JOINT COORDINATING COMMITIEE Onchocerciasis Control Progremme in the Volta River Basin Area Ofice of the Independent Chairman cio World Health Organization l2l1 Geneva 27, Switzcrland Tc1.346061 Tclcx IEII 27821 J.C.C..C.C.C. JOINT COORDINATING COMMITTEE Third session Ouagadougou, 1-3 December 1976 COMITE CONJOINT DE COORDTNATION Programme de Lutte Contre l'Onchocercose dans la R6gion du Bassin de la Volta Bureau du Prdsident Indipendant c/o Organisation Mondiale de la Sant€ l2l I Gcndve 27, Suisse Tal 34@61 Tclcx lElf,t 2782L JCC3. 6 12 October 1976 Provisional agenda item IO Following their review by the Steering Committee, the Independent Chairman submits for the consideration of the Joint Coordinating Committee, at its thj-rd session, the PIan of Actron and Budget Estimates of the Onchocerciasis Control Programme for 1977. t I ONCHOCERCIASIS CONTROL PROGRAIVIlvlE IN THE VOLTA RIVER BASIN AREA PLAN OF ACTION AND BUDGET ESTIlvlATES F0R t977 WORLD HEALTH ORGANIZATION t - 1- CONTENTS I. INTRODUCTION II. STATUS OF PROGRAI.{ME AIID REVIEI"I OF ACTIVITIES III. PIAI{ OF ACTION FOR 1977 Vector control operations Epiderniological evaluation . . Economic development . Applied research . . Training . Office of the Progr:me Director; other support services . . IV. BUDGET ESTII.,IATES FOR 1977 III.1 III. 2 III. 3 III.4 III. 5 III. 6 16 29 37 42 44 administrative and Paragraph 1 6 56 Page 3 3 5 5 6 7 7 8 46 8 10 10 10 L2 13 13 IV. 1 IV. 1. a rv. 1. b IV. 1. c rv. 1. d IV. 1. e rv.1. f IV. 1. g rv.2 IY .2. a rv.2.b IV.3 PROGRA},IME ACTIVITI ES Vector control operations . . Epidemiologlcal evaluation unit . Economic developoent unit Applied research and training Office of the Prograurne Director and Administrative Support/Ouagadougou . . MeeEings Technical and administrative support JOINT COORDINATING COMMITTEE 0ffice of the Independent Chairman Meetings FINAI.ICING 59 6t 62 63 64 66 67 L4 L4 15 16 t6 16 t6 70 7l 72 3- I. INTRODUCTION l. The onchocerciasis Control Programe was initiated in L974 to control the blackfly vector of onchocerciasis in order to free the riverine areas in participating counEries of this disease and permit population resettlement and economic exploitation. 2. Progr:me strategy involves weekly aerial applications of insecticide to blackfly breeding sites. The execution and effectiveness of this activity is detennined by monitoring the rates of river flow, the slaminslien of breeding sites, the existence and behaviour of the vector fly population, and the transmissi-on of the disease as reflected by medical examination of affected populations. 3. The participating countries in West Africa are Benin, Ghana, Ivory Coast, Dlali, Niger, Togo and Upper Volta. The Progr:nme is executed by the World Health Organization (WttO) in collaboration with the Food and Agriculture OrganizaEion of the United Nations (FAO),(Associate Agency) the United Nations Development Progr:nrme (UNnp) and the World Bank. Financial support for the Programe is provided by donor countries to a Special Fund for Onchocerciasis managed by the Wor1d Bank. Medical research and training are separately financed by IINDP. 4, In late L976 a new Prograume Director was appointed under the authority of the tfllO Regional Director for Africa. 5. The present Plan of Action reflects the activities proposed for L977 as a basis for the 1977 budget to be submitted to the Joint Coordinating Comittee in December 1976. Detailed information concerning personnel, vehicles, buildings and other equipment. needs is gi.ven in the annexes. II. STATUS OF PROGRA},IME AND REVIE'Iil OF ACTIVITIES 6. In view of complexities involving logistics, infrastructure, staff training, etc., Programe operaflqns are being phased in over a three-year period (see map included as Annex VI). 7. In L974, the Progranrre Directorrs office and administrative services were installed in Ouagadougou. The physical and personnel infrastructure for the Phase I area was put in place and the gathering of baseline entomological data was completed. A total of three sectors, including eight subsectors, were opened in Upper Volta, Ghana, Ivory Coast and Ma1i. 8. In February L975, aerial spraying began in Phase I. During 1975, the Prograrnme infra- structure was expanded into Ptrase II with the opening of one additional sector and six additional subsectors in Upper Volta and Ghana. Epidemiological evaluation of infected villages was also begun ih the Phase I area with the examinatiot of 74 clusters involving 19 623 persons in Ghana, Ivory Coast and Upper Volta. 9. Work was performed under contracts signed late in 1974 and early 1975 for research in the epidemiology and chemotherapy of onchocerciasis, the evaluation of new insecticide formulations, Ehe susceptibility of the vector to insecticides, the development of population sampling methods for both larvae and adults, the cytotaxonomy of the S. damnosum environmental surveiliance, and the wind movement of S. damnosum complex, -5- II1. PLAN OF ACTION FOR 1977 III. I Vector control operations 16. To facilitate the positioning of aircraft as well as the organization of the entomo- logical surveillance network, from January 1977 Ehe Prograrnme area will be divided into two zones - East and West - with headquarters respectively in Tamale, Ghana, and Bobo-Dioulasso, Upper Volta (see Annex I.3 and map included as Annex VII). L7. At the beginning of 1977, with the aerial spraying operations covering the entire Prograrmre area for the first time, the aircraft fleet will requi-re six helicopters and one fixed-wing aircraft, increasing in mid-April to a total of eight helicopters and two fixed- wing aircrafE. Four helicopters and one fixed-wing aircraft will operate in each zone from the main operational bases at Tamale and Bobo-Dioulasso (see map, Annex VII). 18. The configuration of the hellcopter fleet will depend on riveri.ne conditions; thus, at the sEart of the rains in Apri1, six helicopters will be required in spraying configuration and two in passenger configuration for surveying and prospection work, which is undertaken to determine the distribution of breeding sites for the planning of treatment cycles and to evaluate the direct effect of insecticide application. I^Ihen the flow of the rivers starts to Gss"o after the cessation of the rains, treatment requirements decrease and some of the helicopters will be reconverted into passen8er configuration for the inEensive surveillance necessary during the drY season. 19. In view of the rugged nature of the terrain of Phase III (East), particularly in Benin and Togo, additional aircraft may be required during the rainy season. The actual deployment of aircraft will depend on prevailing conditions. Until some oPeraEing experience has been gained in this area, the flight hours required must be considered as estimates. For budgetary purposes these have been calculated on the basis of 65 hours per helicopter (six helicoPters January-December plus two additional helicopters from mid-April through December) and 60 hours per fixed-wing aircraft (one fixed-wing January-December plus one additional fixed-wing from mid-Apri1 through December). 20. A network of some 80 refilling points has been established throughout the Progranrne area from which the aircraft refuel and take on insecticide. This represents an increase of approximately 30 distribuEion points over the number established in Phase I and Phase II. Two hundred and twenty-five thousand litres of insecticide will be used during 1977' This insecticide will be shipped to the coastal ports in the participating countries from where it must be transported to these 80 refilling points in the Prograrmre area. 2t. Similarly, an estimated 4OO0 drums of fuel provided by the aerial contractors must be transported, by OCp trucks, from the eight main distribution depots in the Progranrne area(increase of four over 1976) to these same Poi-nts. 22. In addition to prospection for larval breeding sites and the study of the effect of larvicide applications to these sites, entomological evaluation musE also provide quantitative data on the vector population or on the transmission rate of the disease. In the absence of any suitable mechanical trapping device, such data are ohtained through vector collection teams. 23, The basic operational unit of the surveillance network is thus the vector collection team based at a secEor or subsector. Each team consists usually of two vector collectors and a driver, with a cross-country vehicle. The team is supported as necessary by laboratory auxiliaries, a technician' or an enEomologist. 24. It 1977, approximately 300 catching points wilt be utilized to cover the Programne area. Some of these will be visited more than once and some less than once a week. A network of this density is essential to obtain sufficient information on rvhich to base decisions regarding the initiaEion or suspension of insecticide applications ' t- 35. lipplied incidental research which may lead to the development and implementation of new techniques which could have a practical application in the routine epidemiological assessmenE, or assist in the solution of problems, vril1 be pursued. 36. Additional detail on staff, vehicle and building requirements is found in Annexes II, IV and V. III.3 Economic aeyelp-peC$ 37. The economic development unit serves as a focal point for the exchange of information in respect of national actions in the developmenE.al aspects of the Onchocerciasis Control Prograrmne. The unit assists the Prograrmre Director in identifyi-ng economic develoPment projects which might be the object of further studies. Towards this end, in 1977 the economic development uniE will: (a) collect and collate baseline data from all sources within and without the Prograrune area relating to the zones being freed from onchocerciasis and their Potential for resettlement and developmenE; (b) maintain an up-to-date record of all development acti-ons, including those in the health secEor, planned at nati-onal and regional 1evels within the Prograrmne area; (c) assist in the arrangements for study mi-ssions and in the preparation of background data; (d) maintain close contact with the representatives of the United Nations agencies within the seven countries and with the representatives of banks and technical assistance missions working in the Prograrmne area. 38. Within the context of its mandate to collect and collate baseline data relating Eo the development projects in freed areas, the EDU recognizes that a baseline resources inventory is essential. Such an inventory is being developed in associ-ation with each of the partici- pating countries. 39. One useful means of monitoring development activities is through a nutrition survey based on the sampling of consumption patterns within Ehe Programe area in terms of both 1ocal and imported food items (protein-calorie and kilo-calorie equivalents). A measure of the usefulness of development activities could then be calculated in terms of nutritional improvement anticipated as a result of the Programme. The feasibility of such a nutriEion survey will be studied in L977. 40. The economic development unit will work in close cooperation with the sociologists in the Programme as development is intimately bound up with people, their way of life and their relationship with their envj-ronment. 4L. Additional detail on staff and vehicle requi-rements is found in Annexes II.4 and V IIL 4 Applied research 42. The applied research programme will continue in 1977 with emphasis in the fields of (a) Vector ecology, concentrating upon the development of a method for rearing single generations of cytotypes of the S. damnosum complex, the improvement of sampling tech- ni-ques for adult and pre-imaginal vector populations, the identification of different :nembers of the S. damnosum complex at the different stages of their development, the study of the bioecology of the various cytotypes, and the reinvasion problem; (b) Vector control, incl uding insecticide testing, the development of equiprnent, and environmental modi I:ication ; -9- 50. The infrastrucEure of this service consists of a central garage in Ouagadougou; six secondary garages at each sector locatlon; three mobile workshops; and one "servi-ce stationrl at each of the 17 subsectors located apart from sector headquarters. The main garage aE Ouagadougou conducts all major repairs, manages the central spare parts warehouse, and is responsible for the maintenance of approximately 80 vehicles. The secondary garages are responsible for assuring the maintenance and repair of an average of L7 vehicles under thejurisdiction of one sector. The service station at the subsector leve1 provides routine mainEenance and replacement of simple parts to the vehicles assigned to the subsector. 51. ln L977 mobile units will be created at three of the secondary garages which will petmit the maintenance and repair capacity of the secondary garages to be carried to subsectors, or to irmobilized vehicles. The effectiveness of these units will be carefully evaluaEed in order to deterrqine the most useful combination of fixed and moblle installations in line with the operational exigencies of the Programne. 52. Staffing of the transport managemenE service is detailed in Annex IL5. In addition, three qualified garage mechanics provided by Dutch and German Volunteer Organizations super- vise the activities of two secondary garages each. Apart from their supervisory functions, they train 1ocal mechanics who will eventually assume responsibility for these garages. 53. The following additional services are provided in support of or on behalf of the Prograurne: - assistance i-n the planning, implementation, fo1low-up, evaluation and diffusion of Ehe results of research activities; - organization of working groups of the Scientific Advisory Panel and meetings of the Scientific and Technical Advisory Conrmittee; - provision of secretariat services to the Joint Coordinating Corunittee sessions and the Steering Cormrittee sessions ; preparation of Prograume quarterly and annual rePorts; - mai.ntenance of liaison between the Progranrme and other WHO divisions or units; with the three other sponsoring agencies; and with aI1 governmental, international, or other agencies involved with the Prograrmre; and with the Independent Chairman of the Joint Coordinating Conrmittee ; - computerization for long-term analysis and rapid retrieval of data collected in the Prograrnme Area; - assistance in preparing certain contracts e.g. aerial contract; the recruit- ment of consultants, and the execution of certain functions related to finance and personnel- 54. The Prograrune offices in Ouagadougou have remained scattered in dlfferent rental locaEions throughout the city and the attendant problems of conrnunication, coordination and lack of sufficient space have hampered effectiveness. A review of currently available options by the Steering Comrittee has re'sulted in the decision to consEruct a series of light modules. 55. Additional details on staff, vehicl-e and building requirements are found in Annexes II, IV and V. 11 - (ii) 0perational Eravel - the increase ( $ 220 OOO) results mainly from the number of additional days the entomological teams are required to be provided with food and shelEer with the opening up of Phase III; the number of days for which subsistence will need to be provided is estimated at 68 0OO it L977 versus 22 OOO in 1976. (iii) Aerial operations - the current contract being due to expire on 31 December 1976, a new three-year contract for aerial operations covering the period L977-L979 was signed by WHO in August 1976. The nuober of flying hours for L977 is estimated at 5780 for helicopters and l23O for fixed wing aircraft. The hourly flight remuneration raEe for 1977 will be g 394 for helicopters and g 185 for fixed wing. (iv) Operation and maintenance - the increase ( $ 13O 000) is due mainly to the fuel and maintenance required for the greater number of vehicles. (v) Vehicles - the number of motor vehicles to be purchased i.n 1977 is 87 compared with 44 in 1976; this accounts for rhe increase of $ 28O OO0. 60. Research component: applied research i.n vector ecology and vector control is closely integrated with the vector control operations. The cost of this applied research is shownin the tables irnmediately following those on vector control operations, Annual costs t97 6 L977 L97 8 L97 9 Total Personal services Operational travel Consultants Aerial operations Acconrnodatien and uti 1i t ies Ins ec tici des Supp I ies Operations and maintenance Capital items Bui ldings Furni ture Vehic 1es Equipment Hydrological stations 181 6 759 2t2 50 T6 6 554 52 50 I7 7 60r 37 50 484 27 2 396 46r 236 1 816 172 24 L 777 55 1 386 49 675 700 400 000 600 ooo oo0 700 600 2 428 392 13 2 500 61 L 250 8I 804 900 600 100 ooo ooo ooo 800 400 2 700 43L L4 2 700 67 i 650 90 939 ooo 800 500 ooo 100 000 oo0 800 2 970 475 15 2 700 73 1 800 99 1 033 ooo ooo 900 ooo 800 ooo 000 800 9 9L5 L 47L 67 9 67L 256 6 086 320 3 453 600 800 500 600 900 ooo 500 600 Total - Annual costs 5 951 ooo 7 531 8oo 8 593 200 9 167 5oo 3L 243 5oo 270 8 481 158 86 ooo ooo 100 600 700 oo0 000 IOO 500 ooo ooo 600 200 900 ooo 600 300 900 300 000 600 900 300 300 700 Total - capital items 1 oo4 4o0 1 333 600 679 7oo 714 Loo 3 606 8oo TOTAL 6 955 400 8 740 400 9 272 900 9 881 600 35 2oo 300 Personnel establishment Pro fes s iona 1 General service L7 491 L7 52t t7 52t t7 52L TOTAL 508 s38 s38 s38 13- IV.1. c Economic develo t unit 62. This unit rras constituted in 1976 by the Eransfer of staff from other units. The increase from 1976 to L977 is due to the assignnent of a sociologist and supporting staff. L97 6 L97 7 19 78 L97 9 Total Annual costs Personal services Operational travel Supplies Operations and maintenance Capital items Vehic 1es Total - CapiEal items TOTAL Vector ecology Vector control Envi.ronmental pro tec tion Total - Onchocerciasis Fund Chemotherapy and epidemio logy 548 000 548 000 548 000 548 000 2 L92 000 Total - Annual costs 171 700 191 5OO 2O4 9OO 2t9 400 787 500 149 500 4 200 3 000 15 000 167 100 4 500 3 400 16 500 r77 500 4 800 3 600 19 000 110 000 238 000 200 000 188 500 5 100 4 000 21 800 682 600 18 600 14 000 72 300 171 700 210 500 204 900 2L9 400 806 500 Personnel establishment Pro fes s iona I General service 2 : : 3 : : 3 : : 3 : : TOTAL IV. 1. d Applied research and trainine 63. Several aspects of the applied research activities take place as part of the vector control operati.ons and are shown together with that activity. Research contracts and training are shown in this section, which is further divided into activities financed from the Onchocerciasis Fund and those financed by IINDP. L97 6 L97 7 L978 L97 9 Total Research 110 000 238 000 200 000 19 000 19 000 110 000 238 000 200 000 110 000 238 000 200 000 19 000 19 000 440 000 952 000 800 000 254 000 211 000 330 000 243 000 400 000 400 000 I 838 000 Total uNDp 465 000 573 000 400 000 400 000 1 838 000 Training TOTAL 1 013 000 I 121 000 948 000 948 000 4 030 000 : 15- IV.1.g Technical and administrative support 67. The 1976 budget included, for this support service, seven professional posts and 16 general service posts, including the secretary to the Independent Chairman, and two posts for the WIIO Regional Office for Africa. The post of secretary to the Independent Chairman is now shor+n under his office; the other trro posts have been assigned to the economic development unit. Reductions have been made in the reoalning 20 posts by reorganLzing this support; as a result a total of l-6 posts (five professlonaL and 11 general service) provide the services shown in para 53 of the Plan of Action. 68. Similar action has been taken in respect of the support services provided by FAO: Ehe provision for consultants estimated at $ 88 8OO for 1976 has with effect from 1977 been dis- continued. 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FIv F{ .l oo F- co tr- o -t oo(o oil co @ @ tr- F.(o o N <H ro(o tr- (o F- @ Fl .n o r{U ri d IJ o(! olr(! o o ot{ E F$ l{(d o .Fl JJ$l. o o.o Fl Fo E{ f.-o Fl @t- Fl (o tr F.l to F- O) Ft $ F- .-{ F- F- Fl aHaoq) Hilo Pr trr U) az Fl zoH ts a 14 o{o ho il E U) H HH E] F] cq H o|'-o o d o @ o lr) c\ il ll il II II ll il il ll ll ll lt lr ltI II il il il il il il lt ll lt lt il ll il lt lt ll lt il il il ilI il il il II il il -2L- ANNEX I Hz(JH =Eooz;oEl()> 14 r{A Q() 14EH< F] Eltuu) Or El <e adoU)HECJoEIH(/I()Fa rdpu)a $r) '{I F U) E] F-l ozHc)(JFr oFrFr< o<H> ztnt4 lldoo&HHOZtrlo >(J v)zFlo{t-tF{He<tnM <EI -tu o H H E 14H H E E]H do E4IEI C)!E trlt-i &HfrAo Elfr] tC)tsH<t4cd oo& Fr U)&ocaH&t) oEl?U)oF4 Erl >U) U) rnHH I H U) rq BE o az<rdH >Fl()< ord F-l EoHC) E5AMFr5OrA r4 & E]A o U) trI HHu)<rcc4t) HH@>t1 &ztnHU) o h .d co At U) o fi td& H(J &H a t{ E fr() oil Ar dj 23- I.3. SECTORS AND SUBSECTORS BY OPERATIONAL ZONE The Progranrne area has been divided into two operational zones (a) Zone West is based in Bobo-Dioulasso, Upper Vo1Ea, and includes the following sectors and subsect.ors : UPPER VOLTA 1. Bobo-Dioulasso sector 1.1 Bobo-Dioulasso subsector L.2 Banfora subsector 1. 3 Di6bougou subsector MALI Annex I IVORY COAST 3. Korhogo sector Korhogo subsector Dabakala subsector Bondoukou subsector Odi6nn6 subsector (b) Zone East is based in Tamale, Ghana, and includes the following sectors and subsecEors: GHANA 2 1 Bamako sector 2.1 Bamako subsector 2.2 Bougouni subsector 2.3 Sikasso subsector 2.4 Koutiala subsector (worked from Bougouni) Tamale sector 1.1 Tamale subsector L.2 Yendi subsector 1.3 Bole subsector L.4 Bolgatanga subsector 2. Ouagadougou sector Ouagadougou subsector 16o subsector Tenkodogo subsector Niamey subsector (tliger) 3 Lama Kara sector 3.1 Lama Kara subsector 3.2 Dapaon subsector 3.1 3.2 3.3 3.4 2.L 2.2 2.3 2.4 UPPER VOLTA TOGO BENIN 4. Natitingou sector 4.1 Natitingousubsector 4.2 Kandi subsector 4.3 Porga subsector (worked from Natitingou) -25- ANNEX II rr.1 STAFFTNG suMMARy FoR oFFrcE oF THE pRocRAr'IME DrREcroR (orn), ECoNoMrc DEVET.oRIENT llNrr (rco), vECToR coNTRoL utrrr (vcu), EprDH',IroLoGrcAL EVALUATIoN Trurt (rpr) AND AD},IINISTRATIVE SERVICES ulrt (EoU) (a) PROFESSIONAL STAFF Grade DIR VCU EPI ECO ADM ToIal Progranrne Director Entomologi "tf Cni"t of unit l'ledical OffLcerfchief of unit Economist/Chief of unit Administrato./Ct i"f of unit Ophthalmo logi st Parasitologist Sociologist Medical Officer (zuUtic Health)'r- Entomologist Scientist-Aerial Ops Sociologist Entomo logis t'1-'l- Budget & Finance Officer Personnel Officer Transport Management Officer Entomo logi s t'k'k Administrative Services Officer Supply Officer Technical Officer Technical Officer Adminis trative Of f icer Finance Officer Technical Officer TOTAL D.I P.6 P.5 P.5 P.5 P.5 P.5 P.5 P.5 P.5 P.5 P.4 P.4 P.4 P.4 P.4 P.3 P.3 P.3 P.3 P.2 P.2 P.2 P.1 1 I 1 1 1 1 2 2 I 1 2 1 1 1 1 I 1 9 1 1 1 5 I 1 1 I I 1 I 1 1 I 2 2 1 1 2 I 1 1 9 1 3 2 I 1 I 1I2 19 Z 39 Transferred from WI{0 Regional Office Support/tiaison Paid from applied research funds. .L 1 -27- Annex II TI.2 STAFFING REQUIRB,IENTS FOR THE VECTOR CONTROL UNIT )t One entomologist, P.4 and one entomologist P.3 paid from applied research funds. (a) PROFESSIONAL STAFF (H OJ .r{ C) d d ]J o .r.,1 @ E o ]-J E] rJ o .J ]J c, .r{ oa LO A; U o 'r{ @ o o o ! rd .s IJ o ..{ o0 o o oU r{ "; A; lr c, o 'r{rH(H o ; oH co A; tr 0) o .r{ q{ qi o (.) q) H (\ A; ! o (,) .rlqr qf ; o(, ts j o; Fl HoF VCU Ouagadougou VCU Bobo-Dioulasso VCU Tamale 1 3 1" 2^ I 3 1 L2 Ouagadougou sector I I Bobo sector I I Bamako secEor I I Korhogo sector I 1 Lama-Kara secEor I 1 Natitingou sector I 1 Tamale sector 1 1 TOTAL 1 3 I 9 I J 1 19 29- Annex 1I The 19 professional posts in the vector control unit represent the number of posts approved in 1976, plus 2 Posts financed from research funds which have now been included within Ehe unit. The 525 general service staff (4OZ ot which are vector collect,ors) required for 1977, including four for applied research, represent 30 posiEions more than authorized for I976. 0f these additional posts,22 represent driver positions necessary in order to free assi.stant mechanic drivers at. each subsector for vehicle mai-ntenance work. Experience gained to date has demonstrated that one person cannot both drive and perform the required vehicle maintenance work at the subsector. The remaining posts are essential to provide guard coverage for facilities and operators for additional radios. Ir.3 STAFFTNG REQUIRE"TENTS FOR THE EPIDB,IIoIOGTCAL EVALUATION UNrT Grade EPI EPI Team Team EPI OPH 1 2 Total (a) pnorrssroNAl srAFF Chief Soc io logi s t Ophthalmo logi s t Parasitologist Technical Officer TOTAL (b) GENERAL SERVICE STAFF P.5 P.5 P.5 P.5 P.2 1 I 2 2 ,_ 8 1 I 2 1 1 22 1 l 2 Secretary Nurse I 2 1 ou.5 ou.4 1 1 1 2 8 2 2 3 I I 3 1 1 1 2 2 4 9 4 1 4 : 2 2 ,_ ! Nurse Lab. Tech AsstLab Census Clerk Typi s t Driver Labourer ou.3 ou.2 ou. 1 L4 TOTAL In comparison with 1976, three new general service posts have been established: two laboratory technicians and one driver. The number of professional posts remains the same through the transfer of one sociologist to the economic development unit and the increase in the number of ophthalmologists from one t.o two. 33 Annex II - 31 - H H H IJ cq, IJ aD .J a) u) h t{ o IJ(! tr oF(0 FI HH L) Fd rJ o 'r{th o ht{ ot, rU tr op G FI lzdoB tro =o FIh I zoHH z H *fr] a rtlFlH H rdA r-{ H H tr o 'F{ rJd c .r{ d (d x o o >' r'. h rJ .ri a oql d(d a o .r{ \o @ rJ @ o +J h 1{ oU$l{+Jo,.cp bI)$ .r{ F{ 0, E +JtrIJotrtr q, ol+{ cll+{ N .r{ .F{a(, >'a o o an oL o .r{ E \t @ tr .i A o. .F{ tr a an i o ..{ Ud .'{ E .d x o rl rd o ..{ oh -cA N o a oi o() H HH ! ttt '.{ H@H oF{ (UooEeF{36Z u5 o.a IJ al, '.{@ o F{ o .r{ o oa Jl] o F{ c.) v, a o G o c) lr o o 'F{i+{ l+{ o F{$ o € oE H +Jt(, rJ .D r{ ch lt) ht{ oU$t{ o .o6 F] Fq, .r{ o .r{ tr .c o ots >'! o l, rd tr op(, F] >' @ o r{ o E Fld uE o. o U 6 +J IA .r.l an o xlr o +J(u t{ op q, F] H TJ @ .H @H oF{ (U OchEt{F{a6Z IJ Ao rn 33 STAFFING REQUIREMENTS FOR THE ADMINISTRATIVE SERVICES I]NIT Sub-uni t Chief Admin. Sefviqes Budget and Finance Per. Supply Annex II To ta1 Transport Mgt 15 31 II. 6 (a) PNOTTSSIONAL STAFF Chief BudgeE & Finance Personnel Officer Transport Manage- menE Officer Supply Officer General Services Off icer Finance 0fficer Clerk Mechanic Gen. Adm.Grade P.5 P.4 P.3 P.2 ou.6 5 ou. 4 11 3 I 1 1 1 2 I 7I 1 1 I 1TOTAL P. STA.FF (b) GENERAL SERVICE STAFF Admin. Assist.ant Chief Mechanic 1 3 2 1 1 1 2 1 OU 1 1 5 1 I 24 4 2 7 6 4 1 8 3 1 1 l8 10 10 3 Crerk/Typist lStoreman 1 Clerk/Typis t Asst. Mechanic Storeman Typist Driver Guard Skilled labourer t 2 32 1 ou.3 ou.2 ou.2 OU.1B OU. 1A 3 1 3 4 10 4 I 20 2 Unskilled labourer TOTAL GS STAFF 3 7 4 2 13 78 A total of 1l additional general service (GS) posts are required for adminisErative services as compared to L976. These posts are additional drivers and mechanic personnel for the transport management services, more particularly, for the central garage in Ouagadougou. Forty per cent. of al1 administrative services GS posts are in the transport management activityr which operates virtually as a technical unit providing direct support to operational units. 35 ANNEX III INSECTICIDES The amount of insecticide (2O"/. emulsifiable concentrate) required for 1977 is 225 OOO lit,res to be distributed as follows: River basins Black Volta Como6 Banifing Bandama White Volta Red Volta Pendj ari Niger tributaries Baou16 BagoE Sankarani Ouassoulou TOTAL Quanti ty ( litres) 25 000 20 000 5 000 15 000 30 000 20 000 35 000 30 000 20 000 10 000 15 000 225 000 -37- ANNEX V VEHICLE REQUIRB1ENTS: RESERVES, REPLACEMENT, DISTRIBUTION Reserves Vehicle requirements for each unit have been carefully determined. However, a certain reserve of vehicles must exist in order to replace vehicles temporarily inrnobilized. A reserve pool has, therefore, been created under the authority of the transport management services. Considering the number of kilometres covered in one month by an operational vehicle(3200) it is esEimated that the Landrovers, Volkswagens and Saviem Trucks will be irrnobilized every three months (fO OOO kn) for an overhaul lasting about five days, including travel time to and from the garage, Experience with the use of vehicles in Africa, and in particular by OCP, has shown that vehicles are inrmobilized an additional five days per quarter or 2O days per year for major repairs and,for a wait for spare part.s. Allowing for the repair time described previously and for the replacement of vehicles destroyed by accident, it is necessary to calculate a reserve pool representing 20% of the Eotal operational fleet. Replacement A vehicle replacement policy must be based upon kilometres driven rather than on an assumption of deterioration over a specific period of time. Considering the conditions of vehicle use within OCP, a vehicle which has been driven 90 O0O km must be considered as having reached its state of depreciation beyond which repair and maintenance costs can no longer be justified. Requirements Vector control unit Based upon the number of supervisors and teams which must remain constantly mobile, 172 vehicles will be required for Ehe vector control unit in 1977; an increase of 16 over the 1976 fleet. The additional vehicles form part of the reserve pool. In addition, 17 vehicles in the existing fleet require replacement. Thus, the number of vehicles to be purchased in 1977 is 87. Epidemiological evaluaEion unit Based on the number of teams and personnel which musE remain mobile, a total of 18 vehicles are required by the epidemiological evaluation unit in 1977; an increase of three over Ehe 1976 fLeet. The additional vehicles form part of the reserve pool. No vehicle in EPI requires replacement in L977 Economic develo pment unit Three vehicles will be required f.or 1977. Since these vehigles have in the past been reflected as admlnistrative services vehicles, they do not represent an increase in the Eotal Progranrne fleet but are in fact replacement vehicles. 39 V. I VEHICLE DISTRIBUTION . 1977 Annex V For teams For supervision/ liaison Fuel and suppl ies Reserve Total VCU 0uagadougou VCU Bobo-Dioulasso VCU Tamale l1 2 Ouagadougou sect.or Ouagadougou subsector 16o subsector Tenkodogo subsect.or Niamey subsector 1 1 3 1 3 1 3 1 3 1 I Bobo sector Bobo subsector Di6bougou subsector Banfora subsector 2 2 2 3 1 J 1 3 1 Bamako sector Bamako subsector Bougouni subsector Sikasso subsector Koutiala subsector 2 2 1 3 1 3 1 3 I 3 I Korhogo secEor Korhogo subsector Dabakala subsector Bondoukou subsector Odi6nn6 subsector 2 2 I 3 1 3 1 J 1 1 3 1 Lama-Kara sector Lama-Kara subsector Dapaon subsector 2 I I 3 1 3 1 Natitingou sector Natitingou subsector Kandi subsector Porga subsector 2 I I 3 1 3 1 3 I Tamale sector Tamale subsector Bolgatanga subsector Yendi subsector 8o16 subsector 2 2 1 3 1 3 1 3 1 3 2 VCU EPI ECO ADMIN TOTAL TOTAI, 65 L2 97 47 J 3 l8 7l ll J t4 29 J ; 34 t72 18 3 Z) 2t6 EJ El o :\ ) / -4L ANNEX VlI ,l ,i il zo HFo r4A CNoE o. $ z E( r,1FAo OH ,fg o l o o +)o o o .i i q) o Hq(!rl tro9e .io(! !h00 i )!lc)!!O(Exc .i h0qi .d o >0) !oo(gLOot{ >(! o OH o o ,oc oO.i +)p (g ootr tro(! >E .r.t o illt +t +t+t l \------- t -,. 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Organisation mondiale de la santé (OMS) · Technical Documents
Plan of action and bugdet estimates for 1977
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