An estimated 40 million donkeys worldwide provide essential transportation and agricultural labour in low-income countries, often under severe welfare conditions with limited veterinary access.
Working donkeys occupy a critical place in subsistence economies while experiencing welfare conditions that are often severe. The challenges are systemic: inadequate veterinary access, traditional harness and loading practices that cause predictable injuries, owner financial constraints that prevent treatment, and cultural attitudes that view working animals as tools rather than patients. The most effective interventions combine direct veterinary care with community education, affordable harness design improvements, and veterinary training for community animal health workers.