Evaluation of community directed treatment with ivermectin (CDTI) projects

i WORLD HEALTH AFRICAN ORGANIZATION REGION ORGANISATION MONDIALE DE LA SANTE REGION DE L'AFRIQUE AFRTCAN PROGRAMME FOR ONCHOCERCTASTS CONTROL (APOC) PROGRAMME AFRICAIN DE LUTTE CONTRE L'ONCHOCERCOSE Ref. No.001/97 April 1997 EVALUATION OF COMMUNITY DIRECTED TREATMENT WITH TVERMECTTN (CDTI) PROJECTS Please complete this form by providing detailed answers to all the questions below. You are required to give the exact figures and where necessary a descriptive explanation. The program activities will eventually be evaluated against sustainability and coverage indicators and qualitative impact of the designs. THE EVALUATION FORM HAS FIVE SECTIONS: Please complete all sections. For each approved project a separate evaluation form should be completed. Please return the completed copy(ies) to APOC Headquarters in Ouagadougou. PART I PROJECT PROFILE AND MANAGEMENT 1. Project profile Country Project Phase Date (current) State(s) Region Number and name(s) of LGAs in the project area APOC PROJECTS EVALUATION FORM Number and name(s) of District(s) in the project area Number and name(s) of SubCounty(ies) Please state for the project area covered in this phase the Number of Communities in the project area Number of eligible communities Population of communities in the project area Population of eligible communities I 22. Management Reporting system Are activities being carried out according to the plans of the NOTF and on schedule? lf Not, please state the major constraint(s) experienced in the last six months Are the record forms from the districts/LGAs accurate and completed on time?------ Please comment on the accuracy and regularity of the reporting forms from the districts/LGAs 3 Administrative and Financia! Management of the CDTI Project - Give exact date the Trust Fund money was last credited into the NOTF Account Did the date of receipt of Trust fund money meet your expectation Did the NOTF experience any administrative problem(s) with bank withdrawals? ----- lf yes, state succinctly the problem(s) What should be done to avoid the problem (if any) in future Bank transfers and/or withdrawals ? -------------- Do you consider the performance of the NOTF Accountant satisfactory?-------- lf Not, state succinctly the reason(s For the purpose of bank withdrawals, are there delays in obtaining the cheques signed by the authorized signatories to the account? Are the financial reports from the Zones/Regions/District(s)/LcA(s) received on time at the NOTF Headquarter5?----------- lf Not, state succinctly the reason(s) Any other administrative and financial problem(s)?, please indicate 34. Support from Nationa! Authorities (Explain which level of government provided the assistance) What action has the government (Federal, Regional, State, District, LGA) taken in support of the project since its inception on: personnel needs for CDTI operations transportation needs ( in the current phase only accommodation needs (e.g buildings provided by government, be specific) lndicate any other type of support from government 5. Effectiveness of Communication (Please indicate beside your response the type of communication frequently used in the current year and which you found more efficient than other types.) Which communication method (radio/telephone/faxllnternet/courier/ordinary mail/messenger) has been effective/not effective between: APOC headquarters and the office of the NOTF headquarters? NOTF HQ and the office of the Chairman of the NGDO Coalition? NOTF HQ and the Zonal /Regional offices Zonal /Regional offices and DistricULGA office of the Coordinator? DishicULGA office of the Coordinator and the community leader?-- Any suggestions to improve communication for better management of the Project? Please indicate PART II IVERMECTIN PROCUREMENT AND DELIVERY SYSTEM 1 Movement of ivermectin from the Mectizan Donation Program to the national store house What date was the order made by the NOTF to Mectizan Donation Program for last consignment of ivermectin for target communities? What date did the drug arrive at the port? What date was clearance from port completed and drug taken to central store house? Who cleared the drug from port?(office of an NGDO partner/NOTF Secretariat MHOiMOH/Others (Please specify others) Does the Government accord an exemption from taxes and customs duties? Did the MOH or partnerMHO pay any fees/charges for drug procurement from port of entry? lf yes, how much US $? -------------- To whom were the fees/charges paid?---- Any other problem(s) in connection with the movement of the drug from Mectizan Donation Program to the store house? Please indicate 42. Movement of ivermectin from national store house to the community. (if several other steps more than stated below are involved, please specify) What is the average (state the minimum and maximum) lime it takes for the drug to arrive from the national store to: Regional or Zonal Store District or LGA Store - Central Drug collection point (Health facility nearest to the community)-- How long does it take on the average from arrival of drug at the district until it gets to the community Any special problem(s) in connection with the movement of the drug from the national store house to the community? Please indicate What is the average btate the minimum and maximum) time taken by most communities for drug distribution. Any special problem(s) in connection with distribution at community level? Please indicate PART III GAPACITY OF THE NOTF/ONGHO COORDINATORS/ SUPPORT STAFF AND THE PHC SYSTEM: Please provide below information on the size of the NOTF( full and part-time staff) by giving the number in each category of staff involved in CDTI at: Full time Past time Central Level Regional /Zonal level District /Local Government Level Community level How many different categories of personnel (ptease state number in each category) are involved in the community directed distributors (CDD) d istricUlGA coordinators of PHC personnel involved in CDTI training of: and in health education and information to community 5Give the average number of: - days CDDs were trained in all target villages - CDDs trained per community - women trained as CDDs per community Number and proportion of the PHC staff at the DistricVLGA levels involved in the targeted community with: training the community directed distributors supervision of ivermectin distribution management of severe adverse reactions How many of the CDPs are health workers? PART IV PERFORMANCE INDICATORS 1 lndicators of Sustainability 1.1 Commitment of the Partners lndicate in US dollars using current United Nations exchange rate to local currency, amount and percentage share of all costs being provided by: the Ministry of Health (MOH) the local NGO(s), if any the NGDO partner(s) APOC Trust Fund Community State in US dollars amount budgeted by the MOH for Onchocerciasis Control in the current year I .2 Communitv involvement State the number and percentage of targeted endemic communities in which the community is involved in: decision-making on the mode of distribution selection of Community Directed Distributors (CDDs) procurement and collection of ivermectin from central collection point reporting and referral of cases of severe adverse reactions decision-making on incentives and/or remuneration to CDDs change in mode of distribution system (where applicable) lf there is any local community-based organization(s) involved in the distribution, please indicate the number of villages in the community with such local groups and specific function: Number: Function Name(s) of organization(s) 61.3 lntesration into the Primarv Health Care State activities under drug procurement and delivery which are being carried out by the PHC personnel in the project area---------- State the number and percentage of targeted endemic communities in which the CDD is part/staff of the Primary Health Care System supervised by the Primary Health care system Number and percentage of targeted endemic communities in which supervision is done by the Primary Health Care personnel 1.4 Estimated cost per person treated lndicate in US dollars using current United Nations exchange rate to local currency, cost of: Drug delivery from port of entry to central collection point Collecting drug from central point by the community Training CDDs Supervising CDDs Monitoring CDTI Remuneration/ incentives paid to CDDs by the community (sum total per distribution) 2. lndicators of coverage of CDTI Please indicate below the number and percentage of targeted CDTI communities treated with ivermectin CDTI communities not treated with ivermectin population in the CDTI communities treated with ivermectin eligible persons not treated 3. Refusals/absentees 3.1 Refusals Please state: the number of communities in the districts/subcounties where cases of refusals have been recorded average number of refusals per community? number and percentage of people who refused treatment in this phase State the three most important reasons for refusals 1How does the NOTF intend to deal with problem of refusals? 3.2 Absenteeism What is the number of communities in the districts/subcounties where absenteeism is the main reason for not receiving treatment? average number of absentees per community? total number of people who were absent from their treatment areas during this phase Please state how the NOTF plans to deal with the problem of absenteeism? 4. Reporting/Management of Cases of Severe Adverse Reaction ls the reporting of cases of severe adverse reaction satisfactory? ls the reporting done by: - the community members ? ---------- - the CDDs only? - the PHC staff ? - ls the NOTF satisfied with the management of cases of adverse reactions in the project area (s)? lf Not, what are the major problems and how is the NOTF addressing them? 5. Local Operational Research Are you conducting any operational research in the current phase? lf yes, please give the title of the and the name of the district or LGA where the operational research study is being conducted ---- Please state one or two reasons for the choice of the topic of research 6. Local effort to evaluate integration and coverage of the CDTI Project Are there plans (local efforts ) to evaluate the integration of the CDTI into the PHC or other local services? PART V 8 lf yes, are the communities/ the communities leaders participating in the planning? Are there planned activities to promote the involvement of women, school children and non-literates in CDTI activities Are there planned activities to promote and improve coverage?-- lf yes, please describe succinctly the activities Please write freely but succintly (not more than 2 pages) on any other aspects of the execution of this project that might not have been adequately covered in the preceeding structured questionnaire.