Informations et ressources scientifiques
sur le développement des zones arides et semi-arides

Titre : An analysis of institutional arrangements for providing animal health services : a theoretical framework and empirical evidence from Kenya and Uganda

Eine Analyse der institutionellen Arrangements für die Bereitstellung von Gesundheitsdienstleistungen für Nutztiere : ein theoretischer Analyserahmen und empirische Untersuchungen in Kenia und Uganda

Auteur : Ilukor, John

Université de soutenance : Universität Hohenheim

Grade : Doktor der Agrarwissenschaften (Dr. sc. agr./Ph.D. in Agricultural Sciences) 2014

Résumé partiel
Providing adequate animal health services to smallholder farmers in developing countries has remained a challenge, in spite of various reform efforts during the past decades, mainly because of governance challenges. Although good governance has been recognized as an important element in addressing emerging and re-emerging animal disease threats, animal health research has paid limited attention to the governance challenges inherent in the provision of animal health services. The existing frameworks for analyzing animal health services have mainly focused on market failures to decide what the public sector, private sector, and “third sector” (the community-based sector) should do with regard to providing animal health services. This thesis uses transaction cost economics to analyze institutional arrangements for providing animal health services since it captures both market failures and governance attributes. The objective of this thesis is threefold : (1) to develop a conceptual framework for analyzing animal health services using transaction cost theory of economic organization and to provide empirical evidence on its application using data collected on clinical veterinary services in Uganda and Kenya ; (2) to identify governance challenges in the provision of animal health services and possible remedies to address them using a case study of Uganda ; (3) to examine the quality of services provided by different service providers (paraprofessionals and veterinarians) and to gain insights into paraprofessional-veterinarian relations.

This thesis is comprised of six chapters. The introductory chapter provides background information regarding the study areas in Uganda and Kenya, highlights the importance of strengthening and supporting the provision of veterinary services in developing countries, and presents the main research objectives and outline of the thesis. Chapter 2 presents a conceptual framework for analyzing institutional arrangements for providing veterinary services using Williamson’s discriminating alignment hypothesis and generates testable hypotheses regarding the cost effectiveness of various institutional arrangements. Using household survey data collected in Uganda and Kenya on clinical services, empirical tests of these hypotheses are presented. Chapter 3 examines the process of animal service delivery as well as identifies the main influential actors, important social relations, and main governance challenges encountered in the provision of clinical and preventive veterinary services in pastoral and intensive livestock productions systems in Uganda. Chapter 4 examines the determinants of referrals from veterinary paraprofessionals to professional veterinarians. The Chapter 5 examines whether veterinary paraprofessionals perform correct disease diagnosis and prescribe correct drugs for selected endemic diseases. The chapter also examines whether interaction between veterinary paraprofessionals and professional veterinarians would result in correct drug prescription and disease diagnosis. Chapter 6 concludes and offers policy recommendations and areas for further research.

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