Access to veterinary care is a fundamental determinant of livestock welfare globally, yet in low- and middle-income countries (LMICs) veterinary-to-animal ratios are often 1:100,000 or higher, leaving most livestock without professional care. Disease burdens including Foot and Mouth Disease, Newcastle Disease, and parasitic infections cause chronic welfare harm in the absence of treatment. Community Animal Health Worker (CAHW) programmes training para-professionals to deliver basic preventive care and triage have demonstrated welfare benefits in sub-Saharan Africa and South Asia. One Health frameworks recognise that livestock welfare, food security, and human health are inseparable in pastoral and smallholder communities. Mobile veterinary clinics, telemedicine platforms, and drone delivery of vaccines are emerging innovations extending veterinary reach. International organisations including FAO, OIE (WOAH), and VSF (Veterinaires Sans Frontieres) support veterinary capacity building. Research demonstrates that improving livestock welfare in LMICs through better veterinary access simultaneously improves livelihoods, food security, and community resilience.