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首页> 外文期刊>Tropical Animal Health and Production >Providing animal health services to the poor in Northern Ghana: rethinking the role of community animal health workers?
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Providing animal health services to the poor in Northern Ghana: rethinking the role of community animal health workers?

机译：向加纳北部的穷人提供动物保健服务：重新考虑社区动物保健工作者的作用？

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The Community Animal Health Workers (CAHWs) system has been promoted as an alternative solution to providing animal health services in marginal areas. Yet, access to quality animal health services still remains a fundamental problem for livestock dependent communities. This paper uses the concepts of accessibility, affordability, and transaction costs to examine the perceptions of livestock keepers about the various animal health service providers. The empirical analysis is based on a survey of 120 livestock-keeping households in the Tolon-Kumbungu and Savelugu-Nanton districts in the Northern Region of Ghana. A multinomial logit model was used to determine the factors that influence households' choice of alternative animal health service providers. The results show that the government para-vets are the most preferred type of animal health service providers while CAHWs are the least preferred. Reasons for this observation include high transaction costs and low performance resulting from limited training. In areas with few or no government para-vets, farmers have resorted to self-treatment or to selling sick animals for consumption, which has undesirable health implications. These practices also result in significant financial losses for farmers. This paper finds that the CAHWs' system is insufficient for providing quality animal health services to the rural poor in marginal areas. Therefore, market-smart alternative solutions requiring strong public sector engagement to support livestock farmers in marginal areas and setting minimum training standards for animal health service providers merit policy consideration.
机译：促进了社区动物卫生工作者（CAHW）系统，作为在边缘地区提供动物卫生服务的替代解决方案。然而，获得优质动物卫生服务仍然是依赖牲畜的社区的基本问题。本文使用可及性，可负担性和交易成本的概念来检验家畜饲养者对各种动物健康服务提供者的看法。实证分析基于对加纳北部地区Tolon-Kumbungu和Savelugu-Nanton地区的120个畜牧家庭的调查。使用多项式logit模型来确定影响家庭选择替代动物保健服务提供商的因素。结果表明，政府动物兽医是动物健康服务提供者的首选，而CAHW则是最不喜欢的。进行此观察的原因包括高昂的交易成本和有限培训导致的低绩效。在很少或根本没有政府维权人士的地区，农民求助于自我治疗或出售病畜以供食用，这对健康产生了不良影响。这些做法也给农民造成了巨大的经济损失。本文发现，CAHWs的体系不足以为边远地区的农村贫困人口提供优质的动物卫生服务。因此，市场智能的替代解决方案需要公共部门的大力参与，以支持边缘地区的畜牧业者，并为动物卫生服务提供者设定最低培训标准，这值得政策考虑。

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