PC
87/4 b) |
Eighty-seventh Session |
Rome, 6 to 10 May 2002 |
Evaluation of the Animal Health Component of Programme 2.1.3 |
The Importance of Cooperation with Countries on Animal Health
Scope and Methodology of the Evaluation
II. Overview of Animal Health Work
III. Implementation Achievements and Results
V. Conclusions and Recommendations
Environmental Management of Insect-borne Diseases
Integrated Parasite Control and Drug Resistance
i) The livestock sector is growing in importance more rapidly than any other agricultural sector. Livestock are particularly important in the developing world, where they contribute to the livelihood of 70 percent of the world's rural poor. Sustained livestock production depends on the maintenance of healthy animals which, in developing countries, means paying particular attention to the problems of both endemic and introduced animal diseases. FAO has been playing a well-established role in animal health work, increasingly as part of its broader objectives related to reducing poverty, ensuring food security and preserving natural resources. Since 1994, the Organization has given priority to transboundary animal diseases through the Emergency Prevention System for Transboundary Animal and Plant Pests and Diseases (EMPRES), while still continuing its work on parasitic diseases, particularly trypanosomiasis.
ii) FAO's animal health activities were evaluated for the first time in 2001. The present evaluation focuses on the animal health activities under Programme 2.1.3 (Livestock) that were ongoing between 1995 and 2001, with particular attention to country-level work carried out with Technical Cooperation Programme (TCP) funding.
iii) The Animal Health Service (AGAH) is responsible for FAO's animal health work in three areas: infectious diseases, parasitic diseases and veterinary services. During the period covered by the evaluation, some 45 percent of the Livestock Programme's total resources were used on animal health in each biennium (i.e. about US$ 23.7 million in the period 1996-2001). Between 1995 and 2000, some 90 TCP projects in animal health were approved for a total value of US$ 22.2 million, while an additional 17 non-TCP projects have been approved for a value of almost US$ 28.5 million since 1995.
iv) EMPRES has achieved important results in its four main areas of activity, particularly in the Global Rinderpest Eradication Programme (GREP):
v) The main results in other (non-EMPRES) areas included:
vii) The evaluation offers a set of recommendations with a view to encouraging that the limited resources are directed to addressing the needs in areas of FAO's comparative advantage in orienting the future animal health work:
1. This review of FAO's activities in animal health was undertaken because the orientation of those activities has been modified in recent years, significant Technical Cooperation Programme (TCP) resources have been directed towards animal health, and animal health activities have not been subject to external review. The review focuses on work that has been carried out at the country level, particularly through TCP funding, and also includes an examination of complementary Regular Programme activities under Programme 2.1.3 (Livestock), which have been implemented both at Headquarters and in the Regional Offices.
2. The choice of animal health as a topic for review in 2001 was timely in view of news stories regarding serious concerns about animal diseases in Europe. These included both emerging diseases (bovine spongiform encephalopathy [BSE]) and well-known epidemic diseases (foot-and-mouth disease [FMD]).
3. In accordance with good evaluation practice and the directives of FAO's Governing Bodies, the evaluation received considerable external input through independent experts' participation in the evaluation missions and a subsequent external peer review of the evaluation reports by an independent panel.1 The comments of the panel accompany this report (see Annex 1), along with a management response to the evaluation (Annex 2).
4. Livestock is growing in importance more rapidly than any other agricultural sector. This expansion is being driven by population and income increases that promote changing dietary habits. In the developing world, smallholders own more than 90 percent of livestock, and livestock contribute to the livelihood of 70 percent of the world's rural poor. It can be expected that higher production will lead to increases in both employment and opportunities for supplementary income earning. Livestock thus have an important and increasing role to play in poverty alleviation. Livestock are an important component of household food security throughout the developing world, where they can provide a source of both savings and off-season income. In many countries, women play a particularly significant role in the production of small ruminants, pigs and poultry.
5. It is clear that sustained livestock production is predicated on the maintenance of healthy animals through containing the livestock diseases and controlling the parasites that reduce productivity. This has been, and will remain, the major challenge that countries face. Great increases in the mobility of people and animals have caused the containment of livestock diseases to become increasingly complex, and international information exchange has become an ever-more critical component, along with countries' capacity to identify diseases quickly and act to contain situations before widespread losses occur.
6. For developing countries, the main problem is managing endemic animal diseases and responding to introduced disease incursions effectively. In many countries, until the 1980s and 1990s, this was largely or exclusively the responsibility of government services. However, tasks were often performed inadequately, frequently favouring large farmers and urban populations, and at a cost level that proved unsustainable when structural adjustment programmes were put in place. The challenge remains the same - ensuring a satisfactory level of animal health - but there is a need to find new mechanisms that rely more extensively on privatized clinical services and farmers themselves. Privatization alone has not led to an improved situation; in fact, there is evidence that the situation has deteriorated in some countries. However, it is not realistic to think that extensive government provision of clinical services remains a viable option, and the identification of effective means to carry out animal disease control remains a major task.
7. In response to the challenges faced, FAO sees improved animal health as part of its broader objectives relating to reducing poverty, ensuring food safety and veterinary public health and preserving the integrity of the natural resource base. Within FAO's Strategic Framework for 2000-2015, animal health is expected to contribute primarily to two of the major strategies: Strategy A3 - preparedness for, and effective and sustainable response to, food and agricultural emergencies (especially through addressing the threat of transboundary animal diseases); and Strategy C2 - the adoption of appropriate technology to intensify production systems sustainably and to ensure sufficient supplies of food and agricultural, fishery and forestry goods and services.
8. In addressing these challenges, FAO must take into account the roles and responsibilities of other actors in the field of animal health, at least two of which ought to be mentioned because of their international mandate and scope of operations. FAO has an important partner in the International Office of Epizootics (OIE) in Paris. A major part of OIE's mandate is to inform governmental veterinary services of the occurrence and course of epizootics that could endanger animal or human health. It is also responsible for safeguarding health in world trade. The World Trade Organization's (WTO) Agreement on the Application of Sanitary and Phytosanitary Measures (SPS Agreement) explicitly indicates the use of standards, guidelines and recommendations developed under the auspices of OIE. OIE also provides expertise in animal health through work undertaken by its specialist commissions and working groups, with support from collaborating centres and reference laboratories. The first objective assigned to OIE by the International Agreement of 25 January 1924 was to promote and coordinate research into the surveillance and control of animal diseases throughout the world. A letter of agreement that is currently being renegotiated governs the relationships between FAO and OIE. OIE has statutory responsibility for some important normative activities in animal health, but there are constructive and supportive working relationships between the two organizations, and their roles are largely complementary.
9. At the international level, the International Livestock Research Institute (ILRI), based in Nairobi, conducts significant research. ILRI works to improve the well-being of people in developing countries by enhancing the diverse and essential contributions that livestock make to smallholder farming. ILRI's livestock health programme currently focuses on the endemic vector-borne haemoparasitic diseases and thus has important links to parts of FAO's work in animal health.
10. Within the institutional architecture for international cooperation in animal health, the options for programme interventions by FAO are quite broad. The vast bulk of FAO's animal health work is implemented under the animal health component of Programme 2.1.3 (Livestock), for which the Animal Health Service (AGAH) of the Animal Production and Health Division (AGA) is responsible.2 However, a decision was taken in 1994 to give greater direction to FAO's animal health programme by focusing on transboundary animal diseases through the Emergency Prevention System for Transboundary Animal and Plant Pests and Diseases (EMPRES).3 Although wide in concept, the livestock component of EMPRES focuses on specific aspects of strengthening veterinary services at the country level, and it has four components: early warning, early reaction, enabling research, and coordination. The 1996 EMPRES Expert Consultation advised on a system for the priority rating of diseases and ways of handling them by EMPRES. Accordingly, EMPRES gives priority to transboundary animal diseases (TADs) of strategic importance, which may be subject to global or regional eradication programmes, such as rinderpest, FMD and contagious bovine pleuropneumonia (CBPP); those of tactical importance, which may cause very serious epidemics from time to time but are not at a stage at which they could be considered for global or regional eradication campaigns, such as Rift Valley fever (RVF), lumpy skin disease, peste des petits ruminants (PPR), African swine fever (ASF), and Newcastle disease; and emerging diseases, such as BSE. Efforts on the last two categories of diseases have largely been through field projects funded by TCP.
11. Within EMPRES, the main focus has been on the Global Rinderpest Eradication Programme (GREP), which has the goal of verified world-wide elimination of rinderpest by 2010. This was a wise strategic choice for several reasons: rinderpest is a deadly disease with devastating losses from an outbreak, and thus is greatly feared by farmers; the existence of an effective vaccine of life-long duration means that a concentrated, focused effort on this disease holds out the possibility of eliminating it altogether; and FAO's technical capacity and operational experience make it a good candidate to lead this effort.
12. Although FAO has made the wise strategic decision of focusing on EMPRES activities, it is also continuing its work on parasitic diseases, particularly trypanosomiasis. Vector-borne diseases have the capacity to cross borders and are of concern as a major development issue in many parts of the world, especially Africa. Much of FAO's work in this area is channelled through the Programme Against African Trypanosomiasis (PAAT), a disease that renders large areas of Africa unsuitable for livestock and that has emerged as a significant problem. FAO's work on parasites has become increasingly oriented towards problems of drug resistance, particularly to anthelmintics and acaracides.
13. This evaluation focuses on the work of AGAH. Thus, it does not specifically cover the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture's (AGE) work relating to animal health under Programme 2.1.5, although the salient aspects of that work are taken into account. Similarly, although animal health in the broad sense could include the health of fish and productive insects, they too have been excluded.4 The evaluation covers work that was ongoing between 1995 and 2001.
14. In 1998, an evaluation of the EMPRES-Livestock programme was carried out. That evaluation took place over a short period (two and a half weeks) and focused on Headquarters-based activities. In designing this present (2001) evaluation, it was felt that the main focus should be the effects and impact of FAO's animal health work at the country level. In most developing countries, the most important determinant has been the presence of projects funded under TCP. However, evaluation missions were asked to assess the overall impact of FAO's work in each country, including Regular Programme activities and, in some cases, other field projects.
15. An evaluation report of the entire EMPRES programme was prepared for the November 2001 FAO Conference purely as an information document. This evaluation draws heavily on that report.
16. Two independent external consultants and two members of the FAO Evaluation Service implemented this evaluation. The evaluation began with an information collection and analysis phase, including joint and individual meetings with concerned technical officers in AGAH, which were carried out by the Evaluation Service. This phase was supplemented by briefing sessions between AGAH technical officers and the evaluation teams before they went into the field. The visits covered 15 developing countries in Africa, the Near East and Asia,5 and examined 31 discrete TCP project interventions.6 Because of the additional time and cost that would have been incurred, and the smaller number of projects involved, Latin America was not included in the field visits.
17. In each of the 15 countries visited, consultations were held with senior officials who were responsible for animal health and with staff who were directly concerned with FAO animal health activities. Where appropriate and applicable, visits were organized for a more in-depth assessment, including interviews with field-level personnel. Additionally, consultations were held with the representatives of partner agencies that deal with animal health (e.g. the Organization of African Unity International Bureau for Animal Resources [OAU-IBAR] and OIE) and other donors (e.g. the European Union [EU]). Each TCP project was given a score by the evaluation missions in order to assess the activity's relevance and priority to national needs and the quality of project formulation and design, implementation, results and follow-up.
18. The outputs of the evaluation exercise were three regional reports (West Africa and the Near East, East and Southern Africa, and Asia), along with a summary report focusing on TCP issues, plus the information document mentioned in paragraph 15. The staff of AGAH and the Technical Cooperation Programme Unit (TCOT) were given the opportunity to comment on all reports before they were put into their final form.
19. The draft evaluation report was reviewed by the external peer panel from 17 to 19 December 2001, and the present version reflects the panel's comments.
20. The FAO work on animal health that falls under the responsibility of AGAH is divided into three distinct areas:
21. This work structure has been in place since the 1980s.7 In addition, the European Commission for the Control of Foot-and-Mouth Disease (EUFMD) and the Regional Animal Production and Health Commission for Asia and the Pacific (APHCA), both of which receive substantial funding from Member Nations, operate under the technical direction of AGA.8
22. During the period covered, the programme structure for animal health work was significantly changed on two occasions: a) during a reorganization of the Livestock Programme itself (in 1996-1999); and b) during the FAO-wide introduction of a new programming approach (for the biennium 2000-2001). As a result of change a), animal health work was regrouped in two ways: it became an element of three multidisciplinary livestock production-oriented sub-programmes addressing food security and income-generation, and one sub-programme for livestock information, policy and planning; and it became an element of one sub-programme on transboundary animal diseases, including EMPRES. This meant that, with the exception of work in the EMPRES-related sub-programme, a good part of FAO's animal health work was dispersed among various sub-programmes, and thus not readily identifiable in the main programme. The result of change b) was that the bulk of veterinary work was grouped into two technical projects: 213A6 (Monitoring and Control of Production Limiting and Zoonotic Diseases, including PAAT) and 213A7 (EMPRES-Livestock). 9 Throughout these programme changes, EMPRES remained the top priority in FAO's animal health work.
23. Within the programme priority areas, the main types of activities include:
24. Given the changes in programme structure described in paragraph 22, it is difficult to make a precise estimate of the Regular Programme resources that are devoted to animal health work. Very roughly, however, it can be said that about 45 percent of the Livestock Programme's resources were used on animal health in each biennium: the total allocations for that programme were US$ 18.8 million for 1996-1997, US$ 17.2 million for 1998-1999 and US$ 16.8 million for 2000-2001. In the context of declining resources for the programme as a whole, the share used for core work on transboundary diseases appears to have remained the same or increased slightly during the period. At the same time, resources for work on insect-borne diseases (tsetse and trypanosomiasis), parasitic diseases and drug resistance and veterinary services all tended to decline.
25. AGAH consists of 13 established professional posts. Besides the Service Chief and the Secretary of EUFMD (the latter of whom is externally funded), the Infectious Diseases Group consists of five posts (two at P5 level, two at P4 and one at P3); the Parasitic Diseases Group has four posts (two each at P5 and P4); and Veterinary Services has two posts (one each at P5 and P4). In addition, there are Animal Health Officer posts in the Regional Offices for Asia and the Pacific (P5), Latin America and the Caribbean, and Africa (both P4 - the Africa post deals mostly with trypanosomiasis). Established posts for Animal Health and Production Officers are found (all at P4 level) in the Regional Office for the Near East and the Sub-regional Office for Southern and East Africa.
26. From 1995 until 2000, 90 TCP projects in animal health were approved for a total value of US$ 22.2 million. Those that dealt with FAO's response to a disease outbreak were generally classified as emergency projects and comprised slightly more than half of the total TCP animal health portfolio. The breakdown by region, and by emergency and non-emergency projects, is as shown in Table 1.
Table 1: Numbers of animal health TCP projects approved: 1995-2000
Region |
Emergency projects |
Non-emergency projects |
Africa |
35 |
14 |
Asia and the Pacific |
4 |
10 |
Near East |
5 |
7 |
Latin America and the Caribbean |
1 |
10 |
Europe |
- |
3 |
Interregional |
1 |
- |
Total |
46 |
44 |
27. Evaluation missions reviewed about one-third of the total project portfolio, as shown in Table 2.
Table 2: Numbers of animal health TCP projects visited by evaluation missions
Region |
Emergency projects |
Non-emergency projects |
Africa |
15 |
6 |
Asia and the Pacific |
3 |
6 |
Near East |
- |
1 |
Total |
18 |
13 |
28. The large majority of field projects are EMPRES-related. All emergency projects are EMPRES-related, and some non-emergency projects are EMPRES projects. Of the 31 projects visited during the evaluation, the composition was as shown in Table 3.
Table 3: Numbers of animal health TCP projects visited by evaluation missions (from the AGAH group)
Region |
Infectious diseases/EMPRES |
Parasitic diseases |
Veterinary services |
Africa |
17 |
4 |
- |
Asia and the Pacific |
6 |
1 |
2 |
Near East |
- |
- |
1 |
Total |
23 |
5 |
3 |
29. The sample of projects visited reflects quite closely the distribution of projects approved by the AGAH group in the period 1995-2000.
Table 4: Distribution of AGAH group TCP projects: total projects approved and projects visited by missions
Infectious diseases/EMPRES |
Parasitic diseases |
Veterinary services | |
Approved TCP projects, 1995-2000 (%) |
71 |
19 |
10 |
TCP projects visited by evaluation missions
|
74 |
16 |
10 |
30. AGAH has technical responsibility for only a few non-TCP projects, reflecting a general decline in the FAO Field Programme as a whole. In the period since 1995, 17 non-TCP projects have been approved, for a total value of almost US$ 28.5 million. Of this amount, US$ 21.66 million were dedicated to four activities:
_____________________________
1 The members of this independent panel were: Dr. Philippe Vialatte, Principal Administrator, European Commission, DG Development B/4; Dr Jim Pearson, Director, Scientific and Technical Department, International Office of Epizootics (OIE); Dr Subhash Morzaria, Head, Animal Health Programme, International Livestock Research Institute (ILRI); Dr Raja Rafaqat Hussain, Animal Husbandry Commissioner, Ministry of Food, Agriculture and Livestock, Pakistan; Dr Stuart Hargreaves, Director of Veterinary Services, Ministry of Lands, Agriculture and Rural Resettlement, Zimbabwe; and Dr. Tony Forman, independent consultant and participant in missions to East and Southern Africa and Asia.
2 The application of nuclear techniques to livestock diseases is handled by the Joint FAO/International Atomic Energy Agency (IAEA) Division of Nuclear Techniques in Food and Agriculture (AGE) under Programme 2.1.5 (Agricultural Applications of Isotopes and Biotechnology).
3 The EMPRES programme comprises two components: one for livestock (implemented mainly by AGAH), and one for plant pests (implemented by the Plant Protection Service [AGPP]).
4 With regard to productive insects, a TCP thematic evaluation on apiculture and sericulture was conducted in 1998 and its results subsequently reported to the Programme Committee.
5 Afghanistan, Benin, Egypt, Ghana, Kenya, the Lao People's Democratic Republic, Mali, Pakistan, South Africa, the United Republic of Tanzania, Thailand, Togo, Uganda, Viet Nam and Zimbabwe. Iraq was also included on the original list, but technical reasons made it impossible to carry out that mission.
6 Eight projects in West Africa and the Near East; 14 in East and Southern Africa; and nine in Asia.
7 However, when EMPRES was created, work on parasites was separated from work on infectious diseases and grouped together with work on insect-borne diseases.
8 APHCA receives technical direction from both AGAH and the Animal Production Service (AGAP).
9 For the 2002-2003 biennium, animal health work is grouped into three main technical projects: 213A7 (EMPRES-Livestock), 213A9 (Environmental Management of Insect-borne Diseases) and 213A6 (Veterinary Public Health Management and Food and Feed Safety), although it also comprises an element in several other entities.