肯尼亚:私营服务的发展及肯尼亚兽医协会的作用
Kenya: the development of private services and the role of the Kenya Veterinary Association.
作者信息
Chema S, Gathuma J M
机构信息
Agricultural Research Foundation, P.O. Box 39198, Nairobi, Kenya.
出版信息
Rev Sci Tech. 2004 Apr;23(1):331-40; discussion 391-401. doi: 10.20506/rst.23.1.1483.
Private veterinary practice has existed in Kenya for more than half a century. Between the early 1930s and the mid-1960s, provision of clinical and advisory services almost entirely involved servicing commercial ranches and dairy farms. The Department of Veterinary Services (VSD) was mainly responsible for providing regulatory services in these areas. Until the mid-1960s, public sector veterinary responsibilities were predominantly associated with the prevention of notifiable diseases outside the commercial farming areas. In a major agrarian reform programme initiated in 1954, Kenya initiated an aggressive campaign promoting the dairy industry in the wetter areas of the country among small-scale farmers. In an effort to encourage dairy development, the VSD decided to provide some services, mainly tick control and subsidised artificial insemination. This support had a great positive impact on the 'smallholder' dairy industry. After the end of the colonial administration in 1963, most private practitioners left the country. A decision was therefore taken to transfer the responsibility of providing services of a 'private goods' nature, such as clinical services, temporarily to the public sector through the VSD. This was accompanied by significant expansion of training and the deployment of both professional veterinarians and para-professionals. By 1988, personnel costs had escalated to over 80% of the recurrent budget, leaving little for operational costs. This necessitated a policy change, which led to decreased government involvement in the delivery of animal health services. The private sector, as expected, responded appropriately to the change in policy. The Kenya Veterinary Association (KVA) launched a privatisation scheme (the Kenya Veterinary Association Privatisation Scheme) in 1994 to provide members with credit to set up private practices. The first phase of the scheme (1994-1996) was rated a success, with 100% loan repayments. The second phase of the project (from 1997) was characterised by a low number of loan applications, which increased the cost of loan administration per unit. There was some defaulting in loan repayments during this phase. While private veterinary practice took root in the high rainfall, intensive farming areas, this was not the case in the arid and semi-arid lands (ASAL), where community-based animal health workers (CAHWs) played a prominent role in providing animal health services. The lack of uniformity in the training of these workers denied them recognition by the Kenya Veterinary Board (KVB). An agreement has now been reached between the KVB, the Director of Veterinary Services and the KVA to discontinue the training of CAHWs and to retain and retrain existing workers for disease surveillance and reporting in ASAL areas. In conclusion, private veterinary practice has been successful in areas of high agricultural potential. Expansion to more marginal areas, however, would require incentives or subsidies.
肯尼亚的私人兽医业务已经存在了半个多世纪。在20世纪30年代初至60年代中期,临床和咨询服务的提供几乎完全是为商业牧场和奶牛场服务。兽医服务部(VSD)主要负责在这些领域提供监管服务。直到20世纪60年代中期,公共部门的兽医职责主要与商业养殖区以外的法定疾病预防相关。在1954年启动的一项重大土地改革计划中,肯尼亚发起了一场积极的运动,在该国较湿润地区的小规模农民中推广奶牛业。为了鼓励奶牛业发展,兽医服务部决定提供一些服务,主要是蜱虫控制和人工授精补贴。这种支持对“小农户”奶牛业产生了巨大的积极影响。1963年殖民统治结束后,大多数私人从业者离开了该国。因此,决定通过兽医服务部将提供“私人商品”性质服务(如临床服务)的责任暂时转移到公共部门。这伴随着培训的大幅扩展以及专业兽医和准专业人员的部署。到1988年,人员成本已升至经常性预算的80%以上,几乎没有资金用于运营成本。这就需要政策改变,从而导致政府在动物健康服务提供方面的参与减少。正如预期的那样,私营部门对政策变化做出了适当反应。肯尼亚兽医协会(KVA)于1994年推出了一项私有化计划(肯尼亚兽医协会私有化计划),为会员提供信贷以建立私人诊所。该计划的第一阶段(1994 - 1996年)被评为成功,贷款偿还率达100%。该项目的第二阶段(从1997年开始)的特点是贷款申请数量少,这增加了单位贷款管理成本。在此阶段出现了一些贷款拖欠情况。虽然私人兽医业务在降雨量大、集约化养殖地区扎根,但在干旱和半干旱地区(ASAL)并非如此,在这些地区,社区动物卫生工作者(CAHWs)在提供动物健康服务方面发挥了重要作用。这些工作人员培训缺乏统一性,导致肯尼亚兽医委员会(KVB)不认可他们。现在,肯尼亚兽医委员会、兽医服务主任和肯尼亚兽医协会已达成协议,停止对社区动物卫生工作者的培训,并保留和重新培训现有工作人员,以便在干旱和半干旱地区进行疾病监测和报告。总之,私人兽医业务在农业潜力高的地区取得了成功。然而,要扩展到更多边缘地区,将需要激励措施或补贴。