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WORLD HEALTH

ORGANIZATION

CRGANISATION A{ONDIALE DE LA SAI..JTE

ONCJIOC}IRCI\SIS COIITA.OT IR.OC8.N IlI]

IN

T[iE VOLTA lt]Yffi. BASIJi ARE,A

C OCPrDINr:TI Oil i !,-.lTIl'IG ECulioiiIC DEV:I,0H iit]"T Ui{If

First

meeting

.ta1-p{q:rse-%.-U-:.16_-9st*o}.er.^19_9.4

C OCA.DIITATI 01{ JVI]]ETING O}; S OCI O-EC i'],JOJ

OIICHOCIA.CI/IS

IS

C 0i..18 0L

DR/JT Tflilrs 0F RII],LRE](CE -LtOrL TFIE SOCIO-ECONO}'I1C ]}/PACT OT Tl]E

CONtltOt IE OGRA],t-,iE

DlIWtOH[r]ru

Ili

lUE

i.iE AREA

LUAT]-O}I OF T.]U OCXF,CTASIS

(2)

-,':', - I.i

,:,

t

1.

E1E:-o-d;4c-t-r-o3

an

7)lO,

seven i'Iest

African

counf,ries

(Mati',

'jlogo,

Benin'

Buri<ina'

Ivory

Cor.st, Gi:a,r:.a, Iii.ger:)

severell'

affecteo- b;r oncirocerciasis

(::iver

bfinc-lness) i.'hic:. beca.ne

a

major

constraint to

socio-ecor'Lclr:ic c1-evelopment

requestecl-:[or an assistance ntission

for t,ie

elabo::atlon

of the

stra'teg1 of

tire stmggle

agarnst Qrchocerciasis

in

t}''e Volta' basin'

On

tire basis of the

find-ings

of

the.llrrsi-stil'ncc

}lission, the

Cr:r-rntries

concerneclrsupportecibyUNDP,Worldtsank'ilAO:ncl!irO'cleciried'tolaturcha regional

plogramme

lrith the following

objectives:

- control of t,re

d-isearse by

action against the vector'

- the

improvement

of the

stand.ard-

of livirrS

and

thc

e:lploita:tron

of

resources which

are irlentiful in thc

zone so

as to

increase

pr

oductivitY

a,.nd' ilr oducti o;r'

Tltus,

UhiLst the vector control

operations l/eTe carriecL

out by

the Dj-rectorate o,i

tl:e

Pro5parmnee t}',e aspects c''rllce::ning

the pro:lotion

of

socio-econonic d.errelol'lrnenL with-i.n

the

iboppamrle eLrea t'tere

to

be r:ndertalcen

by the

coun-bries

conccrned. In

ord.er

to facjlitate the planning of

the

social

and- econotrtic cleveloprnent, tire UID? provid'ec1

the

funds necessary

for thc realisat|or. of basic studies for a bette::

ulcLerstandj-n1;

of tl:e

resources

airailable

as well- as

for the elaboration of

rleveloprrcnt

projects' In

seve::a.} corrnt:,:ies,

structures

were created. ej-ther

to fol-Iou

up anC coOrdina'te clevel-opment

actions or to

rianagp t'lem

dlrectly'

Ie,unchecl

in

L974, f .,r-rr

years later ocl

hacl rrncler

control the

whole

area

initial1ry

deterrined-

for efficient control actions

a'gainst tite

Onchoce::cia"sis

vector in the Volta

basin'

By tl".e end

of

L979, J19 d.evelopmen'b

projects

r''ere al-rea'dy

identified l+ithin the

Prograrmle

area, totalling for t}e next tel

years

a gIobaI

volrrme

of

inves,n;rent

of

sone 162

billion

CTA

francs.

These

plojects are the

sum

total of

c.

host of ff'tiona1, plurina,ti ortal,

in-be::na''bionalt

pt'-blic' private'

,turrctual olr concelrted-

initiatives

and

tirey

demanded impo::tant

financial

and

hur:an investrrent;;, nore

or less costllr

technologr and-

uore oI

leSS appropriate strate.gies.

.TSIE--Q[ -RiFmEf[CE Or' -Ein -I|-\L\LU-ATIO1'[ OI TlI'[ S0C]'C-trC0]i0f ifO

npAcr

oF

dt -oirffiu1tr,t,i'i=i--c-o-r'

-ry.Qq+'ip

(3)

-2 -

Ten

years (tgl+-rye4) after the

l-aunciring

of

1re P:"ogamrner

it is

necesse.r,r

to

rnake an assessnent

of the

ac'bions unclc-r:ta1:en, apprai-se ti:e pro{iress made and

the efforts to

be in:ii.e

in

orc',er

to naxiiilise the

econonic and

social

prof

i'cabilj W of the

h:ogramme. Ti-"is

is

Uie ob jec

tive of

ti-Le

ytresci1t stucl;-aiming

at

evaluat:-ng

tire

socio-cconotnic

inpact oi the

kolpa'nrne.

Tne te::r,rl,

of

reference

of tl'iis

sturl'; e,:le

ceutled

on

the folfovling

points:

II - P-lq@

tlre- .exe-c-u-t =o-4 -..-4c1- -e-r4a-1-r.r.a-!.1o.q-91 -s-gc.a-q -e-gq-4giB-c. -c1?v-eJ-.o12qe;rl -:r.cli-v-i-.t-i-e5- .i.:1 -t^1i9, ^h-q--:q- -'-::r.ne-s

-

mctlr-od.cIogical analysis

-

stra'bery

III

,.L

]ln_owl_e-{gq -of -thg:*-qegign

Tris is

aif evaluation ba.secl on

the

strtc'.ies alread,'cione

of

the progress accom;rlished

in the

und.erstaLnd.ing

of the

re.gion ancl-

of

the

potential.

resollrces ava.iIa.ble

in tire

Prograrnnie a,rea and tl

rcir i:elationship rvith

onchoce::c-iasi-s .

7t.L.l.

jlf-u1pi,;g.r-e1s-oJ4c--ee (nr.ulber,

rlensity,

d-is;tr:illution

b]' ale

antl sex,

s oci

o-lr

of e s s i orui

I

d-i s -Lribut i

o:i,

s oc i- o-cul1;r-r.::a

i

s';rr'.c tula t i on,' .

';,1.2.

.1b:ri9a-l--:res our-c-es

a) .klryi.t Classification in

ag:ro-ecoIo.c,;ica1 a.naf

or

agro-meteorologica.l zones, e_efects

of

clrought, c.ete::nina,-';ion

of tire

types o:t

soil, 1:reir

inportance

(quantitl-

a:rd.

cluali!r) in vegetal

and a,;r.ima1

p:l oc.rrc

ti

oi-t.

l:) i/ater resorr:lces:

fnven-bor;; ancl ma,rpi,'r.[j

oi

llyd.raulic resortrces:

- --- ::- .-.

clams,

rivers, bore-l:oles, vlellS,

poncls,

etC.

A;,r;13isa1

of t,reir

inltortance from

the point of

vj-et.

of

a;ricr-,--lture,

livestock,

fislreriesr

,

inclusf,rXr aLnd

date of

lau:rclllng.

c')

.\r-e-s*!ry-^a-gd1-F-ar4g1:

invento4' of rorestr;'

and fauna lresou'rces, appra-isaI

of t"reir

inPortance.

d-)

-To,4r.smt

Evaluation of

the resolrr'cesi.

e) !!!i1e-s:

Inventor..,r

of

mining resollrces and an

appraisal of their

iinporta,nce.

.E-9..!ugt-1o31-gt-a-clry$+_eg

(4)

f ,.,**ffi

3

,t,, I\

"*', i

3,2

-f.qio"J-ual,yqj*1-t+$/-gr-.{"-v-q}-ryrer-L

tivities

Tne

d,ifferent projects

and ocvelopnent ac-bj.vities

in the field-s

of

d.ernopgaphy, agricuJ-trure,

livestock, forestrl', fisireries, inclustry,

craftsmanship und.ertaken vritl11in

the

Prog::ar-Ine area

by the

Goverrun'--nt and'f or'che populatlons

since

I)7Ll

('i)

shoulcl be aiulyse4 rmder

the follot+ing

aspects.

5.2.1. F-f""t"g

What

is the

s-b:rate;y and

the field.

(d.emography,

agriculture, livestock,

f

orestry, iisheries, incilst4',

craftsmanship,

etc.) of the project

and }low

is it

integ,ratecL

in the

globa.I d.evelopment

of the

country.

'), 2

.2.

*S*]-e-c-[i-r4gs-

-

i'iirat i're,-e

(nre) the quantitative ani qualitative objectives

of

tire,rroject'!

-

Tar5pt population.

1

.2,1.

]Ieery.

The importance

of

human,

physical

and

fiuancial

rneans ar,z,ilable

(or to

be made

available).

-

Technoiogies used.

1 .2 .

4.

Ugig{. -c-o3r.s-'tra-i-q[g

- tecirnical: lack of

alpnropl'iate techniques aud technolo6;'.

filarrcial: insufficient funds, d.ifficulties in

mobil-ising funcls,

etc.

human:

relationship r,rith the target

population and.

the

neighbouring populr"ticn.

institr-rtional: structure, supervision,

managemento

cred-it

and marketing:

policy.

1.2.5. R9.4!g

- quantitative

and

qualitative appraisai of

resu-lts'

- population

coircerned..

-

nurrrbelt

of

ir.-ir:astructl'res.

-

voiume

of

Fod.uction ancl

their

irnpact on tLre environment

-

erra}-,"atioit

oI ti:e

most important socio-economic irlclicators concernecl i:Y

tlre r,roiect.

(5)

'v:, 'l r'

7.1) c 1 tL't

f

-I-qt-e;p_c;[ign- .b-q!1e-e;1 -t\9- 9.c-t5,'-rlle.s- .gf- .tsfe- -p-qqi."-c-!-a,qci

pgc-!r-o-c_e11qf a.s"i5.

i) In vhat

meas-lrre has onchoce.'-'ciasis control- con-i;::ibutecl

(or "ail

contribu'be)

to tl:e

achieve,ren',-; o-i resr-'-l-ts.

t1;

j.ii)

iiolr havc 'the enclet,,ic onciiocerciasis

foci .uitirin

the

-.rro;,ect area

or in the

surroundiri'eEea) changed. from

the

socio-

ec\)r-r.omic d.cveloprocn

i

viewpoint.

i/ha,t a,r'e

t.le

measures tal<en

or

envisa,3:ed" i:r,-

tire State

anci

the

popule.tions concerned so

that the rositive l'esults

acqui::ed.

rr,itirin tire region

can be maintaineci

if

not

improvcci so

that

onchocerciasis wil-I-

not

be

a

setback

to

d.eveloprnent.

I\r !

.I_gjLicrlt-og.s-"Log -t-L"-f-I;-rg"l1q11olc-@:ge.i1.laJr9

Ore has

to

evalqate

the

irnportance

of the

ch.anges ma'cr-e (betr,een l-974 and,

I9d4) in the

speci-',-'ic f:|e]d.s such a,s de:rography, ai'rj-cuftr:re,

livestock, forestrrr,

anil. tLetermine

the

rol-e Pla;,str

by the

onchocercal zone j-n

the

econoinic ai.ld social- d.evelopment

of the ccunfir.

Qre

vrill

e,l-so li,:.he a,n

a-talysis of the

evaiua,tion

of

i;he

viIk.ge,

d-ish:ic'c :,.nd. r'eei:-onal level-

of the

f

ollolving

-'-;ocio-econonic

indicators.

Demo,graphy

-R: o p-ojs-e_{ .i.4d." i. c.aL o.r.-.s.

-

impo::tence

,

avelage c]-ensity, clens.ity

in

forme,: end.emic f

cci.

- migr:tor;. influ-:

- socio-culturaI rcl'.tionshi

ns

IL"-IsiS

Ec

ological

eqr",ilibrir,,m and.

coflservE;t-ion

(oi

c]le.Ltion of resor:rces)

comp,a"ri-son betwee:r

tito

ref orestc'd areas i',ncL

the

to'Lal. sur-Cacc area.

nurnber and inporti'"nce o-f vrater Iesou.rces.

(6)

trj

F!qlg=-

Access

to

le.ni., water a.nd, other nat-:ra1 resoi"-rces

Access

to

production

factors, to

nr.rkets anil- c-:edit

faciU-ti-es

Prolosed, incl-i cators

- rate of

occr-lil.' t-r-ot, :',n..

exllloitation

of Iind. wa-ter airri f o::est-r-v.

-

average

surfcce

allei,

of a1;ricultural

exrloitatlol-]s "

-

netcentage

of irrigi.teiL

surface.

-

prod-uct-l.ons, st'rface aree a,,ld

yields

of main crops.

-

percentage

of

lir-Jf.tce alrea e-:llloited' by

tenants.

- total

amounl;

of

loa.ls

gr.ntei

bY

fi-nancial insti.tutions

anrl rlercentaaP ir-t comparison vlj-til

nationaf realities' - creciit

providecl

or tlot

i-o:r er,ch

a13ticuJ.tural e::'rl

oitat-ion or

fa,i'ri1y"

- rate of

reinbu::sei'len'b o-[

cret':it.

-

percentage

oi

l,ousel-roldi:' pell

e:lploitatio:r receivi,rg

cred.i-b

(rritrin the

z,one

in

comparison

rvitlr

th-e irl'.tiona1 J-evel) .

Prod.uction fa,ctors

- quantiW of

m:'.mDlc uscii

per lla of

1c'nd reservecl

for riain

cul.t:.va.tioils and the amcult

oi cultivrte'J.

l-and-.

-

number

of

houscll.cl'Ls using manure.

-

Dercentage

of

;u::face i'"rea cul-tivaterl

with

irnrtroved seeds.

-

n',rmber

of e;rploitations tlsing

insecticicles.

-

number

of exnloitatlons i'ith

access to

agricultriral

mate:lial.

(7)

.r*'--

-{r-e.Lq€.

Educati on, vr-'-Iga".-- isati- on

and

training

6

-ft_qpo5_e-d_-!31c1]-c-qto-rg

-

number

oi

sctrools (prima4r) anrl

rate

of

attend,ance.

-

nuJrtber

of

aC-'I-t J-iteracy centres i'.ncl percentag'e

of

-'c};]i,

literrtes;

.

-

nurnbev:

of

aiuricr'.ILrrral, st-'.pcrvi:rors per e:r1-,loitati ou.

- mrl,lbell of tec^ti..icill,ns.

- nu:rber of r'-c::es-i;rl' i,L'ents.

In-frastruc-bu::e densitS.

of all-'veat..er

roads /nrac}s

rretwork

Access

to services

or

c of Ie

ctive

ec1ui,:nen'b

percentage

of

populaf,j6n

t'tith

easy access

to

foll-owin3' services anCL equipment:

-

d-Tinking' wa,ter

-

primary r;chool

-

primary

health

services

-

ma,rkets

-

all-iseat".Ler roa,ds

Housing Percentage

of

-fa,-ri-l

rcs l-ivin; in

houses

in

good

conditions

r-UaL'ing

into

accoirnt

local

conclitions).

I\La,ss

participati,

on Percentage

oi c,'.leis of explortation

vtho aire rnei: l.)els o.i ,-r-r-,-'a.l- as lr

ociati

ons .

nqrber

of

nembers

oi rural

cooileratives

per

tlrpe rr,nL.l.

pcr

se:r.

(8)

-7 -

Fie ld-s -BgpoS-.n-.--iqcij--cr.-.t_og-s.

- availabili-i;1-, access.lbility of

Lrearl-tlt carc.

- cffective

use

oI

irea,l--b].. service:,.

nL,:r.irelr

of

c onsr-rlte-bi onl:

-

n;labe::

of bir

tits

-

existence o-f ,rritr.:tlt.r hea.ltir care .

evol-utlon

of pi'icer oi

a,gricu-ltural trrocincts.

evolutio:r of

bl.e purchasing por+er of

the

peasant.

Healtl:

Price

pol;-cy

kodr-',.ctivity

r gorvth

an.

develoni,rer:t

-

percentage

of active

poprile-tion.

rate of

incre:.se

of

r€.npolrer thanks

to

0U;'.

-

prod.uctivi-fo,

of the active r;ector of

the popuk.ti rn.

- ca2ital-

income

per

l-iead-

lrithin tlte

zone

comparecl

with tire

rr,ational sveili:lfe.

-

Dercentage

of

GriP

obtrined

from

the

Oncho

zoTte.

V

Ugbq:rqlio.n -€. -c1_egelrye:t!..e.o.granne_s

It is a inatter of

anal;rsing

the available ilata

a:,..r',,-rro,rosinE actions

and,f

or

c1evelo1.rnelt ,rrogrammes luhich can ena.hle

the

Pari;:-cipr,ting Cou:rtrj-e:

to exploit to t':e ful-lest the

resources made

availabfe

and- ensr,.l:e tlte

perenniality of the

rcsr,..l.'r,s obtaincC.

liitliin

'chis framerrork,

the actions to

be tr,ncler-tal:e:r

lril-1

be rLef i:red-:

- either

-io:: the

rea,lisatj,on of basic

strrCies (c'roi.rolraphy, aggo- pedolo5g., socio-economic, h;rdrogeo1og11

, etc.)

ijo as-bcr

bettcr id.entify the

re::ources availabl-e

(Una, ivatcr,

f ores-bs)

or

the

possi,:-lli-tier of capitalising

on ner{ lrerroLLrcec,

thc

popr-r}ation i,"ncl

its

iieo5::aphical

disti'ibr",-tion

these

data

shoulci rmke

possible

a

better

p1-a:rnj.n6;

of investnent

prograrrrne,

- or

f oi:

project fornulation.

(9)

-B-

t

VI Estab

t

.oi -e-Ieqegt-s-jfe +-f,y-i-ng. the ontions retairlecl

in

l}_c*-to;1a le.rrn !-tret-eg'

Base;. on t-re da.ta gliven

in points III

anC

V,

ap'lraise

globalll'tile

economic ancl l,ccia-]-

1-,rofitabilitl,

61

the efforts

acccn;-,1.i-sliecl r3''r onchocer-

ciasi:.

control-

i;ivin. t

re eccnonic anc,

sociaf

clener-r-ls

jt'.stiI';rrng

'cir'e options retained. i-n -tlre Lon; Te::l' IJtrate,'T1 .

\lithit: t[ir'

.iramewol]i,

a special

a,aaiysil;

vrill

be rna;Ce

of t'le

metirod's anil conclitions cri --.nte6.r:.tion

of the follorr-up of

oncl-ocerci-aliis

il tlrc

other

c.leve,Lopi,teirt

activitics

of' eacll cou-ntry,

tlie

econonic anc' social-

ur:oiitability

( costs/ad.ra,ntages

) of

cl-evol-ution

activities

'

V]I

!r".q*"-q tr,liSrr.

Pi

r-eP.o-r' t s

-

rleports presented

b, the

co,yrtries

',iill-

be about lLr pe'.1lcs

inir-iir.l-,:.,r. e.td.

lJ

pa,getr rnaxin.,:n. Ta,bl-es a.ncl lrlaps

liill-

be annexed'

-laclr. re-',ort

riiIl

be 1-rrod-r,r-ced

in

IO0 copielt.

-

The s:\rntrtesis reDoi.t

wil-l

be comi:osecl

of a ll:itten tc-rt

of loo-150 Da.ges (maxirm::n). The

tables

ancl naps

slnll

be atrnexecl.

'Ihis rvill

allso be produced-

in

IOO coil-i-(ls'

t, '|.,

(10)

i

,I;T .l

"i

COTIRSE

OI'

STIIDY

CAljl}IDAJI

OF

ACTTVITMS

OF

'IEAJ'S

.( t',,t

{

EF

pc+

EE

x

Pp

8 Fd rB't

II II II It I I I II

II It I It t tI I I

a I

ti

'dH HP

I

hrJ

rrt

I

I

c{

q

E I

t TI,

tro

Fr*

BS EE

c+O

Hg

ElID

$, l,rt

EB

$,5(/

srpPul

?E

rl

F

ct .g',X,

l*

oIr

BO .t

tru

HP.a

(

q

?(u,

iyo

t ol

rl

Pld

oo BE

'JFl€f ct (dFrhl'H

o

EI

tl

8E., Efr

l-, tt

LA

o

HS

os

Eft

E.i *

@o EF H

rfitr

rll

fiBH ,s nfr

H * F

/^O

oE ag

ro@ol*t1 *

k\-{\JprY

FF'olJ :J5.+O rllll

$ Hg EE 'g.E

it If

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ul .t

*q

rtorty

Hr*

f

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tttrrofJ

eE3

Ft E-l

I!FLJ A_

E.3E

(0rF

4

rtatta altaaa aolaa' arart' aaaar' aatal' aat Oaaa' aataia atlolt a!'ot' a+tel' rataa' aa'alt taa

aal.a aqt

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