enhancing control of hpai in developing countries through compensation: implementation experience....

Enhancing Control of HPAI in Developing Countries through Compensation: Implementation Experience. Global Animal Health Conference, October, 2007

Compensation in HPAI control:

An update on good practice

Anni Mc Leod and Patricia Mc Kenzieon behalf of a multi-disciplinary,

multi-agency teamOctober 9, 2007

Outline

• Background– The Bamako Report– Operational Plans

• Results

• Next steps– Sustainability of funding– Evidence of impact on reporting– Implications for other diseases

Background

The Bamako report

The approach

• Multi-disciplinary, multi-agency (collaboration between World Bank, FAO, OIE, and IFPRI)

• Review of rich published OECD literature, developing country grey literature

• Staff interviews, experience

• Field visits to Indonesia, Egypt and Vietnam

Outline of Report

• The context for compensation

• Who to compensate

• Types of losses to compensate

• Levels and timing of compensation

• Boosting awareness

• Organizing payment

• Transition as disease becomes endemic

After Bamako

• The policy framework had been set by the report. Countries have asked for assistance to implement it.

• Operational manuals describing the implementation of compensation schemes have been elaborated for the Palestinian Territories, for Armenia, Nigeria, Bosnia& Herzegovina, Kosovo, Albania.

Main Results

Effective Schemes

• Compensate the appropriate beneficiaries an appropriate amount

• With only a short interval between reporting, culling and payment

• Require considerable advance prep

• Require financial, institutional and human resources

• Much harder to do AFTER disease outbreaks

Preparedness is Key• Legislation that spells out the rights and

responsibilities of individuals and various State actors in animal disease control

• A broader disease control strategy in place

• Prior agreement among stakeholders on who, when, how and how much

• Resources for implementation that are immediately available for response

State of preparedness

• Over 90% of European and Central Asian countries and 52% of countries in Africa have compensation programmes. (UN system and World Bank forthcoming report).

• Far fewer have operational plans (8 countries)

• An operational plan describes the stages of the compensation scheme and identifies the responsible persons at each of the stages of the plan. Generally from 0 (pre-outbreak) to 12 (confirmation of funds cashed by farmer)

Identification of Beneficiaries

• The owners of the animals culled (other losers from the disease outbreak typically not

compensated by a disease control program)

• Complications:– Contract farmers often compensated for labor

input to flock culled– Ensuring actual decision-makers are involved

(such as farm wives in some cases)– Lack of info on smallholder flocks

Losses to Compensate (1)

• Direct losses are the ones compensated in whole or in part– Birds destroyed– Disinfection/disposal where practical

• Consequential losses on farm typically not compensated: downtime, impact of movement controls, price declines—hard to do and costly

Losses to compensate (2)

• Indirect losses off farm are by far the largest losses (3 to 4 times direct plus consequential losses)– Lost input sales, lost tourism, etc.

• Never compensated by disease control programs, as not part of incentives for compliance

• Can be insured against where risks are well-known (e.g. OECD countries?)

Losses currently included• Payment for birds culled (all countries)

• Payment for dead birds (few countries)

• Payment for feed destroyed (some countries)

• Support payment for restocking (Viet Nam)

• Consequential and indirect losses not compensated.

• Growing interest in cost-sharing schemes and insurance schemes.

Compensation Rates (1)• Based on pre-outbreak market prices as

fixed % of a periodic average market price (not production costs or budget availability)

• Big market price drops during/post outbreak but usually full recovery in a few months

• Need a regularly collected price series with procedures to adjust back to farm gate (allows flexibility if price declines persist)

Compensation Rates (2)

• Set relevant categories in advance, as simple as possible: e.g. broiler, layer, duck, native chicken

• High value special cases an issue

• Rates should be >50%, and ideally between 75% and 90% of market

• Avoid influx of healthy birds for culling from outside and selling off of diseased birds: important to control movement

Establishing rates

• The proportion of countries which compensate more than 50% has increased in all regions, except for MENA and the Americas. Reported to have increased from 60 to 65% of countries. (UN System and World Bank forthcoming report).

Establishing Awareness

• Communication should be 10-20% of total disease control budget

• Awareness of issues and options by all in chain key to success

• Requires advance preparation of messages and diffusion

• Requires chain of command for health oversight of messages combined with professional communication skills

Progress with communication

• Has been limited.....

• A round table in March 2007 identified this as an issue to be addressed by Animal Health Communication programmes

Organizing Payment (1)

• Response has been most rapid when national budgets have contingency line items of 3 to 5% of total budget.

• Forecast compensation needs in % of market value of national flock :– 1% where little trade and institutions strong– 5% most developing countries; beyond this

level strategy shifts to reduce culling– 10% upper limit, applicable if trade w/o

vaccination is a major issue

Organizing Payment (2)

• Prep includes cross-provincial arrangements and cross-ministry coord.

• Pre-existing data base of eligible parties is key to rapid response and governance

• Large scale commercial have records and bank accounts that simplify issues

• Payment in cash of smallholders within 24 hours of culling; vouchers OK if good rural post offices or other institutions

State of funding

• Donor support for compensation has increased

• But one issue often raised by countries is sustainability of compensation since it is generally externally funded (ie by the WB)

• Funding sources at national level need to be established to sustain the system

• There is an issue of efficiency. It tends to be more efficient to manage the fund from the MoA/L but this appears to clash with WB / IMF recomendations

Governance• Major concern for most governments and

their partners, can delay response

• Problem is worst where preparation in advance of an outbreak is least, as prior agreements, arrangements and stakeholder buy-in are needed

• Where outbreaks occur in an unprepared institutional environment, ex post audits substitute for ex ante institutions and procedures, but not fully

Progress with payment and governance

• Time frames for payment range from 3-4 weeks in operational manuals

• In practice, these have been improving, down to 7 days after culling e.g Turkey, Albania and Bosnia

• Some countries still have delays up to 3 weeks after culling

Next steps

Most critical needs

• Continue to assist countries to establish their operational plans

• Address the question of sustainable sources of funding – private/public sector cost sharing; insurance schemes

• Explore most efficient disbursement methods (e.g. faster transfer to MoA)

• Greater empowerment and use of social accountability mechanisms

Medium term steps

• There is a need to evaluate the effect of compensation on reporting

• The broader issue of funding of animal health systems

• There is a need to distill lessons learned from external audit reports and operational audits

Thank you

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