i []ff ll,'[',\,{'fi}'$'ff [otrt(],1Ii(]'l' SIX MONTFIS IN 5I'' YIIAII (.ITJNti 1'O NOVEMI}IIII 2OO3) ll \ t\. r'i. p-{, I lt } CO UNl'ITY/NOTF: NICliltlA l'}r'oicct N ilnlc: lit)o/l)ELTA S1'A1'ES' CDI'l Launchiltgye:lr': 1999 NG arllrc S .I-II E CAITTEIT CEN]'IiR NIGIr,ITIA / GLOI}AL 2()()() II $ a , Annro val yeat': t999 ortilr criod Morr c:l t' Dlte srrblrritlcrl: .IANTJAITY 2()()4 e SIX MON]'I IS' TTiCI IN ICAt, I{EI'OI{T .I O ,ii ,1 f \,I r il, AFRICAN PROGITAMME FOR oNCI{OCE,RCIASIS CONTIIOL (AtrOC) 0 I HARS 2004 i ,ti; , litJ s@v*rta \\ ll(),',\l'()( 1,) \Lr-lLtrt IOO_l APOC Table of contents ACRONYMS................ DBFIN ITIONS........... l-oLt,Ow UI, oN ]'cc tuicoMIVIl,tNt)A't'toNS SIIC'IION I : IIACI((iltotlND INFO|{l\'lr\.l'lON ..... l.l. (it,Nr,tt,rt INroR\1,,\l()N........... L l. l. ltrlnttltrtlrtttr trtrtl trctr rlt'valoltrtrt'trls rtt llrc 1tt'ttjec't lltriallv) I.I.2. Ptrt'ltrt,r',tltr1t. 1.2. l)ot,ttt.n iloN,1p1, Ilt ztl ilt sYSil Nt...... ....... SECl'lON 2: IMI'LIIMIiNl.A'l'lON OIr Cl)'l'l ...... 2.1. Pt,lr,tot> ()t At'l'tvil il:S ..... ..... 2.2. Ot<r;r.ruN(,. sr()r(n(il nNr) I)r.t.rvr,t(\'()l tvl Il\,11.( lN.......... 2.3. ADvoc,ti't' nND St NSl t,/,\ I t( )N ........... 2..1 . MoBtt,r,/,\ il()N n NI) ilr Ar I II r)l('z\ roN or r\ r rilsr'. ('oivlN,t UNllil s............ 2.5. Coir,tHflrNllll.s lN\/ol vl l\ll N I lN t)t ( t\loN-Nlz\KlN(, ......,.......... 2.6. Cn t,r\( nY tltril,t)tN(i..... 2.6.1. l'nritturg..... 2.6.2. [:tlttiltrtt<,ttt trttrl lttttttttrt t'(,\()ut'('(,,\... 2.7 . l-trt,nl'vtt,N't's........... 2.7.l. -l't'c,rrlrtrutt ftgtrt'a,s 2 7 i 'l)L'tl(l of ltL'Ltttttcttl trtlrtt't't'tttt'ttl ftrtttt ('l)l I 1ttol('tl tnL('l)lton l() llte L'ut't'('ttl.t'('(tt2.8. Slrt,t t(vtstr )N ............... Slic'ilON J: SLll'l'Ol{'t'l'O (ll)l'l 3.1. FINAN('rz\t. (oN|UtlUl toNS ot nl, t,r\t{t Nt,t(S z\Nt) (ol\il\4trNil il s 3.2. O t t rt.tt r'ortlvrs ol ( oNtNttrNl I \' \t it,t,( )t( I :1 .3. I:Xt't.Xtlt ltll{l.l'l It n ('ll\'ll\'.............. SliC'l'lON 4: StiSl'AlNAlll Ll'1"'y' OI. ('l)'l'l 4.1. lNtl.ltN,\l : lNt)t.t,t Nl)l,NI I,,\t|t( |,,A1()t(y \toNItotuN(i: llvnt trn il()N 1.2, ('ot,tH,llrNlt\ sl,l I-NloNIIolilN(,,ANt)St,\t.,t ilr)t.t)l.t(sN,lt t ilN<,.,.................. 4.-1. Sl tslAlNr\lil1.1 l\'()l l,lioll( l\: t,l r\N,,\Nl)\l I l,rrl((rl lS(Nl,\Nl)Arour ,rr YR-i1 4.4. Ir,t I t,t,ttn I I()N ........... 4,5 Ot,t tt,,\ ltoN,Al til.St,z\l(( il ............... SECl'lON 5: S'I'ltIiN(;'fIlS, WliAl(NliSSl,ls n Nl) ('IIr\I.LliNk;lis.......... .. I I ....ilt IV I I I I 2 4 1, .4 .6 .l .7 .[J .9 .9 il t3 l.l l1 l6 t7 t7 Itt t8 l9 l9 l0 2t)) t9 23 \\'llO/r\l'()('. 29 Augtrst 200.i ,Acronyms nl'>OC Aliicarr I)rogranrrnc lirr'Onclroccr-ciasis('ontrol A lO Arrrrtral 'l-r'catutcnl. Otr.icctivc A'l'r'O Annual 'l'r'ainirrq Otr.jce tive ('BO ContntLrnil;,-[]asctlOrgarrizatiorr CDD Corrrrrrrrritl,-Dircctcdl)istributor' CD l'l Contrtrrrnil.y-[)ircctctl'l'r'cal.rrrcrrt rritlt Ir,crnrcctirr CSM Conrrnurritv Scll:Morritoring L(;n l-ocal Covct'nlltct)t Arcll MOI I Ministrl, ol'l Icaltlr NCDO Non-Covcrrrrncntal DcvcloltntcnL ()r'sanizaliorr NCO Norr-(iovcrnrrrcntulOlganizatitrrr NO'l'lr Natiolral Oncltoccrciusis 'l lrsl' lrorcc I'}llC [)riutar'1, lrcalth carc RIrMO [tapid l3pidcrliological N4aplting ol'Onchoccrciasis SAti Scvcre aclvcrsc cvcrrl. SI lM Staliclrolclcrs rrrccting 'l'CC' -l'ccllticalC'onsultativc C'onrrnittcc (,\l'O('scicrrtillc aclvisory'group) 'lO'l' 'l'r'aincl ol'traincrs l.lNICIrF [Jnitcd Nations C'hiltllcn's l:trntl tl'l'C LJltirnatc'l-r'catntcnt (ioal U'llO \\'orkl llcalth Orglrrization NI'}l Nirtionlrl l)r'ogranrrr.tctrn In.rr.rrtrrrizirliolr \\Il()in I)(X'. 29,Arrgust 200i Definitions -l'otal lrrlltLrlrttiorr: tlrc totll poptrlllrorr living irr rrrcso/lr\,pcr-cnrlcrrric conulrrrrritics rvitlrirr tltc prtlicct u[cil (blsetl on l(l iV1() ilncl ccrrsLrs tilkrng). (rr) t-lisiblc rprrllttrtlrr. (i) ( iv; (r') citlcLrluterl lrr ll-l"u trl'tlte total ;tttlttrlation in rncso/lt-1,pcr.- (iii) cnrlcnric conrrnrrni(ics ilt tlrc pr()lccI ill,cil tc ob (,,\ I'O): tlte cstirrratcrl rrLrntbcr. ol' pcr.sons livirrg irr l ('[) I'l plojccl inlcntls t() tt'cal rr,ilh ivcrntcctilr in it IV rtrcso/ht,;'rcr'-cnrlcrrr ic arcas t lurt !.1IVCn vcar Ultrrttatc'l'r'catrttcrtt Cottl (t.l l(i1= clr lculaterl us tlrc rrralirrrtrrn ntrrrrtrcr ol'peolrlc to bc tt'catcd ltttltttalll' irt tne soilr\'pcr crrtlcntic atcils rvitltirr (lrc pt'o.icct at'cit. ttltintatcll'to ltc t'cachctl rtltcn tlrc;rroicct lras rcuclrcrl lirll gcoglalllric covcra-qc(ltol'tltally tltc Pro.iect shotrltl [re crpree lctl to lcirclt tlrc t]'l (i ut thc cncl ol'Llrc i"l vcut ol'thc pro.jcct). '[-lrcrapcLrtic ctlvcragc: rrrrnrltcl ol'ltcoltlc tr.eutcil ln a qivclt ].car ovcr Ilrc total lroptrlatiorr (llris sltoLrltl bc crltrcsscrl us a Pcr.ccntusc). (vi) CO hical rrrrnrlrcr ol'conrrntrnitics tlcatctl in a qivcrt -vcar ovcr. tllc Lotitl tlttrttbct' ol'tne so/lt-t pct-ctrrle rlic conrntLrnitics as iilcnl.ilictl [t1, l{l;MO ip tlrc ploject lrlca (this sltorrltl lrc crltrcssctl us l pcr.ccrrtagc). a ill \\,'llOi,,\l'}O('. 29 Arrgust 2003 FOLLOW UP ON TCC RECOMMENDATIONS LJsing thc tablc bclou'. lrll irr tlrc l'ccortrrrrcntlirtitrrs ol'thc lirst'l('('orr tltc proice t irnd clcscribc lrou' Lhey havc bcclr arldrcsscd. 'l'CC scssion l5th 7'(.(. RECOIV III EN D:ITIOI\,\ The issue of rncentive to CDD and an examination of rate of refusal and absenteeism over time in relation to the statement that "it may be due to post- honeymoon eFfect". ,.t ('7- I 0 N,S'r.,1 I( E N Bl"flll: I'RO.IECT A research fellow at tlre Universlty is currently handling the proposal. f 0R t'cc/,APoc MGT LISE ONLY (l)lcttsa utltl trtrtt't, t'tnt'.: if ttcL'(,\,\(u't') 1'l'leusc ittilictttc lltc rttttnhat'ol'lha purul4t'ttltlt (uiiattiltt litta itanl in tha'l'CC rcport rclulittil Irt lha racot,tutcntlulirttt o.f'tha TCC haing uddrc.s.;tl. ) ''Nrtttrbar of' puntgruplt itt'l'CC' 7B l\/ \\'l l()ir\l)()('. J() z\ugust 200-i ,[,xectrtive Sunrnrnry l.Sponsolship ol'21 cndcnric l-CAs out ol'-t3 t.(lAs irr lrclo ancl Dclta Statcs startcd in June 1999. 'l-his is nradc rrp ol'tr.vclvc L(iAs in Udo Statc arrd ninc l-GAs in Dclta Statc that arc rneso/lrypcr crrdcnric lirr Orrchoccrciasis. 'l-rcatnrcnt lravc consistcntly ltcen cart'iccl out in thc 2l crrdcrrric [.(iAs rrrtclcr tlrc aus;-riccs tll'AI)OC *lrilc lLrssivc trclttntcnt ttttdct's1'lonsrrlslrip ol'(ilobrrl 1000 corrtintrcs to bc calricrl orrt irr thc t'cntaittitts 22 h1'1-ro-cttrlcntie l.(.ir\s in tlre (rro Stirtcs (16 l.(iAs irr l)clta itntl sir l.(iAs in [.clo). ll. A total ol'414.02(r pcrsous \\,crc succcsslirll-l,trcatccl irr 4(r7 villagcs ol'tcn [.CAs oul ol- 2l LCAs which ltavc a total population trl'1.346.5t'i7 pcrsons ancl an A1'O ol- 907,337 pcrsons. Scc dctails orr par'.2.7 'l'cntativcl). tlris trcatnrcnl. gavc a thcrayrcutic ancl tcotl'aphic cr)veragc ol'-10.7')i, irrrr.l -J(r.7"o lc\pcctivcly lbr thc six ntonths [rcirrs t'cporl.ccl upon. lll.Poptrllticln lnovclncnI vvas noI scliorrs c\ccl]1. lirr tlrc rnigration ol'pcoplc to tlrc rrorthcrrr part ol-Nigcr Dclta fi'onr tlrc sorrtlrcrn pult lvhcrc crisis rvas ongoing cluring thc pcriotl. In llclo Statc thc ortl1, i11'", ol'poptrlation lnovclltcnt rvas by Lhc plescnt [hrrncrs rvlro tritt'atc ll'otn ottc arcit to anothcr lookirrs lirl lcrtilc ground lrl sorv thcir crults. Also sotttc t'ctirccs tvhrt.just lcli tltc gttvcrrrnlcnI scr'\,icc rrrovcd tlorr,rr Io thcir villagcs to scttlc rlorr'n. lV.'frainirrg tr'as couductcrl lirr tlil'lcrcrrt eutcsolics trl'stal'l'that arc irrvolvcd rvith IDI' activitics. 2 Statc ('oordinator-s.8 S(X"l's \\,crc rcgarclccl as traiucd, rvhilc targctctl tlainirrg rvas cortrlrrctccl lirr 75 LO("1 s, l-5 l'll('. 75 I)llS 60 lllrS anrl (r20 C'[)[)s rvclc trairtctl on cr)nununill'scll--ntortitorinu lrrrtl stal'clrolclcrs rncc(irrg. V.C ha llcn gcs lsstrc ol'clclayccl lirntling liorn AI'(X antl no \Ltl)l)()l't lloru SMOIl arrd [.CA IIiglr cost ol-lire ling -l'lrc relirsal ol'sornc villagcs [o ou,rr thc Progran.rrnc Ilorv lltct' wcrc ovclconrc Ort Al)O('ttott-t'clcasc ol'Iirncls. scrics ol'lcttcrs *,crc rvrittcrr [ttrI rro rcpll'rvas rcceivcrl liorn AI'OC' ol NO'l-lr. Ort SMOI I strppolt. a nrcrlr() pltrlrt,sirrg rvlvs alrrl nrcans ol'strpltor'( Iras [rccrr scnt throtrgh thc Ilcalth Cornnrissior.rcl to tlrc Stutc's [.xccutivc (lovcrnclr'. OIt LGA sttpport in [:.tlo, tltc I)ilcctorate ol'Loeal(]rrvct'nnlcnt antl ('hicliaincl, Al'lnirs is lrandlilrg thc issuc *'itlt a l'ictv ol'e rcuting u stanilarcl lirr l,CAs'corrrrtcr'ltart caslt contri [rtrtiorr. I{crrtobilizatiotr cl'firrt rr'us rloublccl lirr tltosc villagcs that lirc lcltre turr[ [o oun tlrc prog|anr nrc. a) b) c) c) I) s) h) \\'l l( ), A l'( )( . 2() A Lrgus[ 20(),i ,SECTION 1: Background information 1.1. General information l.l.l. Ittlntluc'liutt urtd trart davalol)tttattls itt tlta pntjccl (hriall.l') '['hcrc ltacln't lrccn arrr ncn'tlcvclt,l)tttcltI on Lhc ploicet. n I'}(X'is assistirrrl 2l L(i As trr Llrc Ir.ro Statcs riitlr a totul lroprtrlaLiorr ol'1.346.5V l)crsolls r.rrrcl tlrclc irlc l.(X)0 villagcs trrrtlcr trcatrncnt. nt thc L(iA levcl. lclrrlcrship is ir bir-l;rroblcrrr tlrrc ttr trttstat'rlc political sLructurc irr Niecr ia. I)r'opcr clcetiorr is rct (o [rc contltrctctl, as a lcstrll. thc rtotnirtatccl carctalicr collruittcc is Ii'ciltrcrrtl-r e lrirngctl arrcl Llris al'lL'e ts orrl rrrotrilizatiott stratcgl , cvcrl r.lpto tlrc Statc IVliuistlr ol'l lcultlr. In I)clta Statc. thcrc u'as a split ol'l'r'inrary Ilcaltlr ('arc il'}ll(') I)c;rurtrrrcrrt in tlrc l,(i Cortrtcils into [)ll('ancl [:rrvironrncntll tlcplrtrrrcrrts. 'llris gavc thc progt'atturtc'a lol ol' pt'oblcrn anrl li'ictiorr [rctuccn tlrc tuo rlcpultrncrtts. cspccialll in tlrc ulca ol'stal'l'to tutl lurttl Inartagc thc progranrlnc irr i'alitrrrs I ( il\s. llrrrrcvcr'. tlrc Statc ()rrclto tcattt ntctnlrcrs itrc nral'ing cl'lirlts to lcsolr'c tlrc elisis lrr reeognizin!, tlrc trvo r.lc1-ritrtntcrtts ancl gcttirrg tlrc ('l)'l'l l)l'ogrilnrlrc ()n e r)ur\c. 1.1.2. Purtrtarshilt LJctrv'ecn 1992 arril lt)t)4. thc Ilivcr lllirrr.lncss liourrtlation (l{l}lr) lirrrdcd tlrc []r'()gr'{lnrlrc irr collaboratiorr lvitlr tlrc Statc Nlirristry ol-IlcalLlr artcl the bcnclittirrg L(iAs. []ctuccrr.lurrtrarr, l9()5 urril NIlrr lt)t)9 lrrnrlirtg rvas proviclcrl Lly thc [.iorrs( lubs Intcl'tratiorrll [)istriet -{().1 uitlr tlrc l'celrrieal su1.r1-xrrt ol'Olobal 2(XX) ltivcr' lllirrclncss I)r'oslantrlc in collirtrtlrirtiort rvi(lr tlrc Stal.c Nliltistr'_r ol'Ilcir llh. I;r'ont .l tutc 1999 to rllrtc. n I'(X'/WI I( )/N( ) I I tool' up sporrsorslril-r ol' tltc l)r'()urulnl'nc ilt collaLroraLiorr u,itlr l.('llr. 'llrc ('utcr'( e ntre/(ilobll l(XX). tltc Ministn' ol'llcltltlt itntl tlrc Lrcnclltirrs L( iA:.. -'l'lrcsc l){.lt'tnct's at'c inrolvctl in plartnirtu. srtpcrvision. ltrlvtlcrtc\'. tno[rilizittion atttl llculth l-rlrreation. Nlir[rilizatiorr stlatcgics tlrlrL \\'crc trsctl irtcltttlc nttl io tttttl tclcyisigp [rler.rrlcasts. iirrglcs ultl cite Ltllttiott rtl' ll.( tnlttct'iltls. 'l'lrc partncrs irrvolvcrl irr proicct's irnplcnrcrrtal.iort ut lll lcl'cls at'c thc N(jtX), n I'}O('. NIOIl. l.(iAs. ('onrrnrrnilr. ('lrrrrch gr'oLrp. l\loslcur gr'()ul);.trtrl Opiltiort [-cirtlcls. 'l ltc rrorl'irrLl rclatiolrshi;t antong l)iu'tncr's is t'ctt cortliul us it t'clitlcs ttl plrtttttittg. srrpcrvisiorr arrd utlvocle)' visitirrrobilizltiort. Sr)n)c tlil'lletrltics itt'c llcirtg cx;tclicrtcccl ott strltcrvisiorr cltrc (o llcl' ol'str;tlltlrt ll'rtnt rtltc govct'tltltcttt. 'l'ltclc al'c;tlarrs to rrrobilizc thc Stltc uttcl t.(iAs cspccilllv as it t'clittcs to sustairrability,. -l'lrc N(;lX) assisting tlre ploicct is lrcins ttrgctl to ctttbat'li rltl a lliglt- ;trtrrcrctl delcgation in con.jrrrretion rvitlr N(X'l' to visit thc Stltc ltrtl.icct. At ottr Icrcl rrc ulstl plan 1tr r,isit opiniorr lelrrlcts urttl ptrliev ttttl'ct's ol'lltc l.(iA rvllctt trcrr' cltait'tnctt iu'c rltt lr clcetctl. ttttt elttetltkct ( ltlt ilrttt'rt \\'l l( )/z\l'O( . 2() Arrgtrst 200..i z l:r'r .. l; ir i'll .. l\ a t:f.o ;=tr 'q= !) ::++ . i.O(sq, ---O \.& =or- 0l l r.l :J 1(,l:<ro a*Io -ra ri -:ri \ a a .: ri = Cn ri a: .! a a \c\ ?a .: .i a = =a -G o o =2. a +/ s = o) o- o o o = = = d'? - = = = o o-(I) = rD o =fi ta l C W)c a z o aD a ?) = 7'tr , a, -.]) o i-rl 2 7- a7- o i-n CL o :n !- =1 a - =o) = -! C - e9 t Y ='.1 Z=- -?.rinia2> q I)r @o +- \DIJ \D a) \l F o\ € I 6 I : ! t- i.r, a I @ o' I J_ ,'o ,o .o IJ \] : ! i _., .]_ -J Y!O a o\l J-\, J;J-1 o oi X :'6 c D =fralJ -. t! \c l.J .J_ o J- IJ IJ .J- J- O co rc +- -' \o IO C O I a.l- J. - A c \] \] C C I -t I\] I? *2 I =itc f:G6 -- = 1i ,l - -i - - -. 1 iz' l-t- r it) = i.'< iF - -= l^ .;6la -.Jlt - -1 - - i"a-a a ; i-' a l) JJAloiq I -. j 3 -rl l,< -|j. - -.1 !alqa o I\ o\ \\ >\o \ i4\\o irc \o @ p @ o -l \) J- CO ,,o J- @ .o O +-)ra I .J_ )J @ o.]_ \o CA ,c @3 O l- 'o .o .o IJ ]- .o .o .c IJ ,- \DIJ -,@ ! ]_ I I ,c O \] l- .oIJ ,9 O) \.I IJ -l- \] i,I 9 ! C\.1 9 \l = -_l C. - -J .]_ 'c ; --J l- ..c C o. l9 o\\o a \,C J- IJ .]_3 OO P c.Oc O IJ x - l-) C, i r, = I -IJ = I rn a a .l -[q D=L:o6=6 a -.:',' toltt ttg a'a - te I I = i. I -, =aoLa ';o6 i=ao -= oa C ,a IJ = IJ I t', = IJ at = --tl al 1 : uvJL OOO rri O : clt OO -f at\c O -f o': O? r\ ;, aJ J F-- t-- al .i >\ cl a - aE bll ??a> .. u u| -Y'- ole6.-- utroO::C-o btrL:' >,= d o =)= E= 9 a3? : bo.a -.- C.z. Ot-- o t-- (-l t-- -t, \o\o c.l r-- -f .o\o O -t '-f, (.l\o -t -I(.I\o I O O al \D O C al \o OUr: \c O O\or: .o A C O r-. OO O(--- O r- I O t-- 9 -t a al J .-t -f al +\,c O F- c +t-- r- q -t Ir- O G. I;tbl t- \o a\l t-: -1\ \ cC l\ 6 r(t v - ,a) al N o\ -t € t,it 6 .o l\ n a(J 0tr a c,) a Z I c-o >. b0 =E otr,4 6U EaG s?ui 5n.9q-o ;',E 1 F= |E!9:. L 9oX : or.; JF o.2. o al (-l\o O \o J \o -? O \D O \o t-- t-- O -t J -t -t -t .o -t O o. -f 6J O r\\ \o \o aU .ieX e: 5 or.LX ?o 9' -YJF- L^-^ O r-- al t-- -t .o\o -f -t al\o O(.l \o O\o t-- ,/,\c r- 9 OqO F- -t o cl + ,o t-- ? -f t-- o\ -ca r-: co Ir-q trt J ro ,; (,9: xCY U€ A oZ E t) .9 C E oa o .9 0,)s L oZ :l =a an {! (! J o '- Z- Z 'n 4) :Z o 'a Z s =a U} = = ) s q J Z< <? ; C, a C) SECTION 2: lmplementation of CDT| 2.1. Period of activities Ittst't'! l)ltrrt ttf tr<lttttt ttttltt'trlttt.g (t(tit'itt('\ lty trtotttlt. llttt'lt tt't't.t, irttltlt,tttt,rtlatl. r\ctiv itics .lrrrtc 2(X).j Irrl_r '0.1 Ntlvcrn bcr' '03 ,,\ ttgrrsI '01 Scptc rn bc r '( )ctobcr' '03 03 \ \\\\\ \\ \\\\\\\ \\\\\\x \x \\\\\\\ \\\ \ \\ \\\ x,\xx\\x\\ x\\\ S/No Ailvocacv Visit ) _.] 4 N{obiliz-atiorr 'l at'gctctl tnr irrirrg t,l' t-OC'l's. L)llS. /lll S 'fiii,riirg crn ('SVl/SI I Nl 5 6 Mcctizan I)istribution Sttpclvisiorr/Morr itori ns \xx\'\\\\\ x\\xx\x x\ l 8 Stocl\ con Li n r.rcs ()lt Mcctizarr tablcts l;valtratiort \x\ ) 1 \\ Il1,),'',,11'111'. 2() z\Lrurrst l00l al 1 ',1 ) = = a a 0t bIl a- L ^_) =.) a/* : !) ar () a) a t) -\ C -al -,c al =, = al oZ -C al/ = CO al a Z- ^D c't1- - at ') "' =- - f-l al -r/ C ,- at Z = = al c Z. o al/ = ac at o/. -al ,:' - t = cl a .2. = al/ = (a o cl o ./. r(a -, al .) _a = a lz I I It- CLi)lu) Ii-.'- al-o =.) c 7- u _9 = a- tJ') : u -o =u o i u _c = a/ .-; C- 1)(a) L N .D =.!) cZ L u -o 4) CL a , -o =u o z L r) _a = a =al) 4 _o =A,) aZ at) = .) -o = ^.) o 7. = (.t 3 al a)/. OO at /t cc al a) Z -O al -r = O al c .z- i cnt =- -al N = AJ -a = e/- -o bl) =, a- !r) = I I u -o =0) oZ t) U) (J oe U T= tt- L a!) -o C o oZ L a _o =0) o1 -r = L u -o = aZ -, 0! !c U ^) = = =' 1) = /J) = r) - = L 1) -o =r) o/. /!) = ,l;;t -0 a: v/ alZI -l 1) 1t -l a) = = 1) = L -o =A) aJ/ /) = L t) -o =1) a/. '!) = = brl c! a' -=16 (, A.) = aa NJ: z L !-) _o =(-) oZ t C) u oZ a) = a -o =1) oZ u C L a) _o =tL) a/- 1) a = L A) _a =u t)/ 'L)C = bl) tt - 4) = -f. J CO = a 'J1 =q .1) E Lri ?:) Et oZ = L! u =a = = 5 A) = =a ') q, 1) =L a Z- .; e: =L /. =) .t= = .4 -= a = ,-= =4 u =L /_ = aa -If 0) (g 9 ro C a(U 'lf o C 0) o_ 0) -C f o _c. C,)l L -C ]f OJf cFC o() a ,1 0) L O B o E oa p C o _C C o Ep E a C) (E a o) 0) B a 0) =Eo$ 0)a(Doj) l-e O* cv F: 0) Oo ,A > a! ! \.4 a c'l La aJ L!;Z =2_ L! \-7 iry\e_: u-.] ,-711.r) 4J L] i- al =-oc! ^) L! _c n .= 'o u tJ L I ro E , .et (/) .v .= a '!) .= u =.; .il ,Jl EI -I -l , 2.2. Ordering, storage and delivery of ivermectin Nlcctizrrrr(rl) ortlcrctl/irplllictl firr bl'- Qtlarttt'lit'h tltc ttltltt'tt1tt'iula utt.ttrar) IVIOU tr \\',ll( Othcr (p lcasc spce i l,r ): _ [:san SoLrthcast I s0.000 [-surr \\/cst I 50.0(x) lisan Not'tltcast I 00.(xx) I Ihrrrtntrt ticlc Ol ia Nortlrclst I I0.000 105.000 100.000 I 10.0(x) I0-i.000 - ril[irtiiL trNl('1,]E I 50.(XX) - iott.oito 109.9()5 105.0(x) I 09.99s 1-r0 -5 0 5 N(;l) Nlcctizarra] tlclir cl'ctl ln' - Qtlattsa lit'l' tlta ultltrrtltt'iula utr.strar) NIOu I \\'l I(E ' t t rN l('l'l,lE N(; lxE Othcr' (plclsc sltccill ): - l,lcasc tlcscribc hou'NIcctiz:ur,.r9 is ortlcrcrl ittttl ltou il gcts to (ltc colllllltltlilics 'f[c LCA Olc[o coordinators rnalic thcir lcclLtcsts lil'Mcctizatt alicr gcltirrg C'l)l) pccltri;cprcut Ilorn CDI)s tlrrotrgh tlrc lll:S, tltc [rasctl ()t] ecllst.ts ttptlatcs tll'villagc rcgistcrs. 'l'Iis applicatiorr is litru,arrlccl to thc Stlrtc ( orrrtlirtittot' tltt'tlttslt thc SOC]'l' itt cltargc ol'sttelt a1cir. 'l'ltc t'c(lucst ll'orl all L(iz\s iu'c c()llirtctl utttl rrrrrltiplictl lrr 3 ttl at't ivc ltt Iltc ttllllrtlritttlttc rrurrrbcl ol'rablcts rrcctlctl. 'llris llrral llstrrc is Iirt'rrltltlctl tri tlrc N(il)O proicct ol'llcc lirr lirltlrcr actir,rtt. Tablc 3: Mccti/1n(lu ltrvcrttttt'1, (l'lt'tr.s't'rtrltl tttrtt't'r'tttt's tf tt(')((''\,\'(tt't') I50.000 0I -50.000 l5o.ix)0 0 0 0 i I I i t 0 0 0 0 0 l0 0 0 0 Oviu Sotttltn'csl I I0.000 0 0 0liilo Stth lolul 72 5,000 72 5,00t) 7 24.990 0 l)clll Stltc l)r'rrs tlclit,cl),\\,cte Ilorrl SO("ls to l.()("ls ttr l)ll\ to III'S arltl to (l[)t) ,\'ltrt<, trt.lr,itt(,\ ,r(lL,t. lt,t,t.trtt,t'lttt tlt'ln'ct t'llttrl ru't' l)t'ttt.! ('(tt't't('rl tttrl ltv lt'trlllr ttrt't' 1tt't'stttttlt'l ttt lltc 1tt'tt1t'tl ttt't'tr (r \\ I l( ), ,\ l,( )('. l() ,,\rrsLrst l()().1 Nrrnrllcr ol' Nlcctizart'" litltlcts =t=: I lir lti rctl\V:rslcl{ctl u csl ctl Itccci yctl Usctl [,oslt,(,JAS Iirlo Stllc t-10.000Aniochu Not'tlr 0 0 0 0 0 0 l-10.(x)0 l-+0.(x)0 l-10.(x)0 1.10.(x)0l.+0.000Arriocha Stltrth 0 ,] 0I05.000 t0.5.0(x) 0I 05.(XX)ll'it Nortltcast Il'a South 105.(x)0 490,000 t5.0(x) I ) i i l I I t)5.000 490,000 I0I ,2 1.1.990 00 ()0 0 0 010I0,s.000 490,000 I .215.0(xl Dallu Sult nttul (;RANl) 'to'r^l. N4onitoling/srrpclvision ol'tlltrg tlistrilrrrl.iott ti ct'c tltt lr e art'ictl ottt 'l'r'a in ing o l' C'I ) l ) ('ontlrrcl. o l' CSlvl/Stal'clto Itlct s' lnecI i t],'s Mobilization Advocacy visit to l.CA polic,r' r)ral\crs. 2.3. Advocacy and Sensitization At tlrc statc lcvcl lirLrr I'c1, policv null\cls rrclc nrobilizccl in lc\pcct ol'ct'cittittg ttttlt'c a\vAt'cncss and rclcasc ol' corrrrtcr'pirlt cuslt e ottLt'ibtttiott. 'l'ltcsc tr ctc: I Irtttolatllc Corrrrnissioncr'. l)crrrrarrcrrt Sce lctlrr. I)irce tor lttttl l)cptttr tlilcctot'ol' l'l l('/lX' AI thc l.(iA lcvcl l\c\ l]()lie-\' ntlker'\ ricrc ulso rnrr[tilizctl itt cltclt ol'tltc I.(ir\s that rrcrc visitccl totlrllilrrl 40 irr ltrrrnhcr Nllrlor ohice livc lirr tlrc ntobtlizlttiotl rrits ttl cl'clllc awal'cncss. lrcalth-cclueatc tlrcnt on Llrc tl iscitsc piltl,ct'n. rc-cttt;lltitsizirrg tltc ttcccl lirt I-CA srr1t1;olt to tlrc pr()grilnlltc cspccirllv as Al)(X'spottsorsltil'r is cotttiltg ttl ittt cttcl. i l'llcrrltics/ct)nst nl i r)ts l)cin sorrrc State policy' lnal\ct's \\'cl'c ll()[ sccll ilI tllc titttc of'r'isit sornc LCA ltolicy utal\ct's lirc u,orl'ittg to assist [tLrt rlttc to tltc allcgctl sholt-litlltrl rcvcnuc to thc l.(jA tltcv arc ltitttcliclt;t1tccl. lrrctlrrcnt clralrrtc in tltc lcarlclslrilr ol'l,r,eltl grttclnlncttt atltttittisttlttitrtt llt'tltc (itlvcrrt rttc rt t. 'l'rarrslc; gl'lrcaltlr stal'l'll ttrrr orrc I (rA Io unotltct ltalttltct's cotttittttit-r'ol'tltc.jotr. 'l-o irrr;lrovc iiclvocacy. visits rvcrc rtturlc Lo tltc [)irccttlliltc ()l'l,ttcal (iovct'ttlttcltt. 'l hc Corlrrrrissiorrcr is hclltiltg in tlrc rlircction ol'eottvcnittg a s;tccill tttcclitttt rvitlr irll thc [,CA chainlcn at a ccrrtral placc irr tlrc stlrtc eapitir I to disettss tltcil strllllot't Ltl tltc pr()gra nrlrc, 2.4. Mobilization and health education of at risk communities - 'l hc rrsc ol'nrctliu is noI so cl'l e'ctii'c ut tlrc locul lcvcl. 'l'lrc itqc-lotlg \\\tclll rcgattlctl lirr' disscrtrirratirrg inlrtr rnltiorr is thc torur elicr'. rtlto bcuts u sltccial tltttttl lttttl lllcs\llgc llassctl pgurrcl [r-1,clricl. Mgttilizution ()l \\()lncn. pllrlieullll'lv ctlrtclttctl /crtliglrtcrrctl rtottlctt ir also vcr'1' c l'lccti vc. llr-lnrrr rrrtr qrrttrr.,rl' I h l)r,.,., I I 2 ,l 4 ) llcsporrscs ol'titlgct villagcs alc alw'u_\'s cttcottt'aqittq r,r'ltcttcvcr ttttc is u'itlt tltcrtt. llrrarrcial supl)ort. thc villagcs trstrlllv ilcecpt rlthct'tcsltorrsibilitv assiSttccl to tltcttl Savc ltrr' Accolrr plisll lllcll ts: Although, tttuclt is yct to bc accotttplisltctl. intcnsificcl as rvcllas thc irlitial.iorr ol'('SN'l hcaltlr cdueution ol'thc villtrgct's rr'ill lrc !Vca lirrcsscs/(loltst I'ir in (s (u) Suptc villlgcs iuc coltrltliriltirts trl'g()\clllttcttI httt'tletl plltectl tltl lltctll. ([t) Sttrrrc villagcs lilel\ e()()l]ct'irtion tltrc to elrrclittirrer lttttl tltltct cottttttttttlt I tl islltrtcs (c) I;trcl scat'cit1' ancl tltc c()llsc(ll.lcllt 1,1u11 ltrst ol'llttre llltsitls il (rl) l.ack ttl'coltttttittttcltt lrr sottlc S( )('l's lttttl I ( )('ls (c)'l-r'lrnslL'r' ol' tt'ltinccl llclrltll stitI'l' \\/:rys to i rtt lll'ttvc rttobi liz.:t l iort tl l' tltc llt rgcl vil l:tgcs: C'tlrrtirrtrctl llotrilizutietr ri'orr ltl bc intcttsilictl llrovitlctl ltrgisties lttc ltvltilithlc trr' Pltrr itlcd lrr tltc lll)l)l'()[l iiltc (ltlill'tcl'\. 7 \\'l l( )jz\1,( )('. l() r\ur.ttrst lO0l c at c- O = L() 'o u u -c. .C .: b,] '-= 0)u E .J,, 'E (.J .+ .9 tr o. E oe _ (.) UE, .ebL> !.) > a-ro =utt' ,g - -. al) i;(Jdtr >.F -oOC1 t _.O \J :cd o-o bocc/\ bl)( t(lv =u ^C:()F c;i o-l 'i >',,L(Jo->5 -o- ._ t) n'EIJL nc0 -3 or5Ii 0.., -() ,ru (o :- -o vu o6 '; 0-, CJ -C t) -= L- *1) u al) :\ q -fJ U qJ ? \- U o ^: \J a ! a_ Fo(, a)E .= o o- ,E L o- a .9 .: E =cU +1 u) -l -tFI o c ,x G E ! tr ,9 ,g uq, ,E +, tr 0, E 0)i o .E o ,g E tr 5 E E o o d c,i b o ecl E' -q . cr-Y!a-)_ =/'= .a brr !TA \o o\ <. s(o co N s(o (\ @ -oo\ co c.) (o -o o\t-\r N s O (o O (o s(o co s(o -oo\(o $ -oo\O O sN F- (o (f) 3- :A a= Q'; E f--O (o $ O) N N O) N @ $ ts- --- @(6 sO .{' t\ co -o o\ Nt\ ra) r C! N o.)t- co (o f.- O o) Or sN co $N sN (o N O F- o) ro ro @ O@ LOF- rc! cr)N @r N (o$ ro ea ar) - E9 =a qa e5IL . 1,2 ? ylZc /tEa :C!! c q'a a = ah- ! s <{- (o co s(D(o ro r C{ N O O LO LO O O ro$ O O N$ O O O) LO sOO O LO O LO sOO N(o N(o soo (o .1' (i s sOO r ro(o LO(o sOOr ra) N (o N s n @$ r cf)(\l N o)$ so@ !o o) \rN 5E LSr'l- ?:a o-Ed7. E=6ot) =r/.= =:=-:.a- .' =;), c / = .z \Qo\ .d- LO N NN -o o\ @(o LO r N N s o) LO co NN -oo\ co(o LO r NN sOO coN co N sOO O co I C) c.) sOO LON ro N a d o) _c = U) c(U a LLI a 0) c(u a LU a(o 0) .C Z C(U a LJ.' 0.) T) o Ec .C) a(s(l) _cr z (o ; L_.) a o) ts .C =o U) ot oz (o l: I c _c f oa (g _c.o o c a(U LU -C L oz (U Y _c f o U) (o -:c J F- oF oz E. o al l, al) = 1/ atl .= r' .3 0) (J t- 1),. U t- rJt .9 Ot_ o. = a) -o -U clE -c a -E = E , 1) -( -o a U L ,o -o U o -o o u 5F Dlt " = /' -4) ec .1)'a ,o lrl -- Z :-\ h UU U \ a c p .: qJ 6 F ! e_ .9 =(-,) a u o- .E L_ () c (h (.) (J C uL ,(J ,= =U u at) .= ,= LF ,t,t -l -t =tit o tr g .oT >:-EIO!-(! o. Go; ei d ci ) N c-) N N O Y--{ ON !--l C\J N O c! @ a\ Fl ,--l f-- r--t LN F{ Fi N N a\ $ a'-) \r C\] i-t OO rl c! N O N N(o r! LO 10 Ol rno r{ rll or\ oN o o r{ := q-a L- qJ ea L)^ . r l\ O Grr- - ,d) OL E- (/ o FItr Z" l c: ol Crl 'Z q, UqJ us Z N H C! r-t N r--l O N r-l N r-l N f-t O N r{ Nr--l (\ ?-l O @N ON @ ON t--{ lc! cn $ rt co ON ii (\ a! O N N O N @ C! O ri O O r-l O r-{ O o r-{ Or-tF-l O ri O N ?.1 N ti --r lN t-+ i--{ @ il LN N @ O C! O N C! o LN O N O o LN LN O ca (o rl $ ON F{ N \r c! !J- c! O o !-l iro I N il O r-l FI N N a\ N N O N N N LN O LO LN O .l- r\ Ni-'l \o F{ N r-i OO t--{ o r-{ Or{ Orn OlN O r+ LN N O H O cn o\N N f-t LN N r-l a\ t--t LN N f-t N r-t l.r)Nt--l O O O O O t LN N O O c'-) o\c\ OO H LN LN tn O tft r{ H t N Ol FI CN N oil tn LJ J a ro OJ -C! f (/) c rg UJ P(/) CJ B c(o a LU P a ro OJ -c .u L z c roa L.IJ qJ rc o C C = -El a ro AJ -cpL Z rU 't o u) OJ -cp :l o\n ,TU o E. f oa ro -cU .9c cI oz ro -CU .e C Pa ro LU -cf oz roIZ -C f a (tr -V o tr o E o ,g e U s soo F{ tr o E o ,g (, s \oo' s riN tr o E(u oI(, s soo c o E OJ .9 s oo O ?-{ O r{ @ N H cn r-{ c.) O cr) N O N 'l'ablc 6:'l-y,pc ol' tt.airrins unclcl.tal.cn (7-ick I lrc ho,ra.s. y, lta r.t, .s1tat. t f tt lt'(unln,q trtt,s t ttt.t.tt,tl ott! tlttt.tttt: lltt, t.t,ltttt.tttty 1t<,t.iotl) I loiv to cttnrluct Ilcalth cclrrcalion 2.6.2. Iir;rriplrrcrrt iut(l llunliul rcsoul.ccs blc !t{gr1lql cnt (l)lclrsc adtl nror.c r.oir Sorr rcc N I'CX Nott Iittttt'tittttul ttttt'littul s il'ncccssalt,) MOI I N'ttrt litt tt t'l iottul tt rt t'li otttt l 0 N(it)(l Nott iln('tirtttttl 2 0 0 0 a 2 2 0 0_ 0__ 0 0 0 0 0 0 (l 0 0 Slrlr' rltotoco tcr 2 0 lVIoto clcs rli clcs l5 J'? 1)_ 0I05 (f 0 ---,-.1I -------i0 2 0 0 0 _Ovc r lr crrrl t)l gjJqll r_ 2 2l{:rtlio/'Il tc rccurrler 0 0 0 () 0 0 0 0 (.)i.('onrlitiorr of' Ilrc crlLr i prtrcnt (3 rllotorclclcs iltc tl0l tcllili|ltblc lrc91111',s llrc spulc l)lrl\ ilrc rrot uvailirtrlc. 'l lre rrr,l.r.cr,e les arcctttrr-rrtl,r'at [.sln Wcst, IJltrrrrrrrri,orlc lrrrcl Ltstrl,o \\,cst l,(iAs ol. l.rlrr Stirtc. lrr I)cllu Sllrtc, oncStrztrki lllotolc-\clc tvlts sltrlctl llrlttr Ilrc slolcs ol Ikrr Soullr l.(iA lrrrtl l[rc llrcll rvirs r.cP0r letl loN()('l' atltl tltc l)olicc. 'l ltc lirtrl nl()tolc\clcs nectJ lepllrccrrrcrrl lr6pr AI)O(.). Ilttt| tlrtc's lltt'1tt'rt1t't'l tttlt'ttrl ltt rtttrtttltritt trtttl t't'ltlttt(,(,\/\////t (,(lutl)nt(,yl trtttl rttltt,r.trttlt,r.tttl,t..)il. 'l'hc N4OIIancl tltc N(;D() rr,ill trc rlcpcntlctl Lrp.lr lirr.nlrirrtclnltcc ol.cristilrq ccluipnrcnt arrrl crtltcr ntatct.iuls. I)t'.ttt tltt'lltt trtlt'tlttttt't,ttf ttvtttlrtltlt,l.ttttrrlt,Ll.qcttltlt, nt(utl)()y,(,t.rtl trll lt,r,t,l.st). I'ltis is lclutir cl,t, lrrlct;ttrtc. \\'llOri\1,()('. l0 APr il 20{l.i I r irinccs I -r';tc ol'tlllini ('t) I )s ( )tlte r ('orrtrrttlttt) ntcrrr bcls c q ('onr rrr rrn itr sttIlCt ru i,',1,t I Ic.rlllr Wor [crs (liorrllirrc hcultlr IirtrIitics) N,l( )t I stlll'or' ( )tltcr I'olitic:irl Lcrrrlcls Otlrcrs(spccilj )J)r'ot]r'a nt ntana,qclncr)[ N4anascrrrcrrl o l' SA L:s C'SM SIIM Data collcctiorr Data analysis I{cporl rvlitirrLl Otlrcrs (spccili,) I;ttttc'littttol { I J 1 0 l5 0r; uiprrrcn l: JWI) hilux ychiclc l)csktoll corrr pu lcr. l;':rx rrrlchinc C'onr Irttcr' rirr tcr' (iclrcrirtol' ll _ _ 2-_ _t I I ir = C. - O a o O O C cc 6l ,3O o -, 1e / C C c O -f caDo -t^ ,9 o O C O o t>) cl r-t .I c --f ca -1: \o -t f \o6 C O r-- O -tt-- \o\ 6 *; Al o o O O O O C O O o o\ o. at -t .o o\ Ir- ca\c u) co o o'@ .o o\. J o'.o --t va @ o d. -tr- (\l N O O C C -f -f r- O + J r- al .a alU) t a't a^s ci\\ OO .o OoOi oC\o al OoI .I OC o'. C -t C OO o oC a^ - O -t OOO -a O q -t a\ r'a \ -t tr-. O aa o\\o t-- O)o .i O ,2 -f. t--- clc' c -f O t-- .c t=. i \o o' C)? -fl t- D ,).I ._a O tr- C .oi\al a J\o r- J c'.\o @ \c\ O o ._l e ,a t, -a O c J \\\ oO .o O O o. O C CO9 .I O al c ,c -f C O .o co i o O -1 C -f al u) a- GU) c. -o OO o o'.c'U' O -f Oo? -t O J a\ FJq\ ..- 'h *= ^ = al)= - , .) --J a at) =5 o 63 o- o o- =.)fc, .JA^ oaFa - ,| - : C '--2=!=',. ,.:- : - = ,= 't-1 aud a:. (i= a,n_ ;=,) z =Pa tt- a ._ !=! =!-a = 1*/. ]'jt- :L) t-- -t \o C -t U) ,c-t .D t-- al-t -t c Y o .o L! o :l o !_l o :l L! _rD oJ :! =rr) -o 5t) 6) u-- = u = a dJ =o i,/) = I.JJ 1) = L! u L a ,Z = UJ u -o = = J q (J -c L a 'Z ,; o u E oa 'a C .e Lr .a :\ 4 v) U U! ?: U e ^: AJ{ tJ e_\ J ':- IA lJ L(g (g .= .: L,)1 _.r I , IA r! a-lEd 9ir, E Fl: cJ ar e -=Eo '! !F: t9-d93 v. FF ool .-.t vlI:\ €l(\l .r Fl a-l al, = o al ,J -t ,-'-', ,/ t:= -. =r):'! t cO C c a) &,_ q =^, = g4 Z!a ca\o -t C, O cC O \o e.tc..l qaO(-I al u) @ cl O OO O -6\ ll't r- F- 6l i !- eir'!e =Q',i:t/. '!= Ir--\o o. JC' ,o o.G O I O F-- ac C O t.: nl \ 00 o\ t\l c\ r- r'1 oq)\o aa(-- ,a; 'f o ot t-- -t \o\o ..o o'O O at\c C ..i ct\o \o ao oo r-- -t t-- .1c -i- Oi t-- oO C t-- rc -t o =.o = ot) eL o -t)L c,^ !:t - a- 7_ =a!/ YE' !,L; rli r- :i2 = at) -u^ |J= a,^ =la /_. zn. =zu .-loL "^: = Cll= i- .) t ,r-!:_L L-!! tr o o- o r u at) ; o .o .o od) Oc 6 6q e) clr- ,r; JO ':l U ca O C c ,.o rO -t O 5 rj\o l-. \ a.I - n O \c -a O a -t ,a -t oot o. al tr; -f at O. .a t--. t-- o r\ .o .a r-- O al \c o ooO .f -I al\o .o ac = C'\o r- r^t\, C F- C Oc x -t al + \D ,- F O +t\ O o\5 h r.: % \ t.'\ t-q t(t \o - .t] -3 c\ t-r G \? \o -t c O O O 6l a\l t.. \ r\\o .f C i -t O U)i -t U) -t e)J o. .l ,a) -t o\\o .O -f al i .a r\r\ r- .a r- \o\o-t -a -i- t\ \o-f o,-t st-.\ -gi aJ Z --cO .9 - =o o = =oa J lrl =L aZ J -Ll o -r, Z o 'a Z =l-iu = .= t) s =fu Lr) = = J -f 7. -7, t al - '-J) .o c' @ +(--- o d' t-.- A a o..9 ua \o 'f .o o a-t co o o \t a. t..- alq) .o \o tr- \D : -t U) \o al -t at -i r-r- -\c OOO O. -f O al -f -f i -t\o o -t Oq) al ?\o \c .o a\ol c c' al o o a\O ,-- .I .o c' r- +q) .a c \or- o\ c9 o. C Or-- -t r\A c .c ,c r-- -f OO -.r O c al '-i C o at -) -J 1...1 o = a)F -f a L u -= L .o L C) -!, O -o() at) L u a ') = = =t = a) L L- or -l Iul -tal -tJI I c/ (, a. (, a r- ct o -o uE .= J .,2 o AJ o- -!i .9 L o_ at) .= L o o- aD L .2 = 51.) a^ a .- lJ = e ) 5 i) q tr -s a (j ='- ! Lr-" (/) () u o(n L u -rf, tn = .9 ! 4)q o 0)th O o C -c .J 1),;, L C. 6J -C u tJ = ! ! ! l- 4 fJ - ,:\l :.O !(J:- ';l -:; trd) --E t,\z >- v3]i: ^iu !'a --\l- o --f r'- alal ct ! -ra -r- _ , .^ .J) r-- o o .o o. a C .o ci\9O u) o -t ,)t\ o c9 q) c c.t\ q O o + ca o o\c CI U) o .oq rt -t r-l 1 J iU) -t q) \D al oO --r o CJ c ocO ,3 al a-t c ^ ':!) a --1 1- . s, _;') ._ 41, L= "r- =72 !!/1 = ?.1 =) ^ al) a -a^ ,i o c -t ,) F- o -t \ce t-- It- ,ri t-- o cr-iO o9(') o O O O _ o t-- t-- o o' ,). oa o o q a. Io -f C -tT e) ua , al) 2 _rat)/71=i: -= = / -1 --t ) = lt t: Zt =! -=)) a- t- == -, = o 5 O C -t t-- -t Co ,3 Oo - C '-C c lJi =uC ct- L CJL 1) (, z ,:, .-l =al) = al = , al) ,., ,i ! -c- C -I q) C o -t \o c/l a 7a r- v) - t^ aL o ,o =,) ..c o C.l = C o ,.; t--- o c c ,-: r- c -t t--c 3 ot? t-- T '-2 =. = -tC ci -t ; t--o a.l - aLz =4'/'r- =e) -f C .I ..l r-lF- C -t : o a -.:- c=, --- =r- at r.O \o J -l: A ,o ^ at) 1z-- 1 ',1) oC a c o C - o o t-- .C o. -cJ --f r- al ,: o o J o, .oo ,.! o, z,_ ) at) 'a "-,1i=.J /. C t-- -t a - ,,.Jll -. L= = /, U) -t C at al(.i T\ ,c O -f a : e,t al) .: = = = = = = a L- = /'! t.l - r- -=- -= t-- -'r C OC :! a.l C ,o -= -2 F a a CAi u) a a ,c, U) U) al 6 c o alc o o -I r- a a9 c c o it\ I 9 -t o'. al n t-\ -t a a .c i c. a a -, t\ d) U' .\ r-. --t F- -f o ,.! clC c t-- at .C?) .c t\o ,o t-- 'c c a 9 o, o c ^: o'. r-- c. : C --f \?\.c : 2 t-- .i @ at I\ ct\.J r-- U)C ,o ?) rl U) 7) ct-- -t t-- -t O -t rC\2 = a.t a.l =, = o L- o C/) a aU) q u) a ..4 o\o o.a o Ot\ .o o ,-: G .o o _ cc -t o o at Ir- ? : 2 ,i q J al u) ! C u)\o + J c al q o,\c) a r-- o t---a o c9 U) a + o a. .a .o c. ? c o J C :_ r- r-O r-r- : qa(-I\o .o -t ,: = OF- -t C, al (-l e)\o +qa -f t-- -t N s t-- : CC = a.l a2 'a :!.1 .) o 'J a a o a2.8. Supervision l.[J. l. I)r'ovirlc a Ilorv, clrar.t ol'sul)ct.\,ision lricr.lr.cln ['lrc [)il'ccttlr of'l)llC'/D(' rvitlr thc I)toicct ,Aclrnirrisllutor ol'tlrc ('artcr'('cntcr./(ilotral 20(X) tlo e .r.r.y, ottt sttllcl'visitltt visits lilllou'ing thc utrovc llorv cltirlt ttr tlrc L(iz\. arrtl sclcct srlrrc rillagcs out.l' the l.cA lbr scrutirrr'. 'lhis is donc u'lrcn rlistrihrrtiorr is.rrsoirrs. (,)ccasionalll,too. tlrc S(x'l anrl l,OC'l's cill'l'-\'()tlt sllot cltccl's itt sotnc villagcs ut lcast trr,icc tlrrrirrg N{cctizan rlistr.itrtrtiorr ucLivitics. It is tlrc DIIS airrl IIIrS that acrLralll'srrpo'r,isc srrclr irc(ivitics. rrsirrs tlrc appr-or.,ctl clrccklist. 2.ri.2 it. tr. c. 'l-ltc rttairr isstrcs irlcntillccl rltrrirrg srr|cr.r,isiort ricl-c tlrirt Sorrrc CI)l)s arc troI conlniil.crl Minintal l-(iA rupport I-OC'l's arc nol. shorvinr-l tltc rlcsirccl conrrrritlrrcrrt 'l'ltc I)l lS arltl Ill'S arc also cotnplairrirtq tlraI tlrc ntclrrrs 9l'rrrgvclrcpt tp srrl-lcr.visirtrr sitc is lrvailablc: llcttcc l"ltc1'catltot trcli. 'l hc bielclcs lltat u,crc pl'ovitlccl Itirvc lr.ovctl inatlcrpratc rvhilc tlrc ntotolcl'clc assiqnctl to citclr l.(jr\ is lrcilts trsccl [rl,tlrc I_()C"1. tl 2,{,l.i. ()trtcorttc ol'sultclvisi()n calt'icd ()ul \\clc n()lnul ll-r ti ise rrssctl irt thc Stlrtc's rcr icl, ntcclirrg arrrl LCz\s' t'cvicrr, lncctin11,, 2.ti.1. l;cctlLlacl's rvct'c alrvays givcrt Lo tltc sttl.lclv'isors irs clchlie lllrq ut tlrc cnrl ol'srr;tcn,isitrn. Alstl lcctlbilcl\\ \\'ct'c tl iscttsscrl in tlrrr rci leri lrrcctrrrq lrt htttlr stutc urrrl L(iA lcrcls.. t)lItt,t("t'ol{ oI. t,t I('/lx S'f rVl' li C(X) ll l) I N,\'l'O l{ SO(l'l's l,(Jr\ ON('llo coolil)tNA't'otr l)l ls l il.s c't)t) l(r \\ I l( ), \l'( )( . I{) r\pr il 1{)0.1 atO o$N\i(o NN no O) f-l\r Ot r\tOt O r-. co\r E .at) -E CI 4j =ri4) v. -! =_ ==u.r 't 1) ''- . -n _q() ulto -!g -'J^ !J .^ O- FIL- g ;' '- 6 Crr- e 'J ^ L'J -u^ -AL '{a)P -vJ U --,a-E oI€- "'(t= !^u v -ft +,re ^-.r'-\-- !=L-7.' h -ppL)=,'u LJ - - . ='I -r.)_-,U:,, ^. * ua .JV^ >.D-A)Jr'- | -'- 'n- s =t-,')-^'tr*- --U-q -zCc: _J .J ';'+ :- ,r.N : l->t. - ,_ .,)\e,- Ev-,,< . =1j ^=)nJ ,=^ \-LL!J^- ,JI"-z * - N,-\ -1toa3 = ZF.uU! :--V)-. >.J.J ..! z /, u :,t() -.DLr_u - i tn (1 ! ;a\'J- .!--yo - a) .- u P nt -a--:_^,=\ , -L.= @ @ .olr) LN O I Orr) IO) -l\ol H o, C'(o .t 1.- r r{ ro r -t(o rf) ro ol o) r o c) r o.r -q @(o r tf, lr) ro o 1r, -l\i'\i- LriO t Hr\\o <")O f-t O N an @ \o c.) C) O @O tf,o\.Olr) c, tr) r.- o, 1.-- r @(-) c.)- (f) f..- o-) @ r--{ r{ r-.t t cavO Lri a-{ r-i OO Olj LN i-{ OOol LN r{ E c = Pa f L U(J o_ 0\ LNq) oc'O d O O rr) Ot G oF(n qJ c, _e r- a .t oo N I co oON ro L oON Iooo N o{ L(! 0) OO LNd O C\] N O a>al ^t(D, al r_ <1) U)l $ il co f-.-\r o\(rt ra \o- co OtN sil- oo-N <.NOs oo -i l I O I I i ar< {r)t-, l N\o LN oi LN c!\o |.r') o..i LN ,--.1\o\o Lri N \o(o Lri C! O O O O OOO r..: !q) a m(o;0) ,u ol -L 660);J 'lfo:lF! ! a)a s3 ,o o) -L OO t/> U)l il OO z O OO!- LNO r-J O(n(/) 0) Ol -! (n(/) l ! o) a s3 ," 0) -L U)al aal <nal 6 og, olF! c.)oo C.l INoo c\{ t (E o NooN I oo c\I co L o 0) ooON O) O) o) r F o 0) o ,gt tr rJ E trl- o o E' tr G ocLo.Oo' F gL=G?ct '; ,o- J-=+.i tl-A o! =O- - /,O-. ! Js.1 ,\ # olF_# LEo=oo/, O-R:1 !y ao= ?- co (! := =trtl-OIL-l IFlt . 'ulEr*l(gl.cq+l O an\o N ?_l ! OJ a(oa +uJ -L 0) mo)JC' F-o , O tn @$ LN O @ cn <- r--l a! a(/) f -lf 0)a$ a) o 6 O)!f -o co co$j N L a.)Ct ro o- o(r) z O sp ro a.)I q- o - P .9 .C E aa :) (! oF CI oF O lo =C o O !--{ 3.2. Other forms of community support Sornc C'[)l)s in thc projcct whrr r.rrc irrrt,lrcrl irr ,tlrcr lrell(lr l)r'osulr)]nle\ lil,c Nuliorral Pt'ogratttlttc lbt'Ittttttttrtization. I{illl llrcl' rnuluriu. III\//Airls. arc lrcinq contpcnsutctl to srrstrrirr tltcil'ltttct'cst.. Also. sotnc villaqcs rcuartl ('[)l)s irr kinrl : c.s.. lirorlstrr l'l . Iurnt-lurril und crctlr;ltioll ll'ollt tttattttltl ltttrotrr'. ln I)cltlr \tlrtc irr-l'intl srrpltorttirclt tp ('l)l)s is yllrrctl 1[ N70.000.00 (tlr' LJS$7r)0; 3.3. Expenditure per activity - Irlcl icatc tltc cxltctttl itrtrc ol.t ae tivitics hclorr rrr []\ rlollirls rrsu)g tltc cuu'cn[ (lrritctl Natigps cxelrarrgc t'atc t() local crrrlcncv Actrvity Estrmated cost Source of fundrng $US Drug delivery from NOTF hqr area to central collectron oint of cotxmuntt 0 Su glylqng CDDs and distrrbution -l'atllc l2: IIrcl icatc ltou' lttLrclr Iltc pt'o jce t spcrrt ltrl crre lr ae tivit_1' listctl lrclgrr tlrrrirrl L6c rcpe;tipr: pcriocl. 1,000 800 0 0 00 0 700 $7,400 Global 2000 ( Global 2000 Advocacy vislts to health and polrtrcal authorities N/obilization and health educatton of Villa CS Jrailrlg of CDDs IEC materials lnternal of CDTI actrvrtres Revrew lVleeti S S Ires Travels/fuelin Communications Personnel cost Vehicle maintenance Total 0l I0 -_Ls00 l 1,000 ( ) _ 1,_000 _ _- APOC Glkobal 2000 APOC _l Tot:rl lrunrllcr ul' rsons t rcir tctl 'l I 1,02(r rsons Corrr rncrrts No firrrcl ltas bccrt t'cccivctl ll'orrt AI)(X'sirtec conrnrcnecnrcrrt tll'1hc lrlih rcar opcnrtiorrs in .ltrnc 1003. I lrc suppot'ts rcecivctl so Iirr uirs ll'orrr tltc N(ilX) ir hrlc tltc lralarre c lirlrtl citt't'iccl (irt'tvattl li'ont thc lirtrr'tlr rcul lrlrs bccn trtilizctl lirr"lllrr,cls/lircl ancl vclrie lc nta intcrlrncc. \\ I l(),.,\l'O('. 10,,\pr il 2{X)-ilfi SECTION 4: Sustainability of CDTt 4.1. lnternall independent participatory monitoringl Evaluation 1.1.1 \\/as Niortitot'ittg,/cvlt lrtrttiott elrrrietl orrt rltrring Iltc reportirtrl pcriorl'.)(Licl, rrlrcr.c apltIica[rIc) / Y cu, I I)irrticipltor-r' Irrrlcpcntlcrrt rnorritor.ins / ttrt i.t 'l cnrr Strstuirrirtrrlitv lrvirltrirtiorr -5 _r'cal Strstainatri I itr l .r,ulrrat iorr / Irrtclnal Monil.orirrs try NO I I ()thcr' [:valrration hr otlrcr' prrltlrcrs l\s tt tcsttlI ttl'tlrc llrst \cat'nrottitoling h-r Intlcpcnrlcrrt N{orritors. thc isstrcs laiscd lr'crc acltlrcssccl irr .\ car l. 'l hcsc rr crc: a. Inrpropcr trailrins ol'('l)[)s[r. Iltadccprac_r,ol'll:C' ltlrtcliuls c. ('trnlntrnitr vct to gl'asP thc 1tltil1151rplr1 ol'i\1,()('.il. ('oltrntrrrrit_r rrtttsrr;r;torting('l)l)s. I .l \\'lrirt rr e t'c thc rcconrntcnrllrtiotrs'.)(I 'l'hc irtclc;lcntlcnt nrottitors rccorrrrncrrtlcrl tlrc irritiation ol'('orrrrrrrrrritl scll'- tttottittlt'itts (C'SM)lttttl Stal'cltoltlets ntceting (SllN4). irs lr ntcans [() o\/ct'e()nlc sorr.rc ol tllc ;lt'tllllcltts itlcrttilietl. (l) [(e slt'tte ttttinS ol'tnritrirrg e rrl'ie trlrrrrr urrtl rrrctlrorlolo-ur. . I .-l I ltrl ltirr c tlrcr bcclr intPIg111g111.i.1'.t lu. ('t)l)., llc n()\\ tnrirrcrl r,iIlusc lrr i,illlgc t). Itte t'cltsctl tntr[rilizltttott ol'r illirqes irrrrl [lr'!,i.rthurirrr] tlrc pco;tlc (ogctltcr qivilrg t'oont [o arltllcss tlrc isstrc rll'irre cntive s c. N'ltlrc ll.('rruttcrill\ \\clc plotltrectl lrncl ;l'ovirletl ttr tlrc a;rltropr iutc ;tlirccs. rl. ('onrrrrtrrritics irrc rltrrr, l-r [rrrt !lrrtlrurll_r rcsPorrcl irrg to Ihc ctrrnl.lcnslrtiorr ol'L'l)l)s. 4.2. Community self-monitoring and Stakelrolclers Meeting l'ablc I ('trt.trtttttttitr se ll-tttortil.oriltg lrrrrl Stlrl'cltoltle rs N,lcc(irtg //'/t,,rrr, trtltl rttttt.t' t.otr': tf lla('(.\.\(u'.\') I ,Al.ol.o [-tlo 4 . { [.san Nrrrtltcust [.san Soutlrcast l.sitrt \\icsL .+1 .17 .l (r ii 0 Itl l0 l0 0 0 0 0 I9 \\'l l()'\l'()('. I0 r\pril 1{){).i I I'otul /l ol'villagcs in llrc crtlitc Pt()leel lttcllt.( i,\ No ol' ('orrrnttrrrilics llrat cltt tictl orrt scll' lrorrilor rrrg (('5Nl) No ol' Colnrntrrritics llrirt corrrl rrctctl stul'clroltlcls rrcctirrg (SllNl) lrtsal<o l:ast trtsal'ir Wcsr 55 .16 10 45 _59 0 0 0 0 () 02 0 0 IgLrcbcn Ovia Nortlrcast Ovia Southr.vcst Orvan [rast Clrvriir Wcii LJlrunrnwoclc Aniocha Nolth- Aniocha South Il'a Northcast Ika Soullr Ntlolirva l..lrst Nilol'vva \\icst OslrirniliNolth Oshirrrili SoLrtlr IJl.rvtrirni I'O't'z\L -tu -+0 4l 65 5-+ 4l 57 -+6 0 0 0 0 0 0 a 0 ll'ltttt ttt't'trtt\!atttcttl.\ ltttvt' ltt't'tt uttrtlt'ltt.\u\t(tul('l)l'l ttltct'.ll'()('lrttttltrr.q(.(,(/\(,\. ut tL,nu,\ ()f .19 0 1.3.I l'ltrnttitrg trt trll ralayrttrt leyt'ls. [)larrrrirrg lras staltccl irt tltc Stutc lrrrl I (ir\ lcvcls; [rrrt tltc;tlarrs ltavc rrot bccrr irn plcrrrcrrtcd. I,(X)0 275 0 l)c.sc'rrlx' lnt llrc t'L',sttlt,t ttf tltc t'tttttrtttrtttlt :t,lf - tu()ntl()t'1t,q trtttl tltrl.t, ltlltlt,r.t rttt,t,ttttus lttrr.t' u/fa<'tatl 1tt'ttfct'l itttltlarttt,ttlttlitttt rtr.ltotr tlR,y trottltl ltt' trlrlr:t'tl,ltrt.ttt.q lltt ttt,tt tt.(,(ttnt(,ut (.t.(.1(, - Orrl-v 215 villagcs ltitvc c()llr)rL'llec(l ('SN,l. z\lthotrslr lhc rcsults ol'tlrc ('SNl crcr.e iscs Itavc tltll. bcctt ctlllatctl thc crcrcisc sclrctl ls un irrtcrnul clrccl, n.rcclurrrisrl in tlrc villaqcs lr'ltct'c tltct rrctc cart'ictl ottt. ll'lortr urc bcirrg rnatlc Io gct rnorc villagcs involvctl irr scll'-ttttlltitorittg. No irtlilt'nuttiort is )'ct il\lr ilir[rlc as to tlrc convcniltg ol'Stal,c-lrolrlcr.s' lltcctillgs, altlrotrgh Villirgc lrcalth c()r)rnittccs lVII(')cxist ilt solrrc villa_rcs. 4.3. Sustainability of projects: plan and set targets (mandatory at yr 3) a 1. -l 2 l;trtttls \\ I l( )/,\1,( )( . l(),,\rrsLrst l()(tt 0 0 0 :0 6) 46 0 0 0 5() 6) .+6 6-5 0 0 0 0 00 l0 0 Ittttrl proe ucnlcnI rtrlrtltl bc;.r vcrr rl il'lie rrlt tlrsl, irs (hc r,uliotrs ticls ol'q()\,ct'lu)lcnI Itavc Irctt sltot'n'n nr.rch intcrcst. cspccilllv thc Stll.c g()\'culnrcnt; [rLrt ul. thc l-(]A lcvcl, thcrc is ltol-rc tlraI son.rc r]oorl rcsrr It rnar'lrc aciricvccl. .l.l.i 'l t'tttr.tltrtt l (r't'ltlLrt't'rttt'nl (ilt(l ilt(ililt('n(ilt('(l l ltc pt.os1.lcc( 0l't|ansPot'tiltiOrt tcpluccrncttl attrl nrlintcrutrtcc is closclr ticrl to -l..l .l ubovc. pirrl icrr lirrlr ut tlrc Strrtc qovcnrnrcnt lcr cl. -1.i.1 ()thct' r'csoulecs J -i.-5 ['latr.sa 1tt'ot'ttlc u v't'tll(tl ltltttt trtllt .tt'l ltrt',qtls trtttl trt'lttct't'ttt()tl,\ stt ftrr'. - Aclticvcntcnts so liu ltatc bccn \/cr'\'cnc()r.lllgirrg rltrc to tlctlicatitlrr ol'sornc S(X"l's. lrril l.OC'l's. I)llS. III S. 'l.hc e trnrrritrrrcrrt Iirr lirrrtl rclclsc at tlrc l,(iA lcvcl is ycl. :.rt clctnctttar'1' stugcs. 4.-1 .6 l'<t trltttt ('.\'l(nl lttts tlta l)l(ut l)((tt unl)l(ut(nl((l ) Nlt 4,4, lntegratiorr Outlinctltccxtcrttol'irttcgratiortol'('l)'l Iirrtothcl'll('stlrrettrrcunrl thcplunslirt'ct,rtttplctc intcgratiorr I J I lvcnttt'c'lttt tlt'ltvct't' tn(Llt(uu.\ut\ Ijsirrg tlrc Natiorlrl l)r'rrglurr.r rrrc or] lnullunizlrLrorr (Nl'l)lrrtl ('olrl-chairt stt'trctttt'c Iirt' N4cctiz-an rl istri btrt rorr. J.J.2. 'l'r'Ltirrttrg 'l'rrlgcl.crl trairring rvotrlrl [rc tlrc Ioctrs lrntl tlris rvill bc tlrc lcsporrsitlilitl'ol'tlotlr Statc lunrl ;rat'ticipatirrg I.(iAs. , 1.1 J 111 tt6 ,loittt ,tttltat'rt,\tolt ttttrl tttrtntlorttt,q tttllt ttlltcr'ltnt,qrrrttt.s .loirrt srrl-rcrvision ancl rnorrittrling u itlr otlrcr l)l'osrillnnrc rvorr lrl bc intcrtsillccl rvitlt lll'ogliunnrcs strclr us Nl)l antl Vitirrnin l\ srrpplcrncrrt. 'l'hc irrvtllvcrtrcrtt ol'otltct'stit l'l ol'tlrc Ministr'1 ol'llcultlr lnrl othcr tninistlics lil'c Ilto:c tll'Agt'ictrltttrc. \\iatcr' I{csotrrecs. \\'onrcr.r Al'l irirs. Iirr s111',.',r isirre llclrl ire tir itie s rr ill [rc cr;rlot'ccl. lla I t' L r.st' r tf f r t t tr l.s 'l'his is rtot casilv lcalizablc rlrrc to Irtrrcuuellrcv antl rrorr-corrrntitnrcttL. In litlo Stittc. tlrc l)ilcctoratc ol'Loeal (itlvclnnrcnt is uttcrrtpLing to lrunrllc tltc is:'ttc ol'lirtttl llrrltt L(il\ lcvcl. Ilut lt thc Statc locl l Iriglr-porrcrctl tlclcLtrtitrn is solicitcrl lirtrn Al)(X'. NO('lY(ilotrul l(X)0 Niecrn to r isit r.rrrtl tli,.e trss etrrrntcll-xrlt rtrpport rr'itlr (hc Stlttc lirrrct iorr lrlics. J I 5 ls ('l)'l'l rtrt ltr,lc,l itr tltt' I'l l(' lttrtlvt't ' Ycs: CD ll is occltsiottallv itte lLtilctl irr l'll( [rtrtlgct [rrrt rtot tclcltscd l)t,.tct'tht,rttlt,t'ltcttlllt l)t'()!t'(unnta,t tlttrt (u(' u.\utt tlr ('l)'l'l .\lt'tt(lttt('tttttl lutv llti.t' tlo,r rr..'/ltt't't'rl ll'ltLrt ltrrvc lttttt lltt' trt lttct'ttttt'ttl.t.) Otlrcr lrrogr'rut.lntcs that rrsc ('l) I I strtre turc\ ill'c NI'1. I(rrl-tllte k tttltlittia. lllV/Aitls. \i itirnrin,,\ srrpplentcnt. [)iscusc Srrrrcrlllrtec itrrrl Nolillcatiort (l)\N). l'tottt a t'cccltt tcl)()t'[. tlrc Nl'l l)t'()gt'unrnc irr l.tlo strr(e rrlrs nrlcrl lriglr lrrrrl lttt ltrritttl trits qir,ctt ttr tltc ! lt \\'l l()',,\l'()('. 2() Atrlrrrst 100..i Sl.atc's NPI ('ttttrcl irrator. Ortclro pr'oglilrlt. l'hc ('l)l)s lrlc bcirrl ltairl arrtl tlris is urr inccrrtivc ()vcl. 4.4.1 4.5 t.5. I 1.5.2. Iloty rvct.a tltt, t.t,.sttlt.s ttltltltt,tl trt llta 1tro1t,<.1 ) 'l'hc rcscar.clt is vct to bc car.l.ictl otr(. Da'sc'riltt'tttltct'i,t,stra: <,tnrtlt'r'atl ut tlt(, ulr('Nt.(ttton of ('t)'t'1. Ol'ltcr isstrcs cotlsitlcl'ccl irt thc intcglirtion ol'('t) ll urc irrlcr'-scctor.ulcollalror.ation. .ioirrt ltlurrrri,g..ioi.t iti,cr..r1, Iirr i,rplc,rc,trrti.lr.l'tlrc 1.rr..sr.a,,,c. llrc llcritlilifl .1.c'l)'ll lir co-o1.lc'ati,, rr itlr .tlrc..r'cirs. is. s'cut arl',.rrtagi. Operational researctr '\ttttttttttt'i:a ttt tt()l tttot'('llt(tn on( ltttll ttl (t l)(t!(,lltt,o1tat'trltt)1(tl t.('\(,(s.('lr trtttlat./rrkt,, ttt t I tc 1tnt1at'I t rt't, tr rr i t I t t r t I I rt, r.t' 1 tt t rt r r t,! I )t, t.t t tt I Ollc|lrlittrtal t'cscltt'clt llrts ttttt hcctt crrn ierl oLrt ln tlte l)t())ee t. [)ut tlrc 1lr.tr,.s.l lirr..rrc isctt[t'clltll'trcirtg hantlcCl b1 ir []rri,,,crsit1 t[r1 9lt tlrc srrh.jcct 9l'(.1)l) lrrecltir,c. itttril.igrr ratc, abscrrtccisrrr ancl t'clirsuls as t-cc()nlnclrtlcrl [rt, I('(' 1,5. a a 11 \\ I IO,/.\l'( )( . 2(),,\urrrrst f00.l I -) -+ 5 iil"'; ;,,,;;,'';,il,'i i,l:,;,,l,ll i: i)',' Jl;:ll:l:1'r]irr ':::,,I,;iill ;li',J,'Jil ,,n, Sorttc l.(iA ltoliel'rnltl'cts clcttrorts(r'lrlc tlcsiretl ll(t:lc\[ irrrtl eorrrnrilrncrrt 'l'ltc trc* ttt()tot'c\clcs pt'ovirlctl lrr AI'()('& N(;l)() enllrrrec rrrorrittrlirrs lrntl srrpcrvisiorr ol'('D'l I b1' thc I-(jA slll'l'. Sotrte villagcs al'c apprcciatir,c ol'tltcir irrrolr.'cnrcnti()\\llctslrip ol'thc proslanrrrrc Sotnc CDI)s llrc c()nuuittctl to hislr prtrrlrretii'itv arrtl tlrcv nurinLuirr Ilirly acctrlatc lccrrrrls ol trcatnrcnt I'i. 't'lrc N(itX) is tlcrl icatcrl ulrcl eor.nrt.t ittctl in \upl)()r.l ol'lrroqlurnnrc lre tir itics WcltkttcssCs L.acli ol'cor.lntcrl)art cash curttri[rrrLiorr lirrru tlrc Stlrtc urrrl sorrrc l-(iAs. 'lltis docs rrot cnlrarrcc sustairrabiI it1, ol' ('I)'l'l I-acli o1'cotttnritrncnl. ol'sorrrc LO("ls to tlrc l)r'()gtlnlntc Non- irtitiatiorr ol'('SNl/SllM irr sonrc l,(i,\si r illirgcs. lrttcl sciu'citr lollo*ing dcrcgtrlirtion trl'tlrc orI scetor'. 'l'hc l'll('rlcpurtntcrtt ol'l)cltu Stirtc N4irrrstlr trl'Ilcirltlr \\ir\ r'cccntl\ split into l'}lI('antl Irrrvirtrnrrcntal rlcparl.nrcnls. 'l lris slrlit is elrLrsirrg tlrc nrovclrrcrrt ol'stir l'l'll rlrrr l)l l(' to l:ttvit'ortrttcntal clcpirltnrcrrt, Ilrcrcbr' ncccssitating tlrc trairring ol'rrcrr l.(X"ls antl I)l lS.('l)t)s at'c lcgrr llrll conrllr.rling ()rrclroecre iirsis progrilnrnic u'ith oLlrcr lrcirltlr llrogr iunnrc rr'hcrc inccrrl.ivcs irntl govcrrrnre nt rcu()gnition is irce orrlctl thcrn. 'l his dct'cltrltrttcrt( etrrrtli[rrrtcs trr tliscorrrirgc ('l)l)s lltrrrr cxcre isirrs lirllcorttrrritntcrtt artrl rlcrl icrrtion to ('l) l l llr()qrilr)rnc. Sort.tc cot.t.tr.ntrnilics/r,illug.cs llrc l)()[ ir illinq to lrrllr orr n tlrc ('l)'l I ;rrtrgnlnrnc 6 7 2 -) -+ 5 i 6 ) 7 I 2 -) ('o rtst r':ri rr ts: Non-r'clcasc ol'5 'l' -\,cal' brrrlgcI ltrntls [rr r\ I'( )( I ligh cost ol' lircling. Stlnrc (-l)[)s rlisintcrcst in tltc prognunr]le C'h:r llcn gcs: I . ('orrntcr'l)alt e uslr contritrrrtiorr lrv tlrc Stltc itntl l.( ii\s. l. 'l ltc crnltor,rct'ntctlt ol'l-(iz\s to irritiltc iur(l c\ce utc l)r'()glilnuuc ae tir itics rr itlrottL tltc inr,olvcnrcrrt trl' tlrc Statc. 3. I)istr ihution ol'lVlce Lizlur tlrblcts irr llre l'cnlr irrrrr.., lrrglr risl, r'rllrqcs irr llrc ltr Pcr'/nrcsrr cntlcrtr ic L( ir\s. +. lnarrgrrration ol- SI lN,l ancl ('SN'l in othcr l.( iAs urttl e ornnttrrtitics 5. I:rrrthcl'rnolritolirrg urrtl sulrcrvisirrr trl tlrrgctctl L(ir\s arlrl contrttttnrtics. 6. lrrtcrrsillcutiorr ol'llcultlr ctltrclrtiorr r.rrrrl conrrnrrrtitl nrobilizution. -t 'l'ursctcrl tlitirrinsi lctrlirrins t,l'tltc rcrtririnirrs \()('ls^ I O( ls. lll:S ruttl ( l)l)s. 6 I lrc tlcnu.rrrtl lirl e orrrrl.crPut't liur(l lirr ('l) I I ltont tlte Stirte ( iovct'tttttcltt -l \\'ll()i,\l'(X'. l0 n l)r rl 2(X)3 1.a,.,s,,\\/r,-rlUr(l r. til\, \.r.rr;.r ()l Ir,)l\JIt)t.t ilt-il3q J.tu o0 l)N otll l)Ull (lJoN.JOrl v L ! i .\ \/ l )- l ru().t J uot l n(l t.rl Lt()3 rlsuJ 1.rr:cl.roltrrrot.lo ctlsslil'll olPtlutl tl1 Stttltlttrllltl sl Jlllls ()[):J ur u()rssru.rru().) ]uou.rrr.ro,\()r) lu3o-l.JO Jlr?.rolcc.1CJ crl-1. s^C rrJll llf ss-J ol ,tro i
World Health Organization (WHO) · Technical Documents
Edo/Delta States's CDTI: six month technical report
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World Health Organization (WHO)
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Technical Documents
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World Health Organization