Onchocerciasis Control Programme in West Africa: Committee of Sponsoring Agencies, report of the sixty-second session, Washington. D.C, 29 September 1994

tRESTRICTED ocP/cs|/52 ENGLISH ONLY ONCHOCERCIASIS CONTROL PROGRAMME IN WEST AFRICA COMMITTEE OF SPONSORING AGENCIES Report of the sixty-second session Washington, D.C., 29 September L994 ,CONTENTS OPENING OF THE SESSION ADOPTION OF THE AGENDA APPROVAL OF THE REPORT OF CSA.51 MATTERS ARISING FRO}'I THE REPORT OF CSA'61 FOLLOW-UP TO THE MINISTERIAL MEETING PREPARATIoNSFoRANDoRGANIZATIoNoFTHE1gg4DoNoRS,CoNFERENCE PREPARATIONS FOR JPC. 15 PAN-AFRICANPRoGRA},IMEToCoNTRoLoNCHoCERCIASISoUTSIDETHEoCPAREA (ocP. 2 ) PARTNERSHIP WITH PRIVATE INDUSTRY DATE AND VENUE OF CSA.53 ANNEX 1: PARTICIPANTS ANNEX 2: LIST OF DECISIONS ocP/csA..62 page I Page 2 2 2 2 2 3 3 A. B. C. D. E. F. G. H. 4 5 5 5 1 I J ocP/csf^.52 Page 2 A. OPENTNG OF THE SESSION 1' Tlt sixty-second session of the committee of sponsoring Agencies (csA)was held ar rhe world Bank headquarters in washington, D.c. J., itrr"aay 29September 1994 (parricipants are lisred in annex 1). 2' Mr Bruce Benton, chairman in the absence of Benjamin Gurman, in wercomingthe participants congratulated Dr samba on his recent erection to the post qfDirector of the lJllo Regional office for Africa and wished him rhe best of ruckin his new position. B. ADOPTION OF THE AGENDA 3' The provisional agenda, reflected in the present report, was adopted. C. APPROVAL OF THE REPORT OF CSA.51 4' A second draft of the csA.61 report was adopted without amendments. D. I.IATTERS ARISTNG FRO}I THE REPORT OF CSA.61 -5' Paragraph 4: JPC.15 was nor{, expected to be held at the l^Iorrd Bankheadquarters at the joint invitation of the Bank and the uS goverrurent, thelatter assuming the chair. 6 ' Paragraphs 5 and 7: additionar efforts needed to ensure that the ,,GuidingPrinciples" be cornmunicated to Roundtable conferences and consurtation Groups.The "Guiderines" were being copied to uNDp and FAo fierd offices. 7' Paragraph 8: FAo had established an "oncho Task Force,,and field officestogether with goverrunent officials were in the process of updating the Huntingstudy' Reports were expected by the end of october L9g4. Al=o, use courd bemade of the FAo satellite-based review ar"it frotocol of nationar resources. 8' Paragraph 21: cSA reconfirmed the urgency of an ocp/,Jorld Bank visit tothe headquarters of the African Developmenl n".,t together with Bene M,poko nowUNDP member of CSA. 9' Paragraph 28: ocP wourd provide claude-Henri vignes with annuar estimatesof flying hours uP to the end of "ontrot op"."iior," (year 2oo2) within the nextten days to facilitate decision-making regaraing futuie contractuar agreements. E. FOLLOW-UP TO THE I{INIS?ERIAL UEETING 10' The committee.once again insisted on the findings of the Meeting beingtranslated into action at ahe field Ievel. As regards the role of csA inrespect to socioeconomic deveropment, essentiarly one or ."i"iy"t, thecommittee should now bring JPC up to date on what had been donl so far and askfor direction as to futurJ activities, if any. 11' The UNDP Roundtabres and world Bank consultative Groups shourd serve asvehicres for follow-up action at- the national rivel based on the ,,GuidingPrincip1es',.ForthatPurPosect,"i',,liffiou1dmaintainanup-to-date schedule of Roundtabre/consultative Group meetings concerning ocp participating ocP/csp..62 Page 3 Countriestoensurethatappropriateconsiderationbegiventothe recommendations of the Ministerial Meeting' L2.Attheintercountrylevel,ParticipatingCountrieswereconcernedabout theStructuralset-uPandBenel,[,Pokoagreedtoundertakeastudyofalready existing m".harri"m" *ti"t would be submitted to chairman, csA' at an early date. It was emphasized that eoi took a particular interest in regional activities. Also, FAO would coniribute on the "grit''tt'r-a!/envitonmental side and prepare a regional database. Eventually, ueE/ucological Gr up studies might also be of-irra.r.st in tti".orrnection shouia the Group's Terms of Reference be expanded as recouunended by EAC' 13.CsAwouldcontinuetorePortonthesematterstoJPCwiththeexpectation that such reports would b. tr"rrt*itted to the nauional departments directly iorr""trr.a with socioeconomi-c development' L4. The issue of follow-up to the l,Iinisteriar I'leeting wourd be included in theCsAreflectionsandaPaperonthissubjectbepreparedfortheDonors, Conference and JPC'l-5 including CSA proposals' F.PREPARATIoNSFoRANDoRGANIZATIoNoFTHEDoNoRS,CoNFERENGE 15.InvitatlonshadEoneout.forrepliesEoreachtheWorldBankbyloctober The documenrs, including " rorroi-";-;;p"l to the Ministerial l"leeting (see paragraph 14 aUove), th; neo frosp.lai"l Evaluation rePort , a Cost/Benefit Analysis of ocp and'a consideratitn paper concerning the new Pan-African Onchocerciasis Control frogr"*m.-ioCb.);, would be lransmitted to participants within the' next'few daYs' 1-6.TheoCP.2documentwouldbepresentedtotheConferenceforthePurPose of soliciting Donors' reactions' 17. A new World Bankr/UNDP film on OCP (including an^incerview with llcNamara) was under pr.p"r"aior, "r,a worrla,' iop"rrriy, be r"Idy for proj ection at the Donors' Conference' G PREPARATIONS FOR JPC.15 UPdate on arrangements ].s.TheCourmitteewasinformeduhatPreParations.forthe::":i'.werewellin hand, following iwo ri"its by OCP stafi cL Cate d'ivoire' An additional visic ;;;i; be paid *itt'i" the near future' lg.InordertoallowJPCparticipantswishingtoattendtheAIDSConference opening in paris or,-itrrr"aay 1 December efforts would b made to complete considerationofallagend"ic.*"a,,'i,,gtheflrsttw.odav].:|...o.session,the only irem left ior rhe Ehird a"v-ti-o""Emu"r) being the approval of the rePort' Review of documentation 20. The commlttee agreed on a few modifications to the papers PrePared for Jpc.l-5 which would be communi""c-"l"to ocp for finalization of the documents' ocP/csA.52 Page 4 2L' Four additional information documents will be submitted by the world Bankfor transmission to JpC participants: - Sustainable settlement and Development in the onchocerciasiscontrol Programme area: Proceedings of a Ministerial Meeting(JPCIslrNF/DOC.2) ; - Follow-up to the Ministerial Meeting on Sustainable Settlement andDevelopment in the onchocerciasis Control programme (OCp) Area(JPCIslrNF/Doc.3) ; - cos!;!g19tit Analysis of the onchocerciasis conrrol programme (ocp)JPCIslrNF /DoC .4) ; - Pan-African Programme for onchocerciasis Control outside the oCpsub-region - technical and organizational considerations(JPCls/rNF/Doc. s) . 22' The discussion on the Pan African Programme for onchocerciasis controloutside the ocP sub-region would be conductJd under provisional agenda item 13(Other matrers). CSA reflections 23 ' The following issues would be developed in the presentation of the "Reflections of the Committee of Sponsorini Agencies,,: Ministerial Meeting High Benefit/Cost rario of OCp operationsTwenty years celebration at the HeaIth AssemblyMacrofil (as a macrofilaricide would be of implrtance to ocpdevolution and to ocp.2 operations, research *igtt continue after1997 funded by TDR, OCp.2 and WHO; a field_applicable macrofilaricide courd be particularry i*po.t".,i as the risk ofonchocercal resistance to ivermectin- incieases with expansion ofOCP.2 distribution of the drug) .Funding of OCp OCP.2 (following success of OCp) Reassurance of continuity after departure of Dr Samba. H' PAN-AFRTCAN PRocRAltuE To coNTRoL oNcHocERcrASrs oursrDE THE ocp AREA(ocP.2) 24. This new progranme promoted by the Nco/ocp group, the carter centre, usArD' the Mectizan Expert committee and wHo/TbR among orhers, and recently byPresident clinton, was now receiving official blessing insofar as the presidentof the worrd Bank had approved a Trust Fund for its operations as werr as US$1'2 urillion to fund opeiational research activities ana to launch operations.Also' the Hearth Assembly had adopted in May last a resolution in support of aprogramme of this nature. 25 ' An informal Technical Meeting herd at ttlorrd Bank headquarters during thetwo days preceding the current csA session had drawn up proposals for thetechnicar and organizationar aspects of the programme, to be essentiallyivermectin-driven, and prepared cost estimates. ocP/csA.62 Page 5 26. Although there would be no competition -between the "original" OCP and ocp.2 rhe possibility that rhe q,-,""aio" :oyld. be asked why vector control in ocp and nor in oii-.2' should u" t"pr in mind *l:: t""ronding to donor intervenrions. A short paper ."pi"i"i"g the. diffet..,t" in the epidemiologicar situation in OCp and OCp.2 and "'.iairrg Irrt th" arguments for combined larviciding/iverurectin control in the Progr"**" "i"" exclusive ivermectin control in oCP.2-;;rie be useful--foi Uti"iing of any delegate who might suggest that ivermectin alone would suffice in the OCP area' 2T.IheCourmittseedecidedtosPonsorandsupportoCP.2.ForthatpurPose' the world Bank would send letters after the Donors' conference to UNDP and FAO to formally request their sponsorship as members of CSA' I. PARTNERSHIP IIITH PRIVATE INDUSTRY 2S.CsAagreedtotheprincipleofsecuringsupPorttothe.Programmefrom private industry wittr ttrl understanding that contacts would be made on a case- iy-""". basis aL and when required' J. DATE AND VENUE OF CSA'53 Conference. 29.Thesixty.thirdsessionofCsAwillbeheldatWHoheadquartersinGeneva onlJednesday2andFriday4NovemberLgg4inconjunctionwiththeDonors, ocP/csA.62 Page 6 Members Secretariat -Mr -Mr -Mr -Dr -Dr -Dr ANNEX 1: PARTICIPANTS Bruce Benton, World Bank Bene M'Poko, UNDP G6rard Ciparisse, FAO Bernhard Liese, World Bank Ebrahim M. Samba, WHO C . -H. Vignes , I{HO Dr Ole W. Christensen, OCp Consultant, WHO, Geneva ( Secretary) Ms Laura cooley, onchocerciasis uniE, world Bank, washingtonDr Yves M. Genevier, Public Health Specialist, World Ban[, Washington Dr John Elder, World Bank, Washington ocP/csL.62 Page 7 1 2 ANNEX 2: LIST OF DECISIONS UrgencyofWorldBank/oCP/UNDP(BeneM,Poko)visittoADBreconfirmed(para. 8) ; ocp to provide (claude-Henri vignes) with annual estimates of flying hours until end of Programrne oPerations (para' 9); chairman cSA to maintain schedule of Roundtable/consultative Group meetings (Para. 11); 4 Bene M,Poko to carry out a survey of existing intercountry developmenE mechanisms (Para . L2); FAO to PrePare regional data base activities (Para. L2); concerning agr icultural/environmental The world Bank to prePare a Paper on follow-up actions to the Ministerial l.leeting for the "ti"r,iion of -the Donors' Conference and JPC'15 (para' 14); The following issues to be included in the JPC reflections at JPC'15 (para' 23); - l'tinisterial Meeting - Benefit /Cost ratio of OCP operations - 20 y""r"' celebration at the Health Assembly - I.[acrofil (Post-L99]) - Funding of the Programme - ocP.2 - Continuity in OCP after departure of Dr Samba The world Bank to contact uNDP and FAo seek confirmation of sponsorship of oCP.2 (Para. 27); CSA.53 to meet on headquarters (Para and and Friday 4 November L994 at WHO 3 5 6 7 8 9 I{ednesdaY 2 2e) . a