Paraveterinary service use in Nepal's Himalaya

The involvement of paraveterinarians in animal-health delivery can reduce costs and allow expanded service delivery. Our objectives were to describe use of public paraveterinary services offered by junior technicians (JT) in two regions of Nepal, to identify factors associated with JT service use, and to characterize factors that limit JT service use. We used a survey of livestock owners in the Khumbu and Lower Mustang regions of Nepal's Himalaya to examine JT service use. Of 118 questionnaires completed between May 30, 1997 and July 8, 1997, 81 were analyzed for use of JT services to treat livestock: bovids, equids, and small ruminants. Five factors were associated with owners' use of JT services: living <30 min walk from a JT post (OR = 12.2); having a positive opinion about JT services (OR = 23.6); animals not having disease events that either impaired mobility or affected production or reproduction (OR = 5.6), animals died related to a reported disease event (OR = 3.2), and the owners' sex (with women being more likely to report use of JT services than men; OR = 5.3).