Report on the the first large scale Mectizan distribution of the Kaba II, Mabole II and Mongo I river basins and the Mectizan perception: study from March 20 to April 30, 1993

.(t p UORLD I{EILIII ONGANIZATION/ONCHO CONIROL PROGRIMME u{0/0cP REPORI 0N mE ruR.ST LARCE SCALE MrcTIZN'l DISTRIBUTION OT THE KABA AI,ID TIIE Ma:r 1. 1992 ,;.. 1,, CONTENTS A. MISSION REPORT SI]MMA,BY B. SCHMULE OF ACTIVITIBS C. MISSION BEPORT 1. Introduction 2. Methodology 3. The Sensitization Team Activities 4. Briefing 5. Debriefing 6. Results 7. Monitoring of Adverse Effects 8. The Mectizan Perception Study 9. Comnents and Suggestions 9.1 Coverage 9.2 Monitoring Drtr8s .. 9.3 Eademic Diseases ia the Treatment Area 9.4 VehicLes 9.5 Motorcycles 9.6 Logistic Supplies 10" Conclusion Ll. Annexes Annex I - -Personnel Annex 1I - List of villages treated Annex III - Total ResuLts rTRST I.ARGE SCALE MECTIZN{ DISTRTBUTICN OT' TT{E KABA II I,{ABOLE MONGO I RIVER BASINS AI{D lUE MECTTZAIV P MARCH TO MISSION REPORT SI]MI.,I.ARY the National EPI Tean carried out the First Large ScaLe Mectizan Distribution of the Kaba II, Mabo1e II and Moago I River Basins in BonbaLi Dietrict and treated the Mectizan Perception Study Vlllages. Three Seasitizatlon feams started thelr activities on the 29th of March. In the five days sensitizatiou missioar the team iaforned the comruaities of the Biver Basins about the pending lver- mectin Dietribution. They sensitised 3?5 vi.]..]-,aees and distributed 85 Oncho Infornation NewsLetters to nenbers of the connunitiee sensitised. fhe National Team of six Technicians treated the ten villages iacluded in the Mectizan Perception Study rrith Ivernectia and Placebo as required from ]rd to fth April, 1993. The briefing for the L,arge ScaLe Mectizan Cqmtr,aigp took pJ.ace on the 7th April at the Malreni Base. Briefing was conducted by the NationaL Co-ordiuator, Dr. A. R. Uurie - fbe Logistics were distri- buted to the seven teams. At the end of the briefingr the teans departed to their assigned zones of treatmeat. Debriefing after the treatment was camied out on the 28th April at the Makeni Base. A totaL of 5?5 vi3-Iages were visiled, /lrl?8 peopLe censused and 5?r3Zt patients treated. A coverage of ?3.?Ui was achieved and 651939 Ivermectin Tabl-ets distributed. - 2- E FTRST I.ARGE SCAI.E MrcTIZAN DISTRIBUTION OF KABA II. MABOIE II MONGO I RIVER OT TTIE PMCMTIOI{ STIIDIES SCE@IIf,E OF ACITVITIES DATE },IARCE APEIL 29 o2 03 06 o7 27 28 30 ACTIVITIES Sensitizatioa Team leaves for the villages Seasitizatioa Tean returns to Base The Mectizao Perception Studies begin t?re end of the Mectizan Studies Briefing at the Base Monitoriug Debriefiag Conpilation of the report 1. -3- I'IBST TARGE SCAI,E MECTIZA},I DISTRIBUTIOI AND UlE PEBC&TION STUDIBS ]N ' loo' }ESSION REPORT INTRODUCTION fhe First Large Scale Mectizan Distribution in the Kaba IIt MaboLe II and Moago I River Basins wa6 carried out fron the 29th March to the ]Oth April 199, by the National EPI tean under the general eupe:rrision of the Natiolal Co-ordi-aator, Dr. A.R. hlurie and OCP/BI team led by Dr. N. Denbele. Ttre Mectizan Perception Study was conducted by the Chief Investigator, Dr. L. Oeei. The River Ihba and its tributariesl the M,aboLe and Mongo fLor fron the North Uestern part of Sierra Leonel from the Repub- Lic of Gqiaea, through the Districts of Koinadugur Bomba-lir Iknbia and Port tolco and enptying iuto the Atlantic Ocean. t\*o zones of the Kaba I and Mabo1e I areea (lones 2 and 4) that were untreated in the first mission were subsequently treated in the Kaba II, Mabole II aad Moago I mission. The River Ibba and its aforementioned tributaries flor through Savanna and loreet Vegetation ie under Iarviciding and the basiu is hSrperendemic with Onchocerciasis. METHODOIOGY The Participants of the mission were ocP/@I Eeam and the Natioaal PJ Team. The area had been prospected in the first mission and was divided into seven zones including the two pre- viously untreated zones of the first mission. Three Sensitiza- tion Teans sensitised the communities about the pending Mectizan 2. -4- Distribution and Perception Study. Three Mectizan Perception Study Teams were sent out to the ten Study ViJ.lages to treat the patients fron the 4th to |th Aprill L993 as stipulated in the Study Protocol. fhe ldass Mectizan Distribution was camied out from the /th to 28tfr April L993. Briefing was conducted by the National- Co-ordinator, Dr. A. R. Wurie on the /th April 199] before the teaps departed for their viLLages. Treatnent and MonitorS.ng was completed on the 28th ApriL and debriefing of all the Participants was conducted on the same day, by the NatioaaL Co-ordinator. $IE SU,ISITIAATIODT TEA!,T ACTI\ETIES the Sensitizatioa of the connnnities iu the Basin was camied out by three teams for five dalrsr from March 29 to ]rd April L993. A total of t75 vi).3.ages were vieited by the Sriusitizing feaas. ftre Cbief and Elders of these conmnnities were informed of OCP activities especiaLly about the continua- tion of the Mectizan Perception Study and Mectizan Distribution on the River Basin. Further prospection was also camied out to confirt infornation oa accessLbler abandoned and new vil- Lages in the River Basin. fhe participation of the communities to be visited was solicited. Some of the villages repaired bridgee and brushed roads to facilitate accessibility to those villages. I+. BRIEHTNG Briefing oa the missiou was conducted by the National co- ordinator Dr. A. R. lrlurie on the /th April L993' The National Co-ordinator emphasised the importance of community participa- tioa in distribution activitiee. He made a report on his recent meeting on Devolution with other National co-ordinators in Ouagadougou and outlined the Natiol31 Teamrs role in the process of Devolution. 3. -5- At the end of the briefing, logistic supplies, nonitoring kite, treatnent fiLes and Iveruectin tablets were distributed to the tean Leaders. Ttre OCP/EFI Iechnicians admonished the participants that the nonitoring drlgs are i.lr short supply and the teans should use the drugs judiclously. 5. DEBRIETIilG Debriefiag was conducted on the 28th March 199] by the NationaL Co-ordi.nator. the Participants discugsed the results, the probl.ems €ncoun- tered and connuaity participation ia the treatmeat. 6. RESIITTS . the reeuLts of the first J.arge scaLe distribution of nectizan on the Kaba II, llaboLe II a:od Mongo f rere preseat6d by the tean Leaders of each zoae. See Anuex I[. A totaL ot 5?5 vilLages w"ith a census ot ?? r??8 peopS.e were visited, 5?JZL patieats were treated rith 651939 lvermectia tabLets with a coverage rate of ?r.?qi of censused persons. 7O MONITORING OF ADVBSE ffi'TECTS Moderate to mild adverse reactions uere reported. the moder- ate side effects were six cases of Edeoatous &(trenities, Lympha- dentis and Dermatitis. the miLd calres were of Pruritisr Pedal Endemar lleadache, Diarrhae and Fever. Eheee ca6es were treated by Medical Officers and the tean Leaders during the Monitoring Period. 8. -6- THE MECM&AN PERCPTION STUDY The ten Study villages were treated by the Medical Officers rrith the approprJ.ate dnrgs and the patients were informed that they wiLl be intenriewed a month later. CoMMEITS ANp SUGGBSTICNg g.L Coverage The coverage of patients treated, ?t.?q6 was considered to be satisfactory. 9.2 Monitoring DruAE t[onitoring d11gs were inadaquate as there were nore moderate and mild cases reported in this first treatment of the river basins. Soue of the zonee treated do not have Priraary Hea}th care Progranme6 and the patients sick at the day of treatment were man3r in these zo[oso 9.1 Erndenic Diseases. in the Treatment Area Ttre main endenic dLaeasee of the region were HaLarial Bespira- . tory Tract Infections, HeLninthic Infeetation and Schistoso- maisis.Forthefirgttine,severalca6esofElephatiasis and cases of Yaws were observed. 9.4 vehicLes fhe vehicle performances inprared as there was a Mechanic Ln the nissiou. Because the treatment area nas J'arge and the viJ.lages deneeLy populated, a subsidiary base was made at l(aba Basin in Karaakwie. fhe vehicLe NII51-1]1]A has no Uiper and faulty Shock Absorbers. - g^5 l,lotorcvcles fhemotorcycl-eohadeomeproblensandwerenotofmuchuse during the treatment. 9. 10. -7 - 9.6 Losistic Supplies The logistic suppLies nere inadequate eapecially the pens and correcting fluids. CONCLUSION fhe first large ecale Iverrnectin dietribution at the Kaba IIt Mabo1e II and Mongo I, succeeded in having a high coverAge due to the efforts of the National [eam aod the invo].vement of some volun- tar;r members of the communities and some NGOsr Like Action Aid and The !{esleyan Church. There is a need for some menbers of the NationaL Team to Learn about the statistical computerization of the Epidemiologica.l data of Siema Leone. PreParedbY: Qt--*-- Dr. A. R. Wurie NAIIOIIAL CO-ORDTNAIOB Dr. N. Dembele ocPlEPI MDfCAL OFTICER Dr. I. F. Ja-1loh MIDICAL OI'FICM ANNEX I (a) PERSONNEL NATIOI{AI, CO-ORDINATOR CONSIILTANT MISSION SI'PMVISOR MONITORING SUPERVISOR MMICAL OFFICB ocPlEPI TECHNTCLAN Dr. A. R. tdhrie Dr. L. Osei Dr. N. Dembele Dr. I. F. Ja1loh Dr. D. Conteh Mr. Moussa Nrdaiye IEAM ZONE TECHTICIAN DRIVER TEHICI,E NO. L 2 3 A B Abass JalLoh I{onodu Bangura Kiagsley Ensahc Tejan Savage Robert Gbannie GibriLLa Kanara Nrr5l-r.?72A NU51-1r1rA Nu5L-r.]illA II. IEE MECTIZAT{ PqqEPIIO{_-ggUDY TEAl,l - APEIL 'RD - ?TE. 1.994 IEAM SUPMVISOR TEAM I,EADXR MN,IBER DBIVER VEICI,E NO. I 2 , Dr. Dr. Dr. L. Osei N. Dembele I.F. Ja1loh K. Eneah M. Bangura P. Harding A. mJ.. D Alpha Musa Sheriff A. KrmAra B. Kanu B. Dumbuya T. Savage NU6L-4O87A NU61-Lf15A NU51-OL5r.A NU6L-1,15A ANNH( .r (u) III. TTIE TREAII{M fEAl,l CONSUI,TANf SUPMVISOR TEAM TELDER EJ(T. TEN,T DRIVM VETICLE NO. 1 Dr. L. Oeei Dr. N. DembeLe K. &eah' .I. Sanltoh A. geBay A.K. I(amara NU61-01O44 NU61-4087A 2 Dr. D. Conteh T. Husa P.A. Bangura B. Dunbuya B- Kanrr NU61-OL61A NU51-l-315A 3 Dr. N. Denbele P. Eardinc I. Koroma M- Ja] loh ITI3184BE' 4 Dr. A.R. hlurie Dr. D. Conteh P- Sher:iff A-B- Kanu T. Savace NU61-1316A 5 Dr. I-F- Ja1]-oh A. ALpha S- Kamanda I- Fornah NU6L-L11rA 6 Dr. I.F. JaLLoh A. Ja].Ioh I.. AbdulaL R. Gbannie N86L-L??A 7 Dr. I.F. Jalloh M.NtdaLye M- Banpura M. Sarnrna G. I(anara NU51-OlOrRI'{ ANNEI II (a) IJST OT VIII,ACETi SREATM RIYER BASIN; KABA ITEIM: ZONE: I 2 tEAM LEADER: KinesLeY Ensalt TA,BLEf,SNO. 1. 2. 1. 4. E 6. 7. 9.. 9. 10. l_1. L2. Lt. 14. L5. L6. L?. L8. 19. 20. 21. 22. 23. z+. 25. 25. 27. 28. 29. 30. 102 98 L78 2Lt 66 ,8 208 88 8z r.18 4Lg 29 41, Ilo4 3t 226 253 1r1 474 L37 ,3 145 4 402 145 92 1,2, 4zz L3 28L 88 75 ].LL L72 4g 24 150 ?L 69 go ,3' 28 ,4 ,4, ,o L97 L94 256 372 9? 26 2D 4 3"9 L22 6t 98 ,?o 9 218 96.3 76.5 80.4 81.5 ?4.2 63.2 ?2.L 72.3 84.I 76., 79.5 96.6 82.9 89.9 go.g 85-4 ?6.? 76.9 ?8.5 ?a.8 78.8 go.g 100.o 8t.8 84.r 56.3 79.7 ?8., 69.a 84.2 Llr.O 89.5 L76.O L89.o 49-o 33.5 L?8.5 88.o 82.o ul,o ,92.O 12.5 39.5 4t9.5 ,o.o 220.5 zrl.5 3O9.5 440.9 L22.O 31-5 ,45.o 5.O ,85.O L46.5 ?8.o 1L5.o 416.0 12.O 2?7.5 Kabassa 01d Town Kamawana II Kanakiadota MasalcaLe Kanabana Kanatana Kafanta I(ayautca Iralinti Bobonp Masr:ntu Kukuna I(abaileh Uafi-tia Kakola (MaLiJcia) Bai].or Ikseaita Kakola I Yenkissa Ilanabanta Taninah Katiri Kabissi Yibaia i(alcuseui Kaseleh Kal<oate Rogbonlca Mateliba Magbeu axunx lt (a) -2- NO. TABI,EES 3l.. 32. 33. 34. 35. 36. 3?. 38. 39. 40. 4t;' 42. 4r. 44. 45. 45. 47. 48. 49. 5o. 51. 52. 57. 54. 29.o ]o.o 34.O 112.0 4t.5 L76.5 69.o zLO.5 10.5 159.o 22.5 18r-o 59.5 722.5 6?.5 L62.5 2O1.5 228.O 57.5 27O.O 195.O 4g 9.5 L47.o ? t792.5 Dugkia Kamatortor Kabaia Si"nbora Ihnabendefane Katantina Kaatia Gboray la,ia Sanana Madembe Kasasi Rokupr Basia I,ungi Kasuna KoatF Kundaia EanarraLa I Suria Kabassa Jn. Mafafla Kanasana Robera Masaileh 29 29 38 L22 55 l[7 8Z 225 L3 L95 20 18? 5B 142 6r L70 208 ?J3 4g 1'L L99 66 Lo 150 44 25 23 27 8g 41 L20 6o 18o L1 L54 2A L55 5t LO? 50 L'7 L64 182 40 248 L65 49 9 L24 28 86.2 73.1 7a.o 72.9 74.5 8t.6 5g.g 80.o 84.6 ?8.9 L00.o g2.g 77.9 75.3 8t.5 80.6 ?8.8 85.4 81.6 74.9 g2.g 74.2 go.o 77.O AI'lNffi_ II (.b) RM BASINS: [abo]-e I and Kaba I TEAM LEADERI Thonae Muea TEAM: Z 8ONE: ! 21. 22. 23. 24. 25. 25. 27" 28. 29. 70. 3l-. Masana fratimpi Gbonko !,lahoai Kawonki hlonhifo Mafoya Matei Petifu-Kata-La Makena Mataba Laminaia l{asama Kantta Kagbonkarr Maai Kanipo Maseni Matunka Gberi Romagbapror Ka.langba Kayorgbo Mahonya Makarankay Masorie Marampa Maforay Rokgbona Yankab,,aa l,lakindo L25 11' L37 89 105 203 47 15r- 194 L72 L24 242 6L 184 7O 110 109 144 Ll8 LI? L56 44 ztg 4+ tt4 500 L78 118 5a 8l 85 ,. 4. E 6. 7. g. 9. Lo. 11. L2. L7. L4. 15. ].5. L7. L8. 19. 20. L?3 182 184 119 1t9 262 6o 2t7 274 2L6 158 309 8s 504 10' 140 L55 149 r.51 L5? 222 64 277 6z 4L3 65? 2t7 L63 6Z 120 t32 72.5 62.o 74.4 ?4.? 75.5 77.4 ?5.3 69.5 70.8 ?9.6 7r.B ?8., 76.2 75.1 6?.9 ?8.5 70.) 77.5 78.8 ?6.5 70.2 68.? 79.o 70.9 75.O ?6.L 82.o 72., ?4.6 70.B 65.1 141_.5 149-o L6?-o 98.O 119.5 232.O 5r.O L6o.5 2@.o zlr.O L39.o 28r-5 6?-o 451.o gg.5 Lrl.5 L?2.O Ltz.5 L42.5 L36.5 L9?.O 45.o 244.O 52.5 ,54.O 537.5 192.O L4l-.o 51.0 105.o 91.5 milw ix (!) -2- NO. EIJ.AGES Cn{SUS TREATED COVERAGE TABLEf,S 32. 13. 34. 35. 36. 3?. 38. 19; 40. 41. 42. 4r. 44. 45. 46. ldabuata-idari Mafabu Petefu Madina Bathmiss llagboka Meutagba Marong Rosos Bantoron Boyama Mabere Manaka Mabarkita Batkanu 83 191 9o ?4 96 ,47 L23 L8? 270 L'O 339 1go 3L7 225 580 ?7 145 6S 44 5B 224 8y 1,29 20L 100 254 L58 2L2 r61 4E4 8?.6 75.9 ?2.2 59.4 70.8 64.5 69.L 68.9 ?4.4 76.9 74.9 8].t5 66.8? 7L.55 ?8.2? 8f .o L6?-o ?6.5 4?.5 8r-o 24r.o 98.5 ].42.5 229,,5 110.0 2?8.5 208.5 233.O 18?-o 575.5 TOIIAI: 9J?8 61982 74.45 SrooL.o $rNEx ]I (c) RMR BASIN: Kaba II NO. TEA},Ic f ZONE: 2 L. 2. 3. 4. 5. 6. 7. 8. 9. 1O. Lr. L2. Lt. L4. L5. 15. L7. 18. L9. 20. 2]l-. 22. 23. 24. 25. 25. 27. 28. 29. 30. 3L. Kaba Ferry Nya"nba T. Nyamba .In. Kortor Sunbaria Kubakha Fintorria Fondokhuri Fondokhuri GarafiLi Fadugu Kolofagi FoLaya Morigbaia Gberia Sunitha Yahna Yembere Kanasuku].a Moriah Barata Tugukure Dombaia Wenjeh Domwereh Lakhata Wantalca Fodiah Dandaia Yanguya Iraia 01d Town L38.5 223-o L1O.5 187.o 18.5 4L.5 62?.5 L13.5 ].4?.5 5.5 22.5 34.5 14.5 JO.O L?.5 26?.5 5L2.O 39.o 11.O zLL.0 48.o 77.O 267-a 77.o 40.o 252.5 66.o 118.5 84.o 6.5 2]-.6.5 TEAM LEADffi: Paul_IlardinE TABLEBS L55 ?22 L'5 202 ?3 61 681 144 L60 7 24 ,9 Lg 41 2L 30? 595 5L 1L 258 5? 8r 276 95 54 222 62 It, 98 8 243 LL7 180 109 L56 ltg 41 542 11] Lr4 5 & 2B L4 24 15 212 465 ,5 9 t87 46 6z 222 6z ,7 203 50 95 ?2 6 184 75.4 81.o 8r.o 77.2 8r.o 65.o 79.3 ?8.4 84.o 7]'.4 8r., 72.O 74.o 59.o ?6.L ?6.O 84.o 69.o 8a.o 7L.o 81.o 77.o 80.4 65.2 69.o 91.4 8L.o 84.o 73.4 ?5.o 76.O ANND( II (c) -2- N0. VILI"AGES cn[sus TREATM COVMAGE [ABLETS 32. 11. 34. 15. 76. 7?. J8. 39. 40. 4L. 42., 43. 44. 45. 46. 4?. 49. 49. 50. 5L. 52. 53. 54. 55. Ilalmaia Wahni Kul<tr titia Senki Samaya Tomparay - Ferry Tomparay - Junction Iodiah II Tambi Kasikiri Kabat Katei Suniah Konaia Tafal-a Nardia Madina Bendugu Keneya Tenbo Salan Kunda 2 Salan Kunda I Bortor 57 52 L4? 38 37 4ro 81 L3? 29 225 2?8 220 L26 4Z 584 52 t+6 Lg 8z 9B 26 105 3L 53 42 36 r.14 24 30 312 58 97 20 151 224 L43 97 ,6 476 40 ,9 L5 5S 72 2L ?L 27 34 74.O 69.2 78.o 53.1 81.o 81.o 84.o 71.O 69.o 72.O BL.o 55.o 77.O 77.o 82.o 7?.O 85.o 79.o ?9.2 ?3.4 81.o 58.o 87.o 64.L 53.5 46.5 L50.0 29.5 35.o 402.0 78.0 L23.5 23.5 LgL.5 258.O L65.o ILO.5 52.O 544.5 4g.o 48.o L8.o 8?-5 80.0 29.5 91.O 72.5 42.0 TOTA],I 7 r4o9 51765 78.o 5r8o5.o AI.IND( E (A) RMR BASIN: Kaba II and fionso I. TEAM LEADI]R: PAITiCKSheriffTEAI'I: SONE: _4 4 NO. L. 2. E 6. 7. g. 9. 10. 11. L2. L3. L4. 15. 16. ].7. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 3L. 32. 31. 34. 35. TABI.STS IGnaboako Kanasana Kanakuyor I(amawornor KagbaligbaJ.i Kathanta Kapoathon Kayaway Sslange tr'ul-Lah Torrm Katiri Kanahenti Xa3rigraua Kamabaada I(agbaae Kanathanta Kakonso Ka.naproto franagbeti Earrnakono Kassasi Kalcunr Kathirina Kaurabenteh Kadigidigie I(anaban Kakoya Harrmakono IGmanahun Kanagbuku Kabonlca f'adingbilin Kamakankio Kamataka Katumpe 48 108 104 18 94 486 8Z LA. L55 86 rr96 L15 204 85 71 6Z 9 1W LL? L5 2j.5 359 92 52 115 148 50 I8 9 L' 6 220 88 l.55 ?B t?4 8r 8z L3 7' 3?2 65 95 Itg 68 ]-36 go 1[3 6l 5L ,+1 6 288 ?o 9 1?2 287 73 41 97 r-r-4 78 L3 8 10 5 L75 ?3 128 64 7r.L 75.o 78.8 72.2 77t7 76.5 74.7O 78.O ?6.8 79.1 69.4 ??.6 70.1O 74.L 71.8 6]..z 66.? ?6.O 60.o 50.o 80.o ?8-8 D.3 79.o 84.1 77.o ?6.o 72.2 88.B 77.o 83.3 Bo.o 8J.o ??.6 82. l lw.o 85.o 88.5 15.5 82.5 410.5 74.5 Lo6.5 Lr6.o 79.5 159.5 Loo.5 174.O 78.o 54.5 l+B.o 9.O ,O7.o 8?.5 Lo.5 198.o ,o?.5 90.5 47.o 1ol+.5 t26.5 42.5 18.0 10.0 12.O 6.5 2O4.5 82.O 15O.O 70.o ANNEX rr (q) -2- 36. 17. 38. ,9. 40. 41. 42. 4t. 44. 45. 46. 4?. 48: 49. 50. 51. 52. 53, 54. 55. 56. 57. 58. 59. 50. 5r. 62. 63. 64. 65. 66. 67. 58. 69. ?o. ?1. o) L95 ,4 559 323 151 66 258 258 L59 6z 108 229 264 L50 234 ,9 ,4 ,3 55L 52t 35' 128 482 148 412 6z t13 111 249 108 L62 441 ,r9 27r' t59 t72 235 149 27 441 244 119 4g 2Ol+ 188 L28 48 24l. L72 2L5 98 L77 26 29 24 401 4L2 zTL LO' 162 109 3r2 48 98 BO 198 245 118 too 257 at 117 ltr r8Z 76"4 ?9.4 79.2 75.5 ?4.o 74.2 79.1 7r.O 75.? ??.4 ?8.2 75.o 81.4 55.3 ?5.6 66"7 85.3 72.7 ?2.8 79.O 77.o Bo.5 75"L ?7.6 77.o ?7"4 ?3.7 72.L 80.o 80.o ?2.8, 58.oe ?5.8t ?8.59 73.5 ?6.16 n"r7 r5g.o 75.5 482.5 268.O :.44.5 53.5 225.5 2L4.o 150.0 54.A zru.5 193.5 213"5 Lol+.5 L95.o 32.5 33.5 27.5 441-o 452.5 295.5 L22.O 4t9.5 LL7.5 ,t36.o 5?.5 L25.O 90.5 233.o 288"5 L16.O 354.O 285.0 255.O ]..27.o 154.o 211.5 Kagberie Kabodogo Kabomboh KaLaia Kanasunkori Kamatomkapa Kamabaio Kamawaaka Kamabonboh Kamayaha Kamagbaw Kateneh Kagberay Kauakotor Kasegeya Kanasebeh Kabonka Ikwutala Kakanba Rotata Kamakonie I(ademba tengesa Rogbon Iembu Dar-eI-saLaan Kaindena Kunsho RogbaJ.an Mankal-a Ma].inka Kaba Ferry Irramateh Kassassi Mateboi Kaseke (Lassigi) Kassana NO. VILI,AGES AI\ND( II (d) -1- Llg 1.25 r82 2W L15 189 TABEEIS 83.t6 85.O73. 74. 75" 76. ?7. ?8" ?9. 80. 81. 82. 81. 84i 85. 86. 8?. gg. 89- 90. 91" 92. 93. 94. 95. 96. 97. 98. 99. 1oo. 101. 102. 1o3- 104. 1O5. 105. 107. 108. 216 605 75 8g L18 151 97 148 L74 4sg Katei Kamapolo Madina Kasaki Kamule Mahera Kade1e Katiri (I'aterie) Kadada Kadabi Fugumna Kadaimba Kategie Kaponki Iiamasogo I Kamatehun Kansirun Iknasogo II Karnaroni Kagbaray Kadari Katumpeti Kakantara Kayassi Kakunso Kakanti Kamafufie Tgmpars-Ferry Katambi Kasigeri Kamaha Kamatemota Kagberie Kamabumyele Kagberie Kamakwe Palace 295 209 70.84 235.4 73.V ?5"?4 526.O ?L.83 485.o60? 4t6 J51 395 l-36 63.o2 71.2 ?5.82 57.ru 84'l,5 ?8JL 74.08 69.t9 72.19 66.44 loo.O 81.5 109.5 L54.5 L92.O lLr-o 158.o 20.2.O 544.5 279.5 405.o 44o"0 151.O 625 183 461 255 40z 280 59.65 317.O 489 595 L15 ANI,ID( II (d) -4- NO. VITIAGES CBlISUS TREATD COVMAGE TABI"MS 109" Katanta 8z 4S 54.8? 50.5 L8r5W IJ'9OO ?6"o4 15t739'O TEA}'II J EONE8 : NO. 1. 2. 3. 4. E 6. 7. g. 9, 1O. 11. L2. lJ.3. 14. L5. L5. L7. 18. 19. 20. 21. z/.. 23. 24. 25. 26. 27. 28. 29. 3Q. 31. 32. l4adina Mabendi Sabuya Chogorayma Suniya Nguhun Mango ldayi-neh ldatogo Bekeun Uaktrnp Mafure Ilanjawor Gbuegoro Kotohun Kabunba Matekay Hakeha Dendehun Mokohe Mandatra I'takendi Makeniworo Tourbohun Kpaakpahun Romange Katragi Gbandebu Manukay Mabangalie Kambia Mabaka 264.5 12.5 9.o 93.O 49.5 5]-,.5 57.O 53.5 l*.0 59.5 L34.O 32.5 L29.5 8L.o LII.O 52.O ?O.5 10.o 1r-o 45-o 66.5 5g.o 52.O ?4.o 19.5 JI.o 29-o 2.O 29.5 10.5 42.o . 9.5 ANNEX II (e) 8M BASIN: MaboLe II TEAM LEADffi: Aiah A].pha TABI,ETS 348 10 7 99 4S 50 69 64 46 66 t27 33 L57 B4 L72 48 75 t5 Lt 48 77 76 5o ?L 20 3' 28 3 ?6 10 54 B 279 9 6 75 41 4t 46 4> 14 48 97 2' LO3 67 99 38 59 9 8 35 51 5B 39 50 L5 29 23 2 21 7 32 7 68.? go.o 85.? 75.? 91.L 85.0 66.? ?O.3 73.9 72.7 ?6.4 69.? 65.6 ?9.8 75.O 79.2 ?8.? 50.o 72.7 72.9 66.1 ?6.3 65.o 94.5 75.O 8?.9 82.1 55.? 80.8 7o.o 59.2 B?.5 ANNEj( II (e) -2' NO. TAEI,EtrS ,1. 34. 35. 36. 37. 38. t9. 40. 4r. 42. 43. 44. 45. 46. 47. 49. 49. 50. 51. 92. 53. 54. 55. 56. 5?. 58. 59. 50. 61. 62. 53. 64. 65. 66. 6?. 58. L72 8 Lo 8 7 46 8o LO? 245 I r.4 1l+ 9 23 w 18 48 L50 5S t7 11 L69 7o 2 5 8o 59 tL1 8z 69 106 148 50 l-o 9 140 94 4 ? 5 5 39 62 8o L72 5 L2 L' I 15 ,? 14 t5 102 44 26 ? 128 55 2 3 58 79 8l 6o 50 75 104 t2 7 6 99 ?L.2 50.o 7o.o 62,5 85-? 84.8 77.5 ?4.8 72.2 ?5.O 85.? 9?.8 gg.g 69.6 ?4.o ??.8 72.9 58.o 67.6 ?O.2 63.6 75.7 78.5 Loo.o 60.o 72.5 55.0 73.4 ?1.1 ?2.4 70"7 7o.2 57.1 70.O 66.6 70.Z LL4.5 6.o 1o.5 5.5 9.5 45.5 76.O 99.0 L98.5 9.5 L7.o 19.O lil.o 18.O 45.o 21".o 45.o Lzr.O 58.5 72.5 12.O L44.5 6a.o 2.5 3.5 61.5 45.5 92.5 ?6.o 6?-5 Br.o 116.o 36.o 9.5 5.5 105.5 ltanbaLa Manyahe l,[atcokoi Matringa Magberia Makoranka Mangairona Uambiana Eundowa l{abanta Maporbege Kagbohorrca ltlatrindeh Toktrlohun Kenena MabqmboLai Robenga Makowor Malcelegbohun MaLoon Ma-Labe Malccihiteh Bogbalan Malai I Gaigay Makiteh Mangua Makoramba Magbandi Rongorhun Mahr:ngbo Sahun Malai II I,laI<ondor Makabie Magberi Ennrx rr (e) -3- TABLUTS 69- ?o. ?\. 72. ?1. 74. 75. ?6. 7?. ?8. ?9. 80. 81. Bz. 83. 94. 85. 85. 8?. gg. 89- 9O. 91. 92. 97. 94. 95. 96. 97. 98. 99. 100. 101. 1O2, 9L 9o 2 223 L77 255 44 L26 59 Lo Ll2 109 u, 100 ,L5 9 29 21 t5 73 rrg L71 9 L? 4 8 ,2 w 8 6o 6r 5 6 4S 54 6l 2 L52 120 L7A 3L 9t ,7 6 6Z 76 7' 72 222 6 L8 L4 Lt 49 88 L21 5 10 4 ? 24 5L 5 44 35 , 4 )L 59.' 70.0 Loo.0 68.1 6?.? 66.6 ?O.4 7r.8 62.? 60.o 59.8 69-? 64.6 72.O 70.l+ 66.6 62.a 50.8 73.3 65.7 7r.9 69.9 55.5 58.8 l-oo.o 8?.5 75.o 72.8 62.5 73.3 5?.3 50.o 65.o 58.8 62.5 ?8.5 2.5 t74.5 L5L.5 L9?.5 31.5 Lol+.5 46.o 9.o 8a.o go-o 89.5 7h.5 262.O 7.o 27.5 1&o L5.o 65.o 1o8.5 L55.5 5.5 15.O 4.5 7.5 29.5 60.5 7.O 52.5 44.5 5-o 6.o 43.5 ldabaina Lilia i{ehua Makowo Malrawa l{asiba Masauga Uakeheh Makai Makoro Masalaygba Ngouhun Maduri Manaagba Uangay Mandiogoro l{acbolor Tokporhun Gbengbembu l,lanaah l{agurlboua Laninaya f'anikay l{achoko MaEenso !{akindena Nerehun Fadugu Kambia Moyanba Suhun Makobi Makaleh Jarihun Al{NJf rI (e) -4- NO. VIIJ,I,GES cE{sus TREATM COVERAGE TAB[,8[S 10]. Lo4. Kindia Kagberi 10 l4 5 l4 50.0 100.o ?.5 4.9 fCIIAL: 5r848 41865 21.OI+ 5r9O2.5 AI.INEI( II (f) TEAM: ZONE: 6 6 RIVM BAS]N: MaboLe II IE/AM LEIIDER: Abase rlalLoh SABEEISNO. L. 2. 2 4. 5. 6. 7. g. 9p 10. 1I. L2. L'. 14. 15. 16. 7-7. 18. L9. 20. 2L. 22. 23. 24. 25. 25. 27. 28. 29. 30. 3l-. )2. L?9 7 17 L38 149 10 ?8 48 33 14 72 L74 14 59 ,o l_54 102 L5 L1 L2' Lo8 66 73 6z 98 5 t61 28 207 48 154 27 148 4 L5 94 ILO 10 46 t5 28 L2 56 128 L' 4L 24 105 7? 6 B 91 ?6 52 L30 4Z 76 5 L29 18 L36 22 98 15 82.? 57.1 88.e 58.I ?3.8 Loo.o 58.Lo 72.9 84.9 85-? 7?.8 73.6 92.o 69.5 80.o 64.6 75.4 4o-o 90.1 w.Lo 7O.7 ?8.8 ?5.L ?5.8 7?.5 83.3 79.1 54.3 55.to 45.8 59.8 59.3 J.54.o 5.o 15.O lu.o LL7.o 1r.o 58.O 45.o 3r.O 15.O 50.o 14r.o 15.O 50.0 25.o 119.O 8r-o 9.o Lo.o L04.0 D.o 58.O 141.O 5L.o 87.o 7.Q 140.o 34.O 145.o 29.o 1o9-o 20-o Ihgbanguna Kawonoh I(asopona Kakolifa Matrraso !{afufury Magaye Maforogbo ilatainkani Mayaralcabi Manati Llarakosana Ihnatia Matiagie Maiandi Sockra'l1a Karekaria Mayarakabie Ilanabai Bounia Senegal Panibo Foday-Sauria Moribaya Kamakorogbo Makaleh Mayorgbie lladiko Kabakeh Kamagboso Kamakontekay Kamakulakoh Ar,rNr{ II (f) -2- ,3. 14. 35. 36. 37. 78. 39. 40. 41. 42. 43: 44. 45. 45. 47. 48. 49. 50. 51. 52, 53. 54. 55. 56. 57. 58. 59. 50. 51. 52. 63. 64. 55. 66. 5?. 68. 76 14 L5L 43 464 7 20 12L 4o5 141 L26 5 14 9 22 225 246 LN 39 22 485 641 L02 ,2 2L3 t47 50 L52 118 ,63 26? 25 4B L57 ,22 77 25 10 101 29 t74 6 t7 8g 278 98 8? 4 10 6 16 L23 109 120 28 L5 3L9 490 6Z 20 1:66 LO? ,1 110 91 250 20? 14 33 UB 227 56 59.4 7L.4 62.? 67.4 80.6 85.? 85.o ?3.6 58.5 69.5 69.o 80.o TL.4 66.o 72.7 54.2 44.t 6T.o ?1.8 68.2 65.6 76.2 65.7 62.5 77.9 72.8 52.o ?2.4 7?.L 68.9 ?7.5 56.O 68.8 75.\ 74.5 72.7 24.O 12.O 102.O 28.O 402.0 8.o 23-o 102.0 ,06.o 1r0.o 1o5-o 5.0 L2.o 9.O LB.o 144.0 lrL.o LJ8.o 35.o l?.o 322.O 5r7.O 72.O 27.O 158.O L27to 41.o L23-o 100.o 279.O 220.0 1B.O 35-o L23.O 245.O 56.o Monibaya Ihnasaalre Kabaga Masana l4ayoro fII Kanaye IGsasie i(anasiki lfarada-la Majaka Mahera Makanbay Maguma Macha.nbo Mayambe Kapete l{aka"lay Kanaforay Malokoko Kana-lokoko-Warie Mayoro II Dar-El-Sa].aa"r Kaqgbengbe Kanalcolo Bonia Ibrina Junction Ihbunban-Bonia Mawore Senkuya Kakol-a tlabaroba Makundeh Kagbana Masasa Kamalrusufu Kara Torm ANND( II (f) -3- NO. WLIAGtri CENSUS IREATED covm.A,eE TABLEf,S 69- 7o. TL. 72. 71. 74. 75. 76. 7?. ?8, 79. 80. 8r. 82. 83- 84. 85- 85. 8?. gg. 89- 9O. 91. 92. 91. 94. 95. 96. 97. 98. 99. 1OO. Kagbaneh Bandakoro Mayoro I Ma-Labire Salcoya Matambay Kaseugbe Macharnbay Eeremakono Buria-l{ayaso Yainkesa Dubaya Corkry Ndaria ldayonba Karina Bupbande Haiongbo Kamapandi Kawere Iknalcrr:ra ltakoode Kagbungo Kanadainthiki Kamaron Kagbane MiLe L4 Kanange Kadagbana Kathankina Kathantba Marampa Kambia 35 257 4r.z L8 74 ,, ,5 8 l,25 L95 23 46 29 85 226 TL9 22' L' 8g 40 44 7 6o L24 144 L99 120 t25 I l_01 178 100 84 4t L3 17 5 64 L42 20 ,2 L? 58 149 542 L14 7 6Z 2' 32 5 29 ?5 8z 99 85 100 6 57 L22 58 43 8 ].69 fo0 6 I I 22.9 65.6 ?2.8 ,1.3 58.L 39.4 47.2 62.5 5L.2 ?2.4 86.L 69.6 58.6 68.a 65.9 ?5.4 50.1 53.8 75.3 5?.5 72.7' 7a.4 48.5 60.5 56.9 49.? T.? 80.o 75.O 56.4 69.5 58.0 51.1 L2.o L9L.o 313.O 7.O 44.o 1?.O 21.O 7.o 76.o L5o.o 23.o ,8.0 21.O 56.O L54.o 54r.o L39-o 9.O ?8.o 25-o 33.o 5.o ,t.o 86.o go.o 1o9-o 92.O L21.O 7.O 66.o L53.O 65.o 51.L TCIIAI,: U1965 8rlt8 69.5 g r2O3.O IaNunx rI (e) TEAM: -L EONE: -L NO. 1. 2. 3. 4. E 6. ?. 8. 9. 10. 11. ]..2. L1. L4. 15. 15. ].7. 18. 19. 20. 2L. 22. 23. 24. RIVER BASINS: . Mabole II TEIW LEADER: Momodu Bansura TAETATS 27. 28. 29. 30. 3L. )2. )). 14. 15. ,8L 66s t5 L4? 214 241 tt? 3o 7 107 59 L21 lrB 6yz 158 ,88 4r5 L5 20 ?6 245 97 2r2 42 L7' 344 456 242 275 29 12 33 255 t-41 4? 294 459 9 11;2 L37 184 9r 24 5 69 39 85 89 450 LL1 280 282 10 L6 45 184 7L r.60 28 118 22' 722 L7t L96 a. 8 29 202 97 34 77.2 59.o 60.o ?6.2 64.o ?6., 66.4 Bo.o T.4 65.? 66.L ?7-.L 64.5 69.5 ?2.8 72.2 6?.8 66.7 80.o 60.5 75.L 73.2 69.o 66.7 68.2 64.8 ?O.6 70.? 71.O ?2.4 66.? 8?.9 ?8.9 68.B 72.3 ]48.o 543.5 L2.o 124.O L63-o 224.O 108.o 2g.O 7.o D.O 52.5 101.O 119.O t+97.o Lr?.o ,1L.O 325.O 1r.O 15.o 5?.o 229-o 82.o L75.o 30.5 L26.O 27A.O 37o.5 189.5 226.O 25-o ro.o 28.o 211.o 101.5 36.5 Makari Masongbo MaI<endow Matekre Madina. Matoko Mabotima l4atonbo tlagungu Mafari Magbonde ldasantigie Ma.baio Puntun Marerka Kerefe Mange Malranyorgo l,lakongbala MakaL Mathialca Magbonnah Magbinte Magbena Robumbe Mabanta Magunbu Makondo Rogbesse Ma].inba Mangeha Rokupr Roketteh I,lakere Mayobo Al{Nu( II (c) -2- NO. 36. 37. 38. 39. 40. 4r. 42. 43. 44. 45. 46. 47. 48. 49. 5O. 51. 52. 53. 54. 55. 56. 57. 58. 59. 50. 51. 52. 63. 64. 65- 66. 67. 59. 59- 70. L1? 2? 7 1g 180 L8 52 4 L3 105 209 189 2' 26L 298 26 69.3 ?O.8 63.7 57.7' 64.6 53.3 77.L 69-2 7.4 57.L 50.o 64.9 ?7.4 55.6 85.7 57.9 65.6 72.2 65.4 Loo.0 6L.6 67.o ?O.8 7A.4 73.9 69.7 7t.5 76.9 65-4 68.8 6?-6 73.L ?5.4 ?6.4 75.o 58.o 49.5 l3L.O ?9-5 ?1.5 67.5 ,o1.o 92.5. L4.o 4.o 53.O L34.O I14.5 18.5 9.5 L3.5 L14.5 11.5 40.5 4.o IL.O 88.o L?+.O L49.5 L9.5 L99.5 219-o 23.5 l-54.o L4.5 57.5 L1r.O 285.0 60.5 5.O Moria RoIaIco I Rolako II Royema Robana Madina Masinira l{asapiri-Ioko I'Iasamura Manjabana Makai Mafonike Makoudeh Makori Kpurahun Mapeuda Rogberi l{:iyenge Tanyehun Magbana Puaduhun Ihgberi Bunguena l{abombo Mangawa Maherei Karangawah Makikina Magboranwa Yehun MaLimba l'!atogo Masongbo Manjarga l,iakondi 52 46 L2' 20 54 64 269 8l 10 l+ 4S L22 Lo5 L5 6 L1 It8 t3 ,4 4 8 T 148 t5 L7 182 ztg 20 l-34 11 5o 141 260 58 1 75 6S L93 35 99 120 368 lao 14 ? 75 r-88 205 L6 ?4 L93 145 ?6 4 ,tt ,. ANNE( rI__G) 2 -)- N0. IIII,IAGES cEilrsus TREATED COVERAGE TABLETS 7. 72. 73. 74. 75. ?6. 77. ?8. 79. 80. 8r. 82. 87. 84. 85- 96. 8?. gg. 89- 90. 9L. 92. 93. 94. 95. 96. 97" 98. 99. IOO. 101. LOz. ro]. r04. Makabi l,latremba Mayoko Mafay Mam*ay Machoago Machorgo Makaha MqgbeLe Mayengu Ronkohuu Makokoi Sembeck ldayefende Mayigiba Mayawtane llayustf ltathirka Marata Masisa KaLangba !,lakonne Maka1 Rotifine Maforay Njala Mayata Maforqy KoIa Tik Pan] ap 3 MiJe YeLisa.nda l"lakapr Yoni Woreh.Kunshu Kunshu Kunshu-Mabole I 115 3 33 3t 19 r.60 e) 4Z 23 Lt Lr4 t7L 46 2t2 144 257 461 250 L95 180 6o 149 ]-34 344 128 130 48 6o 101 32t 3B LO7 2. 150 146 85 L5 110 96 73 2 21 Lg L3 Ll-0 14L 13 L2 7 BE Lt7 27 L65 10' L76 409 184 L62 L59 30 Lol IL2 26]- 8: 48 35 48 84 242 i1 I 80.4 68.2 69.8 65.8 63.5 66.? 69.2 6L.3 68.4 58.8 66.2 7o.2 52.2 63.6 74.6 66.L 58.? 7L.L 7.5 65.9 gg.rg 73.6 Br.8 gg.3 50.o 6?.?9 83.j8 ?5.8? 66.4o 72.12 73.o Bo.o 83.t6 95.o 86.84 LoI.5 16,5 128.O l_o1.5 84,o 2.o 24.0 24.O 15.o L27.O 159.5 42.O t4.5 9.5 82.o LL8.5 2?-O t77.O TL1.5 L97.5 46]-'.5 218.5 L92.5 204.o 38.o LL5.o L42.0 3L4.5 95.o 258.5 39.5 53.5 Bg.5 282.0 15.5 TOT L51123 I0,915 ru.zt I L21496.A AITNEK III TOTAL BESULTS OF MffiTIZAN TEEATU&{T ON T}M KABA II.MABOLE II. UONGO I (KABA I AND I'{ABOLE I) RIYSR BASINS IN SIMRA ffiONE APRIT 199] TEAMS; ZONES RTVER BASINS NO. OF VIII,AGES PEOPLE cu{susID PATIE{TS TREAMD % COl'itsRT,GE NO. OF TABLEIS USD I 2 Kaba I 55 812?6 6r5?5 79.46 7 )?92.5 II 4 5 ICaba I, MaboLe I 46 9 J?8 61982 ?4.45 8roo1.o ].st Area SIIB TOIALI 101 L7 $54 L31558 ?6.8o 15t?93.5 ru 3 Kaba II 55 7r4o9 5J65 ??.8L 5r8o5.o IV 4 Kaba II and Moago I 109 t8r5?9 IJr9@ 76.O4 L5t779.Q v , l{aboIe II 10I+ 61849 4rtlr5 7L.& 5 pO2.5 ,tI[ 6 l4abole II 101 tLt965 8r718 69.5a 9'207.o lrJI 7 MaboLe II 105 L5J23 10r915 7A.27 L2r4g5.O 2ad Area SUB TCIIALI 424 60,u4 4rr?63 72.79 501145.5 GBAI'ID TOTAT 5?5 77r7?8 5?r32L 73"70 65,grg.o