Second year technical report on community directed treatment with ivermectin (C.D.T.I)implementation in Kogi State: twelve months ( end of year) report

)For /rcti,-'n , i) KOGI STATE A.P.O.C, PROJECT (NGKG2) SECOND YEAR IECHNICAL REPORT ON COMANUN]TY DIRECTED TREATANENT W]TH MERIIiECTIN (C.D.T. l.l ITIIPLEfIIENTAIION IN KOG! STATE TWELVE MONTHS (END OF YEAR) REPORT i t r)-rris cn[ rln [17 l;,i11;-;i;' r. Tc,JlQ,( i.Va,\" C S\"'i' orI C-'c? e.t4: i.!;.pJ.ysr 1999 a- f = Fd o l':d o o a H H ts a o =z o !' P -l) = tslF ts I v - :- a td rd z o =r.dF ld =ldz F, E' x{ , ltl{{ r?1 o rn IJ (n{{ rq fn o r_\ IA -lI' -{ rrt g1 aI ot{Do *- _\- o 6) oI = 6l oz o \\ )' \ + t I xx>o ,{TIOmz 1-_ 4-z +rl ax o oJa lYl '.2 rC ti) rE tn{ *l m 7- Dr(I, x !D 6 -1 --{ m iin lt 1: sr \ls c, zd T Tr{ m c ! ln -{D{ mb at c aH \lI'VI *p Cc c Y o o a x o ,r a a a x @o tD cz C o crtt o o a cl a L Rq,{ c\ oo o o o BENUE STATE KOG| STATE - A.P.O.C. PROJECT (NGKG1) SECOND YEAR TECHNICAL REPORT ON C.D.T.I. IMPLEMENTATION IN KOGI STATE END OF SECOND YEAR REPORT EXECUTIVE SUMMARY Kogi State is one of the highly endemic State with Onchocerciasis in Nigeria with Over one million (1,000,000) persons at risk. Kogi State is made up of twenty-one (21) L.G.As all of which are endemic. The Kogi State Project was one of the first four (4) projects approved in Nigeria. ln the first year, five (5) Local Government Areas (LGAs) namely, Yagba West, Yagba East, Olamaboro, ldah and Ofu L.G.As were supported by APOC. ln the second year of implementation, control activities expanded to cover eight (8) additional L.G.As. The 8 new LGAs are Mopa-[Vluro, Lokoja (formerly Kogi LGA), Bassa, Dekina, Omala, Ankpa, lbaji and lgalamela/Odolu LGAs. Activities undertaken during the current implementation period broadly includes Workshops, Community Mobilisation, Health Education, Monitoring and Supervision and collection of Reports. The Workshops conducted were Awareness/Orientation workshop for 38 participants, State Level Advocacy Workshop for 44 policy makers, Local Government Level Advocacy Workshop for 51 policy makers and opinion leaders. Retraining of 12 SOCT members who were trainers of LOCTs, and Re- training of 179 LGA Onchocerciasis Control Team (LOCT) members on CDTI also took place. Community mobilisation, Health education and Training of Community Directed Distributors (CDDs) took place from May to December in 13 LGAs. 2,838 CDDs were trained in the 13 LGAs. Treatment has been concluded for the second year. our target for 1999 was '13 of the 21 endemic LG.A.s The other eight (8) L.G.As implemented CBIT and they will commence CDTI in 2000. ln the 13 L.G.As implementing CDTI , 622,671 persons were treated while 344, 999 persons were treated in the remaining 8 L.G.As A total of 1,694 villages were treated in the project ./L t atea. However, a total of 967, 670 persons were treated in the 21 L.G.As of the State. TWELVE (12) MONTHS (SECOND YEAR) TECHNICAL REPORT ON C.D.T.I. IMPLEMENTATION - KOGI STATE SECTION 1 BACKGROUND INFORMATION Kogi State is centrally located in the Middle Belt of Nigeria and shares common boundaries with Niger and Nassarawa States and the Federal Capital Territory to the North. To the East, the State has a boundary with Benue State and to the South with Edo, Enugu and Ondo States while to the West it has a boundary with Kwara State. The two largest rivers in Nigeria, rivers Niger and Benue, form a confluence at Lokoja, the State Capital. The vegetation is made up of rain forest in the Western part of the State, wooded savanna and grass land in the East, forest savanna mosaic to the South and Guinea Savanna in the North. Onchocerciasis was first reported in Nigerian in Kogi State in 1907 at Lokoja on River Niger. There are also several other fast flowing rivers namely, Ofu, Anambra, Ubele, lnachalo, Okura and Oyi, which traverse the several endemic communities in the State. The main occupation of the people is farming, lumbering, fishing and trading. Onchocerciasis control with ivermectin started in the former Benue and Kwara States from the late 1980s. However, this did not coverthe Kogi State part of the States. Skin snipping to determine endemicity level had been conducted in Kogi LGA before the creation of Kogi State. UNICEF assisted onchocerciasis contorl in the former parts of Benue State that was carved into Kogi State. ln the same way, AFRICARE Supported the endemic areas that were in the Kwara State. Mectizan Distribution Programme started in the present Kogi State in1993 with support from Africare in Kogi (now Lokoja LGA) and ljumu LGAs with 18,385 persons treated. ln 1994, the programme expanded to 3 other LGAs with 108,885 persons treated. 216,388 persons were treated in 9 LGAs in 1995, while 213,959 persons t twere treated in'1996. By September 1997 following the deserting of Nigeria by USA, Africare withdrew its support to the State. The National Onchocerciasis Control Programme approached Sight Savers lnternational who provided support from October. By the end of 1997 , 511 ,074 persons were treated in 18 LGAs. ln 1998, a total of 847,726 persons were treated in 21 L.G.As wilh 223,558 persons of this being from the first 5 APOC-assisted LGAs. ln 1999,967,970 are treated in all 21 endemic L.G.A.s. With the expansion in the second year to eight (8) additional L.G.As, the project activity is as reported in the subsequent sections. SECTION 2 IMPLEMENTATION OF C.D.T.I. - YEAR 2 L.G.As COVERED: Thirteen (13) LGAs were covered. They are Ankpa, Omala, Dekina, Bassa, Ofu, Olamaboro, ldah, lbaji, lgalamela/Odolu, Lokoja, Mopa-Muro, Yagba East and Yagba West. The implementation of CDTI in year 2 of Kogi-APOC project started actively with Advocacy visits by Sight Savers lnternational and National Coordinator of NOCP, Dr Jonathan Jiya to the State. Subsequently, awareness, advocacy and training workshops were held for both State and L.G.A level officers. MOB TION The thirteen (13) LGAs have had community mobilisation and health education on CDTI strategy and sustainability. ln each case, a team of staff drawn from the NGO, S.O.C.T. and L.O.C.T. were involved from community to community in '11 of BLGAs. The other 2 LGAs, the SOCT and LOCK Staff were involved are Omala and lbaji LGAs. 3 MECTIZAN DISTRIBUTION: Distribution was carried out in the thirteen (13) APOC assisted LGAs (i) ln 1999, the expansion of the CDTI project from 5 to 8 additional LGAs enabled us to expand to 1175 new communities in Kogi State. These LGAs have been distributing Mectizan based on the use of Community Based Distributors. The expansion required extensive community mobilisation and health education. So a total of 1,489 communities have CDDs in place. (ii) The 13 LGAs are in various rounds of mectizan distribution, Lokoja (formerly Kogi) LGA started Mectizan distribution in 1993 while Bassa, lbaji and lgalamela/Odolu LGAs started theirfirst round in 1997. Olamaboro LGA is on the second round, having started their own in 1998. (iii) A Communitv: This is defined as a group of people sharing the same interest and having the same leader. Where communities are large, they are subdivided to either l, ll or lll. TABLE 1 TABLE SHOWING C.D.T.I. IMPLEMENTATION S/N DISTRICT/ LGA NO OF COMMU- NITIES/ VILLAGES NO. OF COM- MUNITIES/ VILLAGES THAT SELECTED CDDS NO OF COMMU. NITIES/ VILLAGES THAT COLLECTED DRUGS NO OF CO- MMUNITIESi VILLAGES THAT DECIDED ON METHOD OF DISTRIBUTION NO OF CO- MMUNITIESA/I LLAGES THAT DECIDED ON MONTH OF DISTRIBUTION NO OF CO- MMUNITIES/ VILLAGES WITH TRAINED CDDS NO OF CO- MMUNITIES/ VILLAGES PAYING CDDS IN CASH OR KIND 1 OLAMABORO 195 187 187 187 187 187 187 2 OFU 210 188 188 188 188 188 169 2 IDAH 68 63 63 63 63 63 58 4 YAGBA EAST 66 52 45 52 52 52 52 4 YAGBA WEST 18 18 '18 18 18 18 18 6 MOPA MURO 27 28 28 28 27 28 28 7 LOKOJA 82 57 57 49 28 57 57 I BASSA 147 145 145 145 145 145 137 9 DEKINA 230 207 207 207 207 207 201 10 OMALA 120 97 92 92 92 97 86 11 ANKPA 200 160 149 149 149 160 153 12 IBAJI 168 109 109 84 84 109 109 13 IGALAMELA/ ODOLU 163 178 165 toc 165 178 165 TOTAL 1694 1489 1453 1427 1405 1489 1420 h TABLE 2: TABLE SHOWING THE TRAINING OF THE DIFFERENT LEVELS OF STAFF INVOLVED IN C. .T.!. IMPLEMENTATION. Old Five (5) APOC LGAs that are having their second training New APOC LGAs. Yagba West had 2 training in the first year NOTE Above table is the total number of LOCTs trained both at the Workshop in table 3 and in the field. 2 1 EYK I S/NO DISTRICT/LGA NO. OF TRAIN!NGS UNDERTAK EN NO. OF LOCTS TRAINED NO. OF DISTRICT OR LGA STAFF TRAINED oN c.D.T.t NO. OF HEALTH CENTRE/ POST STAFF TRAINED oN c.D.T.t NO. OF CDDS TRA!NED 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 11 12 13 Olamaboro Ofu ldah Yagba East Yagba West Mopa-Muro Lokoja Bassa Dekina Omala Ankpa lbaji lgalamela/Odolu 2 2 2 2 3 1 1 1 1 1 1 1 1 17 18 15 15 10 10 8 14 29 11 9 8 15 13 16 12 12 10 10 8 14 29 11 I 8 15 13 '16 12 12 10 10 8 14 29 11 I 8 15 350 400 163 182 70 61 88 171 361 133 240 268 351 TOTAL OLD LGAs = 2-3 NEW LGAs =j ',79 167 167 2,838 I TABLE 3: AWARENESS. ADVOCACY AN D TRAINING WORKSHOPS AS AGAINST ANNUAL TRAI ING OBJECTIVE (A.T.O) TRAIN!NG OBJECTIVES: The training objective for each training, awareness and advocacy workshops are as in the table above. Twelve (12) S.O.C.T members were trained as against the target of 1 1 persons (109.09%). The LOCTs trained were 179 as against the target of 124 persons (144.35o/o) were trained. At the time the L.G.A Workshops were being held, there was a general Labour Union dispute in the State thus not all the participants turned up. However, the rest where trained ln the field. TRAINING MATERIALS: The materials that were used for the training included: . 3000 Onchocerciasis health education posters . 600 Flip Charts for training and advocacy workshops o 1000 CDTI lnformation Brochures for CDDs . Television and video were used to show the CDTI film for Advocacy and Training of Trainers' workshops. 600 trainers manual for LOCTS. 6 S/NO ACTIVITY EXPECTED/ TARGET NO. OF PARTICIPANTS ACUTAL NO OF PARTICIPANTS % SUCCESS 1 Awa reness/O rientatio n Workshop 25 38 152% 2 State level Advocacy Workshop for Policy Makers 40 44 110% 3 L.G.A level Advocacy Workshop for Policy Makers 52 51 98.A7o/o 4 T.O.T. training for SOCT 11 12 109.09% 5 T.O.T. training for LOCT 124 | ttg 144.35% aa MIS forms such as Community Register, household summary forms, community summary forms, adverse reaction forms, LGA and State summary forms were used for training during record keeping sessions. Marked measuring sticks produced from nymph trees were used to determine dose based on height. TABLE 4 TABLE SHOWING COMMUNITY MOBILISATION AND HEALTH EDUCATION OF S/NO DISTRICT/ LOCAL GOVT. AREAS NO. OF COMMUNI TIES/ VILLAGES MOBILISE D NO. OF TARGET COMMU- NITIES/ VILLAGES WHICH RECEIVED H.E ABOUT IMPORTANCE OR EXTENDED TREATMENT NO OF ADVOCACY VISIT TO STATE OR REGIONAL DIRECTORS OF HEALTH NO OF MOH STAFF INVOLVED IN MOBILI- SATION NO OF NGDO STAFF INVOLVED IN MOBILI- SATION 1 2 3. 4. 5 b. 7 8 I 10 11 12 13 Olamaboro Ofu ldah Yagba East Yagba West Mopa-Muro Lokoja Bassa Dekina Omala Ankpa lbaji lgalamela/ Odolu 195 210 68 65 18 27 82 147 230 120 200 168 163 195 210 68 65 18 27 82 147 230 120 200 168 163 3 3 2 2 2 3 2 2 2 2 2 2 1 TOTAL 1 694 1694 28 22 1-2 1 1 1 1 1 1 1 1 2 2 2 2 3 3 2 2 2 NIL 2 Yl TARGET COMMUNITIES AND THE NUMBER OF STAFF INVOLVED. MEDIA MOBILISATION: A. RADIO JINGLES: Radio Jingles sponsored by APOC were aired in eight (8) Local Languages twice monthly in the State for the months of April, May and June. STATE: The State Radio granted two (2) free 30 - minutes health talk on Onchocerciasis Control Normally, each 30 minutes programme costs (US $250) B. TELEVIS!ON: ln June and August, 1999, the Nigeria Television Authority, Lokoja granted two (2) 30 minutes air time for Onchocerciasis Control Programme. This would have cost (US $550). Both media coverage had very high impact. SUGGESTION TO IMPROVE MOBILISATION More time is needed for mobilisation of the various communities. We need more money for Travels during Community mobilisation. We need more posters and C.D.T.l. brochures for the various communities and possibly in the various Local Languages. We need more fund for media mobilisation on Radio, Television and Local Newspapers. 1 2 3 4 I SECTION 3 ACHIEV ENTS: The State Government has released the sum of five hundred thousand naira (N500,000.00) i.e. US$s,000.00 as counterpart funding. Part of the fund was used in carrying out mobilization, He training of CDDs in lbaji LGA and supervision of mop-up treatment in December, 1999. This is outside of the monthly salaries, Telephone communication and electricity bills that are being paid by the State. TABLE 5: TABLE SHOWING ACHIEVEMENTS lN TERMS OF COVERAGE AND NO, OF PERSONS TREATED. The above cost per person treated does not include the cost of the drugs. SN DIS-fRICT'I-GA NO OF I'.ARGh l (.OMMLI. NITIT'-S, VILLAGIlS I-REATEI) 1'OTAL POP['LA f I0r.N OF I-REA'fEI-) COMMLI- NI'l-lhS NO Of ELIGIBI-I- PERSOn\S TRITAI'hD CO\I' PI:R PF-RSO \S I'RhA I' I: [) N NO OF C'OMM'VI l-LAGhS IN \^'HIC'H CDD IS III]ALTH U'ORKER NO OF DISTRIBL I-I ONS ST PF-RVISE DBY HfiAL fH WORKERS \o oF I'REA'IED C'oN4ML'NIT IF-S \T'ITH SL'MMARY FORMS I ANKPA 200 88.970 11.196 3.6 I t60 2 BASSA 147 59.253 50.717 3.9 I l4_s J DEKINA 230 1 10.149 92.03 5 -1. I I 201 4 IBAJI 168 58536 56.0 r 2 -l .., I 109 5 IDAH 68 42.268 3r.r52 2. I 2 63 6 IGALAMELA' ODOLU r63 76.654 63.e83 I 3 r i I r78 7 LOKOJA 82 .11.892 i I .361 tl I 51 8 MOPA MURO 27 23.103 2t.t t] l.s 2 28 9 OFU 210 90.784 13.113 J I 2 r88 l0 OLAMABORO r95 58.276 48.3 89 "1.09 2 r87 ll OMALA r20 42. I 30 28.206 1.1 I 97 I ) YAGBA EAST 66 .15.651 3 3.508 _5.07 2 52 r3 YAGBA WEST l8 22_532 ')l )<') .1.i 2 t8 TOTAL 1694 760,801 622,611 .1.05 ,_< 1489 NOTE: 3 Treatment coverage rate = Number of Persons Treated x 100 Total (Census) Population 622,671 x 100 760,801 a34% ABSENTEES: However, the most common reason for Absenteeism was Farming since farmers do not want the burden of itching to interrupt their farming. Farming activities is at its peak between April and October each year. STEPS TO CORRECT ABSENTEEISM The most important step needed to be taken is to carryout lDPs during the DRY SEASON when farming activity is lowest plans are been made for treatment before April and after October in subsequent treatments. Carry out Health Education on the importance of compliance to annual treatment for ten (10) to fifteen (15) years. Carryout mop-up treatment before December of each yeat. lntensify media mobilization. 1 2 3 4 to 12 5 6 3 4 1 2 SECTION 4: A. STRENGTH OF C.D.T. I. PROGRAMME Kogi State Project has adequate technical manpower both at State and LGA levels. The State has released US $5,000 as counterpart fund for the programme and there is more visible political will than all previous administrations. ln our project, almost all the LOCT members are also members of the Primary Health Care team in the Local Government. This has made integration easy. There is a high level of cooperation at the L.G.A Policy makers' level who have been assisting coordinators with funds for motorcycle fueling and maintenance and in many cases paying of allowances to staff. Most of the communities have supported their CDDs in collecting their drugs. The N.G.D.O. normally provides technical assistance for Advocacy, Training of SOCT and LOCTS, Mobilisation and Education, Training of CDDs, monitoring and Supervision. B. WEAKNESS OF THE C.D.T.I. PROGRAMME The following weaknesses need to be mentioned. lnadequate fund to the Government hinders prompt payment of counter part funds. The sum of US $60,000 was approved in the 1999 budgetary provision. Of this, the Government was able to release N500,000.00 (US $5,000) There is need for increased advocacy visit to the policy makers at the State level to explain the APOC concept. C. HELP NEEDED 1. FROM GOVERNMENT Better political will. Release of more counterpart fund for the programme a. Easy{o-maintain motorcycles from APOC for the LGAs e.g. Suzuki cl b APOC MANAGEMENT2 tt bC d More Bicycles for the LGA supervisors. One laptop computer. Advocacy visits to the State and LGA level, by NOCP and NGDO tv C.la I c 't o IJ ae = e. ., a G J- =\ x o Q U'{ { rn 1' oo (D C U o rn{ rn n A ! rJ - IJ IJ x i '.rt ^\ ; x IJ IJ -.j tJ .e --J 1- IJ .^ IJ l- J_ :- +\l s .^ ;3 )J tJ =\- tJ IJ _\- --l 7 o a- o o -l - =' =.qa ?pa 7€ JA aa\ =a a o !. -o = =o a c o (,a(? an --l co IJ \.1 IJ IJ L,tJ tJ O \] t,\c{O G - \D5 5!C \c o\ +: o. o. t-J TJ o -tJ € }. CC tJ i ..r -J{ tJ +: tJ IJ IJ o\ G IJ -l ,c ! o.. s> rD - +- \l { (.J O oo .o6 7 'T' ! J- E O & 5 O tJOO +-5O z C IJ .c oo i ..r IJ O ..o@ €O IJ UJ TJ tJ * o. { C cc o. ,+- t.J\oO -l _J r- /13 KOGI STATE APOC BUDGET DETAILS AIVD JUSTI FICATIOIV APOC YR -+ t00t o o 50 300 0Sub - Total SUPPLTES/EDUCAI'ION/MOBI LIZA-f ION a) Photocopi'ing papcrs ( l0) b) Computer printing papers ( l0) c) Diskettes (15 boxes) d)' Calculators ( l5) e) Treatment notebooks. personal cards + MIS fbrnrs 0 l-oner lor photocopier x (15) g) Toner for Laserjet printer x ( 15) h) Slate au'areness orientation u'orkshop i) 40 participants for leadership advocacv xS-{Ojt Onchocerciasis day' activities k) Press kit - 12 (200 per Slot x $ 1.00) It Health education rnaterials (100 x 3 x 3 lan_uuases x US $0.50 m) LGA arvareness orientation uorkshop for policr ntakers. 8 participants per LGA n) Radio jingles in 8 languages t\\'ice monthl) Sub - total 1-IIAINING: a) SOCI'trainingw'orkshop(CDl-l) b) LOCT Training/Workshop (CDl-l orientation) ( l1 per LGA) x 2 da1's - 2l LGAs in year 3.4 to 5. c) I{etraining malerials for LOCT d) Training Curriculum guide for SOCT A-f S 10 lbr l0 people e) -l.Q.M training for 4 SOCT members at $617.,5 each ,140 50 50 I 2 6 400 1,600 300 600 4.710.50 960 400 I 1,360.50 300 10,080 800 100 2.470 S/NO EXPERNSES/ITEM/ACTI VITY DESCRI PTI ON I PERSONNEL Sub - Total 2 CAPITAL EQUIPMENT STATE AND LGAs a) Toyota 4-'*'heel drive b) Suzuki motorcl,cles J 4 Sub - Total t14 r3.750 56 7 8 TRAVEL: a) Maintenance olvehicle_s (US $ 250/qtr; bt Cost ol- insurance of M (1) rnotor vehicles c) Cost of insurance of 2l motorcvclej d) Iruel 2l LGAs in 1,ears i to 5. Llealth educarion. supenisiorr And collcction ol- reports. ( US$2-s9t.,1ry e) Maintenance of motorcycles 2l LGAs in rear i to 5 0 conrnrunity entr)'. mobilization and Flealth education(LGAs in r ears 3-5 g) Monitoring and supervision (21 LGAs in r ear i ro 5 ) h) Travel to Zone. Federal and NGO i) Travel for LGA staff. Health Educatiorl. notil'ication of arrival of druss minimum supervision (21 LGAs in 5,ear. 3 to 5 ) Sub --fotal COMMUNICAI'ION a) Telephone/Fax line and char_rres ($16.66 per lnoltrh x l2 nronths) b) Courier charges ($30.00 per month x lr nrontlrs) Sub - Total CONSULTANTS Sub - Total EX'IERNAL AUDIT Sub - Total I 4 I 000 000 000 3,180 r.050 6.7 50 6.200 300 i:.r:o ' 26.790 200 360 560 1.000 1.000 0 0 t{ o ()PEnnl ING EXt'EtrlSES: a) NOTF tneetings (2) x 2 Persons t') ZOIF meetitrgs (4) x 2 Persolrs o) NOl F sub-cornlllittec rtreetittgs (4) r l) Ottico utilitios rr) Mop-uP activities Ilub-l'otal iecrir.ricAL Assl s I-ANCE : NGO: n) Travel allowanco for Tcclrtrical sorvices providcd by ssl stalt, cR-.' a FO (Corrurrrurrity eptry, rlobilisatiott, and ['lcaltlr education) Driver's travel allowartco 40 days at $20 Compaq Presario Computer,4.1GB, UPS 1400V' and HP 890 Printer b) CountrY Offico Sttlrpott: Proicct Mattagcr flook-keePet/Accottt ttar tt Adrtrir rlsh ative Assistat rt l)ata ErrtrY Clctk Utllily Stall Two (2) drivers Four (4) SccutitYrnott Sub-Total TOTAL FOR A. P.O.C. 3,000 3,000 3,000 't,000 1,560 I r,500 t0 2,1 00 800 2,000 3,000 '1,400 1,000 500 1,000 1,000 1,000 2,000 15,800 80,820.50 "46 't NGDO CONTRIBUTION S/NO EXPENSES, ITEM/ACTIVITY DESCRIPTION 1. Personnel - Country Representative, Project Oflicer, 2. Drivers SUB-TOTAL Supplies - Statiottery, computer corlsurll MIS forms ables atJ. SUB-TOTAL nAinins ior SoeTs aiia LOC'fs: Fuel ancl sustettance allowartce atrd production of Matorlals SUB.TOTAL 4 Travel: lnsurance ol vehicles Motorcycles (10) Fuel Maintenance of velticles YEAR 4 (2001) 5,440 5,440 500 500 6s0 650 4,700 1,000 400 400 1,200 1,250 500 1,750 1,000 i,ood SUB.TOTAL 5 Corrtmuttlcation: DHL, postage and Fax SUB.TOTAL Corrsultants - to cover cost ol trav ol, accolttttrodatiort atrd Sustenance lor consultaltts'visit to project areas. 5uB-lotAL:- - 6 7 External Audit - to cover cost ol auditirrg o[ accounts, productiotr ol reports and postage. SUB.TOTAL Operating expenses 1,000 I 3,950 SUB-TOTAL 3,950 TOTAL FON NGDO 17,640 t -4+ S/NO 1. MINISI RY OF IIEALT I''S SUPPONT EXIIENSES, II EM/AC IIVIIY I)ESCI]II' IION t,ElISONNEL Sub-Toial CAi'ITAL EQUIPMEN T SuL toiai stit,r,Lieslt=i.rUcn i iorulrttotlt-isA r IoN a) Writirrg tatrles ($sO.tltt x Z;lr) Prirrtirrg of lloslers irr B larrr;rrac;os c) Flip <;lratt Iroattl d) Otrr;lro<;ctciasis D:ry activltios (Serrrirrar, lrrirrtirrg ol Postots arrl flyors, trso of Rarlio arrrl Tolovisiorr Sttlr- lolnl llrAlNtN(i [-ittlr l olrrl lllAVl-t(a) Vclrir:lc rrr;rirrlcn;llr('() lt) lvlototr;yr;lo trr;'rirrlcn;ln()r) (ttsr:<l orres) o) [-ucl d) Suporvisiorr) Sub--lotal coMML'NiCn t tor't (teleplrorre, ['Ax, Couricr, E-lvlail (n) iloryttllr rrr;rils; Sub- lotal c()Ns(,ll_lnNtr-; Stt[r- lolrtl EX I l:t lNAl n tJl )l I Sttlr - lotrri ol'rlln I lN('l l.xl,FNstt'sl Olllt;o Ulllltlos Stlb - lolnl I O I At.. t Olr SM(.)l I YEAn 200 1 !8,e6Q !8,s60 33,500 3 33,500 1,500 200 t,800 I],1-r0o 3,500 tl,r;()o l ooo 4 t; 6 ()( x) 2,300 3,300 /,500 6960 I t) 6(X) /,50u () o 0 o 0 o / 4.lt?O I t 4{ 2 23 LGA SUPPORT (zt tcas in year 3 to S) S/NO EXPE M/ACI IVITY DESCRIPTION PERSONNEL Sub-Total SUPPLIES/ED UCATION/MOBILISATION Oncho Day activities (13 LGAs in year 2 and 21 LGAs in r3to5 Sub-Total Traini Sub-Total Travel 5. Sub-tolal Corrrrnurricatiorr Sub-Total 6. Oporatirrg oxpe-nsos Sub-Total YR 4 2001 39 890 _9,?304 _ 9,90q 9,000 _ 2r 10_0_ 2,1 qq o 0 12,350 39 890 12,350 8,230 TOTAL FOR LGA 71,570 t /19 t ITE t a .I { BUDGET JUSTIFICATION l. Personnel This will always be required for project implementation. The State ministry of Health and the LGAs will provide the personnel and pay their salaries. This is excepted to be prompt and timely. 2. Supplies/Education/mobilization This is for project management, education and mobilization. A total of nearly Z,5OO communities are to be covered and this require extensive travelling, posters and other materials. 3. Training Training and retraining of staffat the State, LGA and communities is vital for the success and sustainability of the program. In addition to actual field and group training, training, training materials for trainees are needed, fuelling and vehicle maintenance for travels for training, etc will be required. 4. Travel Insurance a. Motor vehicle. Two motor vehicles donated by APOC are in the project. There is need to have a comprehensive insurance coverage for these vehicles on yearly basis in case oftheft or accident. b. Motorcycles. A total of twenty one (21) motorcycles, i.e. one per L.G.A and all these need comprehensive insurance coverage in case oftheft or any accident. The program requires a lot of travelling. The Federal Government has just announced an increase in the price of fuel in the country and this is going to affect every other thing across the board. The travel shall cover community entry and mobilization. Healt[ Education, delivery of drugs to centrally agreed points, supervision and monitoring etc. AII these account for the budgeting we have done. 5. Communication Communication between partners in the project will ensure successful and coordinated implementation. This will be by telephone, courier service, Fax and E-mail. 6. Consultants There is need for training and retraining on data management so that the project sites can effectively manage data from the field. Consultants will also be useful in tiaining partners on management information system (lnflS) tfr t l, t 7. External Audit Since this is purely the prerogative of APOC to decide as to how and when, we decided to leave it to APOC management to decide. 8. Operating Expenses There is need for both the NGDO and State to attend National, Local and State review meetings. The NGDO is also required to attend NOTF and other national meetings. Training on Total Quality Management for SOCT members is needed for effective program management. Fund is needed for this. 9. Technical Assistance Technical Assistance is being paid by APOC to NGO project personnel in Sight Savers International offtce. These staff work for Kogi, Kwara, Zamfara and Kaduna States that are being assisted by APOC. [,4 2 a IJ