Herd-specific mastitis control programmes are based on the continous monito
ring of primary parameters, of which the bulk milk somatic cell count and t
he distribution of pathogens responsible for clinical and subclinical masti
tis are the most important ones. When a mastitis control programme is start
ed, the herd situation should be analysed. Sampling milk from cows with cli
nical and subclinical mastitis is essential. During the last 5 years, a num
ber of programmes related to udder health and milk quality have been starte
d in the Netherlands. These programmes are: 1) 'Chain Quality Milk', 2) a h
erd-specific Mastitis Planner, 3) a sampling programme for subclinical and
clinical mastitis data. Using these four programmes, farmers, veterinary pr
actitioners, and other advisors can design a herd-specific programme to imp
rove udder health. Although there have been many studies on mastitis and im
portant progress has been made, some important aspects have often not been
studied. Suggestions for further research are made.