Strategic exist plan for the African Programme for Onchocerciasis Control (APOC) in Tanzania : from 2008 to 2012

STRATEGIC EXIST PIAN FOR THE AFRICAN PROGRAMME FOR oNcHocERclAsls coNTRoL (APoc) lN TANZANIA R @ae i i n_ ! i I I 3 0 Aou ?t,n? LL/ U KU P. t'O C FROM 2008 TO 2012 -tlz Far Acti To: CdoR\ For lnbrraotlon ro, )iR Ao il 2 4 a0tJr 2007 H. II STRATEGIC EXIST PLAN FOR THE AFRICAN PROGRAMME FOR oNcHocERCrAStS CONTROL (APOC) tN TANZANIA FROM 2008 TO 2012 LStrategic exist plan for the African Programme for Onchocerciasis Control (APOC) in Tanzania from 2008 to2012 Background Onchocerciasis in Tanzania is endemic in lSdistricts where more than 2 million people are at risk of acquiring the infection. Since 1998 in collaboration with APOC there have been established seven Community Directed Treatment with lvermectin (CDTI) projects in Mahenge, Ruvuma, Tanga, Tukuyu, Kilosa, Morogoro and Tunduru at a periods of between three and eight years and a VectoiEiimination Project at Tukuyu. These depend mostly on Non Governmental Donor Organizations (NGDO) and local government authorities for their sustainability. Within 10 years of operations, APOC has established grassroots structures in 16 endemic countries and developed strategies for sustainable community drug distribution with satisfactory treatment coverage. fhe Community-directed Treatment with lvermectin (CDTI) is now a widely use-d approach in all ApOC countries and provides an opportunity to the countries to broaden essentiai health care services delivery to underserved and most remote communities; to contribute to strengthening their national health systems; and to promote integration of other health interventions in those countries. - Tanzania has developed a National Onchocerciasis Control Programme (NOCP) since 19gg with an ultimate goal of controlling Onchocerciasis to a level that it is no longer disease of public health importance and obstacle to social- economic development in Tanzania, in t[e period of 15 - 20 years. APOC will complete its support in 2010; the big challenge which is facing the National Onchocerciasis Control Program is to sensitize District lguncil to give priority to CDTI acti-vities by incorporating it in theComprehensive Council Health Plan (CCHP) and allocate resources for the implementation of CDTI activities in order to sustaln the program after the exit of APOC in 2010. Another challenge is the affected communities to understand and agree to own and run the program by selecting CJmmunity Drug Distributors (cDDs) who will be willingly to perform work without pav. This plan will focus on the exit of APOC in Tanzania CDTI prolect where by old CDTI projects will plan from 2008 to 2010 and new CDTI projects from 200g to 2012. I I I I L- I I UJId oo (J o o- J FoF ooo ooo @to ooo nN$ ofn rl ooo o lr)o Ol ro ooo ot,lt\ o\t ooo N$ @ @N E{ o rlN moo lo(n F{ ooo fr)o r{ roNN ooo o mto oN$ ooo oto F{ mI\ E q - ooo rt NNd\o Ooo ooO \o N oood rf)@ @ F{ ooo. 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OOO- tr)(o Otr) F-- r o) -olc!l o(o co_ O)O)O O o cf) tJ)_ @(\l o) c.)O CQI o rfd o)(o od r4) € c! oC\ o cf) c.,t c\In c\J$ Otr) o)-(oO o)- o$ OO(o_ OoO- t- OI-lr)-(r)O -d.(olC\I oO) oq(o coO cvlf'- | o .<f d c{ @-l o)l@lFl oc! of-lrl tr)(o rJ)- @ cf) o -{. co@ r r\ CQ] O cf) rys(o co^(o Olr) c.I C9oO- -<fC\ Or @_ o(o ry(o(o oo o_ C{@ co c.iF- o o(\I oo(o_ o)lr)O- Lr) cf) oO -1- t-O@ cDl cDl ol-(o_ lr) @t-_ tr) O -t (\I @^ c\ r oo FJ cf) ryO(o o o)_ o \(ot()l o)ooc! o@ ry C\If-@J col oOO- $ c.)t-^ O C'2 OO\ o) r.-c)(\l l'r)l I oO -i: f- cf) co o)l\_l I OoO (o\$U) o@ cr:) -f(o r+- C\f .<f @oo(\l OO @_ $f--O) o c\l I OO o_ o\f, O)_ r\ c\.1 oOo- Oo|r)^ c\ Ooo- oolr) oOo- OO o^ tr)(o o Lr) rr)_ -@\ .if oOO^ -<f (Y)O- @ o cf) r-_ c!@ F-_ O) .<f o@q(o rr:) rio, .=E = o) Lr) C\ c\ -Y :f co o =o EDE =ET G E=Ht L -I- dio-Yl e s*l T' L(uc o)o .='6b'= '= a.l o= .2. u) c G) E .g =(r I.IJ aL G) ::) o_ EoO a= ct) o_ =r=- o = -<f oC) .o J\5e =Bivl-l U) .(DE-d =o) I C .o (E .oc =E EoO xtU U) c)U'c o)l o.l O) C. (u Lq) o-o E o EE G'(, GI L((, (t) o(u U' o) E E G' CL 6 o(J .9o .go (l) oo o o CJEo (!I z,l (oIr)tcoc\r BUDGET JUSTIFICATION NOTES FOR NOTF HQ SUPPORT PROJECT APOC EXIT PLAN ', 1. Personnel Costs: Having necessary health personnel in place is a prerequisite for the success of the NOCP. This includes staff employed by the Govemment through the Central Government. The NOCP expect to have four staff that will be supported by APOC management. Personnel costs/time attributed the NOCP at National office is estimated as equivalent to Tshs 46,520,100/:, and we request APOC to provided this funds. The Government will cover salary and other personnel remuneration costs for rest staff. 2. Monitoring and Supervision: Supportive supervision is very important for Programme implementation. Programme office will also conduct HSAM during monitoring and supervision. Up to now the programme has l6 endemic districts which need to be supervised once ayear. It is estimated that Integrated Monitoring and Supervision costs around Tshs 170,576,490/=for five years. We are requesting APOC to provide Tshs. 41,910,000/:. 3. Replacement of worn out capital equipment. The National office has three vehicles donated by APOC whereby two of them are very old rvhich needs frequent maintenance and it is very costly to run these vehicles. They need replacement. Also the programrne needs a replacement of computers as the available are not functioning well. It is also anticipated that the replacement of these capital equipment will cost around Tshs 68,000,000. and we request APOC to supply. Stationery and other materials are needed for routine office running. The APOC management is requested to meet these costs in collaboration with the Government. It is estimated that APOC will contribute amount of Tshs 5,168,9001:. 5. Communications: Continue surveillance and monitoring which will be needed for sometime during the APOC exit phase will need communication. This covers also day to day communication costs which party is met by the Government as an integral apart of the health system. The programme is requesting APOC management assist by provision of Tsh. 48,895,0001: for five year. 6. Operating Expenses: Programme has to maintain vehicles and different office machines. Two among the three vehicles are old and hence very costly to run. These costs are meet by the government needing Tshs 303,928,530 for five year to keep capital equipment functioning. The programme is requesting from APOC amount of Tshs. 137,599,500/= in those five years the rest will be covered by government. o)oo(\a COoo(\ tro o Ef, ftr UJ(9 of o od z .Ltx tlJ o o o- q) E o o o 6 o gr o e oo .-: o o- N oo o- o(o-(, oo o- oov oo o- o (o oo _o- oo(0_ @ o oG OOO oO @- o o o- o ro_ o o o oo o_ @ oo (o s o- o o- o{ oo j o(, (o oO o_ o o(o N oo oo$_ oo o$ @- @ ooq oo @ oo o_ o @ O)- $ o o- olr) rr) N ooao ol o_ s -o o I oo o- oo oi oo o- oo9-(o oo o- oo o_(\ oo o- oo o- o ooo- ooN. oo o_ oo$- CO o- oo Lr)- st oo o- oolrl- o)(, o (JJooJO Oo o- @ (f)(o- N oo o- @ cr)(o- o o o- oo (f)- o o o- .t o o- oN|r) o o- otr) @ oo o- oolr) oo o- @!tt- r,) c,) t oF ooO- oo @- o oo o- N o) .rf- t(t oo o- oot- .+ N oo o- o(o (o oo o- oo o- N oo o- oo o- @ oo o- @(t(o- (o$ oo o- oo F-- \t oo os6l .{. oo o- oN o)- N oo o- o(f) lr)- tt oo o- o|r)|r)_ N oo d(tlt .f o) o o ol oo o- oo o- N oo o- oo ro- oN oo o. oo co- oo o- oo$- t oo o- oo o_ oo o- olr) .+- tr) oo o- .t(o v- N ooo + _Gr_ T\$ ooO. oo o{ $ oo o- @ (f,(o- N ooo oo(o- oo o- o|r)(.)-(, oo o- o@ o) oo o- o(9 o)- $ oo o- oo o- o oo o- @ o)(, C,i(r, oo o- oo st-(o oo o- o o)lr) o oo o- oo{- $N oo o- o(o (o oo o- oo o- N ooo oo(r)_ (o oo o- @ CO (o(\ oo o- oo(o- oo d OJtt- .t oo o_ o$ o) oo o- olr) .{. oo o-(o @ o- N oo +lo o- t o(, '= o o) o) @ inc 9 o) 0)t N o ooFE Y>Er Eo0 laEi; OE o o)g '5 _o fo o C(E ooo() .c o o !c o Ca 'rgh .:; Fo c.i o ov o 3 u-I -)LL o o oE 9o c) oo o_ ot- c.; o o(a!tr !6co)(uF BPoti oc E.8E b.E l" o.$Eo oE co)oE(,)oco) '=(\, =c!o(E FE + $6t OEo 6.:E S3E iB3.oPur:oE 6a .=lod R ; !E/) O <; s.€ -of, COP 6dcco)o6Lc96$3J &.EE;o::ts too_E- tr(0 z o.I f<o c)D u; oc o o E o) Cg1,9 .tr .c d$o Yd *o oftro- x=s3 f 0))o Eoo o- o q- .0) o. o o o c. o- :(tt (, o 0)Y(l' E .o o (f)(oo o aI ofE c oao6 F0) l- o o o E lcl-lo) l> o(\, Fo O o)c tr -_c o d o o o-f o oo o o)(-) c(tr Co .c(I, E c o) EI fo o) ooG o o (E o- o) EOCQ)(oE o.lioY o9OL - 0) .9E 0) o o E o o a) E o ! o) (() F ci J F oF BUDGET JUSTIFICATION NOTES FOR RUVUNIA CDTI PROJECT APOC EXIT PLAN 1, CONDUCT ADVOCACY TO 2 REGIONAL SECRETARIATS (IRINGA & RUVUMA) Strong Regional Advocacy is needed at this level because the Ruvuma Focus CDTI Project includes a Ludewa district which is in Iringa Region. At this level there is no budget for the Project Coordinator rvho is based in Songea Town in Ruvuma Region. We request a total amount of Tsh. 10,600,000. 2. TO TRAIN AND RE-TRAIN FLHF STAFF AND CDD'S Targeted training to FLHF workers and CDD's is constantly being done in many communities with low treatment coverage. Also training to newly select CDD's is important where dropouts occur. This training will be conducted in three districts namely Songea, Mbinga and Namtumbo in Ruvuma Region and Ludewa in Iringa Region. The FLHF Staff are involved in conducting training to CDDs, CSM, SHM, Monitoring and Supervision and also, they do sensitization Health education, Advocacy and community mobilization. We request a total amount of Tsh. 10,590,000. 3. TO PROCURE BICYCLES FOR FLHF STAFF. The FLHF staff supervises more than one community when conducting training and supervision to CDD's. They are doing a lot of leg work doing supervision. Providing them with bicycles will reduce this workload to them. We request a total amount of Tsh. 24,400,000 to purchase 150 bicycles in the year 2008. 4. TRAINING ON COMPUTER TECHNOLOGY AND DATA MANAGEMENT TO 4 DISTRICT ONCHO TEAMS It is important that all DOTs to have knowledge on how to enter data to new technology of data entry (APOCDATA BASE), this will accelerate data collection and good record keeping. This budget item is requesting a total amount of Tshs.4,160,000 5. REPLACEMENT OF CAPITAL EQUIPMENT TO 4 DISTRICTS The new 4 Motorcycles (Honda XL 125) are needed that will be distributed to the 4 endemic districts office for coordination activities movements by the DOC. The existing Motorbikes are old and require replacement. These 4 motorcycles (Honda XLl25) will be for Namtumbo, Mbinga, Ludewa & Songea Districts. Its budget item requests APOC Tsh. 12,000,000/: in the budget of year 2008. 6. PROCURE I PHOTOCOPIER, I LAPTOP COMPUTER, I FAX MACHINE, 4 BTNDING MACHINES, 1 DESK TOP COMPUTER AND PRINTER Namtumbo district was split from Songea District. Capital equipment (Desk Top Computer, Printer, Photocopier and Fax machine were not provided to this diskict. We request APOC management to provide the mentioned capital equipment to the district in order to manage CDTI data. A total amount of Tsh. 16,300,000 is needed to buy the equipment. 7. TO CONDUCT HSAM TO 1363 POLICY MAKERS AT ALL LEVELS The National elections conducted in 2005 brought changes to Government and Political leadership to all levels of administration. Onchocerciasis being a focal disease has been affected by this change. New leaders have been posted from non endemic districts to endemic districts. In this respect we need to conduct HSAM to all levels of administration. These policy makers are important in sustaining the programme in the affected districts. Therefore, we are requesting this budget item to provide with Tshs. 26,000,000 for two years (2008 and 2010). d. IYIUI\I T UKING ANU SUPII,RVISION : Monitoring supervision is very important for Programme implementation at district levels. Many monitoring and supportive supervision activities are integrated with other CHMT monitoring routines and supervision matrix. It is estimated that Integrated Monitoring and Supervision costs around Tshs 1,400,000. 9. OFFICE SUPPLIES: Stationery and other materials ere needed for CDTI activities. The partner NGDO will be requested to meet these costs in collaboration with the district. We are requested amount of Tshs 6,640,100 frorn APOC for tltree years. 10. OFFICE EQUIPMENT MAINTENANCE Capital equipment provided by APOC will need to be maintained so that they can last for long. This willbe done together by Districts and APOC. We are requesting Tshs 800,000/=. 11. SERVICE AND REPAIR FOR MOTOR VEHICLE AND MOTORCYCLES Motor vehicle and motor cycles needs service to keep them on the truck. The Project will need assistance from APOC for the start before handover to the districts. Tshs. 4,980,000/= is requested for the activities. 12. TRAVEL DOMESTIC The Project Coordinator will be required to travel from the Project Office to the onchocerciasis endemic districts and sometimes to collect equipment and bring reports at National Office. Also the Project Accountant travel every month [o bring-financial report to the National office. We are requesting from APOC amount of Tshs. 2,550,000/: for this item. z O \ aa o\ oi la) c\ aao -i N c.) C. raN \o\a V' Q nr ( o\ t-- O tr) a.l \o O tr} c-lN \o\o \oN f.) N @ co <l \n r- in r- rar-\tl o\l -l c)(J o(t) c) o(J Oa o^ \o =t^ cf) .t o O .1- V^) \o -i$ v1 \ol c'.t I O O t-- co ar) o\ 6t Fi o\\o o\ a r-- an co\o \.} (\ oo oo cO -ilst c.t oo c.l $ o ra\(r) o\ o\ € at 6t O a^ \os .fl .fl OO v lj H] \ oo oo c.I ca$ OO oor)l r-l ra r- (+) o\ 00 o\o 6l (.l C..l od ool ool rjl tr) C\ an cn O an(-- cA ra o\\o\o .+ N € (\ o\ \o r- dt al\il OO NN \o\o O c.l a.l r- c.l 6 .al ra)(\ ca cO o6!+ m € E o.tr(g -,ox >? oiREri C)ua '-,6cd (J;5qp.Hl o .g.lF =l.ol _ol HCn().= o. .uoc9co o +g -.CQd O. qO.rJ o.r- rB = is'E9:I;?S ]u)j.OFC)H(iXo .\s.Y oa.iA(J (g E'- a) 'tl V.^UFFHUiEts 9.3 SCZ E U '-G- 63EHi;= c'e'! a (q liFl i^!r-*;' H€H xc (!= C) ^ C) r4td .= tsn !-11 o=H- 9 NE\1 ,E.: E tr b< 3 T FE .ai,Y.u:\ca (,l,/F-Y () >-q 'Fg X<tiXo)H3 orJ oo= o.Y .A u>c'aoE >8. !f, i, bo 0)= 6)()bok qc c0(dE- -co og ""; E o '5af,U 'd iiIrl s E'.5 .=d E.9 tr= €EtrtrH= \OU Fl t< Fr a U lE ri zri a I OI{ Fr t-ra F X r{ U BUDGET JUSTIFICATION NOTES FOR MAHENGE CDTI PROJECT APOC EXIT PLAN I. TO PURCHASE NEW CAPITAL EQUIPMENT FOR TRANSPORT In order to facilitate administrative and managerial activities in a this old project there is a need to equip it with working gears so that to facilitate a smooth running of the CDTI as a strategy guide to all MDA activities in the district. Kilombero CDTI in Mahenge Focus is entering in 9th year of ApOC support in 2008; therefore it requires new capital equipment. We need a new Toyota Hilux Pickup Double Cabin that will be used for conducting supervision and monitoring in this era of the emerging co implementation of CDTI with other Mass Drug Administrations such as Lymphatic Filariasis, Vit A, and De worming activities. The current vehicle is more than 7 years old in poor condition needing expensive maintenance and repairs hence needs replacement. The new 6 Motorcycles (Honda XL 125) are needed that will be distributed to the 2 Health Centers stationed at endemic division and one at the district office for short coordination activities movements by the DOC. The existing 4 Motorbike6 are old one is more than 10 years old and two are more than seven old Motorbikes that are grounded and needs replacement. This capital equipment will be a replacement of old ones and its budget item requests ApOC Tsh. 76,950,000/: in the budget of year 2008. 2. PROCURE I PROHOTOCOPIER MACHINE, 1 LAPTOP COMPUTER, 1 PRINTER AND ITS ACCESSORIES. Kilombero District CDTI Project is entering in 9'h year of APOC. Moreover, the project office have several equipment which are now old that brings difficulties in smooth running of CDTI activities and the incoming co implementation of Mass Drug Administration. We request I photocopier machine, I laptop computer and a printer for the Project coordinator for the 2008 budget. The office space and furniture of all FLHWs, DOTs and Project Coordinator will be at the expenses of theDistrict Council which is not included in this budget. In addition, the fax machine and other day to day stationary. We are requesting Tsh. 6,250,000/: 3. ADVOCACY, TRAINING AND SENSITIZATION Advocacy, training and sensitization is a backbone of the success for CDTI as it brings knowledge, brings a change of attitude, and enhance involvement and community ownership to the communities. Tiaining of newly recruited staff at the district level and retraining of other staff to refresh their knowledge on CDTI activities. The training will involve the School Health Teachers and Head Teachers as are the key activators of community involvement and ownership. Moreover, the training will be conducted also to theCouncil Health Management Team (CHMT) at district level of supportive supervision, the local partners and in 42 dispensaries existing now and the future to become 81 dispensaries that will start fromiuly 20Og and to be completed by the following year. The FLHF Staff are the trainers of CDDs, the facilitators and monitors of CSM, SHM and a link between the committee members, its leadership and VHWs. They also do Community Sensitization, Health Education, Advocacy and Community Mobilization. Therefore, we are requesting APOC to fund this budget item the sum amounting to Tsh.66,225,000 from 2007 to 2010 Other trainings will be covered by the district council and IMA World Health budget for such as, the CDDs who carry activities of mass drug distribution, conduct census, identifying individual who are eligible to swallow Mectizan and manage minor reactions and also refer to health facilities individuals who will be with serious effects. In addition, other sensitization activities of communities, to provide health education and collect data at the end of the drug distribution period. Sub village leaders are the key supporters for CDDs in the implementation of CDTI activities in the areas of their jurisdiction. The Regional Secretariat will be involved at all stages of the processes for sustainability and adhering to the country health system. 4. MONITORING, SUPPORTIVE SUPERVISION AND RESEARCH Feasibilify study for vector control in this century and an obligation to date at present and the forecasted future interventions to the neglected diseases that may be a result of the difficulties experienced in the entomological control of the Simulium flies. It is therefore that, it is important to get the baseline scientific facts about the vector for onchocerciasis control and to perform even the minimum requirement for vector control and store the facts for the future interventions. Tsh. 26,000,000 is requested for this item. 5. DATA MANAGEMENT, MEETINGS AND REPORTING Data Management is important in planning, modifying the approaches and feedback. Despite all efforts under theTanzania NOTF in this aspect the data base should be strengthened to the FLHWs, DOTs and theCDDs. After that, the FLHWs data compilation meeting at the project level will assist iron out the possible difference in understanding between the FLHWs and the DOTs or PC. Joint report compilation brings the opportunity to conduct the On-Job-Training to the FLHWs. The project coordinators also need to do the same so as to perfect presentations to APOC. Hence, the request to APOC amounts to Tsh. 13,812,5001: that includes the potential partners at the project level. 6. INFORMATION EDUCATION AND COMMUNICATION To compliment the efforts being done through the above ways for the success of Onchocerciasis Control, IEC is among the ways for the bright future for control methods as education can be achieved through the IEC materials and if properly presented could result into change of attitude and practices towards better health. Hence, we request to APOC amounts to Tsh. 7,500,000/: '6 c J oo oo o- oo o- o) oo o- Oo o- o) oO o- oo$- N 6o Oa o- olr) 't- CO oO O- o O)N. .+ Ooo (r) oO o- o tr) F- oo O^ oo cr, luouf oo o o o. oo o- oaO" $N oo o- oo o- o(o oo o- oo o- Oo CO oo o_ oO ro cr) oo o- oo o- o oo o- Oo CD^ @oN oo o- o o{ @ oO o- O o)- t+N oo o- o(o(o o oo o_ 1r)(o F-- N ooo v o Oo o- OOo- sN oo O. Oo o- o(o OO o- oa o- O)(f) ooO. oO Lr)- CO OoO. oO o- o oo o- Oo CO o, O)N oo o- o(o(o- N oOO. 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Olo 'o oo N o -oooO 5 -o o _oOoo 9 N)oo -o Oo 5 iso -oooo .tl { -zp oE FE 0) :J o- {!Oc{c; FO) ,a o .TI L g_ (, Nj.|{ (})o(o :.1 Noooooo NoNo) G){(oNN -o -o oooo NNo5(,N9-oooOOoo (, -@{5NNP-ooooooo J Jo@5 -.1 N)9_oo,ooooo (o @J$ juo)5(o(, -(o -o)ooOOoo \tN P6(oo) -88oooo I t { i I ( I L ; 1I I- L t, t" t- f o) -(.)J @p ooo @ @ -o o _oooo I l i I I i BUDGET JUSTIFICATION NOTES FOR MOROGORO CDTI PROJECT APOC EXIT PLAN 1&2. PURCHASE NEW CAPITAL EQUIPMENT Morogoro CDTI Focus comprises two districts and each one is deserves to have one Vehicle to facilitate implementation of CDTI activities. Thus we are requesting APOC to provide us with two 4WD Vehicle (Toyota Hilux Double Cabin). Also there is a need to replace five (5) Motorcycles (Honda XL.l25) The budget for this item is Tshs 84,000,000/: in the year 2008 8L 20ll 3. TO PROCURE 17OO BICYCLES FOR CDD'S. CDD's are walking long distances to carryout CDTI activities which include Mass drugs distribution, taking census prior to drug distribution, provision of health education, community sensitization and data collection. For the start we are requesting 800 bicycles. The rest 900 bicycles will be provided as time goes on. This budget item requests amount of Tshs. 300,000,000/: Budget in the year 2008 -20fl 4. TO PROCURE I LAPTOP, I FAX MACHINE, I PRINTER, I D DESKTOP COMPUTER Morogoro CDTI Focus comprises two districts Morogoro Rural and Mvomero. The headquarter for Mvomero district has to shift from Morogoro town to Wami Luhindo. Therefore they need new capital equipment in order to operate smoothly their daily activities. We are request from APOC to purchase for the new office in Mvomero district. For these budget items we requests amount of Tshs13,500,000/= in the year 2008 - 2011. 5. TRAINING AND RETRAINING OF FLHWS We expect to conduct training for FLHWs in all two districts of the project these are Morogoro Rural and Mvomero as they are very important to enable them to conduct training to CDD's and involve them in other activities including Community Self Monitoring, Monitoring and Evaluation, Community Sensitization, Health education, advocacy and community mobilization. We are therefore requesting for this budget item to provide amount of Tshs 10,000,000/: budget in the year 2008 - 2010. 6. TO TRAIN & RETRAIN CDDs AND SUBVILLAGE LEADERS CDDs carryout mass drug distribution, conduct census prior to drugs distribution in order to identiff individuals who are eligible to swallow Mectizan and manage minor reactions. Also refer to health facilities individuals who cannot be managed. They also sensitize communities to provide health education and data collection at the end of drug distribution. CDDs have to be supported by sub village leaders in the implementation of CDTI activities in their villages/sub villages. Therefore this budget we request Tshs 24,910,000/: for three years (2008 - 2010). 7.TO EQUIP 3OO PRIMARY SCHOOL HEALTH TEACHERS WITH APOC PHILOSOPHY Primary school health teachers are among the key personnel in dissemination information on Oncho as a disease and Mectizan as a drug for prevention and cure of Onchocerciasis through school children who will deliver the information to their parents as well as to the whole community. Therefore School Teachers are going to be tough on CDTI philosophy and Oncho as disease. In order to accomplish this we requests Tshs. 18,210,000/=. For year 2007 -2012 8. TRAINING & RETRAINING OF DOTs AND FLHWs ON COMPUTER DATA BASE Data processing and storage is a major challenge in many project as this caused mainly on scarcity in equipment and knowledge personnel on computer usage. Morogoro focus needs to train and retrain DOTs and other FLHWs on computer skills especially computerized data base to enable them collect, process and store data in a good way that will be available at anytime when needed. On this therefore we request amount of Tshs. 29,750,000/= budget in the year 2012. 9. TO CONDUCT ADVOCACY TO REGIONAL/INFLUENCIAL PEOPLE Police markers at all levels they need to be refreshed on Onchocerciasis control and prevention knowledge changes of policy makers after elections which are conducted after every five years forces us to conduct re-advice to this level within this period. We request Tshs 7,200,0001: for year Z0O7 - 2012 rO. TO SUPPORT 168 FLHWS DATA COMPILATION MEETING AT PROJECT LEVEL Data and report refining is essential to improve project activities. Morogoro CDTI expect to support FLHWs data compilation at project 4evel in order to produce good report, as these are key of the Project data. We request amount of Tshs. 17,940,000/= budget in the year 2007 - 2008. 1I. ADVOCACY REGIONS/INFLUENTIAL PEOPLE Learning is a continuing process, therefore Policy makers at all levels need to be refreshed on Onchocerciasis control and prevention knowledge. Moreover, there is change of Government leaders after elections which are conducted after every five years. The WDCs members are important in advocacy, sensitization and mobilization of the affected communities. Therefore, we are requesting this budget item to provided amount of TShs 4,800,000 for 3 years (2008 and 2010) 13. TRAINING/RETRAINING OF DOT'S AND FLHW ON COMPUTERIZED DATA BASE It is important that all DOTs to have knowledge on how to enter data to new technology of data entry(APOCDATA BASE), this will accelerate data collection and good record keeping. This budget item is requesting a total amount of Tshs.4,160,000 14.TO MEET WITH LOCAL NGO's wHO PROVIDE SUPPORT TO THE PROJECT Morogoro CDTI project have some local partners like ADP Mlali and Ngerengere and Local radios like Abood Media and Ukweli radio. All these are our partners in CDTI activities. We have to seat and discuss on how to improve Mectizan Swallowing thus to meet our goal of good coverage in drug swallowing. In this there fore we request amount of Tshs.3,000,000/: annually 2008 - 2012. 16. TO CONDUCT COMMUNITY SELF MONITORING Community self monitoring is the most essential issue for the community to evaluate it self on how they do on the project whether success or failure, and how to improve the situation thus the project success. To accomplish this Morogoro CDTI focus requests for this budget item to provide amount of Tshs. 4,200,0001: in the period of 2007 to 2012 in order to allow community self monitoring. I I t tI I t r L rt E I I 17. TO PURCHASE FUEL Fuel is an important power for transport that enables smooth regular moving from one community to another in the affected communities also from project level to national level for official issues. In order to facilitate movement and regular office running activities, Morogoro CDTI focus requesting for this budget item to provide amount of Tshs. 2,436,0001: in the period of 2001 to 2012. I F c)(J (n U) 3 z N U O O $ a.l rn aa \o oO @ oo O la) \f, r-- r- O a.t O ca rn oo co\o oo o\s OO $ ca O rn ca <) o U ra) oo$ O O .t G o t-r O $N O o \a .A OO \o @ @ rr} $ O OdOO] r.- | I o OOr-l O o c-.t l co \n @ O ca c- $(a) t--tr) .f, ra) C..t r- O at I O O \o oO <l Oo O]OIOI F-l O r- OO \a a.) N O O tr) o\o N OO Oo .+ O tr) O O O\a oo OO r-lr) $ ao al O c\ rr)cO r]n O6 oo OOlr) =fl N I O ca ra) oo O ca v 00|r) t--r/) ca O ra) N t-- a rI]ei <& ^otr+c, !! i"a od.iloQ. trr Hil a z d t-{ CJ) 0) o o lio o +r o o (n L o< L{ o z (ff o o a,,Y '=o o.qLr() U) C) o >ao -oqr o 86 al) '= r'r 9r- lrr q< tiHz)U T{I rP AlE F.lo5l ^iq J U)o F o (.) L{ o) Lr Fi (.) (-)(! X(€ tri Z z t-r c"i =COC)HIEF =Q5u ()+ja'; 3()r€(goc)FF o o0 cd li ()g6 cd l-lF(J F o(-) o (,/) H -l o O. C) oF (.) a-a!-C) z-rF-CFo. iig 5qJl- .sb o-cq) F }() z<Z >9U t-t UN !/ Fi 22 :Fllf, cr) tro() o oJ =i J o. (9 IJJ F. dFo F x UJ o o o. l" t I ! F I r t l' t P i I ! I OO. O c.l ca O N O O O v ra \o 6l O tr) c.l o\ r-) @ tr- t-- .f, O O O F. al \o!+ .+ t!f, c.) \o t-- o\ co OOO N O \o co \o6t o\ \o co t?) O \o(\ C\ co \o o\F- o\ OO rr}$ lrl OOO^ OO^$(\ OOO \o ca \o$6l ttNr- O O ca O @ o\ ao rn o\ O o rn t-- $ oo c.l rn @ Or OO r- C\ OO cr) o\ o \o rn @ O t/) ca \o o\ OOO O$cl OO N OO tr- @ o\ o\ N coN aL -0) fi(-) x ,i vv€O^a:5 a 1P\(gbo uN.i-j9'E=6r"( :';.HdX:cE<l-.,15 e q*B()JHr ^EE OE -ec;(.)cF (gE O.(o z ov7. Irl D,ts as* El<fts{ .;araLt- !or.s =c)#*OF L.] o bo- 5E\ d'=>s .= >rr - _ti Fl (!Flrr! o (B()v =Eco.q, oC e'=b8Eo9 E^E*r.-5tro.(g.3 0o.- (, o.o_q oL.() 9 LEP..5O EEES <, z F trl frl z \4; (g rth(!bo (.) o-:o0)O:EB LLeoooo.tr c)o.tr'R =(dEaQ< a (,) rq r- (h (n L<() (! E ct) Or! (H qa a z t-t X ;il H_<O- Irli^A ail o- Fh o(JQ- rJo FaLE(Btr()achoe c) (r) o) 0.r o\ F] F-r 3 z r', - a L t t t t i E I I I BUDGET JUSTIFICATION NOTES FOR KILOSA CDTI PROJECT APOC EXIT PLAN 1. TRANSPORT Kilosd CDTI Project now is entering in 6'h year of APOC support in 2008, therefore it deserves to have new capital equipment, These are I FWD Motor vehicle (Toyota Hilux Pickup Double cabin) which had accident when is still at national office before reaching project level and now is written off, so it is important for the project to have new vehicle to support implementation of CDTI activities such as conducting supervision, training and mobilization of communities and traveling to the National office. Total amount requesting for tlie vehicles purchase budget item is TShs. 35,000,000. 6 Motorcycles (Honda XL 125) which will be distributed in six endemic zones, and to be used by DOTs. This capital equipment will be a replacement of old ones. This budget item requests amount of TShs 24,000,000 budget in year 2008. CDDs are walking long distances to carry activities of mass drug distribution, conducting census, communities' sensitization to provide health education and data collection. This is due to the scattered households. We are requesting each CDD in Onchocerciasis endemic areas to have a bicycle to easy walking distances. This budget item requests amount of TShs 160,000,000 budget for year 2007 - Z0lO 2. OFFICE EQUIPMENT In order to facilitate implementation of CDTI activities it is important if we will be provided with the equipment. We request I photocopier, 1 laptop computers, I fax machine,2 desktop computers and I printer. This item budget will amount to TShs 17,080,000 budget in year 2008 3. TRAINING This is a backbone of CDTI as involves training of newly recruited staff at the district level, so as to equip them with knowledge on CDTI philosophy and managing them to implement CDTI activities towards sustainability of the programme. The FLHF Staff are the ones who conducting training to CDDs, CSM, SHM, Monitoring and Supervision and also, they play a big part in conducting sensitization, Health education, Advocacy and community mobilization. Therefore, the project is requesting you to approve and release the total amount of Tsh. 13,140,000.00 for 3 years (2008-2010) CDDs carry activities of mass drug distribution, conduct census, identifying individual who are eligible to swallow Mectizan and manage minor reactions and also refer to health facilities individuals who cannot be managed. They also sensitize communities, to provide health education and collect data at the end of the drug distribution period. This budget item requests amount of rshs 49,863,000 for three years (2008-2010) 4. ADVOCACY AND SENSITIZATION Learning is a continuing process, therefore WDCs members at all levels need to be refreshed on Onchocerciasis control and prevention knowledge. Moreover, there is change in ward and village leaders after elections which are conducted after every five years. The WDCs members are important in advocacy, sensitization and mobilization of the affected communities. Therefore, we are requesting this budget itern to provided amount of TShs 9,250,000 for 3 years (2008 and 2010) 5. REPORTING AND DATA IMPROVENTENT: It is important that all DOTs and FLHFS have a knowledge on how to enter data to new technology of data entry (APOCDATA BASE), thus fastening the collection and keeping of data. This budget item is requesting a total amount of TSHS 3,146,000 7. IEC SUPPLY The supplies of IEC materials to project level play a big part in facilitating sensitization and education to endemic communities for references after FLHFS leave the community. Budget for this item is Ths. 20,000,000 I I t L t L I ?9. OPERATIONAL RESEARCH As the time goes on the number of refuses are increasing, here is need to conduct an operational research at project level as to know/to find out what are making people to refuse taking the drugs every year. The project is requesting a total amount of TSHs 2,700,000 for the initial preparation of research. - t t t I i I I I I I -_ t t I I io F! X Fi (t) FJ ? a trl o F Fl z o o H II 1. I, I t t Ij I ti oI,2n >l-FP -O l\) =,C'ri lal4>?= El a144 r.l FJ F i o)nJllo^.1grHp Eq3 O-l (D - E'rioq cXio D)d6 '*, 5' .D Ai. 5- u#P Uq:b'- x a o\ alElSfpo' +t=oa =.(Dro5'o-0qq oF0a='irt -. li 0a r5 a- {.,l A) O ^= caa::6'6 s!D L< d= ^ -(D r.=. = EJ N ii .)LsHqU *oa 5'=' -lilo5 5i-= 9 o poaC'*r5YI t,A. : =.F0rj;o58= t<8 3 > -- 1= A ? 9.9e.=HOP =N Bisus;alt-) -9 5-Fi LlYts * 5 -l< x(D PH H i6Ao *F+, - L, a x'rrji$ ;l .o .",O C '-" I E' 8-smx .D5 otr tl oll €. oo i.) oEi5El+9r^r :f, -o e(D a/C'(.)nFr.^ H'<N 1i+El=CHi -< ='oAUd HP-J</ (D<5IEIr C ' x'ral(,O5 i' (Do-o Pi Oa -l5O a' eqiiaix @); g; RAa>97 uiE tsa r F'=ve 5z az z2 oH F.l I I tJ -t UJ (,l{ u) .O e N)(,t O (,l -o\ (a oo -(, OO u) \o(+)(, N) moo O o (n q oo (Jr t! o\ \o(,r O hJ @ (, -(,.{ UJ -o Oo oo N) "O O I [.J \o (, (.,r{(}J O O 6tJ Ur o tJo 5P -] )oOOO N) 5{ O (, o\ LA @ UJ -5 t, O O N) ooO o L,T m (,9 \o -O oO H A) O OO OO OoO o L,I O O OO oo o o dc ;r! a tD -.1 \o OOO o O O -Ib.J o\A b.J o N)a -o O O O 5 -l O oo tJ (, LA Oa N){l.J o oo (, o\ \o a o r- {; t' l_ T' ;t- T- {. OOO OO" C\ st a ot/) c..t OO OO\ co\f, O OO OOq OOO. O m^ o\$O6 O co O ol O O o n c.l I o\ a.l OO@ o an aa r- cO r].) O O o\ oo t'-r OOO" c.i .f aO O c.l OO d t-- cO$ o o\(n I O 00 o\sO. \o O 1 "ii ao r-\o o\ c.l l-loto o o\6It\l I .o co cO ra co c.l t--. oaO c.} rr| \o \o a N o Oo o\ a O o -l OO o@ c{ I I co c.t c.) co oo o.l Irr O o^ Oo co vil I I \o \o N O t-- OO\o o\ o\ ol 9t hl 1 OOo O o clv alr) o c.t Ir-\o\o \o $ a o co r O \o- \o ol "l OO\o o rr)l oo r--^l \olF-l 'l OOo ol\tl$t "l I Ir- \o tr) v E td$E -e i E E&6! E o-t=co[iL:HT eaaiffg € *E €.x E il I I -t I aL ; ()ATH E!g!s.9 :-H$ +'I 1 r oj*lI d= 3.9.E -3 E )'E 3€ b E.$Er.EEq .o b'= 3-E X IF o Q. cd O-G; o- cl c.t o k .o .t) o) o .9 .o() li oo,^ O. IJ oQFU c1 c.l Flri d t-( d; a rllo z irlAXri z Fr &H o .+i ! (n o z aa; .A 0.)o t- c)a li c) g o()'= (J() \ -c, .: - .: *C) U! U ,i-<l-oE o.rq< >1q) Xtrboo I o I (dE:rEEEu TESES-eE fi"c'E-o E M,.= Gz EU + z o l-r U zp 2 e o Q vi Fl D U) ri U fr tu o \o 0) o o. C) (l)F xd* H(d 0)trbor(! IIJ o=A.A ,; 3L.! Lo E -ixCvo.o =rn ! o-) --x-()bo -Aaa\v --d)0)::jirE=(,F9Ze,;?F-r.FEI'E ;: * .Ea;i: r t 8 E',8.- 3:.= - ^=vL-.r* -c{ (!= c!o.FcQr-=; -: \o H (n(.) l-r f C) dl BI o L oo r.l r.- : t F L I t Ij I I I t ri U o ri(,) hfr t- I{ { f a F z -l Fl F T' >ro ts @ts'^=-'\ (, ;r A H 'r,rE I ii x aIP-tl ad() lhtD Po -. X u.:. i,Ja^U --J -(ro-Dr\-,/ rD =' -09 d < *l c, ^ ?!'@RXo- o* ;o 37n oao Y O i+.{ P(D .:a 90 EC U) z z FIF 5 (,l o\ o\ o\ o\ -l {t, UI o\UI UI o\ -t o\ tJo oO UI 6(, 6 Ul(,(, -1 o o O 5 -l i..) 5 UJ(, ]J o\ ooa Oo (, \o o\ |..) o\ 5 N) Oa 6 o\ 6 h..)6 oO "5 t.J b.)(,l t.) 6 co 65 h.) t { t i_ t- I IL IIL t I. I t L a BUDGET JUSTIFICATION NOTES FOI]. TANGA CDTI PROJECT APOC EXIT PLAN 1, TRAINING AND EDUCATION This part comprises number of activities such as to conduct HSAM to government leaders at all levels, to conduct resource mobilization workshop to RHMT/CHMT and other staff, Equip computer knowledge to project staff, advocacy and sensitization meeting to council Health Board of Muheza, Korogwe and Lushoto on CDTI, Sensitization and mobilization of Facility Governing Committee of all FLHF in Oncho area on CDTI. Targeted training and re-training of CDDs and FLHF staff. This the very important part in the implementation of CDTI philosophy. For this item we request Tshs.72,642,0001: 2. REPLACEMENT OF CAPITAL EQUIPMENT Tanga CDTI is enters its 8th year of implementation, It was supposed to have new capital equipment when we were in the 6th year of CDTI activities implementation. Due to rough roads and terrains on the Onchocercasis area the car condition worsen as years goes on therefore require frequency service which is costly . The motorcycles which are also passing through rough/terrain roads are also requiring frequency services which are costly too. The motorcycles are situated at District headquarter and are used for supervision in 41 FLHF and spot check to sub village when there is a need. In order the project to have assurance of availability and reliable CDTI data it needs to have the computer and printer. CDDs walks long distance during census, drug distribution and data collection, to make their job easy moreoverthis is one way to motivate so that to reduce attrition rate. Therefore this budget item require Tsh. 106,200,000/: 3. TRAVEL The Project Coordinator will be required to travel from the Project Office to the onchocerciasis endemic districts to conduct supportive supervision which is very important for Programme implementation at district levels and also sometimes will travel to the National Office to collect equipment and bring reports Also the Project Accountant travel every month to bring financial report to the National office. We are requesting from APOC amount of Tshs. 10,000,000/: for this item. 23 c.loF z (, 6 al I ao cl r-i U rih & 3 aU il;) z l-r /, tr o 14 E-,i t-{a t< Xri U ofr F D m : I f E. !t L r L t I t I I I I O cos co @ ,/.) ,o- C.lN O z F-v "-l ta\o t-- OCO. OO i .t o\ r- OOO. O @ d'L O O. Q ra o\ tr-t r- o I O o\vl r-- co ,o^ t-' co @\ q c..t$ O o c.l o\t-- a.l @N$ cO o\r-ol @ a.lq ao \o o\ .I =l: c.l r-6t6t 6t o\ a.)ra r- @\o (-- oo\ \oq N$ o\$ O r- @ aa oo ooO. c.i c\ o\r- c\ @Nq c7) o\ tr-C\ € ct n^ OOO. co o\ --l o. a\ I c.) ...t .+ a-lt ra1ri, ?.) ra FI cg F \ofr^ n^ o\ Oq lat r- @ ca o\ \o t-.vl @q I o\ o\ €-(o q N o\ o\ oo- c-) rat o\ at O o\ r- r-. o\ c.l ?.)\o 00 .c al(+) la rn al a.l @ oo^ a @ ,o^ N @ ooc\ \o O O c.t\o c.I \o$\$ F- co .l @^ c{ F- co c\ cn @ c.i GI r) \o co o.l s cavl OO oi @ \o cO@ c..l ra :l(n ra t) = = O O @ o) r- v} @ O O^ O O^ @ tf, F- Fr c.l O(\ $ c.tr- .l o\t.- \O^ c.l a.t t-* cl o\ c-\o^ ..r N F- c.l r-r- r-) o\(r) 6l rn o\6a O o\ cO c.) @ o O t ooO c.t o\ €r- .c 6l(-)(\l 6l\o o\ al O c.l\o o\ c- a.) @ O $$ O O r-r- r- O aO. r-\oO al O OO v @ O cO .{- 6l @ O s c.l O n" c{ \o cr) 6l o\\o !ct+ 6 a:l U) rr cdv- q 6'5 -6trq dHUtr +'= Eeg - 'ro.2+oo bo t<F iri _.o'd o{ .; o0 u:?.= > =cocnl> . -: 0.1\OAF< (h o (s o oQ r- (n o) a. a ci o o a 0.)a C) X E rrll<bo(D a' 6)=ub -i O. .1 tr t< z4il (n (/) oU () oat<()pi a) box i:'- (,bo E'aoi=r-:'= 6 "tza (H u9(.)'= trdoo=(JuH(!=9 [ic oil ! '3 ri>c) BUDGET JUSTIFICATION NOTES FOR TUNDURU CDTI PROJECT APOC EXIT PLAN l. Personnel Costs: Having necessary health personnel in place is a prerequisite for the success of the NOCP programme at all levels. Staff of different cadres are provided and employed by the Government through the Local Government Authority; in this case, it is the Tunduru District Council. The personnel costs/time attributed the NOCP in Tunduru is estimated as equivalent to Tshs 10,440,000, covering salary and other personnel reniuneration costs. This reflects percentage tinie spent on CDTI activities, leaving out other health programmes in the distinct. 2. Monitoring and Supervision: Supportive supervision is very important for programme implementation at district levels. Many monitoring and supportive supervision activities are integrated with other CHMT monitoring routines and supervision matrix. It is estimated that Integrated Monitoring and Supervision costs around Tshs 7,775,000 for 2008, increasing yearly based on the inflation. 3. Replacement of rvorn out capital equipment. Tunduru CDTI Project is now in the third year of APOC support in 2008; therefore it is earmarked that it will require replacement equipment in 2010. These are I FWD Motor vehicle (Toyota Hilux Pickup Double cabin) which will be the Project Coordinator for conducting supervision, traveling to communities and to \the Ruvuma regional headquarters and to the Capital Dar es Salaam. It is also anticipated that the project will need replacement photocopier, desktop computer and. costing around Tshs 50,000,000. 4. IEC materials Development & Dissemination: Availability of IEC materials has been noted as one of the key deficiencies in the NOCP programme. It is therefore important that each CDTI project have adequate IEC materials such as posters, leaflets, radio programmes to disseminate messages on CDTI. The project is requesting some Tshs 17,094,950 for 2009 and2012, covering both the development and the dissemination. 5. Training Trained staff are the backbone of CDTI from community level to FLHF, district regional, national, etc. Every year there is need to train and retrain new staff due to transfers, drop outs, as well as need for refresher sessions. The FLHF Staff are involved in conducting training to CDDs, CSM, SHM, Monitoring and Supervision and also, they do sensitization Health education, Advocacy and community mobilization. There is also need for ICT training for the project staff to strengthen data management and record keeping and report writing. It is planned to provide ICT training for project staff in 2008, and retraining of FLHF staff and CDDs every year. Foe 2008, the training costs are Tshs 12,067,000 6. Sustainability Planning & Reviervs: Regular meeting of stakeholders are important to morning activities and enhance partnership. The meetings will also provide s forum to discuss sustainability issues and how to increase support from the government and other local partners. A total of Tshs 4,100,000 is required in 2008 and increasing in subsequent years depending on inflation. T I 7. Communications: This covers day to day communication costs which are met by the local council as an integral apart of the I health activities in the district. It is estimated that the budget requirements are Tshs 2,430,180 increasingI annually depending on inflation. 25 r I L r I a r L t 8. Supplies: Stationery and other materials ere needed for CDTI activities. The partner NGDO will be requested to rneet these costs in collaboration with the district. It is estimated that Tshs 2,430,180 will be required in 2008 increasing in subsequent years as per inflation. 9. AdvocacY: Learning is a continuing process; therefore policy makers at all levels need to be refreshed on onchocerciasis control and prevention knorvledge. These policy makers are important in advocacy, sensitization and mobilization to the affected communities. Strong advocacy is required to enable the local govemment leadership provide and allocate funds and other resources for CDTI activities. Therefore, we are requesting this budget item to provided amount of Tshs 11,093,000 for 2008. 10. General Operating Expenses: This will be met by the district as pert of integrated activities including vehicle and equipment maintenance and repair. This also covers bank charges. This is estimated to cost Tshs 2,450,000 in 2008 26 rt r L r L r--N f f,Y :f to IJJF x.FU' F x r.lJ o o o- t t t i t I I I I o o J oa o o o- oo o- oo .f,- N O \(.) tr)(o- O O- oo @- O) ooO. oo o- Ntt ooO. oo @ tr) N oOo oo rr)- (o oo o- Oo -- ooN. $ @$-(o oO o^ O t.- OoO. Oo o) cr) oo o- oOtr) t 6o I OO o- tr)(o F- I oo o- OO ro oO o- Oolo- @ oo o- oo o- Oo (o LO tr)- oOo oO co OOq. oo .o- (f) =otrf oo I oo o- oO ar)-(o ooo oo lr)- @ oo o- O @ r o I oO o- oo co oo o- ooO.(e oo o- ooO. N oO o- oN .t oo o- O ro O oo o- O)(o @ G o oo o- oO -l: N o t-- @ N. rr) cr) oo o- OO cf)- @ c! OO o- o @ o oO o- oO O- N .t OO o- Oo @- @N OoO. OOO. lo C9 oo o_ oO ro Oo cD- O .t o_ o oo o- ON$- OOO. O LO O. $ Oo o- O)(o @- @ o o(\ oo o- Oo tr)- N oo o- oo o- N I Oo a- ootf) @ oo o- oo o)- oO o- oo .t- (f) oo o- O ro oo o_ O ro(o- 1r) oo o- o ro cr) O)oo$t oo o- ooar- oo o- ro(o @- - oo o- oot-- oo o- olo (f)_ C9 ooo o(o .+ ooO. Oo rr)- $ oo o_ lo rr) @- C! @ooN oo o- oo @-(o o N c) rr) lo- oo o- oo (f)- @ ot Oa o- a@ a oo o- Oo o- N$ OoO. oo(o- (o N oo o- oo to-(o oo o- oo ro- oo co o o) o{ Cf, OO o- o rr) .t OOO. OO o)- cf) oo o- $(o @- N 1.-ooN I I I I I F o ts o a trIJ LL .c(, I oL Ec o .E o oF - -olop C(U aooo .C(o L oaLL oYEE3 c. s8, -oo:t- 't c.i oooo o o a)E .9 -o o) L fo oLo oF d c .9 o o _o o 6 o Co(D otr .xE6.e .2 -o =o =oz. o) + b =xc))E= eU .=(E7i *-saUAEU: 'o-oE SPco --c3o)? r=C\Jo,'Yr a.iJlJE 8oi9'o-ooar j Eo9.9;F:(L= ri orEL a.!o09roLLo-'x(IJdI o t 5 oEo *E IOE9x#o-gq) !'r !tL9€ g v'))o-_co9€otrXcl-ox'EtLC)tro_ (o th L ox(! E .(-)6 o- @@ C9 o ar E@fq) cq) o.o oFo 1'- lolto ILl-cl-IC a o 't 'a o(o troo o o)CLt/r9E'- '= O 'u, cd a .oa o-f, U) q) O o oi q) oc oC 0) .g o E c o) E .s ao o) o() E- o o lEl- l6 0) o .E o) L a o E o 'o o- o -oa co)oEo>()Y ';obEAL - o o 0) E o]C 6 o F e.i I t I ov z.o o (,(.,\(., @ 'o o (.) 'o,(^,o 'o oo urN o) o 'e eo T\' ,\)@ '(o -I@ 'o O (.)(, '@ cD(0 'o oo 5 l\,J(rr N' oo (,(, :.r(.) '.9 O TL t- {- t' i I t {I t I 1 I a t-i i" I' i, t t, I II II NJ oo t t- T t BUDGET JUSTIFICATION NOTES FOR TUKUYU CDTI PROJECT APOC EXIT PLAN 1. TO TRAIN AND RE-TRAIN FLHF STAFF This i's a backbone of CDTI as involves training of newly recruited staff at the district level and re-training of other staff to refresh their knowledge on CDTI activities. This training will be conducted in three districts namely Rungwe, Kyela and Ileje. The FLHF Staff are involved in conducting training to CDDs, CSM, SHM, Monitoring and Supervision and also, they do sensitization Health education, Advocacy and community mobilization. Therefore, we are requesting this budget item to provided amount of TShs 21,400,000 for three years (2008-2010) 2. TO TRAIN AND RETRAIN CDDs AND SUB VILLAGE LEADERS. CDDs carry activities of mass drug distribution, conduct census, identifying individual who are eligible to swallow Mectizan and manage minor reactions and also refer to health facilities individuals who cannot be managed. They also sensitize communities, to provide health education and collect data at the end of the drug distribution period. Sub village leaders will support CDDs in the implementation of CDTI activities in the areas of their jurisdiction. This budget item requests amount of TShs 11,553,710 for three years (2008-20 r 0) 3. TO PROCURE BICYCLES FOR CDDS CDDs are walking long distances to carry activities of mass drug distribution, conducting census, communities sensitization to provide health education and data collection. This is due to the sparsely distributed households. We are requesting each CDD in three onchocerciasis endemic districts to have a bicycle to ease walking distances. This budget item requests amount of TShs 19,800,000 budget in year 2008 5. TO PURCHASE NEW CAPITAL EQUIPMENT Tukuyu CDTI Project is entering in 6th year of APOC support in 2008; therefore it deserves to have new capital equipment. These are I FWD Motor vehicle (Toyota Hilux Pickup Double cabin) which willbe stationed at the regional office and will be used by ROC for conducting supervision, traveling to districts project offices and from Project offices to the National office. 3 Motorcycles (Honda XL 125) which will be distributed in three endemic districts to be used by DOCs. This capital equipment will be a replacement of old ones. This budget item requests amount of TShs 42,000,000 budget in year 2008 6. PROCURE 4 PHOTOCOPIERS, 1 LAPTOP COMPUTER, I FAX MACHINE, 1 BINDING MACHINE, 4 DESK TOP COMPUTERS AND PRINTERS As mentioned above, Tukuyu CDTI Project is entering in 6'h year of APOC support in 2008. Moreover, the project office has shifted from DMOs office in Rungwe district to RMOs office in Mbeya city. In order to facilitate administrative and managerial activities in a newly established regional office, there is a need to equip it with working gears. We request I photocopier, I laptop computer, I fax machine, 1 desktop computer and a printer for the regional office. Also we request 3 desktop computers and 3 printers for 3 endemic districts. This item budget will amount to TShs 25,800,000 budget in year 2008 7. TO CONDUCT HSANI TO 386 POLICY MAKERS AT ALL LEVELS Learning is a continuing process, therefore policy makers at all levels they need to be refreshed on onchocerciasis control and prevention knowledge. Moreover, there is change in policy makers after elections which are conducted after every five years. These policy makers are important in advocacy, sensitization and mobilization to the affected communities. Strong advocacy is required to enable the local govemment leadership provide and allocate funds and other resources for CDTI activities. Therefore, we are requesting this budget item to provided amount of Tshs 16,500,000 for 2008. 29 a !' L i L I 8. VIONI'IORII\ G AND SUI'ETTVISION : Supportive supervision is very important for Programme implementation at district levels. Many monitoring and supportive supervision activities are integrated with other CHMT monitoring routines and supeivision matrix. It is estimated that Integrated Monitoring and Supervision costs around Tshs 1,100,000 for 2008, increasing yearly based on the inflation. 9. OFFICE SUPPLIES: Stationery and other materials ere needed for CDTI activities. The partner NGDO will be requested to meet these costs in collaboration rvith the district. We are requested amount of Tshs 6,484,200 from APOC for three years. 10. OFFICE EQUIPMENT MAINTENANCE Capital equipment provided by APOC will need to be maintained so that they can last for long. This will be done together by Districts and APOC. We are requesting Tshs 700,000/:. 1T. SERVICE AND REPAIR FOR MOTOR VEHICLE AND MOTORCYCLES Motor vehicle and motor cycles needs service to keep them on the tnrck. The Project will need assistance from APOC for the start before handover to the districts. Tshs. 3,900,000/= is requested for the activities. 12. TRAVEL DOMESTIC The Project Coordinator will be required to travel from the Project Office to the onchocerciasis endemic districts and sometimes to collect equipment and bring reports at National Office. Also the Project Accountant travel every month to bring financial report to the National office. We are requesting from APOC amount of Tshs. 4,500,000/: for this item. D 30 n L L rt t il OOO- O$$ lt ooq. O(o (f) I oOO- o -f$ il oOO- O$$ il ooO. O(o(q il OO o^ oC\C! il OOO^ O c!c\ ll OOO^ O c\.1 C\I il OoO^ O@ ll ooO- o -<f C\ ll oo o_ o$trr ll OoO- oC\C\ il OOO. O$ ry c! o,ooC! il oo o_ ot .if ll OOO- O(o(Y) t1 ooO- o$ -<r ll Oo o_ O\f$ il oO o_ O(o cr) il oeo oC! o^(o il ooo o6to @oo(\l ll OOO- oC\C\ il OOO. o(\t c! il oO o_ oC\GI lt oO o_ o@ il oo o_ o -+C\ ll oOq. oss il OOO- O(\I c\l il OOo- o t{' c\l C! r F-ooC! E .9oE(1)L. 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