Onchocerciasis Control Programme in West Africa: Committee of Sponsoring Agencies, report of the sixty-fifth session, London, 19 July 1995

RESTRICTED ocP/csA/5s ENGLISH ONLY ONCHOCERCIAS I S CONTROL PROGRA}I},IE . IN WEST AFRICA COM]'{ITTEE OF SPONSORING AGENCIES Report of the sixty-fifth session London, 19 JuIy 1995 ocPlcSA. 55 PaSe.1 CONTENTS OPENING OF THE SESSION APPROVAL OF THE REPORT OF CSA'54 T,IATTERS ARISING FROM THE RE?ORT OF CSA'54 i ' AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL PREPARATION FOR JPC'16 (December 1995) PI-AN OF OPERATIONS FOR THE PHASING-OUT PERIOD DEVOLUTION FINANCING OF OCP OTHER MATTERS DATES AND VENUES OF CSA.56 ANNEX 1: PARTICIPANTS : ANNEX 2: LIST OF DECISIONS Page 2 2 2 2 2 4 4 5 5 5 A. B. C. D. E. F. G. H T J K .: (le98 -2002) 5 5 1 L ocPlcsA. 65 page 2 A. OPENTNG Or.rUr SESSION 1' The chairman of csA, Bruce Bentol, in opening the session welcomed inparticular Dr yankum Dadzie, ,io attended CSA for the first time since hisrecent appointment-as Director, ocp as welr as Mr Alioune SaIl, the newlyappointe.d UNDp rnember of the iommirtee. 2' He also thanked Dr ok Pannenborg of the r^iorld Bank, professor DavidMolyneux, Director of the fir"rpooi sJhool of iropl.al Medicine; Dr Frank]il]}"[:r:.ril5 !:::l]i:;i,"""o Dr Bjorn rhyrerors, \tHo/pBL, ror their B. ADOPTION OF THE AGENDA 3 ' The provisionar- agenda for the session was adopted with theunderstanding that "DevJlutionu would be discus""a "" a separate item. C. APPROVAL OF THE REPORT OF CSA.54 4. A draft r.ras approved with a few amendments. D. }TATTERS ARTSING FROI{ THE REPORT OF. CSA.54 l;".,rffffff1Hi..1;r^f:ican Dever.opmenr Bank had now paid up its 6 ' Paragraph 15: UNDp was in the process of. prepafing an invenrory ofexisting regionar mechanism. i, w."a Africa oi pot".,tia1 interest for theapplication at the countty i"J.r of the a"iai"* principles adopred by the 1gg4Ministeriar Meeting on s.rltri""ur"-o";;,;;;ltr. o.. b.r,.r.iild Areas. Aconsultant was being r".r.rif"J and the r"po.a-r"s expected by september rgg5. 7 ' paragraph 24: the following Donors to be added to the rist of rhoseili33:ff,:""1;';:::::T.::.i:;"t rv (rees -zooz>: Japan, Kor"", saudi Arabia, 8' paragr-epb-34: the issue of payment of 132 overhead in connection withLrHo execution of th" Afri;;;-rlog."**e for onchocerciasis conrrol (Apoc) hadbeen raised with rhe Direcao.-lt-r.rag"t ".,a-;i;;""" in Geneva. Bruce Benton,as chairman of cSA, had writt"r'ao oi Nata3ima,-with copies to IINDp, FAO andthe world Bank' formally r.o"..at"g rhar .,Ho;" the^Executing Agency of Apoc.The details' incfuding 'an"-p""=ibrJ waiver--.r-an" 13% overhead ioula be ::::ffi:: once rhe exiected'rgr""rr..,. of the Director_General had been E. AFRTCAN PROGRAUUE FOR ONCHOCERCTASIS CONTROL 9 ' The committee was informed about the conclusions of a consultativeMeeting herd in Mukono, ug;";;-:", r, ^na is-orri, 1995 at wtrictr tratf of thecandidate counrries ror aFoc rr"i.u""., ,.p;;".;;e-d ar a hightechnicar/poritical revel' rn.-ai""r".ior,"-i"J-u."r, techiical in narure andenthusiasm had been expressed for the r""".t,i"J of the prograrnme. ocPlCSA. 65 Page 3 lo.onllJulylgg5ameetinSofanadhocTechnicalConsultativeCommittee of Apoc vas held ".-.t," l{orld r"tt.rrice in l-o"io'to finalize th€; Programme Docunent which ,o.rta be presena.i'-a"-ate APOC Donors' consultaEive Forum (Paris3-4october1995)andtoth"epocJointActionForum(Washington' i.c., 4-5 D."tmber l-995) ll.AlthoughAPOCwasbuiltonthe.oCPmanagementstructureandoperacional experi.ence, ,. *."ia differ in certain asPects' -i"-p"tti:Yllt':i.l:;':ii"l?"u scrategy. co''troi woula ttry t-tlt"ii"ffy'on-ivermectin distrrot also ro poprrf"tilir-r,rif"ri"L ftri".i" """-Ulinding forn of the disease including it' oiit" debilitati"e";ti' i?tif:::i;;;t' Ivermectin control worrld rely on "o**.r.,ity-based distribution lastii!"""',"t"t 9-::"u"" and include a srrong op"r".ior,"1 rl"ear.h .i;;;;;. Efforts 'Ert "nd"r way to improve the doc,srenrarion regarding tn" airii;;;;;-". ""a u'rltn of onchocerciasis in the APoc countries 'E5o-e*'^o - L2. The Programme would be a rrpar'tnersnll-::: development" involving participating countries, Donors,'uN org""izations and non-governmental developme.,t otglii'"ti""' (NGD;;)" ;;; would'act as an "executive secretariar,, oi-ApOC and decide l. ft"ii"g allocations as well as oversee g,obal operarions and ensure "i";; loif"Ulttti""-itt'een APOC and OCP ' As already *t''t'-o''t"U'-'OHO would be the Executing Agency' 13.TheWorldBankhadasstrmedtheroleofFiscalAgent(fund-raisingand adminisrrarion of rhe Apoc trr-r"t Fund) "',',a o'o"i-a";;t;;; complementarity of seeking resources for the .,o p,og,ammes .o 1' io avoid competition. The L2-yearp'og'"**" operation. ,.o,,rE be coverea ty two six.year Phases each governed Uy a funa igreement ot'-tt't lines of OCP agreements ' r4. wHo would work out the legal rram'ew31f'::'.:'::"t;"::T:'fi""ii'''' i" ti:*:it'i:fii'i;l;,?:.ii;:?l:: :?';:oHil'il"5"o;:';;;;'-'cr'' ocp rg'""*"''c would aPPIY 15.Twency-threeDonorshadbeeninvitedtotheDonors,ConsultativeForum which *", prrr..a "r an explan-"l.ty- "rorrnatioi ;";;i"g at- which pledging would nor be invired. The Forum r"Ii;";'" "i'"it"U bv Mr Jean Sarbib' Director' popularion and Human R"ro.*r."I'irri"i"", -r::li ;;"i' and the documenta.ion wouldincludetheAPOCProgramm.DocumentandthelegalframeworkpaPer. Berore the Forum !h: P'-'q'-?:it;:ifiH:":::i*"t":;:li::tt"L!l""*:lil";'"'" "".tio,t justifying its "S'll 1 terms' converted to -si-'or^l"aonor contributions in rea'- 16.ThepresentationsattheDonors,Forumwouldreflectthesectionsinthe programme ,..r*""a grouped ,;;"; such headings as "63skground" ' "stfateEY" ' ,,srrucrur"* , -iop"ralions" , ";;ii";orations" -lllu'ifi;;;;itg" ' The chairman of rhe NGDO Group *igt. be inviied to addr"t' ttt-t"tt'" of ciit"ria for APOC suPPort -i*.'l o Ll.Itcouldbeexpected.thatsuchquestionsastheeffectofinaccessible areas on the progress--tf :h: Programme' possibl earm rking of donor conEributio""'anE "t.raic of funds might come up ' 18 Around-135 p",:l:il:"i; ;:::r:il::::: il":l:r:::";r^;:l::':"il-r:iill"::i"""*t", 1ee5 representing -':-ti::::""::::: ,.'ia attend' As the Executive the CSA *"'itt"iip' President Jimmy Carterrwou';"';;;;;''t "t'a make brief :::t:-::.:"i.:lll:#l?::;:;;*: l:l:.I;]:]l"H'o:'H?:::: ""'i's in'che ocPlcsA. 65 page 4 morning of l.Iednesday G closure of JAF before express the commitment 19. A luncheon was conference at 3.OO p December, they would also be invited tongon on Tuesday 5 December and possiblyof their organizations to the programme planned for Tuesday as was m. and a reception at 4.30 a Carter/Executive Headsp.m. on the same day. attend the take the floor to press 20' The documentation for JAF wourd include the programne Document, the note;:.;::"::5'i"i::Txlil;"j.i,:::**:*;:;;"',,,,, ad hoc-r,c *"".ing and a 'F. PREPARATfON FOR JpC. ld (December .1995)2r' The session wourd be held at the Executive Board room at the worrd Bankheadquarters at the j"i"t irr'-ritation of the united States and the world Bank.rt wourd be chaired 6y usAro. -rt.p".ati ns ,.re ,r.,d.r way assisted by Mr Daribiof the OCp Liaison Oftice and Mr Arara of USAID. 22- It was ex and,he ocp Minl::: : :; "ii:: i;E.i::] :,'{.;. lH :H.:lr, F;:..ii::, -:.:,,1*;.;:,,:lthe follow-up to the 1994 Ministerial Meering (UNDp: regional mechanisms, FAo:AFRrcovER) wourd be before tt,"-co*ritree (seJ "tro ,r.,a"f H. oEvor_urroN belqw).23' The chairman of EAC, Professor David Moryneux, outlined the report of theJune 1995 session of his committee and respona'ea to comments and questions ::;::,:].'::.]:::"II;. lrl!:.H:::;"i,.".'."*1r,. ao".,*..,., essenrially or an 24' The plan of Action and Budget for 1gg5 was briefry reviewed. Thedocument wourd be updated in the light of an i.,.r""". in the budget proposedaccording to ne!'r estirnates received tr," a.y-u;;;." the current csA session. G. PI.^N OF OPERATTONS FOR THE PHASTNG-OUT PERIOD (1998 -2002) 25 ' originalry' the intention had been to present to Jpc at its 1gg5 sessiona draft of the Planops for its comments befoie the subrnission of the finalproposar at the 1gg5 Jpc session. However, csA now felt that it might becounterproductive to face Jpc in 1gg5 with'two different .tr"t"gi.s foronchocerciasis control: the ocP combined rarviciding/ivermectin contror and theAPoc approach based essentiarry on ivermectin distribution only. Questionscould be raised as to the need for expensiv. ,ector contror in the ocp areawhen ivermectin alone sufficed in the APOC. 26 ' The committee therefore decided that no draft proposal be submitted to:ff.';;:i::Iils,:';:::",:j.i':J{ix._i.:;i:;, ""., be prepar.a i,,ro,o,ing Jpcstase to estimare the b;;;;";i'r.r.""";";.;'.fl:"i;Bl:r;l;";:lr:: rn.il.::'r,forecasts, which wourd b"-pr.sl.rted in. "*"ry tabre, were r,"""""".y aoff33';:;rl::l; i.r':r:l;.#:: ""tramme Documenr serring out rhe annual ocp and on the JpC provisional : Preparations of the agenda should bePlan of Operations 27. - Consequently, the relevant itemsmodified at the opening session to readfor the phasing-out period (199g _ZOO2), ocPlcsA Page 65 5 H. DEVOLUTION 28. The Committee was informed about the progress made in the field of devolurion acriviiies. Yankum ;";;1; unaeriined OCP's sensu stricto role' stressed by EAC,-"rra summarizea'ti"-.titeria for successful ocP support as making rhe ,,roorsi,and methoat "i"ir"ii" "t *tIi;;-;ttt,rit'g their transfer and i.l"gl".ion i-nto national health systems ' 29- OCP was considering merginq^Yti::/1:tt:i:ttt concerned with devolution and wourd present structural noalfications, ",i*i.rg at enhancing the attainment of the programme objective, ,fali-".,-ioa"tr,"1 "brli"ttorming" session in october. a p"ptr vl-o'-tfa tt'"n ue it;'"i:l for JPC'15 outlining the future approach to supPorting devolution by OCP' 30.FredWurapareconfirmedwHo/AFRo,s.commitmentstoensuringsuccessful. devolution, ranging from stre"g;;";i;; :he- olfi;es of I'IHo Representatives 1n supporr to MuItIdi!ease Surveillance ind control development Eo direct assisEance, through OCP' as regards integration' 3l.YvesGeneviersummarrzedtheprogressmadebytheWorldBankinfinancing evaluarion of existing epidt*i"it!i"li"tt'*titl^n"'"1"ontrol systems within counrries in West Africa in t.r*r-.f .a1"1:-otg",,i"tio"' activities' financing andtraining.Suchevaluation,carriedout.in-closecollaborationwithWHo staffandstaffofotherinstitutions,aimedatdevelopingrationaland coherent systems. Donor ,rrppori was invited and semi rs organized' 32. The ,oorld Bank intended ro prepare_a-pap?r f.r ,t!:11..:Tr"tting the policy/appro""i oi at. Bank in sripora of devoLution summar:rz1J.€ the results' and providing informarion ,"r".iil'g-tt" pri.t"ipttt and methods of Bank- financing which mighr be relied upJn in ttupt""-io dt'ol'tion and devolution- related activities ' I. FINANCING OF OCP 33. Bruce Benton inforrned the Committee that OCP was now Phase IV (1992 -Lggl) retaining the US $ 10 million reserve ' reduced to uS $-i *irrion during the phasing-out Period) ' J. OTHER I'TATTERS fullY funded through(planned to be 34. In resPonse to an offer bY thejpi.io their rEC projects in Burkina at.' t.""Uation thac written material the meeEing room' Helen Keller Foundation to demonstrate Faso and Niger, the Courmittee suggested could be made available to ParticiPants at to in DATE AND VENUE OF CSA'55K 35. The on 28 and sixty-sixth session of CSA would be held at 29 SlPtember 1995 ' FAO headquarters in Rome tI ocPlcsA. 65 page 6 Members Secretariat Invi ted ANNEX 1 - Bruce Benton, Ilor1d Bar - G6rard Ciparisse, FAO - Yankum Dadzie, WHO - Bernhard Liese, World J - Alioune SaIl, UNDP - Claude-Henri Vignes, WI PARTICIPANTS irk (Chairman) Bank Liverpool SchooI of Tropical Medicine, Liverpool Population and Human Resources Unit, WorId Bank, llo Ole Worm Christensen, OCP Consultant, LIHO, Geneva (Secretary) Laura Cooley, Onchocerciasis Unit, l.iorld Bank, Washington Yves Genevier, Pubric Health speciarist, world Bank, washington Fred Wurapa, Consultant, Regional Office for Africa, WHO, Brazzavi- r.Le Garrett Mehl, Consultant, Onchocerciasis Unit, World Bank, Washington David Molyneux, Ok Pannenborg, Washington Bjorn Thylefors, LIHO/PBL, Geneva Frank Walsh, Consultant, WorId Bank, Lytham, U.K I rl 1 2 3 4 5 The the ocPlcsA page 55 7 ANNEK 2: LIST oF DECISI0NS UNDP inventory of regional mechanisms in 1.lest Africa to be available by September 1995 (Para. 5). The possibility of WllO waiving the 142 overhead on APOC expenditures to be negotiated (Para. 8). The APOC Programme Document to be presented to the Donors' Consultative Forum and to the Joint Action Forum (para' 10)' legal framework of APoc to be worked out by wHo for presentation to two above fora (Para. 14). The APOC Programme Document to be completed by a section justifying its regional set-up and by showing donor contributions in real terms(para.15) . Tt:e Executive Heads of the csA organizations to bc invited to attend the closure of JAF on 5 December (para. 18)' proceedings of JAF and ocP l,linisters of Health private meeting to be reported to JPC (Para. 22). cSA paper on follow-up to 1994 Ministerial Meeting to be prepared for JPC(para. 22) . The budget estj-mates in the QCP Plan of Action and Budget for 1995 to be revised upwards (Para-24) . Brief note on the preparation of the Plan of operations for the Phasing- out Period to be submitted to JPC.16 (para' 26)' ocP to prepare, after the october "retreat", a paper setting forth the future "ppio^"t to suPPorting the devolution process (para ' 29)' 6 7 8 9 10 11 13 L2 The Wor1d Bank to Prepare for JPC ' 15 a paPer on the in, and financial support to, devolution (para' 32)' Helen Ke1ler Foundation to be informed that written made available to JPC.15 participants (para'34)' Bank's involvement IEC material might be 14. csA.66 ro be held in Rome on 28 and 29 September 1995