( JAF-FAC \

tI

I

,'Ud.

7

\

African Programme for Onchocerciasis Control (APOC) Programme Africain de lutte contre L'onchocercose (APOC)

Provisional Aeenda item 9

EqGdea

CONSIDERATION OF NATIONAL ONCHOCERCIASIS CONTROL ^PLANS AND PROJECTS PRO- POSALS (CDTI, VECTOR ELIMINATION AND HEADQUATERS SUPPORT) APPROVED BY THE

CSA IN 2OOO

Projects submitted by the NOTFs ofl JOINTACTION FORUM

Office of the Chairman JOINTACTION FORUM Sixth session

Yaounde I l-13 December 2000

Cameroon

Central African Republic Chad

Congo Brazzaville Ethiopia

Equatorial Guinea

JAF-FAC

(

FORUM D'ACTION COMMUNE Bureau du Prdsident

JAF 6.7

Original: English August 2000

Malawi Nigeria Sudan Tanzznia Uganda

NeE.b

qrda

Etioti6

mcqgp

i

Table

A :

^Approved projects by the CSA as at December 2000

Persons to be treater Cost / pers

YEAR I YEAR 5 YEAR I YEAR I

Malawi Dec 96/Apr 99 IEF lot 066 94't 99 0,96

Uganda Dec-96 SSI, GRBP 139 4'13 I53 2t0 63 555 l.l7

wra Vector El. Dec-96 28 186

Mpamba-Nkusi Focus Vect. El. Dec-96

Aor-9'l _. GRBP.GTZ 296 008 344 824 I 56 000 o s1

Mbarara Apr-98 371 888 431 2t1 241 880 0,65

Aus-98 SSI, GRBP 565 89 | 632 875 148 I 0,26

Nigeria Apr-97 184 625

Apr-97 SSI 327 789 219 75t 0.67

Taraba Apr-9'1 5t8000 822 000 298 272 0.58

Cross River Apr-97 UNICEF 300 000 654 870 ¹ I,12

Apr-97 ;I 406 890 I 08t 590 0,,

Adamawa seDt-97 I 721 202 81t 720 251 231 015

Bomo sept-97 HKI 775 545 250 I95 0.34

Federa Capital Temtory sept-97 201 56 280 704 238 500 I,18

Plateau Nassarawa sept-97 GRBP 679 lll 770 300 0,53

Osun spc97 U}ICEF 226 160 623 326 ]39 000 t,:

Apr-98 GRBP I 7t8 283 I t2t ₂₀₁ l 280 379 0.75

,ano Apr-98 230 000 400 000 253 980 l.l0

Imo. Aba Apr-98 GRBP 946 221 I 063 067 405 968

Yobe Apr-98 I 89 000 lt5 ¹³ 930 1,4:

Zamfara Apr-98 t t2 984 I 28 000 59 892 1,42

Edo, Delta Au,r-98 }P r 000 00( I t34'177 589313 0.59

yo Aus-98 474 48C I 24 554 I 0.41

gawa Aug-98 39 696 r 35 480 90 500 2.,

Benue March-99 4t1 220 I 0,60

March-99 89 987 l0l 600 l,2l

Kwara March-99 SSI 364 057 _{103 495} 0,28

Bauchi Julv-99 581 978 I 0.38

Ekiri Julv-99 359 6r4 969 740 195 740 0.54

Gornbe July-99 IJNICEF 319 750 ^'727 552 t'?5 206 0 55

uly-99 356 942 638 460 327 830 0.92

July-99 IJNICEF 357 700 I 421 734 23't 3: 0.66

gun _State

'4arch-00 250 000 't4t _{148 t'79 299 0,'12}

Sudan NOTF/HQ Apr-9'l 2t6 195

Southem Sector Aor-97 t{NI 2 14 100 17 I 600 599 865 2,80

Northem Sector Apr97 ]RBP I 00 000 7t5 000 30 I 403 t.0 t

Tanz:nia ro Apr-97 238 I 5l

'pr-97 IMA 267 004 295 873 I 56 392 0.59

sep{-97 l12 3(

Ruvrrma Apr-98 SS 326 934 373 116 0,77

Tanga July-99 HKI 75 000 I I 92 016 2,56

Tukuyu Focus CDTI July-99 30 544 32 190 79 8t8 2,61

Cameroon NOTF/HQ sept-97 292 119

sepl-97 92 555 7t ?92 I 88 942 2.04

North Province sepr-97 I 72 000 I 72 000 34t 281 1.9

est I scpt.97 SSI 305 000 8 371 1.26

sept-97 t39 08t 334 310 124 941 0,90

entre. sepl-97 HKI 37 093 274 23 481 399 r 3,03

II July-99 ₁₅₀ 224

7tu

2Jt

Westem Province June-00 P 7 t6 869 716 869 419 874 0.67

SSI r0t 256 113077

Chad Chad scpl-97 PC, AFRICARE 731 272 889 250 688 000 0.94

CAR _sept-97 CBM 151 920 I 000 000 I'^,2 000 0,26

EQ.Cuinea Apr-98 U, I iarcelone l.'l 000 85 000 68 24) 2,07

Apr-98 190 4'14

D.R.Congo o Aug-98 t47 74t

Kasai Aug-98 CBM 253 000 I 5 874 0,17

Gabon Gabon Aus-98 oP( I 08 000 r l7 500 I,27

Liberia Lofa, Bong, Nimba July-99 SSI 247 500 990 000 I 85 830 0,75

Ethiopia March-00 t: 4 329

Kafa-Shekka CDTI March-00 239 436 4',18 812 8-17 398 3.50

Congo Brz Congo CDTI June-00 OPC 448 7?9 628 t87 I 80 844 0,40

r 8 486 285 l5 429 988 t6 17 s ^'164 0,8

ii

Fie.A : Distribution

of the approved projects per country as at December 2000

CDTI: 26 projects

lSena Chad

CDTI: I

CAR

CDTI: I CDTI: 2

CDTI: ^I Liberia

CDTI: I

CDTI: 8

HQ: I CDTI: 4

Cuinea CDTI: I

Vecttr: I

Tanzania CDTI:4 Vector: I HQ: I

lI ^---

CDTI: ^I Congo Gabon

.f,DTI":

I

Malawi CDTI: I CDTI: I

HQ: I DISTRIBI'TION OF APPROVED PROJECTS BY COUNTRY

Page I

A. INTRODUCTION

From

1996

to

¹⁹⁹⁹

^the

^Committee

of

Sponsoring Agencies

(CSA)

approved

57

proposals recommended by the Technical Consultative Committee (TCC). These approvals were ratified by the

Joint

Action

Forum (JAF)

at its

second session

in

December 1996

(4

projects),

third

session in December 1997 (25 projects), fourth session

in

December 1998 (16 projects) and

fifth

session in December 1999 (12 projects).

For 2000, the CSA, on the behalf of the Joint Action Forum has approved 6 new projects ^proposals recommended by the TCC at its various sessions.

Table

A

and Fig

A

on the ^page

i

and

ii

of the current document show the total number

of

^projects

proposals (63) approved by the CSA as

of

today.

The approval

of

the six projects proposals by the

CSA

in 2000 is herewith submitted to the Joint Action Forum for ratification.

Furthermore, after a technical and financial review of the first, second, and third ^year progress of forty nine (49) APOC-funded projects, the CSA upon recommendation

of

TCC during its ninth and tenth sessions has approved

in

March and June 2000 the second, third and fourth year funding

of

^these

projects. This approval is also submitted herewith to the JAF for ratification.

JAF6.7 Page 2

B. NEW PROJECTS PROPOSALS

I. ^CAMEROON

1.1 General Rapid Epidemiological Mapping of Onchocerciasis (REMO)

of

Cameroon ^(see

Figl. &

Fig.2 below) Fig.

l:

REMO results of Cameroon

REMO resulls in Cameroon R&ultrts REMO ru Cemeroun

Nodules (%)

o0 o ^r-9 o ^r0-r9 o ^20-19 (l 40-t00

r---l

KM

0 100 200

Fig.2: Community-Directed Treatment with Ivermectin (CDTI) areas

ⁱⁿ

Cameroon

CDTI .nrr & Dirlrkk orch{ bt rppmr.d Pmidr A.cr TIDC rl Dklfrlr orrnr t.r h ^{ptuJ. rr .pptuN.r}

":::"1,::'*

r "*,

^,"*.-.

ffi **--***"

ffi rlrndsqncrceqDvcni

KM

0 100

(tsud

Page 3

1.2

Haute Sanaga and Belabo CDTI Project

The current proposal is the first submission to APOC funding.

1.2.1.

Backgroundinformation Table

l:

^General information

Administrative

Unit

Total 2 provinces (Centre

&

East) Target Part

ofeach

^province

Population

Total

⁽¹⁹⁹⁹⁾

l0l

526 persons

Target (year 5)

ll3

077 persons

Communities Total

Target (year 5) 261

Health

facilities

in the project area 23 Health areas

Dry

season July-August

&

January-March

Persons treated in the 4 past years 122 601 persons treated

Partner

Sight

Savers Intemational (SSI)

The

proposed project,

a

partnership between

the Ministry of

Health

(MOH)

and Sight Savers International (SSI), comprises two health districts (Haute Sanaga and Bertoua) with 23 health areas

distributed in the Provinces of Centre and East. The 23 target health areas has an estimated population

of l0l

526 people (1999) living on a land square of approximately

l2l

500 km2

.

The project seeks to establish CDTI in 261 communities of the Province of Centre and East and aims to treat l13 077 by the

fifth

year

of

the project. The project is

a

reorientation

of

an existing ivermectin (Mectizan@ ₎ distribution programme initiated

in

1996 by Sight First and SSI and which treated a cumulative total

of

122 601persons between 1996 and 1999. Fig

I &2

above indicate the detailed REMO results forthe Provinces concerned. The refinement ^process of the REMO and CDTI map of Cameroon is on going.

1.2.2

Surnmary budget

Table

2

below summarizes the five year budget as submitted by the NOTF

of

Cameroon and Fig.3 shows the trend of the cost per person to be treated between 2001 and 2005.

Table

2:

Five year summary budget of Haute Sanaga / Belabo CDTI Project

YEAR

Persons to be

treated (A)

Total US $ (B)

CosUpers

I ^aeOc

^{lCosupers APOC}

(c)=B/A lcost us $ (D)luS

$

(E)= D/A

1 t0r 256 180 493

1.781

^{e7 e43l 0.97}

2 r 04 09c 76'.tU

0.731

^{44 so71 0.43}

3 r 07 003 74 474

o.7d

^{26 elal o.25}

4 I 09 998 71 499 o

6sl ^u

^{4s1l 0.13}

5 t t3 07') 75 511

o.6i

^{12:nd 0.11}

TOTAL tt3 ^{071 478 081}

4.2d

^{1s61s1l 't.73}

Page 4

Fig.3:

Trend of the cost (US _{$) per} person to be treated from 2001 and 2005

)

2.00

,l.80

1,60

't,40

1,20

1,00

0.E0

0.60

0,40

0,20

0,00

2001 2002 2003

lmplemnt tion ye.r

20M 2005

1.3

Western Province

CDTI

project 1.4

This project proposal is the first submission to APOC funding.

I .3.

I

Background information

Table

3:

General information

Administrative

Unit

Total ? administrative divisions

Target 8 administrative divisions (7 are named) Population

Total

(year ?)

I

428 550 inhabitants

Target (year 5)

I

^{I 19} 869 persons to be treated

Communities Total 2156 communities

Target (year 5) 2006 communities Health facilities in target areas of the

provinces

216

health facilities in the 8 target admini strative divisions

Dry

season July-September

&

May-June

Persons treated in the 4 ^past years

I

053 I

l0

persons treated

Partner Global 2000 River Blindness Program

(GRBP)

The project proposal is a consolidation

of

on-going onchocerciasis control activities ^as

well

as the

introduction

of APOC

strategy

of

community-directed treatment

with

ivermectin^

(CDTI) in

⁸

administrative divisions of the Western Province of Cameroon. Ivermectin (Mectizan@; distribution assisted

by

Lions

Club

International Foundation

(LIF)

and Global 2000 River Blindness ^Program (GRBP) has been taking place since 1996. From ¹⁹⁹⁶ to 1999 a cumulative

totalof I

^{053 I}

l0

^persons

is treated. In this project proposal, a partnership ^between the MOH

of

Cameroon and GRBP, ^mass treatment with ivermectin

will

be provided to a total population

of I ll9

869 persons by the fifth year of APOC funding. Fig 4 betow shows the detailed REMO results for Western Province of Cameroon.

1,74

TOTAL

,/

0,67 0,56

'11

NGDO &

APOC

Page 5

Fig.4:

Detailed REMO results of Western Province of Cameroon

adamaoua

! ^rv.*cura'

e8t Jl.-

1.3.2 Summary budget

Table

4

below summarizes the five year budget as submitted by the NOTF

of

Cameroon and Fig.5 shows the trend ofthe cost per person to be treated from 2001 and 2005.

Table

4:

^Five year summary budget of Western Province CDTI project as submitted by the NOTF of Cameroon (US $)

YEAR

Persons to be

treated (A)

Total US $ (B)

CosUpers (C)=B/A

APOC Cost US $

I cosupeo APoc torlus

s

(E)= D/A

1 7t6 869 797 668 1.11 47s 874 0.67

2 7 t6 869 562 384 0.78

2$54i

^0.35

3 716 869 568 443 0.79 240 6671 0.34

4 7 t6 869 548 292 0.76 198 23, 0.28

5 7 t6 869

il7

²³⁵ 0.76 13e 5421 0.19

rOTAL 716 869 3 024 022 4.22 1 311 86, 1.83

JAF6.7 Page 6

Fig.5:

Trend of the cost per person to be treated from 2001 to 2005

1,20

1,m

0.s

0,m

0,40

0,20

0,00

l.i--apm ^I +MoBNGrc L-

-.*'

2m1 2@2 2003 2W 2m5

2.

^CONGO

BRAZZAYILLE

2.1

Rapid Epidemiological Mapping of Onchocerciais (REMO) of Congo ^(see Fig.6

&

7 below)

Fig.6:

Rapid epidemiological mapping of onchocerciasis in Congo (REMO, Skin snip, ^and depigmentation data)

[

^,,-,--,-,-

f

"*.*-,---'-r-

Nodrn:s l ! )

o0 o l-9

o lGl, o 20-19

e {0,t@

. ,.1,)

6,

r-=]

Klo

o$t@ I]lslftbutror) de l onchoccrcosc au Conqo:

.,,,,1,r,,..t(t \ trr \tI t(,..t,.... t. t..,t..,,,t orb^a*f-,.r<e

TOTAL

,/

0.ra

o,sz

o,19 MOti E

m

PageT

Fig.7:

CDTI areas in Congo (nation-wide REMO on going since June 2000)

\'

^o

o

kM

r *""*--*"

r

*...*"-",.'.,

!::'"

--

os1@ Zoma aL T|OC au Congo

2.2.

National Plan of Congo

The National Plan of Congo is the result of a comprehensive contribution of the NOTF partners which are Ministry of Health (MOH), l'Organisation pour la Prdvention de la C6cit6 (OPC). The first CDTI project proposal submitted to TCC for consideration is the result of a collaborative effort between the MOH and the NGDO partner, OPC, to control onchocerciasis known as a public health problem in the country since

l9l9

(Ouzilleau

& al., l92l).

Between 1993 and 1995, Global 2000 River Blindness Program funded surveys (skin snip

&

depigmentation) to determine the distribution of the disease in the country.

ln

1996, Rapid epidemiological mapping of onchocerciasis was funded (WHO/TDR) in the southern Congo. The data collected through these surveys enable the NOTF of Congo to draft in 1996 a National Plan which could not be submitted to TCC for consideration

in

1997 because of civil

unrests.

2.3.

Congo CDTI Project Proposal 2.3.

I

Backeround Information

Table 5: General information

Administrative divisions Total

l0

regions

Target 4 regions

Population Country total population 2 778 000 people

Target (year 5) 628 187

Communities Total

Target (year 5) 593 communities

Dry

season June - September

Persons treated in the 5 past years 233 074 persons treated

Partner OPC

Page 8

The project proposal, a partnership between the Ministry of Health (MOH) and "l'Organisation pour la Pr6vention de la C6cit6" (OPC) ^seeks to establish CDTI in 593 communities

of

the provinces of Pool (9 rural districts targeted), Bouenza (8 districts), Niari ⁽³ districts) and Kouilou (1 district) ^{and aims} to treat 628 187 people (77 919 persons living

in

128 hyper endemic communities and 550 268 in meso endemic communities)

by the fifth

year. The project proposal

is a

reorientation

of

an existing ivermectin distribution programme initiated

in

1992 by River Blindness Program (RBF) and which has treated a cumulative total of 233 074 persons from 1992 to 1997 . Fig.6

&

7 above indicate the detailed onchocerciasis mapping results

for

the project concerned (Southern Congo).

A

nation-wide rapid epidmiological mapping of onchocerciasis is going on since June 2000 and

will

enable the NOTF

of

Congo to update the current REMO map of the country.

2.3.2.

^{Summary budget}

Table

6

below summarizes the

five

year budget as submitted

by

the NOTF

of

Congo and Fig.7 indicates the trend ofthe cost per person to be treated from 2001 and to 2005.

Table 6: Five year summary budget of Congo CDTI project proposal as submitted by the NOTF of Congo (US $)

YEAR

Persons to be

treated (A)

Total US $ (B)

CosUpers

(C)=B/A

I ^aeoc

lCost US $ (D)

CosUpers APOC US

$

^{(E)= D/A}

,| 448 779 241 436

0.541

^{180 844 0.40}

2 621 t96 176 146

0.281

^{131 4os o.21}

3 62818'7 150 103

o.z4

^{1oo 251 0.16}

4 62818'7 85 651

0.141

^{41 508 0.07}

5 62818'1 82 845

0.131

^{38 702 0.06}

TOTAL 628 t81 736 181 1.171 492710 0.78

Fig.8 Trend ofthe cost per person to be treated from 2001 to 2005

I 0@

o !3

MOH &NGOO

88e

2@2 @3

2@l &5

Page 9

3.

ETHTOPIA

3.1.

General Rapid Epidemiological Mapping of Onchocerciasis @EMO)

of

Ethiopia ^(see

Fig.9 &

¹⁰ below)

Fig.9:

REMO results of Ethiopia (completion of REMO on going)

S.

Layers

M rles

- ^Rim oo

o I-9

o lo-t9

o 20-19

o 40-tm

Fig. l0: ^CDTI

^areas in Ethiopia

L6g6nd

H: u-*

l*-

ililes

tGErA ,tu fr uro

JAF6.7 Page

l0

3.2.

National PIan and National Secretariat Support

The total population of the country is estimated to 61,672,000 persons (1999) with 85.3% live in rural

areas.

The National Plan submitted to TCC for consideration is the result of a comprehensive contribution

of

the NOTF partners, which are the

Ministry of

Health and GRBP 2000,

to

control onchocerciasis known as a public health problem in the country since 1939.

Rapid Epidemiological

Mapping of

Onchocerciasis

still

remains

to

be completed

in

two regions:

Humera and Tigray. Nontheless the available REMO results revealed three main foci and the projected data show that 3,100,000 persons are eligible for ivermectin ^mass treatment.

The National Plan seeks

to

establish

in

three phases between 2000 and 2002 Community-directed treatment with ivermectin (CDTI) in all hyper and meso endemic areas.

A

national secretariat

will

^be

set up (124,329 US $) to coordinate the implementation of CDTI activities in the country.

3.3.

Kafa-Shekka CDTI Project This proposal is the first submission to APOC for funding.

3.3.

I

Background information Table

7:

^General information

Administrative unit Total 8 woreda

Target 8 woreda

Total population of Kaffa-Shekka Total (2000) 816 019 persons Target (year 5) 478 872 persons

Communities Total

Target (year 5) 148

Health facilities Total

Coverage ^(oZ)

Dry season From October

To March

Persons treated in past 5 years

Partner GRBP

Kaffa-Shekka, located in the south western part of Ethiopia is divided

in

8 woreda (districts) with a total population of 816,019 persons (in 2000).

The project proposal, a partnership between the Ministry of Health and GRBP,

will

introduce for the first time ivermectin in the country ^{and seeks} to cover by the

fifth

year 478 872 persons living in 85 hyper endemic and 63 meso endemic communities of 8 woreda.

Page

l1

Fig. I 0: Rapid Epidemiological Mapping of Onchocerciasis of Kaffa-Sh eka Zone

ER&KE

EM

3.3.2. Summary budget

Table 8 summarizes the five year budget as submitted by the NOTF/EIhiopia and

Fig.l2

indicates the trend ofthe cost per person to be treated from 2000 to2004.

Table

8:

Five year summary budget

of

Kaffa-Sekka CDTI project as submitted by the NOTF of Ethiopia (US $)

YEAR

Total US $ (B)

CosUpers (c)=Bta

APOC Cost US $

(D)

CosUpers APOC US

$

^{(e1= P1a}

1 239 436 1 150 765 4.81 3.50

2 366 033 844 416 2.31 1.60

3 478 872 742 300 1.55 502 439 1.05

4 478 872 640 184 1.34 418 699 0.87

5 478 872 384 892 0.80 0.44

TOTAL 478 872 3 762 557 7.86 2 554 063 5.33

KELEM

GAMBELA

t&

I r;rzouor>,crxn*.

li'17)NMol) Cl)ll ltt.h

Persons to be ll

treated

(A)

ll

837 3e8l 586 1781

20e 34el jrJ:"

t +l.i,,i

."r,i':.1 "

;

JAF6.7 Page 12

Fig.l2:

^trend of the cost per person to be treated from 2000 to 2004

. r"lL

r:fi:.sS.rr! lor. (-t) I I lhFcr

4. NIGERIA

Rapid Epidemiological Mapping of Onchocerciasis (REMO)

of

Nigeria ^(see Fig. 13

&

14 below)

Fig.l3:

^{REMO results} of Nigeria (refinement on ^process)

o o o

0 0-9 t0-t9

20-39 40- lu)

r----=]

KM

0 100 200

4.1.

Page 13

Fig.

l4:

CDTI ^areas (refinement on going) in Nigeria

Projccts areas, Nlgerla

I ^D.t.h. cDtr-r(

c0rrt.ol.ct l:,

^rdbondda.rt!a.a

m."^,..,....

f xo.,r,

4.2.

Ogun State

CDTI

Project

This project proposal is the second submission to APOC for funding.

4.2.1.

Background information Table

9:

^General information

Administrative unit Total 20 LGA

Target 7 LGA

Total population Total (1998) 2 895 353 ^persons

Target (year 5) 741 148

Communities Total

Target (year 5) 451

Health facilities Total

Coverage ^(%o)

Dry season From November

To March

Persons treated in past 5 years (1995 to 1999) 14157

Partner I FESH/Un iversity vi llage Association

Ogun State is located in Southern part of Nigeria.

It

is bordered on the East by Ondo State, West by the Republic

of

Benin (OCP country with a cross border epidemiological issue with the State). The State is made up by 20 Local Governement Areas (LGA) with an estimated population of 2,895,353 persons in 1998.

The project seeks to coverT41 148 persons in 451 communities (45 hyperendemic communities and 406 Meso endemic communities. The rapid epidemiological mapping

of

onchocerciasis results and CDTI ^areas of the State are shown on the figures l3 and l4 above.

bi,"Q

r---

0 100 200

JAF6.7 Page 14

4.2.2.

^{Summary budget}

Table

l0

summarizes the five year budget as submitted by the NOTFA.,ligeria and

Fig.l5

indicates the trend ofthe cost per person to be treated from 2000 to 2004.

Table

l0:

Five year summary budget

of

Ogun State CDTI project as presented by the NOTFNigeria (US $)

YEAR

Persons to be treated (A)

Total US $ (B)

CosUpers (C)=B/a

APOC Cost US $

(D)

CosUpers APOC US

$

^(E)=

Pla

1 250 000 273 984 1.10 0.72

2 488 232 0.33 80 002 0.16

3 688232 163 005 0.24 0.1'1

4 723 074 138 035 0.19 53 230 0.07

5 741 148 0.'t9 48 442 0.07

TOTAL 741 148 874 960 1.18 439 014 0.59

Fig.l5:

Trend of the cost per person to be treated _, Ogun, State, Nigeria (2000-2004)

I t0

oru' Srt. CD'rl hoj.ct. Nia.'i.

0 t9 NGID& Moil

17e 2eel

|

^{15e e74l}

78 041l,

13e e62l

.{r

Page 15

C. REVIEW OF

PROGRESS

REPORTS (TECHNICAL AND FINANCIAL) AND BUDGETS FOR SUBSEQUENT YEARS FUNDING

After a technical and financial review of first, second and third year progress reports and proposals for subsequent years funding of forty nine (49) APOC-funded Projects, the CSA upon recommendation

of

the TCC during its 9th and l0th sessions, has approved

in

2000, the second,

third

and fourth year funding of the projects shown on table I I - I

8.

Fig.l6 below shows the number of projects reviewed by TCC in 2000.

Fig. l6: Number of projects reviewed by TCC during its 9tr'

&

lOth sessions of 2000

:

l

20

15

10

5

o

ENumber L

\?.!2 ^tundiq

23

Year 3 tunding ,9

Yoar 4 tunding

"4,

I

6 7

JAF6.7 Page 16

Table I

l: Cameroon:

summary

of

technical reports of CDTI projects and subsequent year's budgets submitted

Adamaoua Centre 3 Littoral II North Province South West I

Year under review 2 2 2 2 2

Report from Nov-99 Nov-99 Oct-99 Nov-99

Repoft to Apr-00 Apr-00 Mar-00

Months reported 6 6 6

A Total Communities 362 445 440 528 829

Total population 139 978 196 644 122 453 220 892 710 050

Persons/community (B/A) 387 442 218 418 857

Communities:

C - selected CDDS 362 445 440 400 829

D - Collected drug 400

E - Choose method of distribution 362 400

F - decide month of treatment 362

G - with trained CDDs 362 445 395 400 829

H - pay CDDs (kind/cash) 362 400

Training

I -TOT trained 6 43 60 5 166

J - DistricVLGA staff trained 40 5 22 l6 36

K - Health stafftrained 24 38 38 32

L - CDDs trained 436 875 558 734 ^t 59l

M - Trained CDDs/community (L/A) I 2 I I 2

Treatment

N Objective t80 000 251 000 216 782 172 000 374 816

o

^Persons treated

4l

339 107 778

P Communities treated 203 160

Performance % (O/N) x 100 19.01 62.66

Therapeutic coverage % (O/B)x 100 33.76 48.79

Geographical coverage % (P/A)x ^I 00 46.14 30.30

Subsequent year's request J J J ., J

a

^{lnitial budget submitted US $ 83 375 197 216 43 570 150 676 96 491}

R Current budget submitted US $ t02 747 t72 288 ts6 293 I l0 665 S Initial number of persons to be treated 268 000 258 999 292 062 t72 000 385 685 T Persons to be treated current proposal 218 9t9 ²²⁹ 872 368 883

CosUperson US $ (T/R) 0.41 0.68 0.30

NGDO partner IEF HKI BASED GRBP SSI

B

Table l2:

Page 17

CAR,

Chad, Liberia, Malawi, Equatorial

Guinea:

summary

of

^{technical reports}

of CDTI projects and subsequent year's budgets submitted

CAR Chad Liberia Malawi Equatorial Guinea

Year under review 2 2 I J I

Report from Nov-99 Jan-99 Apr-99 Dec-98

Report to Apr-00 Apr-00 Mar-00 Dec-99

Months reported 6 t6 t2 t3

A Total Communities 4584 3900 625 65

B Total population 716 425 373 288 65 000

Persons/community (B/A) 184 597 r 000

Communities:

C - selected CDDS 369s 0 50 460 l5

- Collected drug 337 ¹ 2309 0 416 4

E - Choose method of distribution _{3410 0 77 460 4}

F - decide month of treatment 3308 0 77 4

c

^{- with} trained CDDs 3702 2309 _{17 460 4}

H - pay CDDs (kind/cash) I 055 2309 ¹¹

Training

I -TOT trained 848 l5 30

ll

^I

J - DistricVLGA staff trained t24t l5 t0 l5

K - Health staff trained I 117 t48 4 t49 I

L - CDDs trained I 389 2574 t20 66s 8

M - Trained CDDs/communify (L/A) 0 I I 0

Treatment

N Objective _{800 000 764 000 398 324 33 000}

o

^Persons treated 586 998 276 083 8721

P Communities _treated 2309 _{472 4}

Performance%(ON)x 100 76.83 69.31 26.43

Therapeutic coverage % (O/B)x 100 81.93 73.96 13.42

Geographical coverage % (P/A)x I 00 59.21 7 5.52 6.15

Subsequent year's request 3 J 2 4 2

a

^{Initial budget submitted US $} 157 000 351 000 52 8s6

|t

²⁵² l4 608 R Current budget submitted _{US $} t93 760 400 6l ^I

r0l

376 289 70t

5t ll6

S Initial number of persons to be treated 900 000 837 000 556 875 760 903 85 000

T Persons to be treated current proposal I ⁰⁰⁰ 000 889 200 500 000 760 903

Cost/person US $ (T/R) 0.19 0.4s 0.20 0.38

NGDO partner CBM

OPC

&

Africare

SSI IEF University

Barcelona D

JAF6.7 Page

l8

Table l3: Tanzania, Sudan,

Gabon:

summary

of technical

reports

of

CDTI projects and subsequent year's budgets submitted

Mahenge Ruvuma Southern Sudan Northern Sudan Gabon

Year under review J 2 2 2 I

Report from Dec-99 Nov-99 July-99 Aug-98 Sep-99

Report to May-00 May-00 Dec-99 Dec-99 Dec-99

Months reported 6 7 6 t7 4

A Total Communities 9l 135 283

B Totalpopulation 341 988 247 000 506 7 t6 r68 s00

Persons/community (B/A) 37 58 r 830 1791

Communities

C - selected CDDS 9l 135 219

D - Collected drug 9l 135 219

E - Choose method of distribution 9l r35 212

F - decide month of treatment 0 135 75

G - with trained CDDs 9t 135 219

H - pay CDDs (kind/cash) 23 t35 75

Training

I -TOT trained 62 63 64

J - District/LGA staff trained 68 363 259

K ^- Health staff trained

lt8

258

L - CDDs trained 559 893 s66 172

M - Trained CDDs/community (L/A) 6 7 J

Treatment

N Objective 281 068 338 049 256 000 510 000 108 000

o

^Persons treated r79 ¹⁵⁰ 146 7 19 242 7 14 254 086 35r9

P Communities treated 9t r35 547 2t9 l3

Performance%(ON)x 100 63. r 43.40 94.81 49.82 3.26

Therapeutic coverage % (O/B)x 100 52.38 59.40 65.32 50. l4 2.09 Geographical coverage % (P/A)x 100 r00.00 r00.00 77.39

Subsequent year's request 4 J J 3

a

^{Initial budget submitted US $ 28 972 69 484 477 540 7t 820}

R Current budget submitted US $ 28 341 75 624 108 150

S Initial number of persons to be treated 288 376 349 543 303 100 540 000

T Persons to be treated current proposal 288 376 349 543 707 000

Cost/person US $ (T/R) 0. r0 0.22 0.t5

NGDO partner IMA SSI HNI CRBP OPC

Table l4:

Page 19

Uganda: summary

of

_technicar reports

of GDTI

projects and subsequent year's budgets submitted

Phase I Phase II _Phase III Phase IV

Year _under review _{J J}

I I

Report from lan-99 _{Jan-99 Jan-99}

Jan-99

Report to _Dec-99

Dec-99 Dec-99 _Dec-99

Months _{reported 12}

t2 t2 t2

A Total Communities ₃₇₃

980 t278 ₆₅₇

B Total population 223 643 445 407 433 2t7 _{592 226}

Persons/commun iry (B/A) _{600 454}

339 ₉₀₁

Communities

C - _selected CDDS _{372 980}

1278 657

D - Collected drug _{372 980}

1278 657

E - Choose method of distribution ₃₇₂

F - decidemonth of treatment 372 20 659 0

G - withtrained CDDs _{372 980}

1278 657

H - pay CDDs (kind/cash) ₈₀

0 0 0

Training

I -TOT trained

lt7

J - District/LGA staff trained l0 _{IJJ 146}

K - Health staff trained _{96 76}

352t I 885

L - CDDs trained 928 2529 t23 ₃₁₄

M ^- Trained CDDs/comm uniry (L/A) _{2 J}

)

J

Treatment

N Objective _{146 533}

305 I 84 371 888 565 891

o

Persons treated t46 887 267 265 ₄₄₆ 418

P Communities _treated JIJ ₉₈₀

Performance % (ON) x 100 100.24 87.58 78.89

Therapeutic coverage % (O/B)x 100 65.68 60.00 Geographical coverage % (P/A)x

l0-

I00.00 _{r 00.00} Subsequentyear's _{request 4}

3 2 2

a

^{Initial budget submitted} US $ 82 t70 r02 000 184 140

l4l

t62

R Currentbudget submined _US ^g

n7

t62

ln

⁵²²

ll4

623 109 32t

S Initial number ofpersons to be treated t49 473 314 ₆₄₅ 383 416 581 78t T Persons to betreated current proposal 149 473 314 645

Cost/person US $ (T/R) _{0.78 0.3s}

NGDO partner _SSI & GRBP SSI, GTZ & GRBP GRBP & CBM _SSI &GRBP

JAF6.7 Page20

Table l5:

Nigeria:

summary

of

technical reports

of CDTI

projects and subsequent year's budgets submitted

oyo Adamawa Borno Jigawa Bauchi

Year under review I I 1 I I

Report from Jun-99 Jun-99 Jun-99 Jun-99 Mar-00

Report to Dec-99 Nov-99 Nov-99 Dec-99 May-00

Months reported 7 6 6 7 J

A Total Communities ^'177 923 626 78 386

B Total population

r

r00 000

8fi

720 811 720 135 480

t

192953

Persons/commun ity (B/A) l416 879 t291 1737 309 I

Communities:

C - selected CDDS 763 923 626 78

D - Collected drug 500 923 626 78

E - Choose method of distribution 923 626 ^'78

F - decide month of treatment 923 626 78

G - with trained CDDs 692 923 626 78

H - pay CDDs (kind/cash) ²²

Training

I -TOT trained

ill

^{36 36 37 8}

J - District/LGA staff trained 25 49 32 26

K - Health staff trained 80 36

L - CDDs trained I 175 I 150 938 ¹⁶³

M - Trained CDDs/community (L/A) 2 I I 2

Treatment

N Objective 880 470 '121202 735 545 39 696 583 978

o

^{Persons treated 248 347 88 823}

P Communities treated 354 78

Performance%(ON)x 100 28.2t 223.16

Therapeutic coverage % (O/B)x 100 22.58 65.56

Geographical coverage % (P/A)x ^I 00 45.56 ^r 00.00

Subsequent year's request 2 2 2 2 2

a

^{lnitial budget submitted US $ l5 r 858 t07 757 144 436 25 250 169 291}

R Current budget submitted US $ 160 670 204 923 213 787 30 900 t28 370 S Initial number of persons to be treated 880 470 742 838 757 611 65 484 868 200

T Persons to be treated current proposal

I

100 000 868 200

Cost/person US $ (T/R) 0.15 0.15

NGDO partner UNICEF HKI HKI CBM UNICEF