rN()RTIr ffi()N NOTF VIIO.AP()C PR()JECT GLOBAL 2OOO RTYER BLII\IDhIESS PR()GRAM Jrrne 2OOl rJl )) 2EXECUTryE SUMMARY The Northern Province covers 65 000 km2 with an estimated population of about 1, 200 000 inhabitants. It is divided in four administrative divisions made up of twelve health districts and sevenf two health areas. The Foulbe constitutes the dominant ethnic group. The displaced population from the Extreme North province and the refugees from Chad are cause of constantly changing population figures. Another constraint is the long distances between poorly accessible communities and the acute shortage of health personnel. Nodule prevalence surveys carried out in 1992 revealed that onchocerciasis was primarily endemic in the Southern part of the province in 6 Health districts out of twelve, namely Tchollire, Touboro, Rey Bouba, Poli, Lagdo and Garoua Rural Sud. A year later, Mectizan treatrnent started inl993 in 2 Health areas under the auspices of River Blindness Foundation. During the third and the fourth year, five more health areas were recruted. ln 1997 Global 2000 took over and the treatment was extended to 6 more health areas. With APOC assistance in 1998, the distribution was extended to 14 more health areas. Currently following the lattest census, all28 health areas are receiving Ivermectin through CDTI strategy in 528 communities of the 6 endemic districts. In accordance with the Government policy and given field constraints discussed earlier, a progressive CDTI implementation plan was designed and our objective is to have full geographic coverage this year. So far 121,6 CDDs have been trained in 528 communities. Eventhough the period covered by this report extends from November Lst, 2000 to October 31st,2001,, most of our activities have been scheduled, between February and August as follows : February 21"t - February 23,a,2001. - Coordination meeting at the Provincial Heaquarters. - Retraining of trainers session March 8ft - March 9th, 2001 - Procurement and shipment of Mectizan to project site - Program Review at Yaounde Headquarters March 5h _March L0th, 2001 - Advocacy meetings (administrative, political, and traditional authorities) March 12th _ March 20th,200-1. - Seclection of CDDS by communities March 20th - April 15th, 2001 - Retraining of health area teams - Training /Retraining of CDDs JMobilization of communities April 10th - June 30h, 2001 - Mectizan treatment to 528 communities. - Monitoring and supervision of treatment areas July 15h - August 30th, 2001 - Reporting and evaluation - Estimation and Mectizan order The achievements of the project are the expansion of CDTI to 100% of the communities and the resulting optimum coverage rate. The strenghs of the CDTI implementation process include distribution in poorly accessible communities or areas with shortage of health personnel, the empowerment of communities, the support of the program by all tiers of the adminsitrative structures and full integration of the program. Funds were released on time, which helped to keep up with our schedule. Unplanned APOC activities have continued to cause administrative burden on NGDOs and MOPH staffs. SECTION I B a ckgr o un d inf orm ati o n The CMRNP3 project is located in the Northern Province of Cameroon, covering 65km2, with an estimated population of about 1, 200 000 inhabitants. The province is divided in four administrative divisions made up of twelve health districts and seventy one health areas. It shares boundaries in the north with the Extreme nord province, in the East with the Chad Republic and the Central African Republic, in the West with the Federal Republic of Nigeria and in the South with the Adamaoua province. The Foulbe constitutes the dominant ethnic grouP and forms the indigenous population of the area with others large tribes including the Mboum, the Namji, Moundang, Mafa, and the Mbororo, who are nomadic cattle herders. The displaced population from the Extreme North and the refugees from Chad are the cause of constantly changing population figures. This report covers the fourth year of distribution. An installment of 45 1'46 877 frs cfa was received on 01,/?2/2001 and was added to the 18 936 615 frs cfa remaining funds from last year. As in the past, our treatment activities are going to target the meso/hyper endemic corrununities, involving 6 health districts in the Sourthern part of the province, namely Tchollire, Touboro, Rey Bouba, Poli, Lagdo and Touroua as shown in the implementation plan. 41) Number of communties in hvper and meso endemic districts. Following the selection then the retraining/training of CDDs, census figures were updated to 301 666 persons in the project area. The number of endemic communities remains unchanged at 528 communities. Table 1 : Endemicity Level 2) Number of villages receiving Ivermectin before and number receiving now During the first year of the program, to avoid late distribution during the rainy seasory the activities were prefinanced by GRBP headquarters in Atlanta. The CDDs were trained only in poorly accessible communities and in communities with acute shortage of personnel. During the second year, we had planned to train CDDs in 40 % of communities,30 % in year 3 and 30 % inyear 4. As stated earlier full geographic coverage has been reached this year. This gradual increase was necessary because extended sensitization/ mobilizatton, training and supervision were needed to ensure adequate monitoring as well as full adherence to the new strategy. These needs were further compounded by the fact that the project area was large, poorly accessible, with a low population density and an acute shortage of health personnel. 98 99 00 # Districts #of endemic Health Areas estimated PoP #of endemic communi ties TotaI PoP #of endemic communiti es Total PoP #of endemic communiti es 1, Touboro 8 70L90 131 91.843 11.6 91222 11,6 2 Rey-Bouba J 23294 45 28315 L40 29954 1,40 J Tchollire 5 M887 103 55457 62 56279 62 4 Poli 7 35350 92 41,354 120 42121. 120 5 Lagdo 4 46978 35 5821,4 67 62090 67 6 Garoua Rural Sud 1, 9173 25 19651. 23 20000 '23 Total 28 229 872 431. 294834 528 301666 528 Districts # of endemic communities # of CDTI communities 1998 # of CDTI communities 1999 # of CDTI communities 2000 # of CDTI communities 2001 Tchollir6 11,6 8 32 82 11,6 Touboro 140 9 58 98 140 Rey Bouba 62 J 23 M 62 Poli '120 13 39 108 120 Lagdo 67 0 25 48 67 Garoua R.S. 23 0 5 20 ?3 TotaI 528 33 782 400 528 5 Table 2 : CDTI Implementation process 3) Number of times the communities/village in the project area have . received treatment From 1993 to 1996, the distribution was carried out by the Ministry of Public Health personnel, with assistance from the River Blindness Foundation (RBF). ln 1996, the role of RBF was assumed by the Carter Center's Global 2000, River Blindness Program (GRBP). This partnership with the Ministryof Public Health continued until L998, when APOC became part of it. Before the APOC project therefore, communities were receiving Ivermectin through the outreach strategy, which relies on the health center staff and Dialogue Structures. In this case, the nursing personnel takes the drug to the villages and distrubutes it at a minimal cost. The communities in the project area have received treatment under the above mentioned guidelines stipulated by the MOPH five times from 1993 to 1997. Under APOC strategy, these communities have received treatment four times from 1998 to 2001 J 4) Communi definition A community refers to a gtouP of persons that settles accord ethnic affinity, and that has chosen a place as a central leader approve by all. sECrtoN 2: Implementation of CDTI year 4 Name : Northern Province NOTF/WHO-APOC Date of colrunencement of APOC assistance : May 1998 to cultural and point and has a 6The technical report covers the period November 1't, 2000 through October 31't, 2001 For the period covered by this report our objectives are the implemention of CDTI strategy in 100 Y" of our communities where 1276 CDDs have being trained in 528 communities. TRAINING A retraining session was held at the provincial headquarters in Garoua for the district teams from February 21"t, to February 23'd. From March Sft to March t'fi,200'1.., the retraining session of the provincial team followed by the Program Review were held in the local headquarters in Yaounde. The provincial team, namely the Health Delegate, the chief of service for community health the project accountant and the three onchocerciasis project coordinators were present. The meeting were chaired by the Carter Center Project Advisor. The Carter Center Administrator, the Program Officer and the National Onchocerciasis coordinator. were also present. The objective of that gathering was to review and evaluate past year activities and to recolrunend solutions for identified constraints and weaknesses. Emphasis was also put on APOC Administrative and technical procedures and guidelines. From March 20h to April 151e, 2007, the retraining session for the health area teams were scheduled followed by kaining /retraining sessions of CDDs. The places of training and the number of trainees are shown in table 3. Table 3 : Training of the different levels of staff involved in CDTI implementation. Districts #of training undertaken #of TOT trained #oI District Staff trained #of Health Center Staff trained On CDTI #of CDDs trained Tchollire 6 1 J 6 224 Touboro 10 1 3 10 370 Rey Bouba 6 J 6 11,6 Poli 12 1. J 12 186 Lagdo 5 1 2 5 238 Garoua R.S. 2 2 2 1 82 Total 41 5 L6 40 1216 7Table 4 : Training of CDDs 2001 42 retraining sessions including the provincial session were throughout the project zone. During these sessions 5 trainers of trainers were tr as well as L6 diskicts and 40 health area staffs. presently the training of 1 CDDs has been completed in all districts. These CDDs were selected by their ties The training sessiors were centered on the disease and its pu health and soco- and communityeconomic impac! Mectizan distribution, Program ownership participation, management of adverse reactions, reporting and # of CDDs remaining # of CDDs trained # of CDDs left o//o Turn oYer #of endemic communities #of communities implementing CDTI Districts 72 224116 255 31Tchollire "11,6 370370Touboro 140 140 13 10 11,662 729Rey Bouba 62 186186Poli 120 120 23823867 67Lagdo 8233 82Garoua R.S. 33 12161260 M 3.4528 528Total IH ln)ld lo l<rt : FO o o p) o oH.t o U -] -io D FAtrD) HFtpo (, o) a. -!) ccp. FU o o Ed o 9) Fl o tr(t o H o rl o o H rD U a H .J V) (Jl N)@ NJ OJ o'\ tJN.)O o\N lJlFO tJ lJ o\ o o r-l H+rtro 5H\ lJ.+ oa 'FOO N }5@ tJO@ lSlF \oao @N) N)OOO z+ *s ^E'aUTEUgH(,J(oi- (D;r troa (,l l.J@ N)(}) o\N P N)O o. N) iJlF lJtJ o, N)OO FJ rSOO t\) lF@ tJO@ AA \o@ @NJ |.JOOO 3.o Hg ?3'E *sotroYX E5'N -'88: 6'3 o. ul N)@ N)(j) o,\ tJN.)O o\N Ffl5O FJ FJ o. N)OO lJ 'FO N)O ls@ FJ @ A rF \o@ @N) NJOOO d+:tn al.i ilH +8' =.ep.rEd B 6 HAH.J+-a/ ooo5HhAL. JHi ^H.9.D >ct (Jl NJ@ N) Cl) o.\ >JN)O o\N) tl 'FO lJ tJ o, N)OOtJ O O O O O NOOO ttE^o. dH.H.H+^ ;+ x o-oHV;H '#) t1 )tr !to-5cf.^ ?D tro x,0.55 oA5(D V) (Jr N)@ N(,t) o'\ tfN)O o.N) lJlF lJtJ o. N)OO lJ AOO N)o F@ tJO@ l5 '5 \o@ @N) N)OO +5o og9 -- 3 -sB(, i:'d>3(ok. o- g. '(D U) (Jl N)@ N) o) o\\ lJl'.)O o\t\) tJlF FJFJ o\ N)OOtJ AOO N)O A@ FlO@ AA \o@ @N) N)oOO -5 {t 5< +r oq 5'Rooq x 5 UE a vE /tr(D _c, urN@ N)(,) o.\ FJN)o o.N) Fr)So lJ FJ o\ N)OO ,J Unlike last year, the Mectizan tablets were received on time and decide on the month of distribution. communilies were able to 2000.The following is surrunary of activities carried out since november February )1^st - )lrd - Coordination meeting at the provincial headquarters. - Retraining of trainers session March 8th _9th - Procurement and shipmentt of Mectizan to project site - Program Review at Yaound6 headquarters March sth - 10th -Advocacy meeting (Administrative authorities/ Community March 12s. - 20s.,2001. - Selection of CDDs by communities March 20th - April 15th, 2001 - Retraining of health area teams - Training of CDDs - Mobilizatton of communities April lOth - June 30ft,200L - Mectizan treatment to 528 communities - Monitoring and supervision of the treatment areas. July 15h - August 30s - Reporting and Evaluation - Estimation of/and Mectizan order These training sessions and meetings provided the ty for district and health area teams, namely physicians, nurses and health to sensitize the local administrative, traditional and political authorities about provide details of the training sessions. strategy. Table 6 ) 10 Table 6 : Types of Training Our project's Annual Training Objectives are shown in table 7 : Table 7: Annual Treatment Activities The achievement rate for the training of CDDs is above and beyong the rate expected. IEC Materials were adapted and harmonized and used for sensitization and mobilization sessions throughout the project area. Type of training Total trained Type of Material used Facilitation team Major Constraints Provincial Training 19 Flip charts Posters Manual and Writing materials Provincial Team Long distance to cover, security. District Training 40 Flip charts Posters Manual and Writing materials District team And OPC Long distance to cover, Security. Health Area training 121,6 CDDs Posters, treatment books Tapes, measuring rods chalk Health area Nurse + OPC Logistics Group size Inaccessibility ATO % Achieved total # of training to be undertaken 41, 100 % # of TOT to be trained 5 100 % # of District staff to be trained 1,6 1,00 % # of Area health centers st#f to be trained 40 1,00 % # of CDDs to be trained 1178 103% # of endemic corununities to be treated 528 1,00 % 11 One of the short term objectives of the NOTF is to harmonize the training material at the national level. These tools have been drafted already but have not yet been finalized. APOC manuals and tapes have been used for the training of health staff and CDDs. Some CDTI materials from Douala and Nairobi seminars have been used to introduce the new concept to local authorities and target communities as well. In general, the CDDs did perform well as expected and their acceptance by the community members has grown beyong the expectations. Table 8 : Mobilization and Education of Target CDIT communities Mobilization at the communities level was aimed at ensuring community involvement with emphasis on their : - Attitude toward and acceptance of the project. - Selection of CDDs by the communities - Timely collection of Mectizan from agreed points - Payment of incentives to CDDs. - Decision on the mode and time of distribution - Education of communities on the disease and its treatment - Importance of the extended treatment - Program ownership The mobilization and IEC in the endemic communities was best achieved through the involvement of administrative and traditional authorities, focus groups, and outreach by public health nurses to the communities, to some extent radio spots were utilized in several communities. Adapted and harmonized materials by the NOTF namely posters, flyers, flipcharts were also utilized for health education. Table 8 details the mobilization activities that took place. The mobilization efforts were encouraging, especially the involment of traditionnal and political authorities which continues to bring about positive attitudes and acceptance toward the program. Districts #of communities mobilized #of communities which received HE about importance of extended treatment # of Advocacy visits to state director of health #of MOPH staff involved in mobilization #of NGDO staff involved in Mobilization Tchollire 62 62 1 9 1 Touboro 116 71,6 1 1.4 1 Rey Bouba 140 1,40 1 9 Poli 120 1,20 -), 1,6 1 Lagdo 67 67 1 8 Garoua R.S. 23 ?3 1 5 2 Total 528 528 6 61. 5 t2 The communities seem to be responding well to the new approch (CDTI) and as a result have taken charge of their own distribution as refleted by the improving therapeutic coverage rate. Communities continue to arrange for the collection of their drug by the CDDs and they have been deciding on the mode of distribution. Improving mobilization of target communities To further improve mobilization of target communities there is a : - Need for more posters in both French and Arabic since Arabic is widely spoken and understood in North Province. - Need for more flyers and brochures targeted at local authorities and opinion leaders. - Need for flipcharts for use in health centers and target communities . - Need to increase awarness by having an onchcerciasis week. - Need for most appropriate communication channels and strategy namely griots and storytellers, given the high illitracy rate. SECTION 3 ; Achieoements As discussed earlier, we have reached full geographic coverage this year. All training and mobilization activities have been completed. Mectizan tablets have been delivered to all Area Health Centers by CAPP1 personnel, where they were picked up from by community members, according to their treatment plans and objectives. Most communities have updated their census figures and distribution is under way, even completed in some communities. Treatment figures are awaited. Although the CDDs were selected by their own corrununities, some abandoned the program because they felt the level of motivation was inadequate. Eventhough remuneration of CDDs has gone from 25 o/o to 32 % of cost recovery funds, regional commercial projects namely the"Pipe Line"Tchad-Cameroon has attracted some CDDs. More sensitization and shortening of distribution period should help to minimize the turn over of CDDs. In general, all trained CDDs performed up to par despite the fact that some of them left. Some of the difficulties encountered were the lack of motocycles in some health areas, the fluctuating census data because of steady migration of populations from the Extreme North, in search of fertile land for farming and insecurity. Progressive adhesion to the program has been noticed in spite of continued rumors about the drug side effects especially during the farming season. The program will continue to provide the necessary health education to the communties, while seeking the support and endorsement of opinion leaders and traditional leaders. ' CePP : Provincial Drug Agency 13 MONITORING AND SUPERVISION Supervisions were carried out at fwo different levels : - District level were supervised by the provincial team to ensure that the procedures were followed as planned and that the objectives had been reached. The District teams in turn have supervised the health area teams and the health area teams have supervised the CDDs. It was common to find Provincial and District teams supervising at the community level. SECTION 4 A . STRENGTHS OF THE CDTI IMPLEMENTATION PROCESS. Poorly accessible communities or areas with shortage of health personnel have been receiving Mectizan treatment and other health Prograrns. Communities have been taking charge of their own distribution by collecting their own drug, choosing their own distributors and the mode of distribution. The empowerment of communities through the CDTI process and capacity building has strengthened local structures, rendering them more functional. Local traditional, political and administrative authorities have already expressed their support of the new strategy, by attending most of the mobilization meetings. All Primary Health Care personnel have been trained on the CDTI strategy and are fully involved in the training of CDDs. The CDDs are supervised by the area nurses, and the Onchocerciasis Supervisors. The health facilities are used as collection points at health area level. Mectizan distribution has been fully integrated to Primary Health care system. B - WEAKNESSES OE THE CDTI IMPLEMENTATION PROCESS Heavy APOC administrative burden on NGDOs and MOPH personnel due to reporting requirements and multiple on going unplanned activities. Poor data quality and inconsistencies may be increased as a result of irregular supervision. t4 Inadequate supervision of CDDs due to poor accessibilify to some communities or lack of logistics may lead to poor data quality. Insufficient incentives offered by the system resulting in CDDs leaving the program, which can be compounded by the lack of commiknent of some communities to support their CDDs. High training cost due to low CDDs to population ratio, as a result of long distances and low population density. In summary, the major achievement of the project has been to be able to keep up with the transition plan which has allowed us to reach full geographic coverage this year. That achievement has occurred in spite of the inaccessibility to some communities and the long distances between communities. During the first year of the program, the 33 trained CDDs had treated 4543 persons as a result of the then existing National Policy. Today, some additionnal 121,6 CDDs have been trained throughout the project area. We are confident by the time we receive all treatment data, last year coverage rate will be reached. The challenges remain the continued acceptance and ownership of the program by the communities, including the CDDs, whose motivation system is essential to the Program. TYPES OF SUPPORT NEEDED a) From Government - Increased counterpart funding. - Involvement at the highest level for full mobilization of all tiers of government. - Multisectorial approach for community sensitization and mobilization. - Ensure that project vehicles and equipment are used mainly for the intended PurPose. b) From APOC - Timely release of approved funds to enable coordinated and harmonized plaruring of activities. - Reduction of reporting demands and unplanned activities. c) From the communities - Communities should be more creative and should decide on locally appropriate compensatory machanisms for CDDs. - In addition to involvement as a corrununity, there should be more personnal involvement to CDTI activities.
RAPPORT FINANCIER DU PROJBT TIDC NORD CAMEROUN TROISIEME ANNEE 2000t200r Pays : CAMEROUN Nom du Projet : CMRNP3- TIDC NORD CAMEROUN Date d'approbation : 09 f6vrier 2000 P6riode de couverture de la Lettre d'Accord : Novembre 2000 a Octobre 2001 Nombre d'ann6es d'exercice du projet : 03 Date de la derniere soumission : Pas encore Date de la presente soumission : 18 Juin 2001 1) IN FORMATIONS GENERALES Les activit6s du projet TIDC ont effectivement commence dans le Nord Cameroun au mois de novembre 2000 tel que pr6vu dans la lettre d'accord du 9 Fevrier 2000 Le Co0t total du Projet est chiffre dr (en cours d'exercice) la contribution communautaire. US$ 144 187 plus Le montant total approuve sous la presente Lettre d'Accord d partir des fonds APOC pour le projet en cours est chiffre a : US$ 126 Sl0 Le montant retenu par APOC (Equip.Cap, Audit compt. Frais gen6raux, etc) est chiffrea: US$ 2330 Le montant a 6tre transf6re au NorF d partir des fonds APoc est de Fcfa 50 676 885 A la fin de la deuxieme anntie (Octobre 2000), un montant de Fcfa = 18 936 615 etait disponible dans les comptes du projet. Suivant les clauses des accords avec APOC, ce montant d ete consider6 comme le <First instalment>de la 3"'" ann6e. Le <Second instalment> d'un montant de Fcfa = 45 146 877 a ete regu le 22 Janvier 2001 soit un total de Fcfa = 64 083 492 regu d'APOC jusqu'd ce jour. situation des comptes du projet TIDC Nord cameroun au 15 Juin 2001 - Banque - Depenses Mois en cours - Avance de Caisse supervision - Avance siege/Cpte SCBC N' 018020072500 - Caisse locale Total ( En Fcfa) 11 716 268 2 899 065 B 158 020 3 553 745 3 699 293 30 026 391 ft!-r 2) - Description de l'utilisation faite des fonds d'APOC En dates du 21,22 et23 fevrier 2001, il s'est tenu d Yaounde une reunion de planification et d'evaluation des activit6s d laquelle l'equipe provinciale, le coordonnateur national et l'equipe du Centre Carter ont pris part. Les objectifs de cette reunion etaient : - D' 6valuer les activites de l'ann6e 6coul6e. - D' identifier les contraintes et d' y trouver les solutions. - De planifier les activit6s de I 'ann6e qui allait commencer. Tels que d6crits dans le plan d'action, qui a 6t6 d'ailleurs respect6 scrupuleusement. Voir tableau d'analyse du budget en annexe. 3) Probldmes ren ontr6s Nous ne notons pas de probldme majeur en relation avec le d6blocage des fonds pour le Projet. Seul l'6loignement des signataires sur le Compte tenu d Garoua peut en cas d'emp6chement de l'un ou de l'autre retarder le d6blocage et m6me les activit6s. Pour palier cette 6ventualit6, un systdme d'6tat de besoins est mis en place. Celui-ci doit 6tre adress6 d Yaound6 dans un d6lai raisonnable afin que les dispositions soient prises pour la signature des cheques. Compte tenu des distances et de l'enclavement de plusieurs communautes, des avances des fonds assez importantes sont faites mais les justificatifs des activit6s nous parviennent souvent avec du retard. Cette situation peut 6tre aggrav6e par l'absence des banques commerciales au niveau des districts et par l'insecurit6 due aux coupeurs des routes. Activit6s Montant utilis6 Pendant la p6riode des reportages Pourcentage Par rapport aux fonds regu 1. FORMATION 26 709,26 23 2. OPERATING 12 019,23 10 3. PERSONNEL 10 941,47 I 4. TRAVEL 7 893,09 7 TOTAL (1+2+3+4; = 57563,05 49 ( '1 4) DESCR|pTtON DE L'UTIL|SAT|ON DES FONDS RECUS DES AUTRES SOURCES DE FINANCEMENT Source 1: Communautes La contributton communautaire est en majonte bas6e sur la mobilisation socrale, le temps mis pour le choix des distributeurs communautaires, I'organisation des reunions et activites liees a la distribution du Mectzan. Dans plusieurs communautes, le distributeur regoit en dehors des 32% du recouvrement de co0t un payement en 6spece ou en nature des autres membres de la communaut6s. Source 2: Minist6re de Ia sante MOme si le Ministere de la sant6 n'a pas jusqu'a ce jour debloque des fonds pour le program Onchocercose, sa contribution reste substantielle Personnel/Techn. Assist: Portion du salaire pay6 par le Minist6re de la sant6 aux medecins et infirmrers intervenant dans I'activite de I'Onchocercose. Operating Expenses : Loyer, Electricite, Eau, Carburant, Logistique, Suplies : Materiel du bureau utilise par le Minist6re de la sant6 pour les activrt6s de l'onchocercose Travel: Supervisions et voyages elfectues dans le cardre des activit6s de l' onchocercose par le personnel sanitaire et pay6s par le Mrnist6re de la sant6 Communications: Appels faits d partir des lignes telephoniques du Minist6re de la sant6 Ligne budgetaire Montant budgetise Estimation de la contribution du MOH Personnel/Technical assrstance 28 060,00 16 368,00 Capital Equipment Supplies 3 500,00 2 042,00 Training '11 300,00 I 831,00 Travel 5 000,00 1 200,00 Communications 3 150,00 1 837,50 Consultants Operating expenses 24 430,00 14 250,00 ExternalAudit Total 75 440,00 45 529,50 Source 2: ONGD (GRBP) Une portion du co0t du vehicule achet6 par GRBP au cour de la periode pour Yaound6 est imput6e au projet TIDC du Nord Cameroun. Ligne budgetaire Montant budgetise Depenses en natures ou en especes Personnel/Technical assistance 3 818,00 Capital Equipment 22 727,00 Supplies Training 1510,00 2 235,00 Travel Communications Consultants Operating expenses 5 410,00 5 600,00 ExternalAudit 5 000,00 Total 11 920,00 34 380,00 I)^.)l ,u, t azzmco4<< 3Epm(J- oqXm-o rEh r-J-Ir --t C)v>mlqo >zoo ov(f .Tt ov =Ct- n m o > zoo =9 E= F 3 ^EZ 6g':o: m " SJ oE8P C9I P4Z,r-900i e R =o-{3 m noCz --l -o CNxo(]C) mm OC,Omzhtd8oxz-l =P. Noo A A @ il(,l(rt o -r.l o o) I mx -{ m7z t- C 9 --{ ol ozaC r-Iz G) o -U m n --t z C) mx -U mza mq) --.{ n m l- -.{7 z_ z G) o ! =t- m oC -o mz -{ a1 C ! ! =ma -o m7o ozz mr ---t ml o1 - a 9.a --l f(o J o g tro @ o 9. ao N)5 o -ooo (,(^)(,(rr o oo (,t oo (, o @ _ooo I (rl (o(, Noo N5 N -(,oo €otl E:9d.oL(D<,+ o. s o @ -o --] I '-l I I N)(n 5(, O)(o N) (, (o 5 O -o!s (, oN -*.1\lo, I d N) -{ t_- | <-rr l^ al P3lO.o a3.o -qC(D- ==I -Olo No --t(, !(, Oo (,l(, --t(, -(,loo 5 N)N! N _.1 o oo (o @ --l O)oO oo ll --t5 O)o .O oO O) @(o (rl o)o -o lo 0 o.! =r orrJrqo 6ol 6'oo o N (o(,(,(o (o -! -{o --t O) @ _(, @(Jl --l(o(Jl -o, 5 N (,(rl -o', ls I N)(, -(, --l(, o o.T' -o @o ol-6'3lo-lc I (o o')5 N --l -(,@ N) o) o(O --l -5 lo --J o) _@ O)O (o o) @ __t --J lN) o E= o.co-ao.o-:ja.ooo o6 lo N) o (o N) @ (rr N) N o) --t o(o N) O) --l @(o _(,o(o N(o o _5 N) l" o(o5 s --l 8e{r= =l-- !, =I f =l- N o @ -o --l --l N)(rl 5(Jl -O)(o I (, o N) --{ __l O) I Ial - ol g9.o og c -{o{ r c] n mo -to o @{ N5 N)Ao oo o,o (O o) NN @ (,)5o(,5obo (,l C') .} I r\) l- A@ -5(rl5 ct)o l,o l3t- lho l- O)(,, N{ @{(o -n 0) = o). (- li- : &, t- o ::t -_.)' --+-g o- --i-- :1 U)6 :l A) C o R I I p : .: s-' I I I I I I (o oN -(,(, I I (, o N.)(, -5 @ 5 o -o -.j5 -t(, N --l -(,(, :/ PROJE,T TIDC NORD CAMEROUN BUDGET 4iMC ANNEE 2001-2002 Yaounde l8 Jurn 2001
JIJSTIFICATIF DU BUDGET Le budget du projet TIDC Nord Cameroun est passd de $ 136 065 d la troisieme annde e $1 1 6 366 d la quatrieme ann6e soit une diminution de l4oh. Ceci explique l'int6gration partiel de certaines activit6s tel que, Les formations, Les supervisions , la mobilisation sociale ainsi que certaines charges administratives. Operating expenses Cette ligne budg6taire est passee de $24 100 d la troisieme ann6e )r $ 22 269 d la quatrirdme ann6e. Un deuxidme v6hicule Land Cruiser a 6t6 alloud au projet TIDC du nord. Compte tenue du niveau de l'ins6curit6 actuel dans le pays, ceux-ci doivent 6tre couverts par une assurance tout risque pendant les trois premidres ann6es d'utilisation, soit $2 782 par vehicule et par an. Le troisieme v6hicule du projet 696 de 5 ans doit 6tre assur6 au tiers pour les courses dans la ville. Dix Motos ont 6t6 allou6es d la l" annde et02 autres sont attendues soit au total 12 Motos d assurer contre le vol et l'incendie. Autres co0ts tels que le Carburant, la Maintenance, le co0t du bureau central ont et6 estim6s d parlir de l'experience acquise pendant les ann6es antdrieures. Personnel/Technical Assistance Par rapport au budget de la troisidme annde du projet, nous proposons un ajustement d'indemnit6 de l0% d la hausse. Ceci pour compenser partiellement ceftaines activitds d6volues qui seront men6es mais non pay6es ni par le Ministdre ni par l'ONGD (Supervisions, Monitoring, Training). Travel Cette ligne budgetaire est passee de $33 350 d la troisiti:rne ann6e d$27 182 dla quatrieme ann6e. I?t .) Les voyages sont repartis par niveau, de manidre d superviser les activites du programme de lutte contre l'onchocercose dans les diffdrentes zone du projet et d tous les niveaux. Capital uinemnet Compte tenu de l'enclavement r6el, des longues distances et de la locations fr6quentes des motos dans la zone du projet, nous proposons une augmentation du nombre des motos allou6s au Nord. Nous proposons aussi l'achat d'un ordinateur pour remplacer le portable en panne depuis bient6t 6 mois. Trainins/Heal th Bducation Cette ligne budg6taire est pass6e de $33 350 d $14 816 soit une diminution de 56oh par rapport au budget de I'ann6e dernidre. Ceci est tout simplement dfr d l'integration partielle des activit6s. Supp lies/Communications Cette ligne budg6taire est estim6e sur Ia base des experiences acquises durant les ann6es ant6rieures i _\i,,r - ttrL'' \J Lt i. YEAR 2001t2002 APOG PROPOSAL FOR NORD PROVINCE, CAMEROON Detail of Budget Line ltem Exchange rate : 550 Fcfa = 1$ BUDGET SUMMARY TOTAL SUMMARY CATEGORY APOC MOH NGDO TOTAL Personnel/Techn ical service 23 160,00 28 060,00 51220,00 Capital Equipment 16 907,00 16 907,00 Supplies 1 500,00 5 000,00 6 500,00 Training 14 816,00 15 900,00 1 510,00 32 226,00 Travel 27 782,00 10 700,00 38 482,00 Communications 1 814,00 3 150,00 4 964,00 Consultants Operating Expenses 22269,00 24 085,00 4 240,00 50 594,00 ExternalAudit 5 000,00 5 000,00 Direct cost 108 248,00 86 895,00 10 750,00 205 893,00 Overheads (7,5%l 8 1 18,60 0 0 8118,60 Total 116 366,60 86 895,00 10 750,00 214 011,60 PERCENTAGE s2% 43% s% 1, l-; YEAR 2001t2002 APOC PROPOSAL FOR NORD PROVINCE, CAMEROON Detail of Budget Line ltem Exchange rate : 550 Fcfa = 1$ Line ltem: Operating Expenses Position/ltem descriptron Sou rces Unrt # Cost Months 300 12 266 12 Explanatron Estrmated monthly amount for 3 vehrcles Estrmated monthly amount for 3 vehrcles & 12 motocycles For 02 vehrcule and 1 2 motocycles Estrmated monthly amount Estrmated monthly amount Estrmated monthly amount Total Cost Vehicule Marntenance Fuel & Oil lnsurance, Taxes, other Central office cost 5 (Yaound6) Pubhc Awareness Motocycle maintenance Total APOC APOC APOC APOC APOC APOC 300 12 3600 3200 7272 4000 597 3600 22269 Line ltem : Personnel Technicat Asslstahce Position/ltem description Sources Bookkeeper 364'1 pers)' 1 2months OPC ($ 1 60'1 pers+$1 46'2pers)'1 2 months Dnvers ($200'2pers)' 1 2 months Watchmen ($89t'l pers)' 1 2 months Secretary ($200.1 pers)-1 2 months GRBP Country Rep ($630'1 pers)'1 2months GRBP Admrn ($208'1pers)'12 months TOTAL APOC APOC APOC APOC APOC APOC APOC Unrt Cost 4368 2400 1,068 2400 7560 2496 # Require d 1 J 2 1 1 1 1 4368 5424 4800 1 068 2400 3400 1 700 231 60 Total Cost Explanatron Techntcal Assistance Techntcal Oversrght Technical Oversight Technrcal Assrstance Techntcal Oversrght Technrcal Oversrght (1) Technrcal Oversrght (1) Line ltem:Consultants Position/ltem descrrptron Sources Unrt Cost Requrred Total Cost Explanatron 0 for honorarum, perdrem, travel 0 3 team members, 8 days 0 estrmate 0 expert for 5 days 0 Mrd term Evaluation Terms of Reference Ex6cuIon (honorim, perdiem) Transport Other technical evaluation TOTAL APOC APOC APOC APOC 0 0 0 0 0 0 0 0 Lihe ltem lTravel Position/ltem descrtption Central level supervisron (NGDO) Transportation (Yaound6-Garoua-Yaound6) Provincral level supervrsron Dlstnct monitoring Transportation Health area drstrrbutron Drrver, other perdrem TOTAL Sources Unrt Cost 55 245 47 to 100 4 539 Requrre Total Cost d 45 o 48 448 12 1 456 2 Explanatron 3 persons, 5 days 3 times yearly 3 persons; 3 tnps 2 persons for 24 days 8 day ;2 persons for 28 hlth ctrs est mthly amount for 2 persons 1 day/week, 1 person for 28 hlth ctrs Estrmated amount # APOC APOC APOC APOC APOC APOC APOC 2475 2205 2256 12s44 1200 5824 1278 27782 )ement Position/ltem descriptton Vehrcule 4 x4 Motorbrkes for Drstrrcts Provincral Ofrice Equrpement Provrncial Office Equipement Central Office Equipement TOTAL Sources Requrre Total Cost Explanatron 0 0 For 01 vehrcule (Nord Provrnce) .13635 0 For trarnrng monrtonng 0 allocatron of Drstrrcts 3272 allocalton of provrncral (computer ) 0 d Unrt Cost 0 3 0 1 0 APOC APOC APOC APOC APOC 0 4545 0 4234 0 16907 <- it - ..la descnptron Provi nc i al Team Traininq (2 traners, 2 days, 10 Parltapants) Perdrem Transportatron S u p hes/Facrlrtres TOTAL District Team Traininq (2 Trainers, 2 days,20 particrpants) Perdiem-trainers Perdiem-partlcipants Transport Supphes TOTAL Health Center Stafl Traininq (2 Trainees, 2 days,20 Partrcipants) Perdiem-trarners Perdiem-participants Transport Supphes TOTAL nunlfu Sess/ons( ucator, 1 day per sesston) Perdrem Transport TOTAL O peratinq Pl a n T rai ninq (Provincial Level) Perdrem S upplies/Facrlrtres TOTAL TOTAL 4b 4 100 24 12 1 55 JI 20 25 4 40 22 1) 220 1 480 440 300 2440 46 28 10 Require Total Cost d 400 Expla natron 11O4 12 Persons for 1 days 48 Travel for 1 2 Persons 100 Estrmated amount 12s2 2 persons for 2 days 20 persons for 2 days Travel for 20 partrcipants Estrmated amount 184 2 pers'2days 112O 20 pers'2days 240 24 persons 0 154/. 1600 for 400 communrtres 1800 kavel for 400 communrtres 3400 12OO 12 particrpants for 2 days 100 Estimated amount 1 300 14816 Sources APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC APOC MOH MOH MOH NGDO NGDO NGDO Unrt Cost 4 40 24 4 4,5 400 47 100 24 1 Traininq Health Education Materiels/Distribution Adverse reactron medzcrne Dephants Tee-shrrt Tracts TOTAL Trarnng facilrttes Provincial meetings Distict meehng Lease space/Trarntngs TOTAL Coffee Breaks, Trainng Supplrcs Provincial meebngs ' ict meeting th Center Stalf 0 0 4 0 0 0 1220 0 0 0 4880 0 4880 0 0 0 0 0 0 ( ,,MV lline ltem r Supplies Position/ltem description Office supplies-Provincia I Office su pplies-District Office supplies -Health Center Equipement de bureau(mobilier) Total Unrt Cost neqXireO Total Cost Explanation 1 000 Paper, enveloppes etc 500 paper, enveloppes etc 0 Paper, enveloppes etc 0 1 500 Sources APOC APOC APOC APOC lLine ltem :Communrcatton Position/ltem description Telephone Service-Yaound6 Line maintenance, etc Telephone equipement Total Sources APOC APOC APOC Unit Cost 200 # Required 12 Total Cost Explanation 1400 Allocation of minthy fees 414 Allocation for telephone equ '|.8'|4 int{ t.