Spatial evaluation of animal health care accessibility and veterinary shortage in France

Abstract The decrease in the supply of veterinary healthcare in France adversely affects health of food-producing animals. In a One Health perspective, the health of people, animals and their shared environment are interconnected, and adequate supply of veterinary healthcare is required to ensure pu...

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Main Authors: Mehdi Berrada, Youba Ndiaye, Didier Raboisson, Guillaume Lhermie
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-15600-0
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author Mehdi Berrada
Youba Ndiaye
Didier Raboisson
Guillaume Lhermie
author_facet Mehdi Berrada
Youba Ndiaye
Didier Raboisson
Guillaume Lhermie
author_sort Mehdi Berrada
collection DOAJ
description Abstract The decrease in the supply of veterinary healthcare in France adversely affects health of food-producing animals. In a One Health perspective, the health of people, animals and their shared environment are interconnected, and adequate supply of veterinary healthcare is required to ensure public health. Prevention of outbreaks and zoonotic diseases that may impact public health mobilizes a set of public policies, including strengthening veterinary workforce. These policies should be informed by quantification of animal health care accessibility, yet this has not been well characterized. The objective was to quantify the accessibility to veterinary healthcare for cattle, swine, and poultry sectors in France. A Two-Step Floating Catchment Area (2SFCA) approach was used to measure the level of accessibility to veterinary clinics. In the cattle sector, the 2SFCA score indicated relatively high accessibility in the north and south of France, but insufficient accessibility elsewhere. In the swine sector, there was high accessibility in the north east and in north of France, medium accessibility in the south west, and insufficient accessibility elsewhere. Finally, in the poultry sector, all regions had insufficient accessibility. Sensitivity analysis examining the effects of a change in spatial accessibility according to various travel time showed that the optimal threshold to compute 2SFCA score in cattle, swine and poultry sectors were respectively, 45, 60 and 60 min. According to a definition of “underserved area” derived from an official decree and the optimal thresholds to compute 2SFCA, the cattle, swine and poultry sector have on average 75.3, 89.9 and 98.3% underserved area, respectively. We provided evidence that the supply of animal health care was not sufficient and we proposed recommendations on how to assess animal health care accessibility, enabling modelling and visualization of the effects of potential public policies aimed at reducing veterinary shortages.
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spelling doaj.art-230eb5aaccb444288dc81ffdbd8b9a8a2022-12-22T03:40:29ZengNature PortfolioScientific Reports2045-23222022-07-0112111010.1038/s41598-022-15600-0Spatial evaluation of animal health care accessibility and veterinary shortage in FranceMehdi Berrada0Youba Ndiaye1Didier Raboisson2Guillaume Lhermie3CIRAD, UMR ASTRE, Montpellier, France, ASTRE, CIRAD, INRAE, Univ Montpellier, Montpellier, Université de Toulouse, ENVTCIRAD, UMR ASTRE, Montpellier, France, ASTRE, CIRAD, INRAE, Univ Montpellier, Montpellier, Université de Toulouse, ENVTCIRAD, UMR ASTRE, Montpellier, France, ASTRE, CIRAD, INRAE, Univ Montpellier, Montpellier, Université de Toulouse, ENVTCIRAD, UMR ASTRE, Montpellier, France, ASTRE, CIRAD, INRAE, Univ Montpellier, Montpellier, Université de Toulouse, ENVTAbstract The decrease in the supply of veterinary healthcare in France adversely affects health of food-producing animals. In a One Health perspective, the health of people, animals and their shared environment are interconnected, and adequate supply of veterinary healthcare is required to ensure public health. Prevention of outbreaks and zoonotic diseases that may impact public health mobilizes a set of public policies, including strengthening veterinary workforce. These policies should be informed by quantification of animal health care accessibility, yet this has not been well characterized. The objective was to quantify the accessibility to veterinary healthcare for cattle, swine, and poultry sectors in France. A Two-Step Floating Catchment Area (2SFCA) approach was used to measure the level of accessibility to veterinary clinics. In the cattle sector, the 2SFCA score indicated relatively high accessibility in the north and south of France, but insufficient accessibility elsewhere. In the swine sector, there was high accessibility in the north east and in north of France, medium accessibility in the south west, and insufficient accessibility elsewhere. Finally, in the poultry sector, all regions had insufficient accessibility. Sensitivity analysis examining the effects of a change in spatial accessibility according to various travel time showed that the optimal threshold to compute 2SFCA score in cattle, swine and poultry sectors were respectively, 45, 60 and 60 min. According to a definition of “underserved area” derived from an official decree and the optimal thresholds to compute 2SFCA, the cattle, swine and poultry sector have on average 75.3, 89.9 and 98.3% underserved area, respectively. We provided evidence that the supply of animal health care was not sufficient and we proposed recommendations on how to assess animal health care accessibility, enabling modelling and visualization of the effects of potential public policies aimed at reducing veterinary shortages.https://doi.org/10.1038/s41598-022-15600-0
spellingShingle Mehdi Berrada
Youba Ndiaye
Didier Raboisson
Guillaume Lhermie
Spatial evaluation of animal health care accessibility and veterinary shortage in France
Scientific Reports
title Spatial evaluation of animal health care accessibility and veterinary shortage in France
title_full Spatial evaluation of animal health care accessibility and veterinary shortage in France
title_fullStr Spatial evaluation of animal health care accessibility and veterinary shortage in France
title_full_unstemmed Spatial evaluation of animal health care accessibility and veterinary shortage in France
title_short Spatial evaluation of animal health care accessibility and veterinary shortage in France
title_sort spatial evaluation of animal health care accessibility and veterinary shortage in france
url https://doi.org/10.1038/s41598-022-15600-0
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AT guillaumelhermie spatialevaluationofanimalhealthcareaccessibilityandveterinaryshortageinfrance