WORLD HEALTH

)

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N+_

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

-,':', - ^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

-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

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.

'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.

tr_j

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.

.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.

-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.

-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, '|.,

i

,I;T .l

"i

COTIRSE

OI'

^STIIDY

CAljl}IDAJI

OF

^ACTTVITMS

OF

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