This study was carried out to assess the impact of animal healthcare services on poor donkey owners in Ethiopia. The services provided by the Donkey Sanctuary were used as a case study. A questionnaire survey was designed and carried out in the areas around Debre Zeit in the Highlands of Ethiopia. The staff carried out a survey at 10 sites. Six of these were in Donkey Sanctuary project areas and four were in control areas. The results showed that in project areas donkeys were significantly healthier and more productive than in non-project areas. Donkey owners in project sites felt better off for having access to animal healthcare services; donkey owners in non-project sites were less confident about their incomes and the health of their animals.