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Development of a participatory tool for the evaluation of village animal health workers in Cambodia

Calba C., Ponsich A., Nam S., Collineau L., Min S., Thonnat J., Goutard F.. 2014. Acta Tropica, 134 : p. 17-28.

In countries with a lack of primary care systems, health workers are of crucial importance to improving thedelivery of health and animal health services at community level. But somehow they are rarely evaluatedand usually with a top-down approach. This is the case in Cambodia, where thousands of Village AnimalHealth Workers (VAHWs) have been trained by the government, and where no standardized evaluationtool is available to accurately assess the situation.Based on methodology developed by the French NGO Agronomes et Vétérinaires Sans Frontières (AVSF) inMadagascar for farmers' association evaluation, we developed our own participatory methods to collectinformation about the VAHW context and build a criteria grid for their evaluation. In this framework,several participatory approaches were used such as problem trees, semi-structured interviews, pair-wise ranking and focus groups. The grid was built with the help of relevant stakeholders involved inthe animal health system in Cambodia in order to (i) identify VAHW functions; (ii) set up criteria andassociated questionnaires, and (iii) score the grid with all the stakeholders. The tool was divided into fivecategories of evaluation criteria: sustainability, treatment, production, vaccination and disease reporting.Our approach looked at local indicators of success developed and used by VAHWs themselves, whichshould lead to better acceptability of evaluation. This method gave priority to dialog aiming to engagedecision makers and other stakeholders in a mutual learning process and could be applied in othercountries to develop trust between health workers and official service representatives as well as to fostercorrective action after evaluation. (Résumé d'auteur)

Mots-clés : cambodge

Thématique : Sciences et hygiène vétérinaires : considérations générales; Autres thèmes

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