Abstract
Free community pet clinics (FCPCs) are instrumental in providing healthcare services for pets in resource-constrained communities. These programmes are typically single-day and coupled with limited opportunity for post-operative follow-up, the likelihood of compromise on the welfare of the sterilised pets becomes apparent. The objective of this study was to identify welfare and ethical challenges associated with dog sterilisation clinics conducted in Kampala Metropolitan Area, Uganda, from May to October 2023. We evaluated the welfare of 46 dogs sterilised at the FCPCs. We collected data using a questionnaire combined with observations and checklists at all stages, including arrival, pre-surgical evaluation, post-surgical recovery, and follow-ups at 7 and 30 days post-surgery. Dogs transported to the clinics by motorcycle moved the longest distance (9.5 km; range: 7.2-11 km), followed by those brought by car (3.8 km; range 3.8-4 km) and lastly by walking (2.0 km; 1-3 km). During the pre-surgical waiting period and post-surgical recovery, 91.3 and 63.0% of dogs, respectively, did not receive any provisions. The Animal Welfare Assessment Grid (AWAG) tool evaluated the impact of physical, psychological, and procedural factors on dog welfare and revealed that procedural events had the most negative impact. In the follow-up, one week post-surgery, a significant percentage of dogs were healing normally (73.7%) while infection at the surgical site was reported in 15.4%. Assessing the behavioural change of dogs by 30 days post-operatively, 46.4% reportedly had increased aggression levels. These findings highlight crucial welfare and stress control points for dogs sterilised at free community clinics, which may influence the outcome of the surgery and later interactions with healthcare professionals.