Coordination meeting, Economic development Unit, first meeting, Ouagadougou, 15- 16 October 1984: coordination meeting on socio-economic development in the Onchocerciasis Control Programme Area: draft terms of reference for evaluation of the socio-economic impact of the Onchocerciasis Control Programme

)'i'.Hi: ' 'I'r .. ti .6 :4,. N+_ WORLD HEALTH ORGANIZATION CRGANISATION A{ONDIALE DE LA SAI..JTE ONCJIOC}IRCI\SIS COIITA.OT IR.OC8.N IlI] IN T[iE VOLTA lt]Yffi. BASIJi ARE,A C OCPrDINr:TI Oil i !,-.lTIl'IG ECulioiiIC DEV:I,0H iit]"T Ui{If First meeting .ta1-p{q:rse-%.-U-:.16_-9st*o}.er.^19_9.4 C OCA.DIITATI 01{ JVI]]ETING O}; S OCI O-EC i'],JOJ OIICHOCIA.CI/IS IS C 0i..18 0L DR/JT Tflilrs 0F RII],LRE](CE -LtOrL TFIE SOCIO-ECONO}'I1C ]}/PACT OT Tl]E CONtltOt IE OGRA],t-,iE DlIWtOH[r]ru Ili lUE i.iE AREA LUAT]-O}I OF T.]U OCXF,CTASIS -,':', - I.i ,:,t 1. E1E:-o-d;4c-t-r-o3 an 7)lO, seven i'Iest African counf,ries (Mati', 'jlogo, Benin' Buri<ina' Ivory Cor.st, Gi:a,r:.a, Iii.ger:) severell' affecteo- b;r oncirocerciasis (::iver bfinc-lness) i.'hic:. beca.ne a major constraint to socio-ecor'Lclr:ic c1-evelopment requestecl-:[or an assistance ntission for t,ie elabo::atlon of the stra'teg1 of tire stmggle agarnst Qrchocerciasis in t}''e Volta' basin' On tire basis of the find-ings of the.llrrsi-stil'ncc }lission, the Cr:r-rntries concerneclrsupportecibyUNDP,Worldtsank'ilAO:ncl!irO'cleciried'tolaturcha regional plogramme lrith the following objectives: - control of t,re d-isearse by action against the vector' - the improvement of the stand.ard- of livirrS and thc e:lploita:tron of resources which are irlentiful in thc zone so as to increase pr oductivitY a,.nd' ilr oducti o;r' Tltus, UhiLst the vector control operations l/eTe carriecL out by the Dj-rectorate o,i tl:e Pro5parmnee t}',e aspects c''rllce::ning the pro:lotion of socio-econonic d.errelol'lrnenL with-i.n the iboppamrle eLrea t'tere to be r:ndertalcen by the coun-bries conccrned. In ord.er to facjlitate the planning of the social and- econotrtic cleveloprnent, tire UID? provid'ec1 the funds necessary for thc realisat|or. of basic studies for a bette:: ulcLerstandj-n1; of tl:e resources airailable as well- as for the elaboration of rleveloprrcnt projects' In seve::a.} corrnt:,:ies, structures were created. ej-ther to fol-Iou up anC coOrdina'te clevel-opment actions or to rianagp t'lem dlrectly' Ie,unchecl in L974, f .,r-rr years later ocl hacl rrncler control the whole area initial1ry deterrined- for efficient control actions a'gainst tite Onchoce::cia"sis vector in the Volta basin' By tl".e end of L979, J19 d.evelopmen'b projects r''ere al-rea'dy identified l+ithin the Prograrmle area, totalling for t}e next tel years a gIobaI volrrme of inves,n;rent of sone 162 billion CTA francs. These plojects are the sum total of c. host of ff'tiona1, plurina,ti ortal, in-be::na''bionalt pt'-blic' private' ,turrctual olr concelrted- initiatives and tirey demanded impo::tant financial and hur:an investrrent;;, nore or less costllr technologr and- uore oI leSS appropriate strate.gies. .TSIE--Q[ -RiFmEf[CE Or' -Ein -I|-\L\LU-ATIO1'[ OI TlI'[ S0C]'C-trC0]i0f ifOnpAcr oF dt -oirffiu1tr,t,i'i=i--c-o-r' -ry.Qq+'ip -2 - Ten years (tgl+-rye4) after the l-aunciring of 1re P:"ogamrner it is necesse.r,r to rnake an assessnent of the ac'bions unclc-r:ta1:en, apprai-se ti:e pro{iress made and the efforts to be in:ii.e in orc',er to naxiiilise the econonic and social prof i'cabilj W of the h:ogramme. Ti-"is is Uie ob jec tive of ti-Le ytresci1t stucl;-aiming at evaluat:-ng tire socio-cconotnic inpact oi the kolpa'nrne. Tne te::r,rl, of reference of tl'iis sturl'; e,:le ceutled on the folfovling points: II - P-lq@ tlre- .exe-c-u-t =o-4 -..-4c1- -e-r4a-1-r.r.a-!.1o.q-91 -s-gc.a-q -e-gq-4giB-c. -c1?v-eJ-.o12qe;rl -:r.cli-v-i-.t-i-e5- .i.:1 -t^1i9, ^h-q--:q- -'-::r.ne-s - mctlr-od.cIogical analysis - stra'bery III ,.L ]ln_owl_e-{gq -of -thg:*-qegign Tris is aif evaluation ba.secl on the strtc'.ies alread,'cione of the progress accom;rlished in the und.erstaLnd.ing of the re.gion ancl- of the potential. resollrces ava.iIa.ble in tire Prograrnnie a,rea and tl rcir i:elationship rvith onchoce::c-iasi-s . 7t.L.l. jlf-u1pi,;g.r-e1s-oJ4c--ee (nr.ulber, rlensity, d-is;tr:illution b]' ale antl sex, s oci o-lr of e s s i orui I d-i s -Lribut i o:i, s oc i- o-cul1;r-r.::a i s';rr'.c tula t i on,' . ';,1.2. .1b:ri9a-l--:res our-c-es a) .klryi.t Classification in ag:ro-ecoIo.c,;ica1 a.naf or agro-meteorologica.l zones, e_efects of clrought, c.ete::nina,-';ion of tire types o:t soil, 1:reir inportance (quantitl- a:rd. cluali!r) in vegetal and a,;r.ima1 p:l oc.rrc ti oi-t. l:) i/ater resorr:lces: fnven-bor;; ancl ma,rpi,'r.[j oi llyd.raulic resortrces: - --- ::- .-. clams, rivers, bore-l:oles, vlellS, poncls, etC. A;,r;13isa1 of t,reir inltortance from the point of vj-et. of a;ricr-,--lture, livestock, fislreriesr , inclusf,rXr aLnd date of lau:rclllng. c') .\r-e-s*!ry-^a-gd1-F-ar4g1: invento4' of rorestr;' and fauna lresou'rces, appra-isaI of t"reir inPortance. d-) -To,4r.smt Evaluation of the resolrr'cesi. e) !!!i1e-s: Inventor..,r of mining resollrces and an appraisal of their iinporta,nce. .E-9..!ugt-1o31-gt-a-clry$+_eg f,.,**ffi 3 \ ,t,, I "*', i 3,2 -f.qio"J-ual,yqj*1-t+$/-gr-.{"-v-q}-ryrer-L tivities Tne d,ifferent projects and ocvelopnent ac-bj.vities in the field-s of d.ernopgaphy, agricuJ-trure, livestock, forestrl', fisireries, inclustry, craftsmanship und.ertaken vritl11in the Prog::ar-Ine area by the Goverrun'--nt and'f or'che populatlons since I)7Ll ('i) shoulcl be aiulyse4 rmder the follot+ing aspects. 5.2.1. F-f""t"g What is the s-b:rate;y and the field. (d.emography, agriculture, livestock, f orestry, iisheries, incilst4', craftsmanship, etc.) of the project and }low is it integ,ratecL in the globa.I d.evelopment of the country. '), 2 .2. *S*]-e-c-[i-r4gs- - i'iirat i're,-e (nre) the quantitative ani qualitative objectives of tire,rroject'! - Tar5pt population. 1 .2,1. ]Ieery. The importance of human, physical and fiuancial rneans ar,z,ilable (or to be made available). - Technoiogies used. 1 .2 . 4. Ugig{. -c-o3r.s-'tra-i-q[g - tecirnical: lack of alpnropl'iate techniques aud technolo6;'. filarrcial: insufficient funds, d.ifficulties in mobil-ising funcls, etc. human: relationship r,rith the target population and. the neighbouring populr"ticn. institr-rtional: structure, supervision, managemento cred-it and marketing: policy. 1.2.5. R9.4!g - quantitative and qualitative appraisai of resu-lts' - population coircerned.. - nurrrbelt of ir.-ir:astructl'res. - voiume of Fod.uction ancl their irnpact on tLre environment - erra}-,"atioit oI ti:e most important socio-economic irlclicators concernecl i:Y tlre r,roiect. 'v:, 'l r' 7.1) c 1 tL't f -I-qt-e;p_c;[ign- .b-q!1e-e;1 -t\9- 9.c-t5,'-rlle.s- .gf- .tsfe- -p-qqi."-c-!-a,qci pgc-!r-o-c_e11qf a.s"i5. i) In vhat meas-lrre has onchoce.'-'ciasis control- con-i;::ibutecl (or "ail contribu'be) to tl:e achieve,ren',-; o-i resr-'-l-ts. t1; j.ii) iiolr havc 'the enclet,,ic onciiocerciasis foci .uitirin the -.rro;,ect area or in the surroundiri'eEea) changed. from the socio- ec\)r-r.omic d.cveloprocn i viewpoint. i/ha,t a,r'e t.le measures tal<en or envisa,3:ed" i:r,- tire State anci the popule.tions concerned so that the rositive l'esults acqui::ed. rr,itirin tire region can be maintaineci if not improvcci so that onchocerciasis wil-I- not be a setback to d.eveloprnent. I\r ! .I_gjLicrlt-og.s-"Log -t-L"-f-I;-rg"l1q11olc-@:ge.i1.laJr9 Ore has to evalqate the irnportance of the ch.anges ma'cr-e (betr,een l-974 and, I9d4) in the speci-',-'ic f:|e]d.s such a,s de:rography, ai'rj-cuftr:re, livestock, forestrrr, anil. tLetermine the rol-e Pla;,str by the onchocercal zone j-n the econoinic ai.ld social- d.evelopment of the ccunfir. Qre vrill e,l-so li,:.he a,n a-talysis of the evaiua,tion of i;he viIk.ge, d-ish:ic'c :,.nd. r'eei:-onal level- of the f ollolving -'-;ocio-econonic indicators. Demo,graphy -R: o p-ojs-e_{ .i.4d." i. c.aL o.r.-.s. - impo::tence , avelage c]-ensity, clens.ity in forme,: end.emic f cci. - migr:tor;. influ-: - socio-culturaI rcl'.tionshi ns IL"-IsiS Ec ological eqr",ilibrir,,m and. coflservE;t-ion (oi c]le.Ltion of resor:rces) comp,a"ri-son betwee:r tito ref orestc'd areas i',ncL the to'Lal. sur-Cacc area. nurnber and inporti'"nce o-f vrater Iesou.rces. trj F!qlg=- Access to le.ni., water a.nd, other nat-:ra1 resoi"-rces Access to production factors, to nr.rkets anil- c-:edit faciU-ti-es Prolosed, incl-i cators - rate of occr-lil.' t-r-ot, :',n.. exllloitation of Iind. wa-ter airri f o::est-r-v. - average surfcce allei, of a1;ricultural exrloitatlol-]s " - netcentage of irrigi.teiL surface. - prod-uct-l.ons, st'rface aree a,,ld yields of main crops. - percentage of lir-Jf.tce alrea e-:llloited' by tenants. - total amounl; of loa.ls gr.ntei bY fi-nancial insti.tutions anrl rlercentaaP ir-t comparison vlj-til nationaf realities' - creciit providecl or tlot i-o:r er,ch a13ticuJ.tural e::'rl oitat-ion or fa,i'ri1y" - rate of reinbu::sei'len'b o-[ cret':it. - percentage oi l,ousel-roldi:' pell e:lploitatio:r receivi,rg cred.i-b (rritrin the z,one in comparison rvitlr th-e irl'.tiona1 J-evel) . Prod.uction fa,ctors - quantiW of m:'.mDlc uscii per lla of 1c'nd reservecl for riain cul.t:.va.tioils and the amcult oi cultivrte'J. l-and-. - number of houscll.cl'Ls using manure. - Dercentage of ;u::face i'"rea cul-tivaterl with irnrtroved seeds. - n',rmber of e;rploitations tlsing insecticicles. - number of exnloitatlons i'ith access to agricultriral mate:lial. .r*'-- -{r-e.Lq€. Educati on, vr-'-Iga".-- isati- on and training 6 -ft_qpo5_e-d_-!31c1]-c-qto-rg - number oi sctrools (prima4r) anrl rate of attend,ance. - nuJrtber of aC-'I-t J-iteracy centres i'.ncl percentag'e of -'c};]i, literrtes; . - nurnbev: of aiuricr'.ILrrral, st-'.pcrvi:rors per e:r1-,loitati ou. - mrl,lbell of tec^ti..icill,ns. - nu:rber of r'-c::es-i;rl' i,L'ents. In-frastruc-bu::e densitS. of all-'veat..er roads /nrac}s rretwork Access to services or c of Ie ctive ec1ui,:nen'b percentage of populaf,j6n t'tith easy access to foll-owin3' services anCL equipment: - d-Tinking' wa,ter - primary r;chool - primary health services - ma,rkets - all-iseat".Ler roa,ds Housing Percentage of -fa,-ri-l rcs l-ivin; in houses in good conditions r-UaL'ing into accoirnt local conclitions). I\La,ss participati, on Percentage oi c,'.leis of explortation vtho aire rnei: l.)els o.i ,-r-r-,-'a.l- as lr ociati ons . nqrber of nembers oi rural cooileratives per tlrpe rr,nL.l. pcr se:r. -7 - Fie ld-s -BgpoS-.n-.--iqcij--cr.-.t_og-s. - availabili-i;1-, access.lbility of Lrearl-tlt carc. - cffective use oI irea,l--b].. service:,. nL,:r.irelr of c onsr-rlte-bi onl: - n;labe:: of bir tits - existence o-f ,rritr.:tlt.r hea.ltir care . evol-utlon of pi'icer oi a,gricu-ltural trrocincts. evolutio:r of bl.e purchasing por+er of the peasant. Healtl: Price pol;-cy kodr-',.ctivity r gorvth an. develoni,rer:t - percentage of active poprile-tion. rate of incre:.se of r€.npolrer thanks to 0U;'. - prod.uctivi-fo, of the active r;ector of the popuk.ti rn. - ca2ital- income per l-iead- lrithin tlte zone comparecl with tire rr,ational sveili:lfe. - Dercentage of GriP obtrined from the Oncho zoTte. V Ugbq:rqlio.n -€. -c1_egelrye:t!..e.o.granne_s It is a inatter of anal;rsing the available ilata a:,..r',,-rro,rosinE actions and,f or c1evelo1.rnelt ,rrogrammes luhich can ena.hle the Pari;:-cipr,ting Cou:rtrj-e: to exploit to t':e ful-lest the resources made availabfe and- ensr,.l:e tlte perenniality of the rcsr,..l.'r,s obtaincC. liitliin 'chis framerrork, the actions to be tr,ncler-tal:e:r lril-1 be rLef i:red-: - either -io:: the rea,lisatj,on of basic strrCies (c'roi.rolraphy, aggo- pedolo5g., socio-economic, h;rdrogeo1og11 , etc.) ijo as-bcr bettcr id.entify the re::ources availabl-e (Una, ivatcr, f ores-bs) or the possi,:-lli-tier of capitalising on ner{ lrerroLLrcec, thc popr-r}ation i,"ncl its iieo5::aphical disti'ibr",-tion these data shoulci rmke possible a better p1-a:rnj.n6; of investnent prograrrrne, - or f oi: project fornulation. t -B- VI Estab t .oi -e-Ieqegt-s-jfe +-f,y-i-ng. the ontions retairlecl in l}_c*-to;1a le.rrn !-tret-eg' Base;. on t-re da.ta gliven in points III anC V, ap'lraise globalll'tile economic ancl l,ccia-]- 1-,rofitabilitl, 61 the efforts acccn;-,1.i-sliecl r3''r onchocer- ciasi:. control- i;ivin. t re eccnonic anc, sociaf clener-r-ls jt'.stiI';rrng 'cir'e options retained. i-n -tlre Lon; Te::l' IJtrate,'T1 . \lithit: t[ir' .iramewol]i, a special a,aaiysil; vrill be rna;Ce of t'le metirod's anil conclitions cri --.nte6.r:.tion of the follorr-up of oncl-ocerci-aliis il tlrc other c.leve,Lopi,teirt activitics of' eacll cou-ntry, tlie econonic anc' social- ur:oiitability ( costs/ad.ra,ntages ) of cl-evol-ution activities ' V]I !r".q*"-q tr,liSrr. Pi r-eP.o-r' t s - rleports presented b, the co,yrtries ',iill- be about lLr pe'.1lcs inir-iir.l-,:.,r. e.td. lJ pa,getr rnaxin.,:n. Ta,bl-es a.ncl lrlaps liill- be annexed' -laclr. re-',ort riiIl be 1-rrod-r,r-ced in IO0 copielt. - The s:\rntrtesis reDoi.t wil-l be comi:osecl of a ll:itten tc-rt of loo-150 Da.ges (maxirm::n). The tables ancl naps slnll be atrnexecl. 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TD,\ t+.. ",".',h \iu .'1,: rli.;t" I I I *'r*l), 6I6 d d IE -.'::-) r*qodr6, ,/ -Yt"" t I I I I I , I I , I I , t , I t I I I I I I I I I I I I I , I I I I I l I I , I t I I I I , t I , I , I I I I I t ll o tr G cl() I I l1l1 lt 1t