support herd health and farmers' income (Brand and Guard 1996). They were introduced in the Netherlands in the 1970s (Sol and Renkema 1984) and at present many veterinarians provide them to farmers. VHHM comprises a basic structure of goal setting, planning, execution and evaluation. Farms are visited every four to six weeks, where the veterinarian inspects the animals, evaluates gathered data and provides advice (Brand and Guard 1996). Ideally, VHHM combines animal health, food safety, animal welfare and public health with farm management and economics Wentink 2001, LeBlanc and others 2006). VHHM programmes are used not only in the Netherlands, but on a wider scale, for instance in the UK (Wassell and Esslemont 1992) and Denmark (Kristensen and Enevoldsen 2008).The farmers in Europe have to produce under strict, often expensive and laborious, regulations while competing with commercial farmers outside the EU who are not subjected to the same rules (Cannas de Silva and others 2006). As dairy farmers strive for further efficiency in production, driven by market economics, the risks and consequences of poor health and suboptimal production increase (Sibley 2006). VHHM programmes are meant to help farmers to produce products of high quality for a low cost price (Brand and Guard 1996). Its primary objectives include the optimisation of herd health, productivity, quality of products and profitability of the dairy enterp...