Access to veterinary services in marginalized communities has important implications for people and animals around the world. Subsidized veterinary services are occasionally provided, however, they are seldom evaluated for their value to stakeholders and overall animal health. In 2017, we evaluated a decade-long veterinary program in four remote communities in the Sahtu Settlement Area of the Northwest Territories, Canada to understand if there were changes in dog husbandry and community perceptions of, and experiences with, dogs since an initial assessment at the beginning of the program in 2008. Using questionnaires and a dog census, we found a significant increase over time in dog health indicators, including the proportion of dogs that had received preventive veterinary care and had been sterilized. We documented significant changes in the described purpose of dogs, husbandry practices, experiences with dogs, and attitudes towards dogs and veterinary services. In 2017, respondents commonly described their dog(s) as companions and as part of their family. However, communities differed in the way dogs were housed and fed and in their attitudes towards dogs and dog-related issues. These inter-community differences are noteworthy as they impact service provision, uptake, and evaluation and must be taken into consideration in order to develop effective programs. Regular program evaluations are critical to check in with stakeholders, to ensure the program is meeting community needs, and to optimize effective use of resources.