Report on the fifth large scale mectizan distribution on the Gbangbalia I and Taia II river basins from 16th October to 4th November 1993

If0BIrD EEALIB OROANIZATION/ONCHOCERCIASIS C0I,ITROL PR06flAI+{E UHO,/ONCHO EEPORI ON !}IE TTFTH LAROE SCAI,E I'iECTTZA}I DISTRTBIIITON ON THE GBAN@AIA T AND T4IA TT RIIIER BASINS -(15TH. qCTOBIL--3I!..ry0.I.E'AER. }2D- DR. A. R. UImE/}IAITONAL @-ORDINATOR and Dn. f. f. JALITOH^fEDICAL oTTTCER flrtr i A, A , 2-8 BY: lor(rr \ tr^*3 S0r FROMT BEI h. 8. H. Sanba - Prograr','ne Dircctor, OCP, 0uaga Dr. A. R. Urrrie - National Co-ordinator, OCP, Malceai d! TTIIIB I,ABOE SCAI,E I{ECMZTN (TYSBTECT"IN) DTSIIRIBI,IroN DN IIIE OBANOBATA I AND IAIA II ETVER BA,st NS }ITSffON REFORT DIINITIO 'I'trE PERIOD OCTDBB 15 lD t{0VE'{88 4. 199' I c SCEEDUI,E OF ACTTWTIES - 8/\p/9' L6 - 2o/to/9, 20/Lo/9' zL/Lo/9' OCP Tcchaician amives with Utility Vehicle Senaitization lbane in the Treatnent Aree Dr. E. M. Sanba arives ln Freetown Briefiag at Bo Base and Teame leave for the Xbcatucnt btec Ophthalnology Evaluation Tea.m at Malcerri End of treatment and debriefing at [Lano Base 2r^o/9, 2 a a4ht/gt 6ul0{ltr_0r EE llAg8 ]ttrtrzAl{ uIEInIBuEIot{ t{IggroN nEFoBt fhe ELfth Iarge Scale l{ectizan Distribution ia the Gbangbaia f and Taia rr River Basine was caried out from tho 15th october to the4th Novaber 199J by the National EHI Tean. Ihrec seneitlzatioa Teana consisting of three EHI Technicians aad th.nec H.vrrs wcre Bent to the beatoent Area for a five-dagr sensi- tization niesion fron the t5ttr to 2oth october 199]. rtre teans senaitized the connunitlee of the treatmeut arca of thc pendiug fvcrnectin Dietribution Canpaign and evaluated the acceesibil.ity ofthc roads of the area of trcatncnt. The tea.as visited seveaty-four vlllagcs and ten schools ia thc aree. Briefing of all nembcrc of the Natioaal EHr rean was camied out byDr. r. F. Jarroh - Medicar officcr of thc Natioaal oncho tean. He confirmed that the EHI Base for the nissioa was the Moyanba Hospital. Ee inforned thc participants that the ocP Director - I)r. E.M. samba ulLL bc visitiag trbeetovn and that the Natloaal Co-ordiaatorDr. A. R. Uurie rill be busy in trbeetoun yith the Prograrnne Director. Ee relayed the Programrc Directorrr conccrn ia promoting Ileatth Educa-tioa iu echools aad aensitizing thc comunities about the brack flybitiag nuitaDce. Ihe achcdule of activities, plan of treatoent, trapa, rveroectin, noaitoring druge and logistic anpport were distributed tothc sevca tcan leadera uho dcpartcd to their treatnent zoDs6. -2- Dcbriafing aftcr the treatment was conducted at the Mano EEI Base with thc participation of the Corununity Leaders. A film on Onchocerciasis waa shovrn the previous night to promote health education on Onchocer- ciasie. The results of the treatnent of the zones and problems cncountered were discussed in tire debriefinq meeting. The National EPI Teara uit| the supnort of OCP Technician i"ir. J'loussa Nfdaiye visited a total of ?-8? villaqes with a census of 1t,O$5 people, treated 213?L patients with 28,tr30 fvermectin tablets, with a covera,Te of ?4.8?l of censused oersons. Ln the sane :rer.iod last yearr at the f ourth Large sca'l e rnecti.zan distribrrttonr 2T5 villages with a census of ,6rr92 persons had 24,919 patients treai.ec with lq99l.l Ivermectin tablets with a coveraqe of 58.)i of censused persons. a sigp: Dr. A . Wuri, e CO-ORDINATVORNAlTOl'iAL Sign: CiilF. JallohOFNCER s.u- IEE EIrTH I"ARGE SCAIE MECTTZAN (IVERqgIfN) pISTRTBUIION rN THE GBANGBAIA r llrD TAIA II RMR BASIN - gqLSqER 15 m NoVEI.IBER 4, Lgg' }{TSSION R.EPORS I INTRODUCTIONa 2. Thc fifth Hcctizen (Ivcrnectin) Distributioa in the Gbrngbria I eal fria fI Rivor Berias vas cerried out fron the 15tU October to thc 4th Novcrl* L)91t by thc National EPf Tcan undcr the 6encrrl supcrvi- rion of thc Natioarl Co-ordinator Dr. A. R. Uuric. The Progrennc Dlroctor - . D!. E. M. Senbe uas on e visit to Sicme Leone during the pcriod of thc oission. Thc Nationrl Co-ordinator therefore lcle- 3etcl thc niesion aupcrvisioa to Dn. f. F. Jalloh - Medical Officer of thc Netional oacho Tc.E. During thc nission, erphasis wcrc nalc on Pubric Awercnces,Rricing arrd Health Educetiou ia the echooLa. SENSTTTZAETON ACTIVI TIr^S : OCTOBSR 1G2O, Lgg3 I noath prlon to the scnsitlzetion l,llssion, letters of inforn- etion ucrc geat to all the Chiefs and Officers of Health, Alniaistra- tiou and Sccurlty Dcpertneats of the treatncnt area about the pending Ivcilectia Diotributioa Canpri3n. Duriag the Sensitization Mi.ssion, thrcc teana, each conprisint one Tcchnician ?d " Driver visited ?4 villa6ce nnd 10 primary schools of the treatment drsso The teans elso elsececl the acccacribility of the roads and inforned the conmu_ nltica of the pending Iverncctin Distribution Canpai6n. BRTEFTNG ON 21ST @TOBER. 1Cq3 Bricfia6 on thc treatnent aiesion yas cond.ucted at the Bo Becc sith the participation of the National Epr ream, @p Epr Tcchaicien and Entonology Technicians. The nreeting uas chaircc by I)r- r- F. Jelloh vho informed the members present that the National Co-ordinator, Dr. A. R. hlurie was busy in fbeetown with the visiting Pro3rame Director of the ocpr Dr. E. M. sanba end has therefore Cele6ated the mieslon supervieion to him. Dr. Jalloh also informed the ataff that the second nedical officer rill not be available due to the preasure of work and therefore ad.monished the National Tean to work trard to ioprove the coverage and intensify Public Anareness Reieing end Hcalth Educatlon in the schools. , a -2- lte Base for the raission was identified as the Moyanba Hoapital uhcre fucl and logiatice viLL bc euppLied and repairs to vehiclee eamicl out. In prcacntiug their rcports, the Sensitizatiou teans inforoed thc leetin6 about persieteut conplaints made by the conrnunities in rcepect of the bitin6 nuisance of black flies that was hiuderin6 their farmiag activities. Most of the villaqes to be treated were ecceasiblc by road or foot paths and some of the village communities yerc in the process of brushing the roade and relcairing some of the damaged bridges. The OCP EHI Tcchnician - Mr. Mouesa N'caiye before distributing the aapa, nonitorin6 druger 1o6'ietic cupplies, treatnent forms and ctetioncry, iaformed thc nembers of staff that the treatment files of thc previous mlssion could not be traced in Ouagadouqour therefore the necd to carry out a, neu census in the course of the treatment. Ihe operatioaal cost imprest was distributed to the Tearn Leaders for the repairs and maintenence of vehicles in the field. They uere atrongly advised to make available to the Administrative Assistant recelpto of costs incurred at the and of the mission. fhe Drivers yere adnonished to take great care of the vehicles, assesserics anl docurnent,s. Followin.3 the distribution of the schedules, maps and logistics, the Ieana dcparted for their various Treatoent Zones. See Annex If DEBRIry!,rli : NOYEIBER 4, 1gg' Debriefing of the fifth mectizan distribution on the Gbangbaia f and Taia II river Lasins Ha8 held on the 4th November 199f at Mano EFI Basc under the chairnanehip of Dr. f. F. Jalloh. AIso particicating at thia ncctlng were rcpresentativee of thc Mano Community in thc persoDs of Mr. Koobe Kajue - the Chiefdom liperker and trlr. M.S. Gan"ha - the Principal, of Mano-Dasse Secondary School. A filfl on 0nchoccrciasie (UnU) ahovu the previous ni6ht wae highly appreciated by the community. \ w 4 4- 5. -r- Dr. Jrlfub cxplaincd uhy Acrial Larviciliag had to be ouspended in the Seirth rnl etsured the Cormunity Repreeentatives of the provcn ability of fvrrnectin to cffectivcJ.y control morbility of Onchocerciasis al 1on6 as the drug uas adninistered to all eli6ible comunity menbers at rcgular intcrvels. Thc Representatives promised to pass on the iaforo- etlol to thcir comuJrity and pledged their co-operatiou in futurc cdnpritBB. I bricf etatetrent of the Prograome Directorre remarke, ltrring a recting yith staff at thc I'lal<eni Baec, that only e fev nonitoring druta lf aayr uGrc necdcd in thc rilcr bacins already receiving thcir fifth aJrGIc of fvcrneotin Treatnent rnd thc nccd to encourage Conmunity Beeed trcatneat I y&B medc by en EPI Technician who uas present at the nccting. Thc sane Tcchnician uho aleo perticipated et the Ophthalmological Survey, rcported that narked reductione in skin and ocular micro-filarial counts uerc obscrred. A sinilar report uas made of the recently conducted, Incidencc Studies. Aaother PI Technician nho participated in a KAP Study to agsess ldooents perception of fvernectiu treatment, especially thosc affected by the e:cclusion criteria reported that generally such cxcludGd uoLen did aot activcly oa their oun seek treatment when they becane cl:ig'ible for trcatment. He thus saw the aeeC for the latensi- ficatlon of Health &lucation to these target troups. The reflrlts of the treatoent of the different zones were lrresented by the Teen Leaders for discussioa. The monitoring of adverse effects of treetment and the problems encountered in the mission and other rclevant topics relatad to the canpaiqn uere arso discuseed RESIILTS (DETAILS I N ANNEX III AND II/) rn the courac of tne treatment campaica, 282 vittagee nith a ccnauo of ,L,o)6 people had 2Jr271 patieate treated with 28r58O fvermectin tabLete. A coverage of 74.8% of censused persons was attained. COI'{MEIfTS AI\i' SUGGESTTONS 6.I Coverarc Thc covcrage of the fifth Gban8baia f and Taia If treatment vaa iacrcased from 6.5?6 to ?4.8%. This increase might be due to thc lnpact of sensitlzation tea.rns and the health ed.ucation activi- tice of the V.C.U. Technicians and Village Health Education 6. 4Counittcce. Thc cencus of the villages was slightly reduced due to the partial return of displaced persons to the liberated ereas in the Eastcrn Province. 6.2 Monitorinr of Adversc Reactions Monitoring of the side effects of treatment was camieC out yithiu ]5 houre of treatnent. There were many minor adverse reections including, headaches, pruritus, dernatitis, diarhac end ).ynphadenitis and arthralsia' a1I of uttich responded to treatneut. The moderately severe cases were 15 cases of dernatitist 4 cascs of diarrhea, 2 cases of lyrnphadenitis and one case of NU51-1,16A Nrr51-1r14A to61-1772A NU5I-OIOrRi'.{ uith electrical and oil consumption problem. rith overheatin6 and cracked urindscreGn. couplin6, mechanical and high fuel consumption. radietor arrd overheating problem. $lpqtgnslon. The monitoring drugs provided were few and thc Technicians had occaesion to proviCe personal drugs for nonitoring. 6., ltoltcet__hcalgclr! Smc of ,the lbeatnent Tean menbcrs were ill during thc aiecioa aufferiag fron Enteritie and Malaria. Some members of thc renote rural coomunities vith no basic health facilitiea, eick oa thc tay of trcatneat wcre treated with the monitoring drugs. 6.4 Iorrstic Supplies Sooe of tLre camp beds brought from Banako were in bad states of tiarcpeir and eone had no nete. 6.5 liet-d_8edio &e[re!ql ttcr The non-availability of thc nobile radio resultcd in a lot of inconveniencc and unneccessary losses in terms of fuel,, yGer and tear, otc. fu PI Field Radio Transrnitter is therefore necded for future EPI Field Missions. 6.6 Vehicles Four vehicles had major repairs at the Base. These are: ! !5 A }lcchanic u&B not includcd in thc T.S.A. and the Mechanic had to cover botb the B. VCU Blpe and the Moyanba EHI Bace for only r feu dn3rs. 6.? Hotorcvcles The P5O notorcyclee uerc aeldonly used as the foot paths ucrc iapossible by ootorcycles. The rains had aot stopped completely and the roads uere nuddlr anci sone of the foot paths were rccoaditioned. ?a COl,IMIINI INVOLVEMENT TN TTIE TBEA,TI.ENT CA,{PAIGN Some of the connunity neubere participated ectively ia the lvcr- ncctiu Diatrlbution proccas. Thcir activities included the formation of Hearth Educatioa and Dcvelopnent coonittees to prooote Health Educetioa oa Onohocerciasia in the vi1la6co and the mobllization of thc conmuaitlcs for Iveroectin Treatmcnt. The trtohort rad Hee1th uorkcre ia aoae treatment zones Ereatry aided the treatment teans in their uork. THE BI.'JICKILY BITI NG NIIISANCE lhc commnnitiea in the Gbangbaia continue to complaia of the bitin6 aulsance of the blackfry uhich hae affected their dai.ly work of faroing, fiehing rnd mining. They were inforned that planc were bcln6 put iu placc to cemy out some 8round larviciding activitiee yith thc participation of thc conmunities. n Prcpared by: Dr. A. . rCurie NATTONAT CGORJINATOR Dr. I. F. Jal-Ioh MEDICAI OFTTCER 8. and ( rNNEf I }I^TIONAI ONCHOCERCT ASS COI{TROL PROGRAI4,IE - SERRA I.MI{E ruE [t IVERUECTI BI,TTON ON UIE GBA}{GBATA I 2 , It 5 a a a a a NS PERSONI{EI OF THE MISSION NAITONAL CO-ORUINATOR I{EUICAL OIIETCER,4'ESSION ST'PERVISOR O.C.P. I'EEilTGTIT{ NATIONAI, EPI IEAM Mu'{BERS U(TERNAL EPI TEA}I ME,IBEBS Dt. A. R. Uurie - Dr. I. F. Jalloh - Mr. Mouasa Nrdaiy€ - 7 ilenbcna _?ll sEl{sIIzAItoN TEAl.l OCTOBER 15 29-'a99a TRE{TMET{T TEA.I'{S MISSION - OqTOBER 21 - T{OVS,IBER 4. Lgg, IPVEMBER IEAI'l AREAS TtrAil IAADER DMVER YEIICI.E NTIMBER I 2 , 1&2 ,&l+ 516, & 7 Aiah Alpha PauI Eardiag l{omodu Bangura Saidu Turay Mohaned T. Kanara GibriLIa Kanara !ru51-rc4lR!,t NU61-1116A NU5I-1772A TSAI.i & AREA ST'PERVISOR TTAITONAL TEAI.I TEADER D(TMNAI TEA}.I DRTYER VTIITCLE NI]I,IBER I 2 , l+ , I 7 Hr. l,l a ll r Nrdaiye Dr. I.8. Jalloh r rt ll A. Jalloh K. Eaaatr P. Harding P. Shcriff T. l,lusa A. Alpha y. langtrfa F. Abdulai A. Bah I. Konona A.B. Kanu P.A. Baagura S. Kananda M. Samma S. t\rray A. Koroma I. Fornah M. Jalloh M. Nabicu F. Manearay M.f. Kamara f. Kanu G. Kamara tflI61-104rRl,l NU51-r.11rA NU51-1rr5A Mr61-484rA NU61-OlorR{ NU5I-OIO4RM NU5r-1r15A NU5r-rrr4n NU51-1772A ANNEI( II - SUPEBITISOSY AND IOMIORING TEA}.IS A IEAI LEADBI Dr. f. P. Jalr oh yDDNESDAT 2OAO/9' srNDAr 24Ao/9' .Iombun lloyanba rBmsDAr 28Ao/9t Hryanbe uor{DAr ovlvg, llorlbr fovn Hoyenba grrrrRDAY lylo/g' l4oyanba wEDNE.SDAY z?ftO/g' Kpatcna SUNDAY 'LAO/g' Majunbo THURSDAy */Lvg' l,lano TIIURSDAT ZLAO/9' TRIDAT 22AO/9' Briefing at Bo Base at lOtOO a.m. Kangahua Moyanba MOilDlr 25/n/9' TrrirsDAY 26no/9, Negurbua MokanJa l{oyanba ETRDAY 29/LO/9' SATURDAY fl/Lo/g' t{yandchun HokanJi rrrEsDAY o2AL/9, UEDNESDAY Orhvg' Hoyanba l\ragehun Moyanba Mano TREATMEI.IT SCI{EDIII.E - gUPmvIsORY At{D MONITORING [EA]lr B tElU LErl.DERt Hr. Mougea Nrdaiye UDDNESDAy 2OAo/9' Scualtlzation Tcan roturac to Bo Bace 6urD^r 24ftO/9' ihrthua rErrRsDlY 28/10/9, llelorcua r{onDAY ilLAL/g' l{oyenba sAsrrRDAY 2rno/9' Sembehua Jn. UEDNESDAY 2?/LO/9' Moyanba Koneadc STJNDAY 'LAO/g' Moajunbe TrrrrRsDAY o4/LV9' Briefing at Mano rRrDAr 22/LO/9'trruRsDAr 2L/LO/9' l{oyanbaBnlefiag at Bo Baee fiJESDAY 26/LO/9'HONDAY 2r4o/9' Palina Bangona Moyanba l{alunbc sATrrRDAr ?/Lo/9,IBIDAI 29/LO/9' Mojokaldoyanba TEDNESDAI O'AV?'TIIESDAY O2AV9' l,lano Report conpiJ,ation Kangatnrn TEAHI 8Efil LEADEBT l{r. Abasa Jalloh UEDNESDr'Y 2OAO/9' Scuaitlzatioa Tcans rrtura to Bo Base suNDAr 24nO/9' !loaltortng Pula Iona 55 Mokalnana 26 Gbaadobu lr5 l{otaso ,O TEURSDAY 28/ao/9, ltayonbo 65 Keaana 69 Kpansana 5J Moaale 55 Pcriuahun 20 l'totrDAY oLAVg, Koncndc 172 Jonbohun 55 r srrrrRDAY 2r/Lo/9, Moseueago ]5O Mokango 55 Niyaeea 1.14 Mokergie 74 UEDNESDAY 27AO/9' Nyandehtrn 85 Ievvaa 77 Mokqyanbo 8 SUNDAY 'tAO/g' Mwao 10 Molcanbebu ]2 Benduma 28 THIIRSDAY */LI/9' Debriefing in Mano THURSDAy ZL/LO/9' FRTDAT 22/LO/g' Bniefing at Bo Basc Moeelolo 272 Monitoring !{aao 2l Talia 29 I{yandehun 5O r{oNDAy 25/LO/9' BaJa lllr Kasana lr0 TTTESDAY 26ho/g' Pauma 27O sisimi 86 Malaunde U FRTDAY 29/LO/9' SATIIRDAY 9/LO/9' Petifu L]5 Momengi 8l Kpetewona 1O9 Monengo 12froage l1 Ngeibu U8 Mahru 2] NSaIa 4/[tao 59 Mosengi ]7 TUESDAY OzhL/g' I{EDNESDAY Or/LL/g' Monitoring Baadaeau 40 Kanatipa 14] l,loaitoring Coapilation of reports - TEAI{r u TEA}I I,EA.DERI l{r. Kinge}eY Enedt UEDLBSDAY 2OnO/9' Scncittzation feana rcturn to Bo Basc sulrDAY 2gAo/9, Jcrlhua 2?4 Pcriuahun 94 SEURSDAI 28/Lo/9' fla+thun 6] Gbongc 67 Ganbia 82 Koncnde 2lO I.IONDAT OLTLVq' Moattoriag Veana 52 Nyendchun 95 SATURDAY 2r/LO/9' Sembehunva Ja 161 BandaJuma wxDN.usDAY z?Ao/gt Sosoti 57 Subehuawo J9 Korogbo ttrna lf/ SUNDAY 'LnO/g' Nyaniana lO Halca 7 Petebu 25 rHrrRsDAY */LL/g' Debriefiug in Mano TRTDAY 22/LO/9'rrruRsDAr 2vlo/9, Isblana 5O Sinanihrrn ?8 Kendegbowa 51 Mokunba l* Briefiag at Bo Base Scobehunuo 246 TrrEsDAr 25fto/9'MONDAY 25/LO/9' Gbangana Jn 54 Mogbangay 59 Iauoyena 2O Nagnchun 67 Moyoba ?7 Motunbc 21 Kpeteuatrun 5 Bongana 9 FBTDAY 29/Lo/9' SATURDAY 9AO/9' Monltorlag Mogoviaa 52 Molcaai f91 Ndcna 24 Lapoalca 24 Gercaga 1] Gobcbu lJ Kanaada 197 TTTESDAY o2n\/9' TEDITESDAY Ornl/g' Koya.nr ?6 MoJan 57 NJala Moaitoring IEAMr frl 8EAl,t LEADERI ilr. Pau! Eardlag UEDNESDAY 2OAO/9' Scnaltization Tean rcturua to Bo Base sur{DAy 24/Lo/9' Luael 25O Kuiva 68 TETTRSDAY 28no/g' llokcrcva J42 NJala GoJo 60 Keuana D r.{or{DAY olftt/g, Gbapiaoago 166 llyandehun 96 SATTTRDAY 2rAO/g' Levuna ]54 UEDNESDAY ZTAO/SI Uopo 4l Periwahun l+o Kpatena 137 srrNDAY VAo/g, Bagorna II 1l+2 Foya Lappia 228 Gbortrbu 2O8 THURSDAT */LL/g' Debriefiag at Mano THURSDAY ZLAO/9' IRTDAY 22AO/9' Bneifiug at Bo Base Lung:i Mondor ItI MONDAY 25/LO/9' rrrEsDAy 26fto/9' Goadena 186 Kowehun 9J Banbuabu 5O Kovona @ Horkaja I]4 Seobehua /2 llotehua 86 TRIDAT 29/LO/9' SATTTRDAY gAO/g' l{anicko 152 Powala 25 Tininatrun 8 Bunubu 41 Petena 5O Senbchur 7O Mogonbi 21 rrrEsDAY e/Ll/gt TfEDNESDAY Or/LL/g' HaJadu 9 t{opotc } ldoyoro ]9L Mo"i toring Kpokuna 42 Jooa 1J5 EEAI{r rv lEtl.{ IEADERI Mr. Patrick Sherifl UDDNESDAT 2OAO/9' Scaaltlzetlon tcan rcturuc to Bo Base srnDlr 24no/9, SATURDAY 2rAO/9' Gbandorhua 2r2 Scoabu Boasoya 199 Hclcva 275 rHUBsDlr 28Ao/9, Bandaua Mongovira 74 Gbctuva Tohubu Uarucu tronDAY iLAVq, t{iaaiou 154 Scnbekulur^a Gbaniba l{ofillkcpe Ganbia va 27no/9' Bnr$ehnn NJala ldonde Motena ]J4 srrNDAY 'vLO/93 Mokambu 2]6 Gbaina Mokpayayagbe Potina TEURSDAY */Lv9' Debriefing at Mano tr'RTDAY 22/LO/9'lnuRSDAr 2L/aO/9' Kpo&una Nyandchua 252 Juna Mesina BoaJcina Briefiug at Bo Base Boafeioa ruEsDAY 26no/93r,toNDAY 25/aO/9' frangbana Banbuibu Bougana 994 T. KapuS.na 674 Kauaya TRTDAY 2g/Lo/9' SATURDAY 9AO/9' Moeande 299 Gbowal.u Basia tfyandehua 2J4 HokoIi Mokaya FoY" TEDNESDAY Or/tt/g'rrrEsDAr ozfti/g, Bahama Shengana 24 Moaitoring Gibina 185 Niaguehua TEAH: v TEAM LEADERI Mr. Thonas Musa UEDIiIESDAI 2OAO/9' Scueitlzatiou Teans rcturn to Bo Baee SUNDAY 24Ao/9' MoroaJo 2lO ilagbucna l{ongcrc THURSDAY z8/Lo/gt FRIDAY 29AO/9' NJagbdrul lrolrDlY qLAL/9, MoJcJ.a SATTTRDAY 25/LO/9' Mile 45 29l, wEDr{ESDAy 27/LO/g' Ngichun 5!4 srrNDAY 'L/LO/g' Itq,oqbul TIIIIRSDAT A4AI/9' Briefing at Mano TIIURSDAT 2L/LO/9' tr'RIDAY 22/LO/g' Bniefing at Bo Base Qigbiabehun 1)? Vaama 4l Moyogbo 2]9 MoNDAY 25/Lo/9' TTJESDAY 26/LO/g' Kotomaturn e49 Kilihun Tongofield Niagelehut Y77 SATURDAY gAO/9' KpdGe 471 MoJoka TUESDAY @/Lt/9' TEDNESDAY O'AI/9' Banta Moaitoriag TEAMI YI TEIM LEIDR: Mr. Aiatl UEDITIESDAY 2ONO/9' 6casitizatioa Tean rcturaa to Bo Basc srNDAr 24/Lo/9' Ildrarga Kopana TETTRSDAT 28nO/9' 1 9 6?1 FRTDAY 22/LO/g' SATTTRDAY z'ftO/g' ldofasimbo Mobeni 2* 4l WEDNESDAY 27/LO/g' Moeonge 5l+O SIINDAT 'VLO/g' Foya Bonpehwo N9 Gangana }LL THUTSDAY O4At/9, Debriefing at Mano l{oaogo Gondena 2r, ,95 }IONDAT OLAL/g' Moyongo L5latru 26 Bcrcbu 192 Shengue IO9 Bunbia 69 TEURSDAY 2L/LO/9' Bniefiag at Bo Basc Rubealce Mofoyo 9 !'[eoangana Bunpehwo Mofoyo t7 111 MONDAY 25AO/9' ruEsDAY 26/LO/g' Mofiado 4zo Gaina 9 Bcrebu 1I5 ERIDAY 29/aO/9' sArrrRDAY g/to7g, Mosenceieyo Ja 21O Senbehun 144 Kpateaa LfrEntransit fr Moneogboma 47 tdando Z7 I'IIESD.A,Y O?./Lt/g' UEDNESDAY O'NL/g' Ibfubo 26 Mokitch 9, Clanbia 26 Baharia ,7 Vaana ?2 Mogbomo 5r, Moeenscssie 42 Monitoring [Ell{r vrr ItrAI{ tEfDERt I'lr. ilonodu lq4rofe uEDNEsDlr 2O/aO/9' Srad.tlzation Ica,u! rctura to Bo Bagc sur{DAr 24Ao/9, lladiua !88 lcibena 48 Puta 2l Obctraa }2 IEUR^SDAI 28AO/g' Paaba 59 Kengahrrn 145 l{oaesl P I'IONDAY OLNV9' lfoaJao 75 SATTTRDAY zr^O/gt ldogbadeno II5 Deudeooya 26 1l+ L7 zTAo/9, Moaba 7J 45 Moyana 21 lbkoto lJ srrNDAY l/to1g1 Niagorhun 2 Moeenya THURSDAY O4/LV,' Briefing at Msao TIIIIRSD^Y 2LAO/9' PRIDAT ?2AO/9' Briefing at Bo Base Banba Pondoobu IIO Baoma ]8 Nyaadohun 7O l,lori town 92 uoNDAr 25AO/9' TUESDAY 26/LOn' Largo !14 Iargp Jt 5L5 Mbaonahun 79 ldokpouhen I2l Bengelo 1}9 Mospch 4 TRIDAY 29/Lo/9t SATURDAY g/LO/g' lbaganalnrhua 16 Mogbanbu 79 Seagcnel !O I{yandehunro /l IUESDAI OZ.LL/9' UEDNESDAY OrAVg' Fungihun & Monitoring ANIfld( III SITUMTRT OF TIIE RESULTS OF TVERi'IECTfN DISTRTBUTION 1Y ZONES TN TI{E FIFTH L$IGE IVERMECTTN DISTRIBUTTON MISSION ON THE GBANGBAIA I A}ID TAIA TI RIVER SUUXARY OF RE.$IILTS OF TVIiRI.IECIIN DISTRIBUIION BY ZO NES TN IHE IOURTII I"i,RGE ZONEs NIruBER OTVILLAGES ciNsus PA[tEI{IS TBiiATE.D @VTRAGE * TABLETS USED 2r?89 72.OI qo ,$?2 ,,fi4.o 2 fl ,t79L 2,956 78.2 71555.O , 5' ,rfih4 rDL 82.0 4,rh4.o 4 r* 4 '242 )1251 76.? ,,895.' 5 1g ,:o8? 2r2)7 74.2 2,9L9., 6 29 l+ 1198 5'18 ?4.8 ,,926.0 7 ,6 7 r5L5 5 '242 69.8 6,5?6'o BOTILT 2E? ,L:096 2)rz7t ?4.8 28 r580.0 TVERI,ECTTN DISTRTBUTTON ON THE GB I AND TATA II RTVINR ZONES NIII'IBEB OT YII.LAGE.S cE[irsus PATI EI{TS TREATED COVERAGE % TABLETS USED I 40 4,599 2 tg82 54.8 1r*4.5 2 ,o 4 r)71 lrO5l 69.8 1rloL.5 , 49 6,58? 4 .r55 5r.o 5r1OO.O 4 41 5rD9 ,1275 6r.8 4r111.5 5 19 1,842 21695 70.1 3t4r7.5 6 25 5r@6 ,$t5 76.2 4,81.5.5 ? 5r. 6,856 4,954 72.4 5rz89.o TOTAI: 2?5 ,6 rnz 24 1979 68.5' fr 1991.5 rNNEX IV ASIS goNtBoL PROGRAilME SI LEol\tE I N STRIBUTION LEO!i]E OClOBER 10 AITIIE rIRI 0r sI L TABtEf,SNO. 1. 2. 1. 4. ,. 5. ?. 8. 9' lo. 11. I2. Ll. 14. 15. 15. L7. 18. L9. 20. 21. 22. 2r. 24. 25- 26. 27- 28. 29- )O. lI. 242 15 3 8o 28 28 t21 58 49 7L 4z 6L L55 69 t9t 88 52 L' 40 67 24 22 54 151 8: Lr8 52 54 188 4Z p PAlf ENTS IREAfED @YMAGE ?6 CENSIISTTIJAGF,S }OSEIOIO' UAIO TALIA T$IDEETIil KPAIfiI I,IoSENEMIO' I{OKANGO t{rrASsA I.IOKEEBIE FIIIA SOWN' TIBSO (tsANDOBII l,totrAso B,[Sr KA,gAl.tA PITIilAT T{TIITDEUUN LEVTIMA' t{oKlloMBo l0Y0uBo uoHrNA (PlxKUuA l.toStLA PTEIUIEIIN PETIIU l,lCI'lB{OI' KPEf,EIJOMA M0[.{EIIGO EMNGE IT}IEtsU l,l{IRU 'lIaIlI4- 216 w 29 8, fl6 qo u8 ?4 ,4 26 * 72 L95 1@ 2LI L?' 5? 14 41 7L ,6 24 & 2r, 97 1,27 4Z 66 L?? 48 ?7 196 L2 25 6? 2qO 22 96 5' 4Z 2L ,5 52 141 64 $o ?7 41 11 27 9' L9 15 49 t24 ?L 91 n 42 145 ,9 57 76.6 ?O.8 86.2 80.? 84.8 55.O ?5.O 7L.6 8?.o 80.8 70.0 ?2.2 ?2., 6I+.O 85., 44.o 71.1 ?8.6 65.9 ?4.6 52.8 66.7 77.O 5r.2 7r.2 ?L.7 ?8.? 67.6 81.9 81., 74.O NO. 2 TABLEES USED ,2 17. )4. ,5. 96. ,7. )8. ,9.t lo. 41. 42. 4r. 44. 45- 46. 4?. 49. 49. 50. 5L. 52. 5r. 54. 55. 56. 5?. 58. 59. 6o. 61. 62. 6). 64. 65. 66. 67. 58. ?6'0 ,5?O 110 700 Lr>o 1960 500 7Lo r,60 242.5 5tO 79.5 *.5 15.5 zfi.o V.5 LOg.5 ],42.5 ,l+.5 LLr.5 Lr-5 8.5 26.5 ?.9 Lr5.5 1r.5 49., fr.5 459.5 w.5 1O1.5 85.j L56.5 25.O L&.5 8.5 24.5 VILI.ASES cENSUS PAftEI{TS TREATEI) COVERAGE % mDo HOSEST l{ovto }OXTATEEBU BENDUMA IOMET{DE' JOUBOHUN BINDI"SAU KA}.IAT[PA sE{BEHINUO OI.D IPWN L/TBLAI.{A' TAI{[I{AIIUT{' KE{Du}BOUT UOKUMBA SEXI{BEHUNUO J}T' BAI{DAiII'MA JTBIEUN PEI.EHAIIUNT NAGIIEEUT{ I.OYOGBA' MOLWBE I(PETEUAHIII{ BAI\tDAJI'UA GBANGAMA JN }.TOSAGOR YAWOmU.[ IITTNDEHUN-SOGIIII SXI'{BEIIIII|UO KORGBO 8I'I.{A' TANTNAIIUN GBONCIE GAMBTA KOMEilIDE' BAHBUMHI llotrls.sl. L/IPONKA' NDEUl' ?? 4r I4 8? r58 2L7 42 86 r40 224 55 8a 5' 22 z>4 I9 722 145 4l 104 t, 8 26 t 148 11 lr8 fi 4ss 8a u8 n 182 ,t z79 9 25 ,7 2? 9 52 116 155 l+I ,6 LI' 194 $ 64 42 L5 196 L4 90 120 20 89 to 7 2. 2? r05 IO 41 z9 n8 64 90 6l LD 19 215 6 20 ?4.O 65.9 69.2 59.8 77.4 76.4 8?-z 65.L fu.? 86.5 8?.2? ?8.o1+ 79.24 58.t8 77.L6 ?7.7 7r.7 8r-5 46.5 85.5? 96.92 8?-5 84.5r 81.8 7O.94 go.o 85.4 80.o 8r.o 78.O 76.3 81.8 76.7? 57.5 84.22 66.6 80.o -t- NO. TABI,ETS USED 69. ?o- 7L. ?2- 7r. 74. ?r. ?6. 7?. 78. 79. 8o. 81. 82. 8r. 94. 85. 96. 8?. gg. 89. t 90. 91. 92. 9r. 94. 95. 96. 97. 98. 99. 100. 10r. 102r 10r. ro4. lr-5 8r.5 2rL.o L9.5 21.O 19.o 81.0 72.O Lrz.5 Y.o 7.O ?8.5 52.o 1O9.r5 lo.o 2lr.O ,4.5 L7.O ,7.O L0.5 19.5 24.O ?.5 8?-5 245.o 229.5 72.O l?4.o 10I.5 15.5 7.o 1.5 5.O 19.o 20.o 41.o CENSUSyrr,LAGr*g @VER.IGEfr PATIENIS lBEATED lIUI,Tff'I BIMDORBU+ NAT ACIIEEIIUTT- KAI.IAI{DA ;T$TAIlIA urA PEf,EBU VAATA NTANDEEI'N-GBANJA KOTAUA I'IOKPAI{GE IIJAI.A IAUA}IA TANII{AIIUN KPANGA JBEEUN trFORTPRBU IOGBERE @t{BE{A UOSE{GE TIIAI.TAUO UABORNOR JIruDU }IANJUAI{OR I IDJINIDT' I I !{ONDOR' I I.EVIIUA' LI'NGI ' I rvrvr GONDA.!,IA' I I KOTEEUN. BA}{BIIIBII' KOUA}IA UORJAKA SE{BEHUN COI.GEUN UOFO' PERTUAHUT{ n 2p 25 20 20 80 IOI+ L'9 56 6 1Al 94 L22 12 28 ,9 L5 ,5 10 42 28 4I+ 8Z 22? 218 72 $8 105 ,2 11 1 6 19 21 L2 I L79 L7 15 L7 50 70 rcI ,5 5 6a 4Z 90 9 20 28 14 28 7 l+ 2' 28 67 200 182 & L'6 84 27 6 1 5 L' L? t, 6L.l gg., ??.8 58.o 80.o 85-o ?5.O 67-, ?2.6 62.5 8r., 60.8 8?.o 7r.8 75.o 7L.4 7L.? 9r., 80.o 70.O go.g 82.r 6l+.o 77.O 88.1 8r-4 8r-4 72.3 ?9.2 94.3 55.o IOO.O 8J.o 58.4 8l.o 89. o l8 n -4 NO. 105. ro5. LU?. 108. 109. 110. IUL. 112. 11r. 114. 115- 116. lV. 118. l19. 120. 121. L22. L2r. ra4. L25. Lz6. L2?. r28. L29- lro- 111. Lrz. L51. lrlr- L)5. Lfr. L17. 1r8. 119. ll+O. 1l+1. TABI.SIS USED 7L9.5 ?5?.o L97.5 2L.5 6L., 9., 19.o 2.O 2.5 1o8.5 L67.5 11.O ro8.5 r5.o L7.5 2L5.O fr.5 14.o b.5 56.5 26.' 50.o r4.o ?.O 5.O 29.5 1.5 8.o l 9.5 1f5.5 1L.5 49.5 9.O 5.5 10,o 1.5 9.O CENSUS PATIEtES TREATED COIIMAGE ,6 IrrIJAGES I(PXIEUA' IDf,OBSTA I,!oKOBEUAE POI'AI,A BUNItsU TININAEIIII KE[T[},IA JI{. SETtsEIIIil T.TOGOMBI B GORI.IA II' trlOYA I.APgtA GBTSISoil(n }tANJADU I,IEIPON ftMIItr uoroBo. JORUA KPOKIIHA TTAlsDEIIIil (tsouoBu ItJAl,A GO.IO SUtIl'lA POKI'UA BAtAI-n BELEBEH XAIAGOBIHIIT{ (trNGENEAI.L BI]I,IA KTNGAIIIIN ltAt'{uY YoKo BANGA-G SAITTIA lOBU TANTNAHUN KUEUI GBAJ{3&THA GBEI{GBE{BU 288 ?@ 2@ 22 59 10 ,L 4z 44 u, L?4 226 9' 15 L? 2t9 46 L' ,5 ? 2' n L' 6 4 8 ? ? I 6 2 28 ,fr L4' ,4 50 2 241 6n 159 $ 4Z 9 29 29 28 86 L42 20t 8: 14 v 184 40 IO ,, 9 21 46 10 5 2 26 , 7 26L ro2 ,2 ,9 2 5 ? I 6 77.2 84.o 81.o 82.0 80.o go.o 94.o 59.o 54.0 ?6.O 8ao go.o 9L.1 88.0 100.o 77.O 8?-o 77.o 94.2 94.o 9]-., 81.0 77.O 100.o 100.o 9r.o ?5.O 8?-5 ?7.2 7L.5 94.1 ?8.o 100.o 7A.4 100.o I00.0 100.o ENO. 142. 1.4r. r44. 145. 146. L4?. il+8. 14r. 150, I51. L52. L51. 154. L55. L55. L57. 158. L5). l60. 15L L6a. L6r. r64. L65- 155. L6?. 168. L69- 170. L7L. L?2. L7r. L?4. L75. L?6. L7?. t?8. , rc8 26, 2L 2? 19 , t2 5 ,, 5L 8a 42 L* 120 ,9 525 8? & 52 4l ,5 10] L' 80 20 51 4S 22 4l ,5 21 L56 42 * L6' 21 VII.LAGES CENSUS PATTEITTS IREATED COI/ERACTE 76 SETMIBU GBAPI JI{. ' OBONJETUA IEI'E KPOKTI}IA NTTNDITIT'N-GBAI.IJA Jlrl.tA MfsItrA BAIil GANDBHI'II' KANIA 0AUBIA ffi.lABU BONGOIA' IIELEUA' TAMNTEUN-KAPUIMAI KAWATA' GBINOBAI'{A BA},fBTIIBU BOilCtAl,I^ PUJEHUN NJATA IJONDE I.IOTEMA GBAI'IGBA GBEEIMA l,toNcovriJl'. TOIOBUT Mluusu TTANDEI{UN MOKOIJ MOKOTO FOIA' },IOSANDA GBOUATL/\ BIII-IA' ItoKAI,IBU , Va ,r5 p p 24 4 t7 6 6 67 too I+8 L?8 L57 409 651 )24 92 76 56 46 LN 22 IO2 ,t 8l 5I 24 58 41 2 I,8 S6 84 2L2 ,7 TABI.ETS USED L00.o 70.I 78.5 70.O go.o 79.2 ?5.O 70.O 8r., 78.o Z6.l 8a.o 8? -5 ?5.' 76.4 go.7 78.9 7O.2 65-z 68.4 ?5.8 ?6.L 79.2 59.L ?8.4 &.5 ?1.5 80.1 92.O Z4.L 85-4 85.5 72.8 ?5.O 69.o 76.9 ,5.8 4.5 LLg.5 7r.5 25.5 *.5 24.O 4., lr.5 6.5 6r.5 56.5 lor.o lg.5 r5r.o U9.o 4o1.o 6rL.5 96.5 6.5 6a.o 5r.5 45.5 L25.O L7.5 98.o 2r.5 72.5 5r.o 25.5 fl.5 41.o .z,-O 185.O 49.o 80.5 t97.5 2r.5 6PATTEITIS TREATE' COVERAGEIcENSUSYII.LJTGES GDATNA I,IOKPAYAIAOBS' PEI;EUTEUN ITISHION @Agt }.IOETI.IKEPE GTBTNA TABAIt{^ BAHAII,IA vA I.t GTGBIABffiUN' MOYOGBO' MIrE 45. !,lluoaro' l{IGBUEI.{A MONGHT:RI: sEI{GE{A ICKITHI'N IOIGOETELD' I{IAOETEHIII\I NgTEEUN' NJAGBABIIN BA}ITA SHIGA!.tl KPIJO MOEARGBO II{OTOMBUE UOSAI,A GBOUAIA loFor0 DODO l{IlilNcAr.l.[ BUI.IPEHWO' uorlslMBo }IOBENI l{oLARGA MIBANGE MOFINDOA 4S 8I ?5 s7 Itl+ 28 42 u, ? 5L 2?t l6s ,14 L4? 219 69 290 25 158 2L6 (t4t 290 L' L45 26 4l 8 ,5 11 10I r5 u.5 9L L99 v 518 ,57 ,4 52 * 02 88 2L 2? 8Z z5 fr 198 275 2r, 110 r,76 48 I'O 10 u5 L53 td,z 22t 10 108 r.9 ,L 5 z6 9 ?t Lt 91 7' L'5 12 lg6 286 69.4 76.5 77.) 28.6 7?.2 75.o 54., 77.O 78.1 ?4.5 72.5 ?5.6 ?4.2 ?4.8 7r.6 69.j 5L.? 54.o 71.5 ?5.4 75.L ?6.8 76.5 74.4 ?r.o 72.O ?5.O 74.2 8r.8 70., 81.8 ?8.4 80.2 4.1 7O.5 76.4 80.I NO. L?). 180. 18L r82. r8r. 184. 18r. 186. a87- r88. 18r. 1ro. 191. L)2. L)). I94. Lr5. 196. t)?. 198. L9r. 200. 20I. 202. 20r. 204. 20r. '206. 20?. 208. 20). 2IO. 211. 2L2. 2Lr. 214. 2L5. USED l+2.5 70.O ?2.O 3.o 104.o 29.5 10.5 100.o 9.5 45.0 25?.O ,h4.5 p5.5 L44.5 21O.O 62.o ?L9.5 20.o L45.5 199.0 6rL.5 267.o I0.5 Lr5.5 22.5 1).5 10.0 ,4.5 1r.o 9L.5 L5.5 LLr.O 85-o 225.O L2.5 484.5 ,r9.5 -?- llo. TABLETS USED 2L6. 2L7. a18. 2L)- 220. 2 21. 222. 22r. z24. 225- 226. 227. aa8. 22)- 2ro. 49.5 56.o Q7.o 272.5 296.5 t85.5 15O.5 r40.o 19-o ,5.o L7r.5 74.5 JO.O J8.o 25.5 104.5 49a.0 12r.5 74.O Lo8.o 42.o L?g.o 85.o 51.o 24.O 15.5 49.0 a4.o 96.5 495.o fir.o IO1.5 121.O 2r7.5 i4.o 27.o 29.5 5t.5 28.o 2rL. 212- 21). 214. 2r5. 216. 2r7. 218. 2r9. 24o. 241. ilbt. z4l. 244. 245. a46. 24?. e48. 249- 25O. 25L. 252. 25r. 254. YTI.LAGES CENSUS PATTEIVIS ltsEATED COVERACE r GIBIHA BIAEBU I,iOSONGE' I,ONOlIGOR MNDIHA.MOGBO' MOSENESTETO JN' Sn{BEHUNI I@ATEUA' MOSOGBOMA UANMR IDYA BUMPEHI{O GANGAI.{A' I,tOIONGO HATUAVIO MOBA,SEIRU I.IONIKATE BLl'{BA PIOTDE},IBU BAOMA TTANDOHUN I'{ORITOI'N MOOBADEUO DIIIDE}IOYA UOKTBA I(PETEUA I.IAIITNA TETBANA PI}IA GB.TIEMA LTBGO I,TRGO JN UBAOI.,ITHI'N HOXPOIdEEN BEIfGEIO l{ol,lA^sA IIOSPDH MODIUTNDO uoYrilar r.ol(CIrc 4Z 5? 69:- fri ,59 L4l L70 L4' ,4 42 L59 *6 ,7 n ,7 )5 48s L" fr L9 4Z 2L6 LLz ?2 25 41 * 27 102 496 42, r11 L77 255 fi at ,L 70 94 ,6 4g 5rl 2A7 246 140 L26 L2' fi z8 rz8 zfi a6 e8 P fl 3l+Z 101 z6 8Z ,4 r48 7t 48 L9 z8 44 18 75 *t z8 8o 9' L8? 4I 20 22 49 54 76.0 85.9 7r.9 69.? 8.5 Zz.6 74.L 86.o 66.6 66.6 8o.5 24.56 ?O.2 75.6 85.4 84.2 76.5 75.9 58.4 66.9 70.1 8.5 65.2 66.? 76.o 8.1 75.9 66.? 73.5 77.2 6r-4 72.1 52.5 7r., ?r.2 7L.4 7l.o 70 58.1 lfo. TABI,STS USED 25r. zj6. 25?. 258. 25r. z&. z6L. z6a. 26r. 264. 265. 256. 26?. 2 68. 26)- 270. 2?L. 272. 27r. a74. 2?5. 2?6- 277. 2?8. 27). a80. a8l. z&a. z8r. 284. 285- a86. 28?. 19.5 ro8.o 129.o 54.O ,1.O 15.5 44.o 6L.5 5?.5 12.O 88.5 zz.5 21.O 11.5 ).O 45.5 2r9.5 54.o 5r.o 74.o 2.5 ,.5 25.o 47.o 42L.5 2)5"5 902.O 518.5 25-o ,.O 27.O L5.5 22.5 8- YII,LAGE cENSUS PATTExiITS TREATED COVEBAGE{ PAt{B^ilA trTNGAIIUN Sn{BEKIEIIT{ MOSA,St TUNGIHIIil I{ONCAI'IfiCIIHUN !,TOGBAMBU SENGEMET NTAI{DEEUTUO NTAGOBEHUN MOSENISSIE lloKo{BE UOKONGOIT JIBTUA HEMABU KOPA}.IA BEREBU BrElltl II'}[BTA lromBo vt ltA GTHBIA KABAII SITENGE MOGBOMO l!0IA ulSlGE'T.EM,lt (tsAI.GBfi.{A MOGBE,{E !,t0NJAO UOSE{AIA !{ONGAUAKI'III'N KONIA n 129 145 6E 60 2' 45 6l 84 I4 115 2' 2t 11 , t+8 2t9 fi * ? z7 4 z6 77 5L4 ?7 1028 60r ), 5 ,, 2' 25 ? g1 ,) a z6 t, ,, 4g 62 ) 79 I5 r8 7 2 ,, L)1 41 4Z 2' r8 , 1g 4.o ,3t zfr 705 lloS 22 2 27 L' r.8 95.5 52.8 6?.8 64.5 4r., 56.5 7r., ?7.8 ?r.8 54., 58.? 65.2 85.? 5r-6 55.? 58.8 80.8 7O.7 81.0 71.9 56.? 75.O 7r.L 70.2 55.o ?2.8 $.9 67.9 66.? l+O.O 81.8 55.5 ?2.O IOTAI,: ,tg)6 2*zt 74.8 tTroetrcrt Oortrct of Toerc 28rg8o.o