Technical Consultative Committee support mission to Niger State, Nigeria: report: November 2001

AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL TECHNICAL CONSULTATIVE COMMITTEE SUPPORT MISSION NIGER STATE, NIGERIA REPORT NOVEMBER 2OOI TO 1 2 TABLE OF CONTENT A. ACRONYMS B. EXECUTIVE SUMMARY C. BACKGROUND D. TERMS OF REFERENCE E. TRIP REPORT F. FINDINGS G. ACTIONS TAKEN BY TEAM H. RECOMMENDATIONS I. APPENDICES 4 5 7 7 8 11 l5 18 23 ACKNOWLEDGEMENT The team is grateful to the Ministry of Health authorities, SOCT , LGA coordinators, NOCP fficials, aNICEF designate, and CDTI communities visitedfor their collaboration, which ma.de the mission a success. team is graleful to TCC for the opportunrty tu undertake the mission. 5 A. ACRONYMS APOC OCP TCC CDTI CBIT SOCT LOCT NOCP CDD I.iNICEF LGA WR wHo IEC CSA PHC ZOC DPHC MOH REMO ATO . AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL - ONCHOCERCIASIS CONTROL PROGRAMME . TECHNICAL CONSI.]LTATIVE COMMITTEE - COMMUNITY DIRECTED TREATMENT WITH IVERMECTIN - COMMI'NITY BASED IVERMECTIN TREATMENT . STATE ONCHOCERCIASIS CONTROL TEAM . LOCAL GOVERNMENT ONCHOCERCIASIS CONTROL PROGRAMME . NATIONAL ONCHOCERCIASIS CONTROL PROGRAMME . COMMUNITY DIRECTED DISTRIBI.]-TOR . UNITED NATIONS CHILDREN EDUCATION FI-IND . LOCAL GOVERNMENT AREA - WORLD FIEALTH ORGANIZATION REPRESENTATIVE . WORLD FIEALTH ORGANIZATION . INFORMATION, EDUCATION AND COMMUNICATION . COMMITTEE OF SPONSORING AGENCIES . PRMARY IIEALTH CARE - ZONAL COORDINATOR - DIRECTOR, PRIMARY TIEALTH CARE . MINISTRY OF FIEALTH . RAPID EPIDEMIOLOGICAL MAPPING OF ONCHOCERCIASIS - ANNUAL TREATMENT OBJECTIVE ANNUAL TRAINING OBJECTIVE - ULTIMATE TREATMENT OBJECTIVEUTO 4 B. EXECUTIVE SI.]MMARY Within the period November 6-10 a team of 3 TCC members, on the recommendation of TCC 13, visited Niger State, to address TCC concerns about Niger State CDTI project. As reported in State Technical Report submitted to TCC 13, mobilization and sensitization of all CDTI communities had not been completed, ratio of 1 CDD per 250 persons was not achieved, therapeutic coverage (267o) was low, treatment figures were inaccurate and financial returns were late. It was found that political will on the part of the state Government was very high and communities were enthusiastic. However, Iate submission of proposals and delay in release of funds resulted in under utilization of funds which in turn resulted in poor programme implementation. Non-standard registers, incomplete registration and determination of endemicity status of communities were the major reasons for inaccurate data and poor record keeping. Apart from the State Coordinator, all other SOCT members worked part-time on the project.The state plan of action was not in synchrony with the Zonal and National plans. Training and supervision was poor. There was lack of proper storage facility for supplies and inventory and there was no storekeeper. The team worked participatorily with NOCP officials, SOCT and LOCT members, UNICEF designate in solving the problems identified. A field trip to three communities afforded rhe group the opportunity to assess project activities at that level. State,Zonal and LGA plans of action for Nov. - Dec. 2001 were developed and a State plan of action for 2002 was revised Training programme and content were revised. The Technical Report was revised inconclusively, as accurate data will only be available in Dec. 200l,after classification of communities and registration of populations in CDTI communities have been completed. Financial Returns were reviewed and response to WHO comments made. The team recommended that State zonal and LGA workplans be prepared well in advanced and synchronized. Proposals should be submitted in time and there should be no delay in approval and release of funds for project activities. Fortunately, UNICEF designate who participated actively in all the mission activities gave assurance that there will not be any delay in approval of funds on the part of UNICEF. This and the promise given by the Permanent Secretary, on behalf of the Ministry 5 of Health, should solve once and for all, problem of delay in approval and release of project funds.The team further recommended that more SOCT members be appointed and assigned LGAs to supervise,using standard supervisory checklist. One more vehicle should be provided to the SOCT,and more motorcycles and bicycles be provided to LOCTs, for supervision. There is an urgent need for storage facility to be provided and a storekeeper appointed for the project. To ensure accuracy of data, a data manager should be appointed, uniform standard treatment registers should be provided, CDDs and LOCTs be trained on record keeping, standard reporting forms be used by LGA coordinators, and state review meetings for collation of data and discussion of the issues be held twice a year. The project was advised to concentrate on completing first round treatment for all communities qualified for CDTI and commence treatment immediately in Babana and Nasarawa districts of Borgu LGA bordering Benin Republic in the OCP zone. 6 C. BACKGROUND Niger State, situated in the middle belt region of Nigeria, occupies about lOVo of the country's landmass, and has a population of 3,168, 477.Borgu Local Government Area, one of the25 administrative units of the state, shares a border with Benin Republic in the OCP zone. Mectizan distribution began in the state in 1990 when Africare ran a pilot distribution project in Borgu Local Government Area. In 1991, Mectizan was formally launched in Minna Niger State for use in Nigeria. Thereafter, UNICEF andGTZ implemented clinic-based and community-based distribution of Mectizan in 4 LGAs. CDTI began in Niger State in 2000 and as at December 2000, a total of 240,140 persons had been treated in 13 LGAs, TCC 13, in September 2001, reviewed Niger State 1" year technical report and noted that progress in implementation of CDTI in the State was slow. Therapeutic coverage was only 25.3Vo and geographical coverage only 43Vo. There were contradictory figures for communities to be treated (608 and 1159) and communities treated (4041 498). Ratio of one CDD to 250 persons was not met. There was also undue delay in release of funds. TCC rqected the report and requested APOC management not to release funds on year 3 budget until TCC concerns are addressed. TCC therefore recommended that three of its members visit Niger State to assist in solving the problems identified. D. TERMS OF REFERENCE The mission was mandated to ensure that Niger State CDTI project achieves the following: . Complete mobilization and sensitization of all endemic communities. . Conclude selection and training of CDDs in remaining endemic villages ensuring ratio of 2 CDDs per 250 persons. . Treat at least 657o of total population of endemic communities. . Resubmit a comprehensive report with accurate treatment data including ATO. . Solve problem of delay in release of funds. 1 E TRIP RE,PORT The team collected the following documents from NOCP and WHO in Lagos before leaving for Niger State: . Niger State CDTI project proposal , Niger State CDTI Technical Reports . Monitoring Report on Niger State . Letter from WHO to NOCP National Coordinator on Ondo State CDTI project Financial Returns Oct. 2000 - Aug. 2001 Nov. 6, 2001...... Minna The team held a joint briefing meeting with the following: . Alhaji S. S. Wushishi - Perm. Sec. Ministry of Health . Mrs. Abigail A. Tsado - Deputy DPHC/ BI . Dr. Y. A. Saka - Assistant Director NOCP Lagos . Dr. Yemi Fayomi - Zonal Coordinator NOCP Zone C Kaduna . Hajiya R. Y. Datti - State Coordinator . Abdulkadir Mohammed - Project Accountant Members of TCC mission team briefed the gathering on APOC philosophy, CDTI activities, APOC financial regulations and concerns of TCC on Niger State CDTI project as reflected in technical report submitted to TCC13. The NOCP National representative stated that after the recently concluded monitoring exercise, steps have been taken to correct the deficiencies found in the project. The National office had held a meeting in Kaduna which UNICEF Representative attended. Mobilization and trainings have been conducted in most LGAs. The NOCP Zonal coordinator informed the gathering that the problem with release of funds will now be solved with the recent appointment by UNICEF of a more accessible signatory representing UNICEF. The Permanent Secretary confirmed that the concerns of TCC were being addressed. He stated that when he attended an APOC Advocacy meeting in Abuja he realized that Niger State was not performing up to standard. On return from the meeting he asked the coordinator to improve. He gave assurance that Government will do all possible to cause significant improvement in performance of the State CDTI project. 8 After the briefing, the team met with the following SOCT member and LGA coordinators l. Mrs. Abigail A. Tsado SOCT/ DPHC/ BI 2. Dr. Y. A. Saka AD/NOCP Lagos 3. Dr. Yemi Fayomi DD/ NOCP ZoneC Kaduna. 4. R. Y. Datti State Coordinator 5. Ibrahim Abubakar SOCT member 6. M. A. Wasagi SOCT member 7. Abdukadir Muhammed Project Accountant 8. Hadiza Karo SOCT member 9. Mohamed Y. Imam SOCT member 10. Dr. Catherine Gana TINICEF Representative During the meeting, discussions were held on TCC concerns about Niger State CDTI project, implementation issues, and financial issues. The problems identified included delay in submission of proposals,delay in release of funds, low coverage, inaccurate data, poor mobilization of communities, inadequate number of CDDs. The State coordinator stated that Niger State had problems in initial take off of the project. She assured the meeting that all TCC concerns are being addressed. She pointed out that enthusiasm of communities and high CDD retention rate are strengths of the project and gave assurance that problems with release of funds have been overcome. She further stated that there are no outstanding financial returns. The group later worked Participatorily on the technical report, plan of action and financial issues. Prof. Abiose worked with the State Coordinator, National official and two SOCTF members in developing a plan of action for Nov. - Dec. 2001. Dr. El-Hassan worked with the Accountant, UNICEF representative and Zonal coordinator in sorting out financial problems. Prof. Braide worked with a member of SOCT in revising the Technical Report. NOV. 7, 2001......Minna The team met with SOCT and LGA Coordinators. Discussions centered around APOC philosophy, implementation issues, financial issues as Technical and Financial Reports. Reports of previous day's work were presented to the group. Plan of action - State Coordinator 9 Technical Report including data Details of expenditure Approval procedure chart Response to observations by WHO SOCT member Accountant Accountant Accountant NOV.8 2001,Minna The group, comprising TCC mission team members, NOCP officials, SOCT members and LGA Coordinators visited three communities -Zauna in Bosso LGA and Maito in Wushishi LGA and Kaliko in Wushishi LGA. In each community, the group first met with the community leader to explain the mission and seek permission to meet with the entire community. The SOCT members and LGA coordinators gave talks on onchocerciasis, CDTI, role of communities in CDTI. Community members asked questions and discussed the project extensively. During the stay in the communities, the group obtained information on - proportion of persons in gathering who had taken mecctizan - preferred month of distribution - preferred mode of distribution - community rating of CDDs. Request was made for more CDDs to selected were necessary. Treatment registers were examined. and community mobilizedfor completion and commencement of treatment. The field visit was facilitated by NOCP officials. NOV.9 2001,Minna The team held a debriefing/appraisal meeting with: Alhaji S. S. Wushishi Permanent Secretary, Ministry of Health Mrs. Abigail A. Tsado Deputy DPHC/ BI Dr. Catherine Gana UNICEF Representative Hajiya R. Y. Datti State Coordinator Abdulkadir Mohammed Project Accountant Dr. Y. E. Saka AD NOCP Dr. Y. Fayomi Zonal Coordinator l0 The findings as well as activities carried out during the mission were discussed. The Permanent Secretary was concerned about the inability of the project to expend funds available to it. This, he indicated, will make it to difficult to convince government to give more money to the project. He assured the team that all the problems identified will be solved "in house" and Government of Niger State will do all that is necessary for CDTI to be successfully implemented in the state. F. FINDINGS FIELD VISIT The three communities visited were well organized and enthusiastic but not well informed about CDTI particularly about the role of communities, frequency of treatment and exclusion criteria. Treatment had just commenced in the communities, records were poorly kept. In Maito, many families were recorded on a page giving no room for updating of records. There was definitely poor understanding of "Household". It was obvious that quality of training (CDDs) was poor. Mobilization was therefore poor. The SOCTs and LOCTs were not well equiped and prepared for supervision. There was an urgent need for more bicycles and motorcycles as well as adequate funds at LGA level for per diem and fueling. TECHNICAL REPORT The main problem with the Technical Report was inaccurate treatment data arising from lack of a list of meso and hyper endemic communities. It was impossible to calculate the total population qualified for CDTI in the State and therefore geographical coverage and therapeutic coverage. The denominator used in calculating coverage contains population under CBIT and in Hypoendemic communities. 1l PLANNING AND IMPLEMENTATION The team found that at the policy level there is strong political will for the success of the programme and the communities are also very enthusiastic. The State Government and many LGAs have provided financial support to the programme but there are minimal activities on ground to match the support received. Stagnancy of mectizan distribution programme. The Nigerian onchocerciasis control programme using mectizan was launched in Nigeria in Februaury 1991. The State had previous experience of mectizan distribution, having worked in partnership with Africare, UNICEF andGTZ, using mobile team and later community based distribution. Prior to APOC approval of its CDTI project proposal, activities were initially confined to parts of 5 LGAs and later extended to l3 LGAs. However, implementation has been very slow with no attention paid to geographic and therapeutic coverage. There is also a mix-up between the first and second CDTI treatment and many communities have skipped treatment for a year or more. Community identifi cation The identification of communities that qualify for treatment remains uncertain. There is no up to date list of communities to be treated at the State level, even though many LGA Coordinators have lists for their coverage areas. Inadequate SOCT members and Inadequate Supervision. Only the State Coordinator is a permanent staff of the programme. The other SOCT members are fully employed for other activities in the Ministry of Health and work on CDTI and an ad-hoc basis. The result is poor training at all levels, inadequate supervision and inadequate monitoring of activities. t2 Poor staff morale Payment of per diem, staff travel allowances does not take cognisance of approved APOC and government rates and payment is not made as and when due. There is no delegation or clear schedule of duties for existing SOCT members. Lack of support. The office does not have a secretary, data entry/ management staff and store keeper Inadequate State plan preparation and lack of synchrony between national,Zonal and state levels. The available workplan does not specify who is responsible for what, nor are there clearly set targets to be met. The plan is also not tied to budget provision. These lead to rushing of activities and towards the end of the project year with resulting Poor implementation and poor supervision. The programme has only one vehicle, inspite of the fact that Niger State constitutes almost IlVo of the land mass of Nigeria. There are few motorcycles and three others are awaiting collection from WHO Lagos. Adequate provision is often not made for payment when vehicles are hired. Cross-border issues Two districts of Borgu LGA ie. Babena and Nasarawa share borders with Republic of Benin, which is in the OCP zone. Adequate attention has not been directed at complete treatment of these LGAs with high geographic and therapeutic coverage. Poor record keeping Standard hard cover registers with summary forms are not available for use by LGA coordinators and CDDs. Notebooks provided by communities had assorted formats Lack of proper storage of supplies There is no store or storekeeper for project supplies except mectizan which is stored with State essential drugs. There is therefore no inventory available. This makes monitoring of supplies and accounting for their usage impossible. 13 FINANCIAL ISSUES The financial difficulty between UNICEF and the State as regards supervision and financial control has been resolved. The supervisory role has been devolved to NOCP at the Zonal level and a new LTNICEF designate found in the local NGO "Child-to-Child". The representative of this NGO and UNICEF designate to the account, Dr. Catherine Gana parricipated fully in the TCC team visit. Transfer of funds to project3 There were no delays in receipt of first and second years' funds. The amount to be transferred to the project in the first year was $128,940. of this, the project received $110,000 in two timely installments. The sum of $18,940 was not transferred because the project had funds. The project carried forward $421235.74. In the second year, the project received $45,000 of the $91,300 due to it. As at August 2001 $91,676 was available. Submission of proposals by State In the first year 2 sets of proposals were submitted to UNICEF in January and September 2000. In the second year, 2 sets of proposals were submitted to UNICEF in August 0 I . Response to submission by State There were slight delays in approval of proposals of ll -26 by UNICEF in the first sets of submission for 2000 and 2001. The NOCP Zonal Officer did not delay submissions from the State Commencement of field activities. Field activities commenced in the first year of CDTI in April and October 2000. Although approval was granted in early February 2000 field activities were delayed. The further delay to late October did not help implementation of CDTI in the first year. In the second year, field activities did not commence until 11 months after receipt of the TSA. The project had $91 ,676 as at August 2001. t4 Support from partners Expenditure in the first year was less than 50Vo of the approved budget. The project carried forward $42,135.74. Travel ($16,852) - 277o, Education and Mobilization ($12,898) - 20Vo, other expenses($13,287) -Zl%o andTraining($7,895) l}Voaccountedformostof theunder- expenditure. Link between plan of action and expenditure There was no link between the plan of action and expenditure. The delay in commencement of field activities made it difficult to link the plan of action to expenditure. Submission of returns to NOCP/ WHO Returns of expenditure had been submitted up to August 2001 to NOCP. Who had only received the project submission up to April 10 Availability of fuel in State Fuel is scarce in the State. Often fuel is sold at unofficial rates by independent marketers G. ACTIONS TAKEN FIELD VISIT:. Actions taken on findings during field visit are incorporated into implementation issues. TECHNICAL REPORT The Technical report was revised except for inclusion of accurate data which will be available after submissions from LGA Coordinators have been made. Reporting format and forms for LGA Coordinators were developed (APPENDIX 1) l5 IMPLEMENTATION ISSUES Community identifi cation LGA coordinators were asked to produce a list of villages and 8 have already done so. The others will follow the same procedure. Training/ retraining of SOCTs has been provided with guidelines for determination of endemicity level of villages where no data exist. Reconstitution of SOCT. It has been agreed that an expanded SOCT is necessary with at least 8 permanent members who will be fully deployed to the State Secretariat. Draft list have been provided (APPENDIX 2).There is need to reconcile the lists and provide one list of 8 members. Preparation of plans of action for Nov/ Dec. 2001 and revision of 2002 plan. Plans of action have been prepared for the State, LGAs and zone for the rest of the year and reporting forms have been developed for use at all levels (APPENDIX 3). A checklist has also been provided for supervision (APPENDIX 4). An effort was made to synchronize the state plan with the zonal plan to ensure implementation of follow-up actions and adequate supervision. Workplans for 8 LGAs with budgetary component were also prepared. Review of training content The training content for all levels was reviewed (APPENDIX 5) Participation of I-lllICEF designate in preparation and financial review. The UNICEF designate was co-opted into the review team and chaired the session at which LGA workplans were reviewed. This afforded her an opportunity to fully understand APOC philosophy, CDTI implementation and financial flow. FINANCIAL ISSAES Delays in submission Discussed delays in submissions of proposals with MOH, NOCP, Zonal Coordinator, SOCT and UNICEF designate signatory. The State agreed to ensure that proposals are submitted on time. l6 Funding for implementation of CDTI Funding of activities for Nov. to Dec. was discussed with the State, NOCP and UNICEF designate signatory. The funds were to released to the coordinators on 12l 11/ OI(APPENDIX 6). Use of financial report as a monitoring tool. The use of the monthly financial report as a monitoring tool was discussed and reviewed with the State and LJNICEF signatory.(APPENDIX 7) Review of returns to NOCP and WHO We received the project returns to NOCP and WHO with the project accountant and UNICEF signatory and reiterated the importance of monthly submissions (APPENDIX 8) Use of Logbooks by project The WHO vehicle logbook was photocopied for the project. The Accountant would produce bound copies for use by the project driver and officers. PLAN OF ACTION 2OO2 Plan of action 2002 submitted to the team by the State Coordinator was reviewed and comments made (APPENDIX 9) t7 H. RECOMMENDATIONS S/N FINDINGS RECOMMENDATION ACTION BY DATE EXPECTED OUTCOME No linkage between workplan of Zone and State. State workplans should be prepared well in advance and reviewed at appropriate higher levels. Zonal coordinator to prepare workplan and indicate supervisory timelines for Niger State Include UNICEF designate in SOCT Steering Committee NOCP Zone Zonal Coordinator Hon. Comm. Perm. Sec. DPHC UNICEF Child-to-child Before beginning of each treatment cycle. Nov. l0 2001 Nov. 12 2001 Approved funds will be Judiciously utilized. Activities willbe implemented on time. More effective supervision. Better understanding of planning, implementation. Faster financial control. 2. No SOCT Coordinator is the only full time staff in the project. SOTF exists with part time members. Constitute SOCT with at least 8 full time members Assign schedule of routine duties to SOCT members Assign LGAs to SOCT members for supervision Hon. Comm. Perm. Sec. DPHC SC Nov. 12, 200t NOV. 12 2001 Improved implementation Improved supervision J. Poor supervision Constitute permanent SOCT. Provide one more vehicle to SOCT Collect 3 motorcycles assigned to Niger State from WHO Lagos. Hon. Comm. Perm. Sec. DPHC Hon. Comm. Perm. Sec. DPHC State Coordinator Nov. 12 200t Nov. 30 2001 Nov.20 2001 Improved supervision l8 Provide more motorcycles Use supervisory checklist. Release funds promptly. Emphasize supervision during retraining. UNICEF SOCT,LOCT Hon. Comm. Perm. Sec. DPHC UNICEF Zonal Coordinator State Coordinator Zone SOCT LOCT March 2002 Immediate As and when required Continuous 4 Undue delay in approval and release of funds Submit proposals on time State Coordinator One month after receipt of technical service agreement. Early approval and release of funds. Timely implementation. 5 6. Poor record keeping. Notebooks with assorted formats in communities. Produce and provide to CDDs standard treatment registers, 50 sheets (100 pages) with summary form. Retraining LOCT and CDDs in record keeping Zone State SOCT LOCT Nov. 30 2001 Dec.4 2001 Improved record keeping Improved record keeping 7 8. Babana and Nasarawa districts in Borgu LGA bordering Benin Republic not given enough attention. Training completed but treatment yet to start. Treatment should commence immediately and should be closely monitored Zonal Coordinator SOCT LOCT Immediate Gains of OCP protected. Cross border transmission prevented. 9 Project unable to spend large proportion of approved funds $62,000 lost in first year. Submit proposal early. Proposals should be derived from a plan of action linked to a budget. Zonal Coordinators NOCP & UNICEF should monitor activities against expenditure. Financial reports should be presented alongside technical reports at National and,Zonal meetings State Coordinator State Coordinator Zonal Coordinator NOCP UNICEF NOCP Zone One month after receipt of technical service agreement. No wastage of funds Judicious use of funds l0 Delays in submission of financial returns. Account for funds monthly State Coordinator Accountant Zonal coordinator By end of first week of --- month Early processing of returns to APOC and early transfer of funds,ll Lack of proper storage facility and inventory for supplies. Provide store for supplies. Assign storekeeper to take charge of store. Keep proper stock records. Hon. Comm. Perm. Sec. DPHC State Coordinator Store Keeper Nov. 30 2001 Judicious use and accounting for supplies. l9 12. Poor collation of data at State level. Hold State review meetings twice a year just before 2'd and 3'd Zonal meetings. Appoint data manager from SOCT. Use formats developed during mission Zone State UNICEF DPHC LOCT SOCT Dec.20 2001 Improved data management. l3 There is a mix up of l"ind 2d round treatment. Many families and communities skipped treatment. Concentrate on completing current round of treatment for all communities and view as 1" CDTI round for Niger State. UNICEF NOCP ZONE SOCT LOCT Dec.7 Proper geographical and therapeutic coverage calculated. Accurate baseline information and data for CDTI implementation in Niger State obtained. 20 RECOMMENDATIONS ON 2OO2 PLAN OF ACTION AND BTJDGET 1. Item I should be broken into bicycles, motorcycles and office equipment. 2. Mectizan should be removed from acquisition 3. Actions should be broken into months and indication given as to who to implement (by whom) 4. There are IEC materials in the office undistributed. Also, N665, 000 has been approved for 5. registers and IEC materials. There is no justification for requesting for more funds for production of IEC materials. 6. Commemoration of Oncho week/ day should be decentralized and carried out in all LGAs simultaneously. Activities planned for the day should be itemized. 7 . Number of persons from permanent SOCT members for computer training should be specified. It is advisable that payment be made to recognized computer schools for training of these persons. 8. Registration and validation should be part of CDD routine assignment and SOCT and LOCT monitoring and supervision. No separate funds are required for this if CDDs complete registers properly and LOCTs collate population data accurately. 9. Specify supplies required. Give quantity and justification. 10. Monitoring and evaluation should be included in the plan. 11. Specify who constitutes targets for advocacy. Too much money is requested for advocacy. Hold stakeholders meeting during which advocacy can be carried out. 12. Items 2, 8 and 2I are duplications. Procedure 10,000 treatment registers once and for all. These registers should contain 50 sheets (100 pages) each and have summary sheets. 2t 13. Maintain an inventory logbook for all supplies. Close inventory at end of each year, so during requisition for each item accurate number required can be stated. Also keep equipment maintenance logbook. 22 APPENDIX 1. REPORTING FORMAT AND FORMS NATIONAL ONCHOCERCIASIS CONTROL PROGRAMME NOTF/WHO - APOC CDTI PROJECT LGA TECHNICAL REPORT (FORMAT) NAME OF STATE PERIOD OF REPORTING NAME OF LGA COORDINATOR NAME OF SOCT MEMBER SAPERVISING LGA DATE OF SUBMISSION TO STATE ONCHO COORDINATOR DATE RECEIVED BY STATE ONCHO COORDINATOR 23 T EOFCO SUMMARY BACKGROUND IMPLEMENTATION OF CDTI . MOBILIZATION AND ADVOCACY (POLICY MAKERS) O TRAININGS O MOBILIZATION/HEALTH EDUCATION (COMMANITIES) . DISTRIBUTION OF MECTIZAN . COVERAGE - GEOGRAPHICAL - THERAPEATIC . CONTRIBATION OF PARTNERS . COST PER TREATMENT . MONITORING AND SUPERVISION . UNIQUE FEATURES . STRENGTHS . WEAKNESSES O ASS/STANCE REQAIRED . PLAN OF ACTION FOR NEXT CYCLE OF TREATMENT TABLES 1.2. 3. IN BODY OF REPORT TABLES 4. 5. 6. IN APPENDIX 24 TABLES 4. 5. 6. IN APPENDIX 25 STATE: TABLE 1: LGA:- DATE: ADVOCACY/ MOBILIZATION AT LGA LEVEL S/N COMMUNITY TRADITIONAL RULERS AND LEADER LGA FUNCTION ARIES RELIGIOU s LEADERS SCHOOL TEACHE RS OPINION LEADERS oTHERS, SPECIFY TOTAL SIGNATURE: 26 STATE:- TABLE 2 TRAINING AT LGA AND COMMUNITY LEVELS S/N LGAs NO. OF TRAINING UNDERTAKEN TOTTRAINED NO. OF CDDs TRAINE D LOCTS TRAINED DISTRICT/ LGA STAFF TRAINED HEALTH FACILITY / POST STAFFTRAINED ATO NO ACTUALLY TRAINED ATO NO. ACTUALLY TRAINED ATO NO. ACTUALLY TRAINED TOTAL 27 STATE: TABLE 3: LGA: NO. OF TREATED PERSONS AND MECTIZAN INVENTORY S/N community POP. No. people treated No. of tabs receiv ed No. of tabs used No. of nussrng tabs No. of tabs returned Distribution supervised by h/w yedno comm. with summary form completed yes/no TOTAL REPORTED BY DATE:. SIGNATURE: 28 STATE: Table 4. ENDEMICITY TOTAL MESO TOTAL HYPER TOTAL HYPO REPORTED BY:........... DATE:.............. LGA S/NO. COMMTJNITY POPULATION ToNOD ENDEMICITY (HYPO HYPER MESO) 29 STATE: Table 5 LGA: COMMTJNITY DIRECTORY REPORTED BY:..... DATE:.......... SIGNATURE:. S/NO NAMEOF COMMUNITY POP NAME OF CDD NAME OF LOCT MEMBER SUPERVISING NAME OF VILLAGE HEAD NAME OF NEAREST HEALTH FACILITY 30 STATE: Table 6: COMMUNITY INPUT REPORTED BY DATE:.............. LGA T = Transport fare for collection of Mectizan I = Incentives S/l.l NAMEOF COMMUNITY NAME OF CDD NAMEOF VILLAGE HEAD INPUT BY Monetary Non - Monetary Cash (lI) SUPERVISION GIFT (SPECIFY) OTHERS (SPECIFY) T I SIGNATURE:.................. 3l STATE: TABLE 7: SUMMARY OF TREATMENT S/N COMMUNITY z o F Fl il r \I.JMBER OF PERSONS TREATED oooN ooN Noo ot (9ooN $ooN looo ol (ooo ot NooN @ooN o)ooN o oN oN oF LrJ 33 STATE:- YEAR- TABLE 8: FINANCIAL CONTRIBUTIONS OF PARTNERS FOR CDTI IMPLEMENTATION NAME:....... SIGNATURE DATE......... SAI NAME OF STAFF APOC CONTRIBUTION LGA CONTRIBUTION TOTAL Amount received (N) Activities funded Amount received (N) Activities funded 34 APPENDIX 2: LISTS OF SOCT MEMBERS MEMBERS OF SOCT 1. Ibrahim Erena 2. I. B. Mohammed 3. Umar Abdullahi 4. Sule Salisu 5. Abubakar Ndaliman Gulu 6. Idris Loguma 7. Ruth Galadima 8. Mohammed Etsuagaie o 1,2,3,4,5&6 already trained and presently in the field. SOCT. LGA STJPERVISORY ASSIGNMENT. YEAR 2OO1 CDTI ACTIVITIES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Hajiya Rakiya Y. Datti Mallam Yabagi Imam Mallam Ibrahim B. Mohammed Mallam Umaru Abdullahi Mohammed Ndawashe - Sister Abigail Tsado Hadiza Karo Sule Salisu Abdulkadir Mohammed Mallam Ibrahim Abubakar State Coordinator Mokwa and Lavun Munya and Shiroro Agaie and Lapai Rijau and Magama Gbako and Katcha Bosso Kontagora and Mariga Rafi and Wushishi Mashegu and Wushishi LIST OF SOCT NEWLY COOPTED - YEAR 2OO1 l. Hajiya Rakiya 2. Mohammed Y. Imam 3. Ibrahim Mohammed 4. Umaru Abdullahi 5. Mohammed ndawashi 6. Sister Abigail Tsado 7. Hadiza Karo 8. Sule Salisu 9. Ahmed Bawa 10. Ibrahim Abubakar 35 LIST OF ADDITIONAL FACILITATORS NEWLY COOPTED) 1. Dr. Mrs. Mohammed 2. Mrs. E. Jiya 3. Idirisu Loguma 4. Musa Garba mohammed 5. Isah Zubairu 6. Idiris K. Nagia 7. Ibrahim Erena 8. Ibrahim N. Gulu 9. Abdulkadir Mohammed 10. Abdullahi Erena 36 APPENDIX 3: PLANS OF ACTION STATE PLAN OF ACTION NOV - DEC. 2OO1 S/NO. ACTIVITIES TIME FRAME ACTION BY PARTICIPAN TS REPOR TING I Reconstituting SOCT Nov.7-9 DPHC 2 E. APOC Review meeting Nov.2 - 14 State coordinator Accountant I SOCU member State coordinator Accountant I SOCU member Nov.2l 3 a) Training/ retraining ofnew SOCTS. b) LOCT training/ Health workers Nov. 15 -17 Completed ZOCT SOCT SOCT Nov.20 4 a) Advocacy/ mobrlization in 3 LGAs (Policy makers/ traditional leaders). b) Community Health Education and Mobilization (5 LGAs) Nov. 10 - 14 (Constraint - LCA strike) Nov. 19 - 30 ZOCT SOCTs LOCTs ZOCT SOCTs LOCTs Health Workers LGA Policy makers. Traditronal leaders Opinion Leaders Reps. OfCBOs Community/ leaders and members Nov. l7 Dec. 3 5 Training of CDDs(l.664) Nov.2l - 30 LOCTs SOCTs 1,664 CDDs LOCTs 6 Mectizan Delivery to LGAs Nov.2l - 30 LGA Coordinators Health Workers CDDs Nov.30 7 Mectizan distribution Nov.21 - Dec 10 LGAs CDDs and Health Workers Communities and CDDs Dec. l4 8 Monitoring/ Supervision Mobilisation activlhes of CDDs training and Mectizan distribution Nov.l2 - Dec 10 ZOCT SOCT LOCTs Health Workers Communities Health Workers Communities Dec. 14 9 Reporting Nov. 2l- Dec t4 LOCTs State LOCTs CDDs Dec. 15 l0 Niger State review meeting Nov ll -12 NOCP Zonal Coordinator State Coordinator NOCP ZOCP SOCT TCC member Nov 15 1l Zonal review meeting Dec. l0- ll Zonal Coordinator NOCP,ZOCP,SO CT Dec. l5 t2 Annual review meetrng for UNICEF Asst. States Nov. l7- 2l NOCP UNICEF State Coordtnator Asst. Coordlnator Project Accountant 4 SOCU Nov.22 37 S/N ACTIVITIES TIMEFRAME ACTION BY WHOM PARTICIPANTS DATE RESULT IS EXPECTED November December Review of Niger CDTI workplan Nov. 8 TCC support mission. NOCP team (HQ & Zone) Niger SOCU Nov. 8 2. Signing and Reviewing proposal Nov.9 Zonal Coordinator Niger SOCU Nov.9 3 APOC Review Meeting Nov. 12 - Nov. 14 Zonal Coordinator All CDTI projects in country. AIINGDOs NOCP Nov. 15 4. Training and retraining of new SOCT Nov. 15 - Nov. 17 zoc, NocP HQ New reconstituted SOCT Nov.20 5 Advocacy to State policy makers Nov. 15 before training SOCT zoc, NocP HQ Niger MOH; Hon. Comm, PS, Director PHC, PS Finance, PS information Nov. l5 6 Health Education/ Mobilization Nov. 19 - Nov. 30 ZOCT (3 members) socr (10 members) LOCT (322 members) Local. Govt. policy makers, Traditional leaders Dec.4 7 Monitoring and Supervision of CDDs training Nov. 25 - Nov.27 ZOCT members 1664 CDDs yet to be trained Dec.4 8. Monitoring & Supervision of Niger CDTI implementation ofTCC mission's recommendatio n Dec.5 - Dec.6 ZOCT members SOCT, LOCTs, CDDs, APOC Accountant, CDDs ATO and actual treatment Dec. 8 9. Niger CDTI Review meeting Dec.1 - Dec. 8 State Coordinator & other SOCT, NOCP LOCTs (LOC), SOCTs, all members, TCC members, NOCP, ZOCT Dec. l0 10. Zonal Review Meeting Dec. l0 - Dec. I I ZOC andZOCT members NOCP, Zonal NOCP, SOCTs, NGDOs Dec. 15 ll Annual review meeting, UNICEF Assisted States Dec. 17 - Dec 2l NOCP, UNICEF soc, socT ( members), LOCT (selected), APOC Accountant, ZOC Dec.23 PLAN OF ACTION BY ZONAL OFFICE FOR NIGER CDTI. NOV. AND DEC. 2OO1 38 $^?ut-t/ ts'1 t ,/N ('lll:('lil,l.S'l' llltt. t\ IOlI I l . I Z.\'l'l ()N/'l'ltr\ I N I N(l Do Corrrrrrrrnilv rucrnbcrs litttlrv Iltc tttitrriJcstatiort ol' ()rrclro'/ Do tlrcy krtovv rvltirt ciruscs ()rrclro'.) I)o thcy krtorv lltc lrcrtclit.s ol'ivcrrrtcclitr'/ tl 5 Do tirc Do tl lravc knowlcrlgc tll' l)rrrat ion ol' tt'cattttcttl'J I r;r vc k trorv lctl gc o l' cxc I rr.s i or t cri tcri'a'J Do tlrcy It1yql: !9.:" J -"_.! t : gt_ 12 9 1 t 1r c ."11,y _l Lc i Stl!? 7 Arc IliC nratcriirls availatrlc? Wcrc IIIC rnatcriirls rtsctl'J \) L) 9 Was lrcaltlr lirlk ckrnc lirr tlrc crrtirc cr.rrrrnrrrrrity? N lO lI I t .l7,rVl'lON l0 ls Motlilizatiorr clorrc arrnulrll v [)tr al l 1>itt'tttcrs llirrt icillirlc irr arrn rur l nrotli l iz.irl ion activitics? r\r'c tlrc Corrrrrrrrrril ics crrt lrtrsia.sl ic ;tntl irrlcrcslccl irr rl'^ MDI)? ./ IIN 7, ( ./ I ./ { v v S l,li\/l,ll ,s --- v' { ./ { V -t- f- l- '-r- \, V V ./ ./ f-t v l- J v Was t lrc cor I Icrr l/ltcritil o t' t rrii,i i-,r1y,r.t,l rrrrt g atlc<1tr;rtc'/ { t-- - ./ V T- v v ./ V .) ,I'I{N IN ING lVas tlrcrc trairrirrg /r'ctl'aining ol'CI)Ds. l.OC'l' and socl'? 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I crcli'litltrr Mivctliz.att rccccctol'M llc, Stiltc,orclI(cc incrs (Zotitltr to pat'iott disscrtttttalnlbrtttat NC DOs)? .J ./ .l ) rcllct iort'J lls pr()Pcr' lv cr' :lvill tootl T- of clrttIrtvcttto l'il0SI(ll1aIcoSthcI \, { t.li\/lrl,s ./,iN 5l [{ccr-rrcl o l' r'ct tl l'llc(l ivlcctizirrr'l Acltrlrl Iltllltbcl' ol' talls l'ccclvc( ./ ./ T -v T { I t ')5 t'l ./ ^/ ./ "/-\j Invcrttot'y ol' 5.1 _t,,:SLlgf,_t, l' I tt ( ir I llrtls ttsccl'.) I rtvclttot'Y t>l' ttttttt lrcr ol'ti rtrs c.rpit'ctl, rv:tstctl, losl or J cla rttit -5 (r I)lrvsical co r1r.lltrtj rt l' Mcct i.an'! . cot lN'l'l,lll l),,\ ll'l' ( .oN't'R ilIt t't'toN ' 57 ls tlrcrc rvot'k lllittt ./ rlrtrg [1rlu"l ./ I ./- ./ { 58 _s () Arc cxllcttdittrrcs tirctl to :t r,y_tlrl .plrrrr?- ls tlrcrc [ttrtlgct 1tt'ttvi:;itltl'l ctivilics outlitrctl irl tlrc 60. II1, . !1!_[!!.gp t I r _t1v_c-5 | 6t ls tlrc [rtrcllrcl :rclcrlttirtc'l 62 ls (lrcrc att Orrclto ltccottttl'.) (i3 z\r'c Iirrrrls t'clcascrl itnrl ct'crlitotI ttt tltis :tcctltrltt? ,) ./- ./ .i \l .'/ ./ iG fL- 66. I I 61 Arc tltct'c 0ounlct'l)lrrt cotttribttliott :ts it Lit-ee.{' Arc tlrcrc otlrcr countc lt lar'I cotrlriIrtrl itltrs in liinrl'] Arc courrtcr'part corrtritrrrliotts cxllcclctl li'ortr NC I)Os bc i r r Ll_ rll_c_t_l COi\'l NI t lNl'l'\' l{ lasl'ONSI lll l,l'l'l l'.S Sclcctiort ol'(ll)l)s - z\r'c tltcS' 11,1"11trlttc'l - Wcrc critcria lbr':;clcr:tiorr lirlltlrv'J - Wirs tlrcrc rcrlrrcr.;I Iirr lririrring/r'ctlirirrirrg ol'lltc Cl)Ds irr tlrc ctlrrrrrturiI { )"! Wirs corrrrrrrrrr it1, ccnsus rlorrc ./ ./ ./ ./ i-.r- l./ll-l-- __l ! .i v ./vJ- ./ ./ ^/{ ./ ./ ./ .i ./ J ./ -J J V ()S. (rt.).' r 70. ;l t2 Ditl tlrc conrrrrrrrritl,tlccirlc orr Iirrrc irrrcl ltcriotl ot' clislribtrtiorr'/ \\/crc tlrcrc an'iurliclltclrt lilr collcclion ol' N I c c I iz.ir rrls ir f'c I )1!4 sl()L.Ig9 ,) Ditl corrrrnurrit1 rlcciilc on nt()(lc ot' clistritrrrlion? Dicl conulrunity r, orritor Cl)l)s, rlrrrg tli.stritrrrtion irrrtl rccorrl licc llr l'] / -l I)icl corrrrrrtrrrity ;>r'ovirlc ilrccrrtivc.s caslr/kintl'.) Dicl corrr rrr trrr ity provitlc iiclc<1rr:rtc ilt'r':lngctl)cnts lo \i n V- t cIrrrtt llrrlrrrrcc: ol' clrri t'l orr lirrrc'J ( 'l I l,:('l( i ,ls'l rrcd'/ 1ls rttrrl r' 'i ,l APPENDIX 5: TRAINING GUIDELINES TRAINING OF SOCTs. LOCTs HEALTH WORKERS 1. Objective of training 2. Disease overview o Eriology . Epidemiology o REA, RAM, REMO 3. Treatment with ivermectin 4. APOC Philosophy/ Role of partners 5. CDTI strategy o Community mobilization o Health education Concept and procedure for planning and implementation stakeholders meeting at community, LGA State levels o Community decision making o CDD selection o House numbering, registration and updating the register o Mode of distribution o Procedure of mectizan distribution - (see content of cDD training ) o Management of adverse reactions o Collection of Mectizan 6. Communication skills 7. Ivermectin inventory and requisition 8. Record keeping (use of approved summary forms and village register) 9. Reporting 10. Monitoring and evaluation ' Monitoring and procedure for planning and implementing community self monitoring Duration of training - 3 days each a 39 Retraining Frequency of trainings 2 days each once a year for SOCT, LOCT and health workers I for each LGA for Health Workers CO OF TRAINING R CDDs 1. The disease, its public and socio-economic importance and the community's perception. 2. Mectizan as treatment for a long time 3. Dosage determination - how to measure and determine dosage. 4. Persons who will not be treated - how to recognize them. How to follow up later and treat them. 5' Possible reactions after treatment - how to counsel treat andl or refer adverse reactions. 6. Reporting on treatment defaulters, absentees, excluded persons and cases of severe adverse reactions . Using the note book . Using the summary form 7. Population registration update 8. Filling of forms and registers 9. Distribution strategies and follow up 10. Requisition Duration of training Retraining Frquency 3 days 2 days once a year 40 TRAINING MATERIALS S/N TRAINING MATERIALS SOCT LOCT HEALTH WORKERS CDD I Note book 2 Flip chart J Tape measure/ measuring stick 4 Chalk 5 Biro 6 Ruler 7 Colour markers (green, yellow, blue, black) 8. Training guide 9 CDD field guide (brochures) l0 Reporting forms ll Use of video documentary on onchocerciasis 12. Mectizan tablet l3 Posters t4 Training manuals for check on onchocerciasis RAIvI/ REMO documentation 15. Training checklist, monitoring and evaluation forms 16. Mectizan dose by height charts. t7 Overhead projector, screen, transparencies 4t APPENDIX 6: FUNDS RELEASED BTJDGET OF LGA PRESENTATIONS. NIGER STATE. 09 - l t-2001 1. RAFI 2, LARUN 3, BOSSO 4. KONTAGORA 5. AGAIL 6. WUSHISHI 7, MARIGA 8. LAPAI F+21,750 $I38,800 A+63,600 N29,200 }+66,500 4177,100 F+75,800 F+100.00 TOTAL w2-100 42 APPENDIX 7: MONITORING TOOL STATE.... YEAR OF IMPLEMENTATION..-.-... s/N BUDGET LINE APPROVED BUDGET $ EXPENDITURE TO DATE $ VARIANCE TO DATE $ Vo 43 APPENDIX 8: FINANCIAL ISSUES L REPORT FOR YEAR ST CDTI PROJECT ACTIVITIES NIGER STATE).IAN. - DEC. 2OOO RESPONSE TO WHO OBSERVATIONS l. Action taken for subsequent expenditure 2. A). Provide justification for Journeys B). Follow workplan 3. A). Fuel purchased at LGA from independent marketers of petroleum products at black market prices B). Log book has been photocopied and will be produced for use by the driver/ officers conveyed. 44 FUND APPROVAL PROCEDURE PROPOSALS WRITTEN BY SOC (2 -7 MONTHS) PHC (1 WEEK) SOCPAC II (l WEEK)V' I.INICEF ZONAL OFFICE Il(1 -2MONTHS)Y' ZONE C (1 MONTHS) CEF ZONAL OFFICE (1 -3 DAYS) DPHC J soc SIONER FOR HEALTH SECRETARY It 1ROJECT ACCOUNTANT I (I -3 DAYS)V' I.INICEF NGDO DESIGNATED SIGNATORY I + (, -, MoNTHS) DPHC I JOC t*"nuest for Utilization I e -rDays) $oar. (Disbursements) 45 A CCOI,]NTING FOR FI.]I\DS wHo UP TO APRIL 01 MAY 01 JUNE OI JULY 01 AUGUST 01 SEPT. Ol . ASABOVEocr.01 AGREEMENT CYCLE l. To cover 13 LGAs 2. Initial period 3. Adjusted period 4. Amount approved 5. Capital amount retained 6. Amount to be transferred 7. Actual transfers TOTAL BUDGET SUBMITTED TO NOCP AT ONCHO AS ABOVE AS ABOVE AS ABOVE ALMOST READY U9199 - 31/8/00 Jan - Dec 2000 $200,240 $71,300 $128,940 * ACCOI.INTS TO BE SUBMITTED MONTHLY* (EXPENDITURE) - DEC. ++93,9312 4I102,50 Inst. $50,999 Inst. $60,000 $110,000 M,321,347 .09 Amount not transferred Balance CIF us$ 18,940.00 us$ 46.005.4s S/N BUDGET LINE ALLOCATION ($) EXPENDITURE. ($) EALANCE ($) I Personnel 9,340 2,739.99 6,600.02 2 Travel 30,800 13,947.91 16,852.09 3 Training 21,000 13,404.75 7,595.25 4 Educ/ Mobilization 46,000 33,101.12 12,898.99 5 Communication 2,400 38.40 2,361.60 6. Supplies 5,400 2,770.53 2629.47 7 Other expenditure 14,000 712.79 13,287.21 TOTAL 128,940 &324.884 62,224.52 46 CIAL YEAR ND -rr ear CDTI TA ITIES NI.GER STATE) JAN - AUG. 2001 AGREEMENT CYCLE l. To cover 17 LGAs 2. Agreement period 3. Amount Approved 4. Amount retained for capital 5. Amount to be sent to project 6. Transfer l't Inst. Actual expenditure CIF Total as at July 01 Total as at Aug. 01 Total as at Sept. 0l APPROVED BUDGET 01 Jan - Dec. 2001 us$ 100,700 us$ 9,000 us$ 91,700 us$ 45,000 Nl1,4.96 D+5, 173,200 Y,321,347 .09 *9,494,547.09 >+9,492,113.59 Ng,4g2,l13.59 s/N BT]DGET LINE ITEM APOC MOH NGDO 1 Personnel 13,950 6,6150 0 2 Capital Equip. 9,000 500 3,000 3 Supplies 3,550 6,36L 1490 4 Training 16,900 21,500 16,000 5 Educ/ Mobilization 21,900 7,500 1,500 6 Travel 22,400 12,650 7,300 7 Communication 3,600 7,200 7,800 8 Consultants 0 500 3,250 9 External audit 0 2,400 3,000 10 Other expenditure 9,500 4,620 1,700 TOTAL 100,700 135,381 45,040 47 CONTRI UTIONS FROM P TNERS l. 2. 3. 4. LGAs UNICEF GTZ STATE us$ 4010 US$ us$ s000 us$22,720 }tr401,000 F+279,400 >+ 2,27 2,500 (Released) 48 YEAR 1 UDGET I. TSA SIGNED 2. CHEQUE RECEIVED 3. PROPOSALS SENT TO UNICEF 4. RESPONSE BY I.]NICEF 5. FIELD ACTIVITIES 6. PROPOSALS SENT TO UNICEF 7. RESPONSE FROM I.INICEF 8. FIELD ACTIVITIES AUGUST 7 1999 DECEMBER 1999 21 JAN 2000 9ffi r'En zooo APRIL 2OOO 9t9t2000 20 ocT, 2000 25rH ocr, 2ooo YEAR 2 BUDGET I. TSA SIGNED 2. PROPOSALS SENT TO UNICEF 3. RESPONSE BY UNICEF 4. PROPOSALS TO UNICEF 5. RESPONSE BY I.JNICEF 6. REQUEST FOR CHANGE OF SIGNATORY TO UNICEF 7, RESPONSE BY I.INICEF 8. FIELD ACTIVITIES COMMENCED PROBLEMS I. DELAYS IN SUBMISSION OF PROPOSALS 2, DELAYS IN COMMENCEMENT OF FIELD ACTIVITIES ocT 2000 7t9t2001 5t9t200t t0/8/200t 29/8t200t t7t8/200r 29/8t200r SEPTEMBER 2OO1 49 ! !n o m o @c tr,o m{ lol{CI m TI oT =o mT a{ {F l< lm l>II C- 2 I o mo Nooo AMT.IN US$ ,+JN)No)CDSS(,|J,l -O -(,r -o -or -o -(,r -o -(, l3aaooooooooaaaoooooooooooooOOoOo \,, q "% Ecoo m{ trz m % IT xrilbz.O =-1ioJoz l'n 6 c \ l>t!!! o mo EEc o o lzlo lmlxl! mz o{c7 m 1I oI z o mI U'{ { Fr N L z I c o Noo AMT.IN US$ ! -oooo o, -oooo (rl _oooo o)o -o oo 5 -oooo lu -oooo J -ooooo6 /', \", "r"\ '%rb "% 1o* '"r\u" "r\ sr*. *%$ '% .""" @C oo m{ t- z m II =+YO -o APPENDIX 9 .PROPOSED PLAN OF ACTION FOR ONCHOCERCIASIS CONTROL INNIGER STATE BY APOC/CDTI STRATEGY ANUARY . DECEMBER 2OO2 QUARTERLY TIME FRAME BUDGET (U.S $ 1.00=N= 100.00 S/l.io ACTIVITY 1st Znd 3rd 4th MOH UNICEF APOC 1. Collection of Motorcycles, other office and 3 million Mectizan tablets x x 20,280 ) Production of LE.C Materials x x 9,000 3. Oncho. Week Commemoration x 9,000 I,000 4 3day training/retraining of SOCTs as TOTs x 210 500 5. 3 day training / retraining of LOCTs as mobilizers and trainers of CDDs x 510 5,000 6. Management/supervisory SOCTs and LOCTs/computer training for SOCTs skills training for x I,000 7 Community registration/validation of census data x 8 Procurement of office supplies x I,745 2,2'78 9. Project monitoring and internal and external evaluators x x 500 N/A NiA 10. State level advocacy/mobilization meeting for makers. x x I,000 11 LGA/District level advocacy mobilization x x x 5,400 12. Community mobilization/ Health Education x x x x 13. Training/ retraining of CDDs for Mectizan distribution and x x x 680 5,000 5,000 14. Mectizan distribution and reporting x x x 2,500 15. Superv'ision/ monitoring of distribution x x x l,500 16. Mop - up of distribution activities x x 1.000 17. Post distribution meeting (State Review) x x I,000 3,000 18. Planning for year 2003 activities x x 19. Payment ofPersonnel incentive (top up) x x x x l4t,328.25 N/A 13,640 20. Communication/ courier pouch/ telephone/ Fax x x x x 2,7'79.6 t,2N 2,600 2t expenses (productior/ reproduction of MIS forms and Community logbooks. Equipment maintenance (Computers, photocopiers, Fax machines, Air conditioners) minor bank charges Other self x x x x 3,200 5,500 TOTAL 50