Consideration of national onchocerciasis control plans projects proposals (CDTI, vector elimination and headquarters support) approved in 2002

JOINT ACTION FORUM Office of the Chairman JAF-FAC: EIGHTH SESSION Ouagadougou, 2-3 December, 2002 FORUM D'ACTION COMMUNE Bureau du Pr6sident t African Programme for Onchocerciasis Control Programme africain de lutte contre l'onchocercose CONSIDERATION OF NATIONAL ONCHOCERCIASIS CONTROL PLANS AI\D PROJECTS PROPOSALS (CDTI, VECTOR, ELIMINATION AI{D IIEADQUATERS suPPoRT) APPROVED rN 2002 ) JAF 8.6 ORIGINAL: ENGLISH September 2002 JAF 8.6 Page i TABLE OF CONTENTS A. INTRODUCTION B. NEW NATIONAL PLANS AND CDTI PROJECT PROPOSALS 1. ANGOLA t.1 t.2 t.3 2.t 2.2 3.2 3.3 4.2 4.3 Rapid epidemiological mapping of onchocerciasis of Angola (Fig. I A. 2) . .. . .. .. . .. .. . National P\an ............. Lunda Sul and Lunda Norte CDTI Project................ I.3.1 Background information 1.3.2 Summary budget. 2. BURUNDI Rapid Epidemiological Mapping of Onchocerciasis (REMO) of Burundi (Fig j & a) . National P\an ............. CDTI Project of Cibitoke and Bubanza 2.3.1 Background information.... 3 CAMEROON................ t0 t0 . l0 ,l0 t2 t2 t3 t3 l3 l4 t4 t5 l5 t6 l7 t7 t7 t8 t8 t9 t9 20 2t 2t 2t 22)) 23 23 24 25 25 26 )'7 Rapid Epidemiological Mapping of Cameroon (Fig.6 & 7) North l(est CDTI project 3.3.1 Backgroundrnformatron 3.3.2 Summarybudget....................... 4 DEMOCRATIC REPUBLIC OF CONGO (DRC) Rapid Epidemiological Mapping oJ'Onchocerciasis of DRC (Fig.9 & l0)....... B as - Congo/Ki nshas a C DTI Proj ecl ................... 4.3.1 Backgroundinformation 4.4 Tshopo CDTI project 4.4.1 Backgroundinformation. 4.4.2 Summarybudget............. 5 ETHIOPrA............ 5.2 Rapid Epidemiological Mapping oJ Onchocerciasis of Ethiopia (Fig I 3 3. l4) 5.3 NorthGondarCDTlproject.................. 5.3.1 Backgroundrnformation 5.3.2 Summarybudget.................... 5.4 Bench Maji CDTI Project....... 5.4. I Background informatron.... 5.4.2 Summary budget..6 LIBERIA.............. 6.2 Rapid Epidemiological Mapping of Onchocerciasis of Liberia (REMO) (Fig.l7 A. l8) .. 6.3 Southl|testLiberiaCDTI Projeu.................... 6.3.1 Backgroundinformatton.... 6.3.2 Summary budget. 6.4 South-Eastern Liberia CDTI proj ect 6.4.1 Backgroundinformation 6.4.2 Summary budget.. TANZANIA7 7.2 Rapid Epidemiological Mapping of Onchocerciasis o/ Tanzania (Fig. 23 A. 24) ....... 7.3 Morogoro Focus CDTI Project......... 7 .3.1 Background rnformation -l .3.2 Summary Budget........... C. REVIEW OF PROGRESS REPORTS (TECHNICAL AND FINANCIAL) AND BUDGETS T'OR SUBSEQUENT YEARS FUNDING................. .......31 27 28 28 29 D. OVERIVEW OF BUDGETS SUBMITTED TO TCC AND CSA IN 2002..,.,,.,.... .........4I 7 7 8 8 8 8 9 9 JAF 8.6 Page 1 tS as at December 2002 1 Angola Lunde Norte & Lunde Sul* Sep-02 271,590 2 Burundi Cibitoke & Bubanza* Sep-02 355,806 3 Cameroon NOTF/HQ Sep-97 Nov-98 4 Adamaoua Sep-97 Nov-98 271,792 5 North Province Sep-97 Nov-98 172,000 6 South West I Sep-97 Aug-98 408,379 7 Littoral II Sep-97 Oct-98 417,912 8 Centre 3 Sep-97 Dec-98 274,239 9 South West II July-99 May-00 336,227 10 Western Province June-00 Jan-01 1,1 1g,g69 11 Centre 2 June-00 Jan-01 ,077I 13, t2 Centre I Mar-01 307,906 13 North West* Sep-02 I,504,939 t4 CAR Central African Republ ic Sep-97 Jul-98 1,500,000 l5 Chad Chad Sep-97 Jan-98 889,290 r6 Congo Congo June-00 Jan-O1 628,197 t7 R.D. Congo NOTF/HQ Aug-98 Apr-00 18 Kasai Aug-98 Apr-00 3.043.667 t9 Ueles Mar-01 1,256,325 20 Sankuru Sep-01 2t Bandundu Sep-O1 67l,g2g 22 Tshopo Mar-02 1,975,215 23 BQs Congo* Sep-02 2,975,164 24 Equatorial Guinea EQ.Guinea CDTI Apr-98 Dec-98 85,000 25 Bioko, Vector Elimination Apr-98 Mar-99 26 Ethiopia NOTF/HQ Mar-00 Aug-00 27 Kaffa-Shekka CDTI Mar-O0 Aug-00 738 712 28 Mar-02 272,462 29 North Gondar Mar-02 101,764 30 Gabon Gabon Aug-98 Sep-99 5,000 31 Liberia Lofa, Bong, Nimba July-99 Feb-00 990,000 32 South-eastern CDTI Mar-02 238,475 33 South-western CDTI Mar-02 467,189 l)ct'sons to hc trcatcrl YCilr 5 Launchilrg,\;r;lrovall)l'o.icct('ou rrl rt' * budget to be revised and scaled down Bench-Maji JAF 8.6 Page 2 Table A2: Projects approved as at December 2002 (continued) Dec-96 lan-97 1,016,082 34 Malawi Thyolo, Mwanza &Extension Apr-97 Oct-97 35 NOTF/HQ Apr-97 Jan-98 665,442 36 Kaduna Apr-97 Nov-97 822,000 37 Taraba Apr-97 Feb-98 654,870 38 Cross River Apr-97 Feb-98 1,089,990 39 Kogi 811,720Adamawa Sep-97 Jun-9940 458,980Borno Sep-97 Jun-994l 280,704 42 Federal Capital Territory Sep-97 Jul-98 770,300Plateau Nassarawa Sep-97 Apr-98 43 Osun Sep-97 Aug-98 623,32644 Apr-98 Sep-98 1,921,207 45 Enugu, Anambra, Ebony Apr-98 Jan-99 400,00046 Kano Sep-98 1,063,067 47 Imo, Abia Apr-98 3 1 5,000 48 Yobe Apr-98 Jan-99 Zamfara Apr-98 Oct-98 128,00049 1,134,777Edo, Delta Aug-98 Jun-99 50 1,724,554oyo Aug-98 Aug-99 51 Jigawa Aug-98 Aug-99 135,480 52 2,101,250Benue March-99 Dec-99 53 l0l,600Kebbi March-99 Dec-99 54 Kwara March-99 Sep-99 66s 000 55 1,564,700Bauchi July-99 Mar-00 56 July-99 May-00 969,740 57 Ekiti July-99 Mar-00 727,552 58 Gombe July-99 Jan-00 849 628 59 Niger July-99 Feb-00 1,427 ,73460 Ondo March-00 741,1576l Ogun State Sep-01 400,000 62 Nigeria Akwa Ibom NOTF/HQ Apr-97 May-97 63 241,385Southern Sector Apr-97 Jan-9864 740,000 Sudan Northem Sector Apr-97 May-97 65 l'r'o.iccl ,\;lllrot ltI l,atutchirtg( -orr rr I rr t rc:t tetl rar 5 I'cl'sortr to lle Table A3: Projects approved as at December 2002 (continued) Fie.Al JAF 8.6 Page 3 79 90 80 70 60-(E o 50o .=(!407 I 30o 20 10 6 63 6 57 4 r25o o CL Szo L(l, o t15 o, o' CL o10 olt E tr5 30 Trend of the number of projects approved from 1996 to 2002 & cumulative total number of projects per year 25 VzvTvPrdiects approved per year *Cumulative total 16 12 10 00 66 NOTF/r{Q Apr-97 Mar-98 67 Mar-98 29s 873Mahenge Focus Apr-97 68 Tukuyu Vector El Sep-97 Oct-98 69 Ruvuma Apr-98 Sep-98 373 710 70 Tanga July-99 Apr-00 149 999 71 Tukuyu Focus CDTI July-99 Mav-00 32 390 72 Kilosa Mar-O1 297 000 73 Tanzania Morogoro focus CDTI* Sep-02 350,921 74 Kisoro, Kasese, Hoima, Masindi Dec-96 May-97 t53210 75 Itwara Vector El. Dec-96 Sep-98 76 Mpamba-Nkusi Focus Vect. EI Dec-96 Sep-98 77 Kabale, Mbale, Kabarole, Busheny Apr-97 Sep-98 334456 78 Rukungiri, Nebbi, Arua, Mbarara Apr-98 Dec-98 433217 79 Uganda Adjumani, Moyo, Apac, Gulu,Kibale Aug-98 Aug-99 632785 Total numbef of persons to be treated (79 projects in 16 countries) 45,653,591 ,\ppl'rlr':tI l'crsorts lo bc Irt'ltlt'rl rc:u'5 l,lrurrchilrgI) rrricct('ount t'\' A total 73 projocts were forecasted f or 2002 ur tlrc Progranlrnc Docurrtent of Plrasc' ll arrd thc Phasrng out pcriod 1996 1997 1998 1999 2000 2001 2002 JAF 8.6 Page 4 Fis.A2: Geographical distribution of the approved projects (CDTI, Vector, HQ) Sudan HQ=1 CDTI=2 Nigeria CDTI=27 HQ=1 Chad CDTI=1 CAR CDTlsl Liberia CDTI=3 Etriopia CDTI=3 HQ=1 Uganda GDTI=4 Vector=2 Crm!roon CDTlrl0 HQ=1 1 Burundi Eq Guinca CDTI=1 Vector:1 @bon "CDTl"=1 TanzaniaCDTI=6 Veclop 1 HQ='l R.D.Congo CDTI=6 HQ=1 CDfl=1 Malawi CDTI=1 Table A4: Summary of thel0 new project proposals submitted to JAF8 for ratification Angola Lunda Norte & Lunda Sul* 271,580 $261,047 $261,047 $0.96 $0.96 Burundi Cibitoke & Bubanza* 146,508 s272,769 $272,769 $1.86 $1.86 Cameroon North West* 934,938 $672,854 $672,854 s0.72 $0.72 DRC Tshopo 467,628 $r04,4r0 $ 1 07,830 s0.22 s0.23 Bas Congo* 879,249 $189,080 $189,080 $0.22 $0.22 Ethiopia Bench Maji 219,336 $283,468 $160,625 $r.29 $0.73 North Gondar 90,768 $ 136,283 $90,986 $1.s0 $r.00 Liberia South western 203,585 $183,000 $149,610 $0.90 $0.73 South eastem r20.000 $ 1 78,780 $156,500 $1.49 $1.30 Tanzznia Morogoro focus* 283,911 $188,936 $ 188,936 $0.67 $0.67 Total 3,617,503 $2,470,627 $2,250,237 $0.68 $0.62 Pcrsons to Irc treltcrl Ycar I Subntitted Reviscd Cost ;rer persion Submittctl Ilcviscd Year I burlgct (huntrt * budget to be revised and scaled down Projcct 20 18 16 14 12 JAF 8.6 Page 5 Fis.A3: Projects (new/year 1, year 2, year 3. year 4, & year 5) reviewed by TCC and APOC Management in 2002 18 14 New projecUyear 1 Year 2 Project Year 3 Project Year4 Project Year 5 Project Table A5: Breakdown of the total approved budget (6,769,046 US $) submitted to JAFS for ratification 10 o IJ o 'a e o oo E c 8 6 4 2 0 New/Year I ll 2,387 907 217 Year 2 6 469,854 78,309 Year 3 l0 826,683 82,668 Year 4 l4 1.405,81 7 100,416 Year 5 t8 1,678,785 93,266 Total 59 617691046 114,730 ,\t cl cosl t'( I t'cl I IS liitrs s)ucslcrlllurl II'rrl ecl I JAF 8.6 Page 6 A. INTRODUCTION From 1996 to 2000, the Committee of Sponsoring Agencies (CSA) approved 63 project proposals recommended by the Technical Consultative Conrmittee (TCC). The approvals were ratified by the Joint Action Forum (JAF) at its second session in December 1996 (4 projects), third session in December 1997 (25 projects), fourth session in December 1998 (16 projects), fifth session in December 1999 (12 projects), sixth session in December 2000 (6 projects) and seventh session in December 2001 (6 projects). In 2002, in conformity with the Memorandum of APOC for Phase II and the Phasing-out period, the Programme Management, on the behalf of the .oint Action Forum has approved l0 new project proposals recommended by TCC at its various sessions. FiguresAl and A2andtables A1,A2, and43 onthepages 1,2,3,4of the currentdocumentshowthe total number of project proposals (79) approved by the CSA as of today. The approval of the ten (10) project proposals by the CSA in 2002 is herewith submitted to the Joint Action Forum for ratification. Furthermore, after a technical and financial review of the first, second, third, fourth and fifth year progress of sixty six (66) APOC-funded projects, the CSA upon recommendation of TCC during its fourteenth (March 2002) and fifteenth (Septemb,:r 2002) sessions has approved the second, third, foufth and fifth year funding of these projects. Thi; approval is also submitted herewith to the JAF for ratification. JAF 8.6 Page 7 B. NEW NATIONAL PLANS AND CDTI PROJECT PROPOSALS 1. ANGOLA 1.1 Rapid epidemiological mapping of onchocerciasis of Angola (Fig. I & 2) Fie.l: Result of Rapid Epidemiological Mapping of Onchocerciasis of Angola Legend f'l n.gton" Rivers o0 o t-9 o 10-19 o 20-39 o 40-t00 KM 3dc. ei 6il.r: crciA'dg 0 100 2AA Fie.2 Community Directed Treatment with Ivermectin (CDTI) areas in Angola l-l I t Legend Ercluded aM Arca to be (fined Priority CDTI aM no CDTI r@ Cours d'du kut6(%) OO c t-9 o i0-19 o 20-39 o 40-t00 $uc. &! ffiri GrSAdr 0 1C0 llrrru \ cErro qrbgo JAF 8.6 Page 8 1.2 National Plan Administratively, the country is divided in 18 provinces with an estimated total population of 13,400,000 persons. The first rapid epidemiological mapping of onchocerciasis (REMO) was conducted in 9 of the provinces between January and February 2002 to assess the distribution and the prevalence of the disease in Country.Because of security reasons only 20%o of the 535 selected viltages were partially covered by the exercise. This exercise enables to determine a meso and endemic villages in the Provinces of Lunde Sul and Lunde Norte. Following this partial REMO results, the National Onchocerciasis Task Force (NOTF) elaborate a National Plan and a CDTI project proposal for submission to the Technical consultative committee for consideration. From June to July 2002, the Nationals in collaboration with two APOC consultants complete the REMO exercise in Angola. Fig. I and 2 show the update REMO map of Angola in light of which the National Plan will be reviewed. 1.3 Lunda Sul and Lunda Nofte CDTI Project The curent proposal is the first submission to APOC for funding. I .3.I Background information Table 1: General information Administrative unit Total l8 provinces Iarget 2 provinces Population ofthe two concerned provinces (year?) Total 737,099 persons Target 271 580 (REMO/GIS estimates) Communities Total Not provided Target 367 GPMOiGIS estimates) The proposed project seeks to establish CDTI in the Provinces of Lunda Norte and Lunda Sul and will treat277,580 persons distributed in 367 meso and hyper endemic communities. 1.3.2 Summary budget A total budget of 444,215.5 US $ has been submitted by the NOTF of Angola for the year I implementation of the project. 59% (261,047 US$) of the submitted budget was re-quested from APOC Trust. The Ministry of Health will contribute for 84,260 US $ (19% of the submitted budget) and the NGDO paftner for 98,908.5 US $ (22% of the budget). The submitted budget will be reviewed and scaled down according to the REMO results and the number of persons to be treated. JAF 8.6 Page 9 2. BURUNDI 2.1 Rapid Epidemiological Mapping of Onchocerciasis (REMO) of Burundi (Fig 3 & a) Fie.3: REMO results of Burundi Fis.4: Community Directed Treatment with Ivermectin (CDTI) areas in Burundi o B o Nodul6s (%) KM 0 20 40 o0 o l-9 o 10-19 o 20-39 o 40-100 Legond ,-69€nde ' RiverYRivieres i"i Prouince ffi tu". Nodules {%)I "J:::- [l noc nrouaue fl RrMonon encorc rlatire f, oonTroc t::,.". o0 o r-9 o 10-19 o 20-19 o 40-100 o ro 'Ngod . ' Cankuzo Ruyigi 0 20 40 JAF 8.6 Page 10 2.2 National PIan Administratively, the country is divided in l6 provinces with 2466 villages (collines). The first cases ofonchocerciasis were described in Burundi 1950. Since then, subsequent studies described the disease skin manifestations including Sowda in the country. Historically three onchocerciasis foci are known in Burundi. The largest focus (1500 km2) comprised the entire province of Cibitoke and part of Bubanza province. In these two provinces an estimated population of 330,000 persons are at risk. The second focus, Rutana (600km2, 230,000 persons at risk), is located in the South-western part of the country. In the South-eastern Burundi was described the smallest focus, Rutana (600km2;, with 52,000 persons at risk. Because of security reasons, rapid epidemiological rnapping of onchocerciasis (REMO) were conducted in 2001 and2002. The analysis of the REMO results enable to delineate an ivermectin mass distribution area in the provinces of Cibitoke and Bubanza. In four provinces (Bujumbura, Bururi, Makamba, Rutana) ivermectin mass distribution is highly probable. Based on the REMO results, the National Onchocerciasis Task Force (NOTF) elaborate a Natiorral Plan for controlling onchocerciasis country wide through community directed treatment with ivennectin (CDTI). 2.3 CDTI Project of Cibitoke and Bubanza The current proposal is the first submission to APOC for funding 2.3.1 Background information Table 2: General information Administrative divisions Total 1 6 provinces Target 2 provinces Population total ofthe country (1990 census) 5,292,793 persons target for CDTI (year 5) 355,806 persons Dry season July to August September-October Persons treated (cumulative total) from 1993 to 1997 17,298 persons treated NGDO partner CBM The project proposal is a reorientation of an existing ivermectin distribution programme, assisted by the Belgium Technical Cooperation, which has treated a cumulative total of 17,298 persons from 1993 to 1997. The project aims to treat at its fifth year of implementation of 355.806 people dishibuted in 157 meso/hyper endemic communities. The CDTI projectarea of Cibitoke and Bubanza is shown in red color in the fig.4. 2.3.2 Summary budget Table 3 summarizes the five year budget as submitted by theNOTF of Burundi and Fig.5 shows the trend ofthe cost per person to be treated between 2003 and2007. Table 3 JAF 8.6 Page I I Five year summary budget of Cibitoke and Bubanza CDTI project as presented by the NOTF of Burundi Year Persons to be treated (A) Total Cost (B) Cost/per ,o,u;6:(8/.{) Contributionof APOC (D) Cost/per APOCB=1D/A) I 146.508 $341,391 $2.33 $272,769 $1.86 2 209,298 $208,942 $ 1.00 $ 147,780 $0.71 3 313,946 $169,722 $0.s4 $115,189 $0.37 4 355,906 $165,492 $0.47 $1 I1,669 $0.31 5 355,906 $147,706 $0.42 $95,004 $0.27 Totals 355,806 $1,033,243 $2.90 s742,411 s2.09 $2.50 $2.00 $1.s0 $1.00 $0.50 $0.00 sfiF Fig.S: Trend of the cost per person to be treated from 2003 to 2007 of Cibitoke and Bubanza CDTI project $2.33 a $1.86 Total APOC \ $1.00 $0.47 --MOH & NGM }'sozt $0.54t $o47 $0.42 $0.37 $0 31a 1 $0.22tozr--- *sor 2004 2005 2006 2007 t t 2003 JAF 8.6 Page 12 3 CAMEROON 3.2 Rapid Epidemiological Mapping of Cameroon Oig.6 & 7) Fiq,6: REMO and REA results of Cameroon Fie.7: CDTI areas in Cameroon R6sultat REMO et REA , Cameroun REMO & REA Results, Cameroon 13gEnd ffi rcnes inhabit&s ffi LacTchaci Riviircs Nodules (%) o 0 t-9 l0- 19 20-39 40-100 o o o KM 0 100 200 L6$nda ffi anes inhabil6o / empty zones ! l*r"luo- r*" A rafliner I mntiac ! TIDC rioritaire Riviires Nodules (0/6) o0 o l-9 o 10-19 o 20-39 o 4&100 KM r-----l 0 100 200 JAF 8.6 Page 13 3.3 North West CDTI project The current proposal is the first submission to APOC for funding. 3.3.1 Background information Table 4: General information Administrative divisions Total North Province Target North Province Total (2002) 1,723,788 persons Ta rget population (year 5) 1,5 938 Dry season From November to February Persons treated from 1996-1997 921 8 persons treated NGDO Partner Sight Savers International (SSI) The province (18,100 km2) consists of 14 health districts with a total population of 1,i23,788 persons(95 inhabitants/km2) the project seeks to establish CDTI in 782 communities and aims to treat l'504,938 people by its fifth year. The project is a partnership between the Ministry of Health (MOH) and Sight Savers International (SSI). 3.3.2 Summary budget Table 5 summarizes the five year budget as submitted by the NOTF of Cameroon and Fig.8 shows the trend of the cost per person to be treated between 2002 and 2006. Table 5: Five year summary budget as presented by the NOTF of Cameroon Year Persons to be treated (A) Total Cost (B) Cost/per ,o,"19=18/A) Contribution of APOC (D) Cost/per APOC p=(D/A) 1 934,939 $944,747 sl.0r $672,854 90.72 2 r,034,938 $922,391 $0.8e $480,243 $0.46 3 l,l34,g3g $522,416 $0.46 $289,541 $0.26 4 1,504,939 $500,352 $0.33 $200,720 s0.1 3 5 1,504,939 $529,969 s0.3s s174,t14 $0.1 2 Totals 1,504,939 $3,419,975 s2.27 $1,817,472 $1.21 Population JAF 8.6 Page 14 s1.20 $1.00 i0.80 Fis.8 Trend of the cost person to be treated from 2002 to 2006 of North West Province (Cameroon) CDTI proiect $1.01 $0.89 , I e 8. o q' Totrl =\1',oc DEMOCRATIC REPUBLIC OF CONGO (DRC) 10.80 t0.{0 $0.20 30.00 -r** t * sooa' .\ $0.46 -$0.33 ! sf:s MOH & NGDO a\ lsl--.. t0.35 $0.21 k - rOgo.rz 2002 2003 2004 4 4.2 Rapid Epidemiological Mapping of Onchocerciasis of DRC (rig.9 & l0) Fie.9: REMO results of Dentocratic Republic of Congo (DRC) Nodules (%) o 0 t-9 l0-19 20-39 40-r 00 L6gende Rilieres FI PrcsiRdrerues KMr-t 0 200 20062006 I I I I I I I JAF 8.6 Page 15 Comrnunity-directed treatment with ivermectine (CDTI) areas of DRCFie.10: 4.3 Bas-Congo/Kinshasa CDTI Project The current proposal is the first submission to APOC for funding. 4.3.1 Background information Table 6: Ceneral information L6gende [] ,.,no**u* ffi nontirtc I zuresarafiner I ftocp.io.itui.. Rivieres lll Prcs/Resewes Nodules (%) 0 l-9 t0-19 20-39 40- r 00 r--] Administrative divisions Total 3 districts and 2 sub urban areas Target 3 districts and 2 sub urban areas Populatio4 of Bas Congo Total (2002) 2,581,807 persons Population of sub urban area of Kinshasa Total (2002) 517,367 persons Target poplrlation (year 5) 2,975,164 persons Health 382 health posts & 30 hospitals D season From June to September Persons treated in the 5 past yeary (1996-2000) 52,984 persons treated NGDO Partner Christoffel Blendenmission (CBM) KM c 0 200 JAF 8.6 Page 16 Bas-Congo (53,920 km2; is one of the I I provinces of the Democratic Republic of Congo (DRC). The Province comprised of 8,257 villages and has a total population of 2,581,807 persons (2002 estirnates). Bas-Congo is a known onchocerciasis focus since 1913. To control the nuisance of simulium, aerial spraying of DDT was carried out between 1969 and 1974. This attempt resulted in a drop of the biting rate from 13,000 bites/personlday (1969) to 5 bites/person/day (1974). Since then, this rate increased and was 5000 biting/person day in 2001. Frorn 1996, ivermectin distribution was introduced in the province and a cumulative total of 52,984 persons were treated from 1 996 to 2000. The project, a partnership between the Ministry of Health (MOH) and Christoffel Blindenmission (CBM), seeks to establish comrnunity-directed treatment with ivennectin (CDTI) in 6,721 communities and aims to treat 2,975,164 persons by its fifth year in Bas Congo and Kinshasa sub urban area. 4.3.2 Summary budget Table 7 summarizes the five year budget as submitted by the NOTF of Democratic Republic of Congo and Fig. I I shows the trend ofthe cost per person to be treated between 2003 and 2007 . Table 7: Five year summary budget of Bas-Congo/Kinshasa CDTI project as presented by the NOTF of DRC Fis.11: Trend of the cost per person to be treated fiom 2003 to 2007, Bas- Congo/Kinshasa $0.28 t \ \ APOC \ \ \ s0.08 $0.03 $0.03 30.01$0.02 Total 30.30 t0.26 i0.20 30.r5 $0.10 t0.05 t0.00 2003 20062005 Year Persons to be treated (A) Total Cost (B) Cost/per ,o,u16=@/A) Contribution of APOC (D) CosUper APOC E--(D/A) I 879.249 $245,490 $0.28 $189,080 $0.22) 1,572,886 $ r23.820 $0.08 $93,1 l0 $0.06 3 1,760,452 $ I 18,300 $0.07 s84,810 $0.0s 4 2,288,587 $78,550 $0.03 $s9,s l 0 s0.03 5 2,975,164 s75,050 $0.03 $54,510 $0.02 Totals 2,915,164 $641,210 s0.22 $481,020 s0.16 MOH & NGDO \ 2004 t t 2007 $0.07\ or $0;06 .-!! r t; t I JAF 8.6 Page 17 4.4 Tshopo CDTI project 4.4.1 Background information Table 8: General information Administrative unit Iotal I Target 1 Population of the District Total I 181 240 persons Iarget (vear 5) I 975 215 persons Communities Total Target (Year 5) 2068 Health facilities (centers/clinics) in the province 148 functional out of296 health posts NGDO Partner CBM The Province Oriental is located in theNorth Eastof DRC. Fourdistricts compose it: Bas U616, Haut U6ld. lturi and Tshopo. The first onchocerciasis focus of this Province, covering the districts of Bas Udl6 and HaLrt U6ld, was described in I 901 . In 1997, APOC through TDR funded a REMO exercise in Bas Udld, Haut U6l6 and Tshopo. Because of social instability, the NOTF was able to complete the REMO exercise in U6l6 districts only 2000. [n March 2001, a CDTI project proposal covering the districts of Udl6s was approved for APOC funding. The district of Tshopo covers a land square of 199,567 km2 with an estimated population of 1,390,371 inhabitants. Ivermectin distribution was initiated in the district in 1992. In this conflict, 16,064 Mectizan tablets were distributed in 1997-1998 and 18.176 tablets in 2000. The current project proposal, a partnership between the Ministry of Health (MOH) and the Christoffel Blinden Mission (CBM), intends to cover in its fifth year of implementation 1,975,215 persons distributed in 2068 communities. 4.4.2 Summar), budget Table 9 below summarizes the five year budget as submitted by the NOTF/DRC and Fig.12 indicates the trend ofthe cost per person to be treated from 2002 to 2006. Table 9: Five year summary budget of Tshopo CDTI project as presented by the NOTF ofDRC Year Persons to be treated (A) Cost/Treat (C ): nla 467, 0.3 APOC cost US $ (D) Cost/pers APOC US $ (E):D/A 0.22104,410 2 1,071.8431 69,8621 0.07 55,930 0.05 J 1,552,123i| l27,znl 0.05 4 1,975,2151 82,.oeol 0.04 63,915 0.03 5 1,975,2151 38.717l| 0.02 30,991 0.02 Totals 1,975,2151 466,441 0.24 325,108 0.16 I Total Cost US S I(B) I t+t.onl 0.0s1 6e,s62l JAF 8.6 Page 18 Fis. 12: Trend of the cost per person to be treated from 2002 to 2006, Tshopo CDTI project US$ 0.35 0.32 rorAL 0.30 0.25 0.22 0.20 A POC 0.15 0.10 f o.oe NGDO& M OH 0.080.07 0.0s 0.02 t t ;oo', ' ' ' 041 -0.00 2002 2003 2004 2005 2006 5 ETHIOPIA 5.2 Rapid Epidemiological Mapping of Onchocerciasis of Ethiopia (Fig.13 & l4) Fie.13: REMO results of Ethiopia kul*(%) O0-0 o l-9 o 10-19 o 20-39 o 40-100 kgcnd Rivss KM I----_.l 0 100 200 ,- o e o o oo e a'o o a\ .,'tr.tr, l', tl: . t-t' '-l I \ t AO o-il o I @ g 9oro o o J. oo 6 I E ,o .'o o ,,0 0 o9o 'o ogoo JAF 8.6 Page 19 Fie.14: Community directed treatment with ivermectin (CDTI) areas in Ethiopia 5.3 North Gondar CDTI project The project is a resubmission for APOC funding 5.3.1 Background information Table l0: General information North Gondar is located in the Amhara National Regional State in the North-western part of Ethiopia. The project area covers the woreda of Metema (2002 estimated population of 69,975 persons) and Quara (43,486 persons). The project, a partnership between the Ministry of Health and the NGDO Global 2000, seeks to a total of 101,764 persons distributed in 1 10 communities. Nodules (%) o0 a t-9 o l0- l9 o 20-39 o 40-100 KM r----l 0 100 200 Legend ! lrio.itrcol"."* ! Nocdriareas n toberefrned I unselectedareas i'-l rt"g.* Administrative unit Target 2 woreda Population of the District Year 2002 113,461persons Communities to be treated by year 5 r10 NGDO Partner Global 2000 I,IUFPSE1ABUR \ryABIE GODE Ethiopia, provisional CDTI areas JAF 8.6 Page20 5.3.2 Surnmary budget Table l1 below summarizes the five year budget as submitted by the NOTF of Ethiopia and Fig.l5 ind icates the trend of the cost per person to be treated from 2002 to 2006. Table 11: Five year summary budget as presented by the NOTF of Ethiopia Fie.l5: Trend of the cost person to be treated from 2002 to 2006, North Gondar $2.50 $2.1 5 $2.00 Total\ \ $1.s0 $1.50tir - t . $1.32\ \ \ ' ;so-sat \ 71 \ $0.68 $0.58$0.50 MOH & NGDO 34 $0.1 0 $0.00 2002 2003 2004 2005 2006 \ $1.00 Year Persons to be treated (A) Total Cost (B) Cost/per Total g:1BlA) Contribution of APOC (D) Cost/per APOC B=@/A) 1 90,768 $194,963.98 $2.1 s $ 136,283.48 $1.s0 2 93.401 $ 140,450.59 $1.s0 $81,770.09 $O.BB 3 96,109 $126,822.24 $1.32 $68,141.74 $0.71 4 98.896 s92,751.37 $0.e4 $34,070.87 $0.34 5 101,764 $68,901.76 $0.68 $10,221.26 $0.1 0 Totals 101,764 $623,889.94 s6.r3 $330,487.44 s3.25 $0.59 \ iAF 8.6 Page 21 5.4 Bench Maji CDTI Project The project is a resubmission to APOC for funding. 5.4.1 Background information Table 12: General information Bench Maji Zone is one of the thirteen zones that constitute the Southern Nations Nationalities and Peoples'Region (SNNPR). lt is located in the south-western part of Ethiopia and it covers a landsquarre of 19,326 km2 on which live an estimated population of 385,g2g persons (20 persons/km2). The proposed project is partnership between the Ministry of Health and the NCDO Global 2000. It aims to treat, by its fifth year of implementation, 272,462 persons distributed in l2 I 5 communities. 5.4.2 Summary budget Table 13 below summarizes the five year budget as submitted by the NOTF of Ethiopia and Fig.16 indicates the trend ofthe cost per person to be treated fronr 2002 to 2006. Table 13: Five-year summary budget as presented by the NOTF of Ethiopia Administrative unit Total 5 woreda Target 3 woreda Populatiqn of the District Total (2000) 385,929 persons Target (year 5) 272,462 persons Communities Total Target (Year 5) 1215 Health facilities in the project area 43 health facilities NGDO Partner Global2000 Year Persons to be treated (A) Total Cost (B) Cost/per ,o,u16:18/,4') Contribution of APOC (D) Cost/per APOC B:@/A) 1 219,336 $444,193 s2.03 s283,468 $ r.29 "| 2s0.069 $369,32 1 $ r.48 $ 198,026 $0.79 3 )\7 ?)t $350,877 $ 1.36 $170.441 $0.66 4 264,793 $33 t,503 $1.25 $142,184 $0.s4 5 272,462 $263,970 s0.97 971,542 s0.26 Totals 272,462 $1,759,963 $6.46 $865,660 $3.18 JAF 8.6 Page 22 $2.50 $2.0 0 Fis.16: Trend of the cost person to be treated from2002 to 2006, Bench Maji 3e.a s I I \ Totali t $l-48t$ r.50 $1.3 6 $1.2 s APOG t t $0.9 7 s't.0 0 $0.73 $0.79 $0.70 $0.71 $o.71 M OH & NGDO $0 68 .66 10.50 $0.54 $0.26 30.0 0 2002 2003 2004 2005 2006 6 LIBERIA 6.2 Rapid Epidemiological Mapping of Onchocerciasis of Liberia (REMO) (Fig.17 & 18) Fis. 17: REMO results of Liberia Rapid Epidemiological Mapping of Onchocerciasis, Liberia Legend Rivex Nodules o o o o o 0 l-9 I 0-19 20-39 40-100 KM 0 50 100 I JAF 8.6 Page23 Fie.18: CDTI areas in Liberia 6.3 South West Liberia CDTI Project It is the second submission of the current proposal to APOC for funding. 6.3.1 Backgrourrd information Table 14: Ceneral information Legend I Defi nites CDTlZones priodaircs CDTI tikcly/TlDc pmbsblc ffi xocunrcaslnonnnc - Rivcs [ rusi,o KM0 50 100 Administrative unit Total 4 counties with 20 districts Target 4 counties with l4 districts Population Total (2000) 650.05I PERSONS Target (year 5) 467,189 persons Communities Total Not available Target (Year 5) 190 Dry season October to April Health facilities in the project area NGDO Partner LINICEF JAF 8.6 Page 24 The South-western Liberia CDTI project comprises 4 counties: Grand Bassa, Bomi, Cape Mount and Margibi. The 4 counties have a total of 20 districts out which 14 will be covered by the proposed CDTI project. The project is reorientation to CDTI of an existing ivermectin distribution programme that treated in 2000 147,155 persons out of a total population of 650,051 people (therapeutic coverage of 23%). The current project proposal seeks to treat by its fifth year of implementation 467,189 persons dishibuted in 190 meso endemic communities. Fig.19 shows the detailed CDTI areas of South-west CDTI project area. Fie.19: Detailed CDTI areas of South West CDTI Project, Liberia 6.3.2 Summary budget Table 15 below summarizes the five-year budget as submitted by the NOTF of Liberia and Fig.20 indicates the trend of the cost per person to be treated from2002 to 2006. Table 15: Five-year summary budget of South West Liberia CDTI project CDTI lilcly/TlDc probablc il NoCDTI@!vtrorTlr(l - Rrrcre No.5! *"o-. ! oennircsCorvzorrcsprioribtca Legend o0 o l-9 o 10-19 o 20-39 o 40-100 Year Persons to be treated (A) Total Cost (B) Cost/per ,o,r16=@/A) Contribution of APOC (D) Cost/per APOC B=(D/A) I 203,585 $289,383 $1.42 $ r 83.000 $0.90) 3 10,380 s I 87,378 $0.60 $95.1 90 $0.31 3 436,126 $172,719 $0.40 $'79,240 $0.1 8 4 45 r,390 $140,674 $0.31 s47,22s $0.1 0 5 467,189 $l 13,177 s0.24 $34,980 $0.07 Totals 467,189 $903,331 $1.93 s439,635 $0.94 tl ,;, t: 3l tl e. tl U, 3l t: t: ir) zt: ll tl t. \ il .:..-..,' ' JAF 8.6 Page 25 Trend of the cost per person to be treated from 2002 to 2006, South Western Liberia CDTI project Fis.20: $1.60 $1.40 e al,f o g. o CL o o. o oo .20 .00 Sl $1 10.80 30.80 t0.40 $0.20 $0.00 2002 20042003 2005 2006 6.4 South-Eastern Liberia CDTI project It is the second submission of the current proposal to APOC for funding. 6.4.1 Background information Table 16: General information The concerned project area is located in the South-eastern Liberia and it comprises five counties (Grand Gedeh, Grand Kru, Maryland, River Gee, and Sinoe). The five counties have a total of 26 districts with a combined total population of 518,945 people (year 2001). The proposed project seeks to irnplement CDTI in 17 rneso endemic communities and aims to treat by its fifth year of implementation 238,475 persons living in 364 meso endemic cornmunities. The project is partnership between the Ministry of Health of Liberia and the NGDO Sight Savers International (SSI). Fig.21 shows the detailed area of the project concerned. t1.!2 & NGDO s0.40 $0.31 $0.21 18 $0. \ $0.60 to.24 \ Total\-\ \ Irtt- $0.17 $0.07 Administrative unit Total 5 counties (26 districts) Target 5 counties (17 districts) Population Total of the 5 target counties (200r) 518,945 Target (year 5) 238,475 Communities Total communities Not available Target 364 Drv season November to Marclr NGDO Partner Sight Savers Internati SSI I I I I I I I l I I JAF 8.6 Page 26 Fig.2l: Detailed REMO results of South-Eastern Liberia 6.4.2 Summary budget Table 17 below summarizes the five-year budget as submitted by the NOTF of Liberia and Fig.22 indicates the trend of the cost per person to be treated from year I to year 5. Table 17: Five-year summary budget of South-eastern Liberia CDTI project as presented by the NOTF ! ,ocor,*v*ttoc - Rivm Nodules Legend o0 o l-9 o 10-19 o 20-39 o 40-100 Dc6rit6 CDTI/Zdps pridihircs CDTI Iikcry'/TIDC probable KM 20 40 Year Persons to be treated (A) Total Cost (B) Cost/per Total 6:(B/A) Contribution of APOC (D) CosUper APOC g=1D/A) 1 120.000 $268,9e8 $2.24 $ 1 78.780 $r.49) 180,000 $ I 90,1 36 $1.06 $118,025 $0.66 3 238,475 $146,162 $0.61 $74,175 $0.31 4 238,475 $ 13 1,160 $0.ss $60,s6s $0.2s 5 238,475 $123,201 $0.s2 $54,005 $0.23 Totals 238,475 $859,657 $3.60 s485,550 s2.04 tl lc. .(, :ol ir) tl I :e, ll I ll tl :e, r: ll :ol lnor Fl Pl $ci n n"ei* Fis.22 JAF 8.6 Page 27 Trend ofthe cost per person to be treated from year I to year 5, South-eastern Liberia CDTI Project $2.50 $2.00 $2.24 ' Total .49 \ 1C @ 0?. $1.50 oo o t $t.oo o oo . $1.06 - -.t,-- -.t I I $0.61 $0.50 $0.30 .30 25 $0.00 Year 1 Year 2 Year 3 Year 4 7 TANZANIA 7.2 Rapid Epidemiological Mapping of Onchocerciasis of Tanzania (Fig. 23 & 24) Fis.23: REMO Results of Tanzania 88:3E Year 5 Nodules (%) o o o o a 0 lr) 10-19 :Gl9 10-tu) ,9,, Legend E '*'" '{fin *n,,,,r,*" KM ----- lREMO results of Tanzania 100 ,;bm . /. JAF 8.6 Page 28 Fie.24: CDTI areas in Tanzania 7.3 Morogoro Focus CDTI Project It is the first submission of the current proposal for APOC funding. 7 .3.1 Background information Table 18: General information Administrative divisions Total division of Morogoro Region 6 districts target 2 districts Population total (2002) 528,760 persons -tqgel(year 5) 35 921 Dry season June to November NGDO partner Sight Savers International (SSI) Morogoro Region is located in the Eastern part of Tanzania.lt comprised 6 districts; four of these districts are covered by previously approved CDTI projects (Kilosa and Mahenge). The proposed project will cover the two remaining districts (Morogoro rural and Mvomero) which have an estimated population of 528,760 persons in 2002. The project intends to treat by its fifth of implementation a total 350,921 people distributed in 63 hyper endemic and 74 meso endemic communities. Fig.25 shows the detailed REMO results of Morogoro Region. Nodules (%) o o o o 0 l-9 10,19 20-:19 $-lrx) ,0" L.gendI** ! -r**'r"* ! rncatm ffi **tr,* Exchded aeB Rive6 KM REMO results of Tarzania r---------10 100 200 'el\ ',ol c -oj t[. o .?eo tel ti',. .ol ttl t f 9- .9 q( 't\ wt v. "f-t l ,:.'. 1;1:..r... :4;11.' .. .' .',,|,1 ,.',,i1, Mlwflm JAF 8.6 Page 29 Fie.25: Detailed REMO results of Morogoro Region, Tanzania '7.3.2 Summary Budget Table l9 summarizes the five year budget as submitted by the NOTF of United Republic of Tanzania and Fig.26 shows the trend of the cost per person to be treated between 2003 and 2007 . Table 19: Five-year summary burdget as presented by the NOTF of Tanzania Sa ar2 ! corr prionty area ffiffi rro cdti area ffi National Parks REMO results of Tanzania Rivers o o o o Excluded areas o 0 t-9 l0- 19 20-39 40- l 00 Year Persons to be treated (A) Total Cost (B) Cost/per Total 6:1B/A) Contribution of APOC (D) Cost/per APOC p:1D/A) 1 283,911 $259,256 $0.91 $188,936 $0.67 ", 307,921 $119,071 $0.39 $82.1 5 I $0.27 3 328,921 $94,773 s0.29 $54,405 $0.1 7 4 340.921 $69,638 $0.20 $35,31 l $0.1 0 5 350,921 $67,07 5 $0.1 9 $24,156 $0.07 Totals 350,921 $609,813 $r.74 $384,959 $r.10 JAF 8.6 Page 30 Fie.26: Trend of the cost per persons to be treated from year I to year 5, Morogoro Focus C DTI proj ect, T anzania $l.oo s0.90 $0.91 30.80 Total $0.70 f so.oz $0.60 AFOC a $0.50 \ $0.40 \ $9.3e\ s0.30 $0.29 to.,r. \ t $0.20 s0.19 - $0.20 MOH & NGDO tt $0.12 t0.10 I {m.oz $0.00 Year 1 Yea.2 Year 3 Year 4 Year 5 I I I I l I l \ JAF 8.6 Page 3 I c. REVIEW OF PROGRESS REPORTS (TECHNICAL AND FINANGIAL) AND BUDGETS FOR SUBSEQUENT YEARS FUNDING After a technical and financial review of first, second, third and fourth year progress reports and proposals for subsequent years funding of sixty. six (66) APOC-funded projects, the CSA upon recommendation of the TCC during its l4* and l5h sessions. has approvedin2002, the second, third, fourth and fifth year funding of the projects shown on tables 20 - 28. U@, Budget (US $) per projects' implementation year $3,ooo,ooo $2,500,000 $2,000,000 $1,500,000 $1,4/,1,247 $961,283 $'1,000,000 $509,290 $500,000 I'lew A/ear I Year 2 Year 3 Year 4 Year 5 $0 t JAF 8.6 Page 32 Table 20: Technical & Financial reports and budget requests for subsequent year funding submitted to TCC and APOC Management in March & September 2002 Proiect Launched Technical Financial Budget request TCCCountry a5 1r. NoTF/HQ Nov-98 4 4 5 J 5 2 2. Adamaoua il Dec-98 J 3. Centre I Mav-01 I I 2 4 I 0 I4. Centre2 Apr-01 1 5. Centre 3 Dec-98 4 4 5 4 I 6. Littoral II Oct-98 J J 4 J 2 7. North May-98 J ) 5 J 2 8 I South West Aug-98 4 5 J I 9. South West II Apr-00 2 3 2 I 10. West Jan-0 I 2 II 1 5 26 t2 Cameroon Total documents reviewed (March & September 2002), Cameroon 3 1CAR 1 I, CAR Jul-98 ) J 4 12. Chad Jan-98 4 4 5 3 IChad Coneo 13. Congo Jan-01 2 2 J 3 I 14. NOTFiHQ Apr-00 2 J J I 15. Kasai Apr-00 2 2 J 4 0 2 016. Ueles Jul-01 1 2 1 7. Bandundu I I 0 D.R.C Total documents reviewed (March & September 2002), D.R. Congo t0 I Mar-99 2 J I 0 18. Bioko Vector 2 I 19. Bioko CDTI Dec-98 J J 4 Eq Guinea Total documents reviewed (March & September 2002), Eq. Guinea 3 1 Aue-00 2 1 I20. NOTF/r{Q 2 2 2 21.Kaffa& Shekka Aug-00 3 3 Ethiopia Total documents reviewed (March & September 2002), Ethiopia Sep-99 J 0 1Gabon 22. Gabon Liberia 23. Western &North western Feb-00 I 2 2 1 Malawi 24.Malawi Malawi Jan-97 4 J 4 2 Ycul' ol' r'c;lo ll s/btttlgcts su lltt il lt'tl Ntutrllrl ol' r'c;lorls I t'o ls:rls r'evicuerl I I Table 21: JAF 8.6 Page 33 Technical & Financial reports and budget requests for subsequent year funding submitted to TCC and APOC Management in March & September 2002 (continued) Management TCCCountry Project Launched Technical Financial Budget request Jun-99 J 4 3 I24.Adamawa I25. Borno Jun-99 J 4 2 126,FCT Jul-98 J 5 I 127.Ekiti May-00 2 2 3 4 I I28. Kaduna Jan-98 4 5 3 229.Kwara Sep-99 J J Aue-99 J J 3 J I30. Oyo 31. Jigawa Aug-99 2 4 2 2 32.Taraba Nov-97 4 0 I I33. Yobe Jan-99 J 5 2 2 I34. Kano Jan-99 J 5 2 2 4 4 I35. Niger Jan-00 36. Cross River Feb-98 4 5 3 I I37. Ondo Feb-00 2 2 3 3 38. Osun Aue-98 J 0 1 39. Zamfara Oct-98 3 3 2 I 5 I40. Edo & Delta Jun-99 J 3 4 4l.Imo/Abia Sep-98 4 4 5 5 1 42.Plateau, Nassarawa Apr-98 4 4 5 4 I 43. Enugu,Anambra, Ebonyi Sep-98 4 4 5 4 I 44. Kebbi Dec-99 J 4 2 2 45. Koei 5 2 IFeb-98 4 4 46. NOTF/HQ Oct-97 4 4 6 2 1 47. Osun Aue-01 1 2 2 0 48. Gombe Mar-00 2 2 I I 49. Bauchi Mar-00 2 4 I I 50. Benue Dec-99 4 1 0 Nigeria Total documents reviewed (March & September 2002), Nigeria 64 28 51. NOTF/HQ May-97 4 1 I 52. Northem Sector Oct-97 4 4 I I 53. Southern Sector Jan-98 4 4 5 2 1 Sudan Total documents reviewed (March & September 2002), Sudan 4 3 Ycal' of' r'c;lrlrls/hutlgcts sullruitlctl \rrrrrher ol' l'c;lrlrls / pro;losrrls l'evicucrl JAF 8.6 Page 34 Trble22: Technical & Financial reports and budget requests for subsequent year funding submitted to TCC and APOC Management in March & September 2002 (continued) Country Project Launched Technical Financial Budget request Management TCC Tanzania 54. NOTF/HQ Mar-98 4 5 I 1 55. Tanga Apr-O0 2 2 ) 2 1 56. Tukuyu CDTI May-00 2 2 J J I 57. Tukuyu vector Oct-98 3 4 5 3 1 58. Mahenge Mar-98 4 0 1 59. Ruwma Sep-98 J 5 2 2 60. Kilosa Sep-01 2 I 0 Total documents reviewed (March & September 2002), Tanzania t2 7 Uqanda 61. Phase IV Aug-99 3 4 I 1 62. Phase III Dec-98 J 4 1 I 63. Phase II Sep-98 J 0 2 64. Phase I May-97 4 0 2 65. Mpamba-Nkusi vector May-99 1 2 66. Itwara Feb-99 1 1 Total documents reviewed (March & September 2002), Uganda 4 9 TOTAL DOCUMENT REVIEWED 139 70 \ clu' ol' rt'1lot'lsilrrrrlgcls rulllttillerl Nrrnrllt'r' ol' r'e;lot'ts / )l'(l als rcvicrrcrl ll JAF 8.6 Page 35 Table 23: Communities and persons treated rn 2001 by projects e0.83 64.1736,907,852 23,683,44158,820 53,426All APOC (14 countries) 100.00 54.491.868,268 1,018,0945,327 5,327Cameroon 100.00 56.65214,853 121,722469 469Adamaoua 100.00 76.28299,438 228,421528 s28North Province r00.00 32.r5250,648 80,575376 316South West I 100.00 35.63303 91,762 32,699303Littoral II 100.00 46.88442 153,254 71,844442Cenre 3 100.00 45.52398 271,961 123,786398Centre I 42.8377,216 100.00470 470 180,283South West II 74.74267,534 100.002,1 80 2,1 80 357,960Western Province 100.00 29.7248, 1 03 14,297l6l 161Centre 2 93.35 43.293,048 1,037,756 449,263Chad 3,265 78.0591.625014 4594 998,102 778,989CAR 56.48228,361 100.00423 423 404,324Congo 27.50665,763 46.743,900 1,823 2,421,383D.R. Congo 28.72l ,848, 123 5 30,813 56.1 32,927 1,643Kasai 23.54573,260 134,950 18.50Ueles 973 180 98.53 66.3067 16,099 10,673Eq Guinea CDTI 68 100.00 76.22500 306,088 233,309Kafa-Shekka CDTI, Ethiopia 500 4228 100.00 53.4818 l8 7906Gabon 23.892.083.435 497,662 76.582,596 1,9E8Lofa, Bong, Nimba, Liberia s6.60648,990 367,298 83.36Malarvi 727 606 31.281.904,384 595,777 80.48Sudan 589 474 18.551,312,500 243,508 72.08Southern Sector 283 204 88.24 59.52270 591 ,884 352,269Northern Sector 306 806, l 36 100.00 60.60588 588 1,330,148Tanzania 58.53202,028 100.00115 115 345,1 50Mahenge Focus 51.10204,400 r00.00Kilosa Focus CDTI 148 148 400,000 67.33298,080 200,711 100.00Ruvuma 155 155 100.00 69.73120 194,388 135,s47Tanga 120 100.00 68.5750 50 92,530 63,4s0Tukuyu Focus CDTI 78.621,441,534 100.00Usanda 3,445 3,445 1,833,581 100.00 77.04370 370 247,181 190,439Phase I 100.00 76.281,040 1,040 472,4t6 360,357Phase II 394,769 r00.00 77.371,392 1,392 510,246Phase III 495,969 100.00 82.15643 643 603,732Phase IV 22.047.388 16,s86,354 94.67 75.2332,244 30,525Nigeria 82,592,527 1,160,079 958,061 100.00Kaduna 2,527 91.68 81.941,142 1,59',7 I ,016,191 881,871Taraba l)roir:cl l ot:tIl'rcatcdI'ot:tl ( icoI'rcl tctl l heru1tr ('olrrrntr rritics l'rl;lulitIiott I'rc:t t lrtcnl covcrilgc JAF 8.6 Page 36 Trble 242 Communities and persons treated in 2001 by projects (continued) Cross River 934 798 960,000 678,100 85.44 70.64 Kogi 2,387 2,387 1,222,170 1,051,125 100.00 86.00 Adamawa 2,504 2,504 959,455 776,813 100.00 80.96 Borno 1,123 866 669,655 545,308 77.t1 81 .43 FCT 563 561 256,258 215,149 99.64 83.96 Plateau Nassarawa 935 888 833,069 761,690 94.97 91.43 Osun 1,131 778 742,432 378,022 68.79 50.92 Enugu, Anambra, Ebony 3,486 3,412 2,904,422 r.792.344 97.88 61.71 Kano 119 175 449,339 368,292 97,77 81.96 Imo, Abia 2,624 2,624 1,5 88,873 l, I 28,6s3 r00.00 71.03 Yobe 245 242 356,729 31 1,s35 98.78 87.33 Zamfara 119 l19 161,972 132,797 100.00 81.99 Edo, Delta 1,000 984 l, 102,938 1,074.542 98.40 97.43 oyo 2,743 2,400 1,300,000 r,021,720 87.50 78.59 Jigawa 134 99 209,541 192,329 73.88 9t.79 Benue 2,049 2,049 r.270.000 696,460 100.00 54.84 Kebbi 181 l8l 139,212 114,625 100.00 82.34 Kwara 962 962 706,888 596,653 100.00 84.41 Bauchi 633 633 500,000 333,128 100.00 66.63 Ekiti 344 204 663,356 453,176 59.30 68.32 Gombe 570 567 600,000 512,208 99.47 85.37 Niger 1,680 1,680 814,809 705,027 100.00 86.s3 Ondo 1,449 I,288 1,400,000 906,726 88.89 64.77 Ogun State l'rcirtrrrcnl rovcr':rgc l lrcrrrllrI'rc:r I crl I)oprrl:rIiorr l olirl ('onrrrrrrrrilics l'r'c:rlcrll'ol u Il'ro.jccl \il.\l,o( I { corrrrlrirr 58.lt20 5-1.-12() 16.907.u52 2-1.('tl-3"11I e0.ll-l 61.17 I iil-- -T JAF 8.6 Page 37 Table 25: CDDS and health workers trained or retrained in 2001 I 415,817 34126,991All APOC (14 countries) 101,909 45Cameroon 8,493 J620 6l 29Adamaoua 42 21,259 6lNorth Province 45 87,128 202South West I 44 6404 58Littoral II 65 ll995 166Centre 3 43 5Centre I 1,158 128 87 35 5South West II 624 311,992 1,10 I s6Western Province 9313 45 65Centre 2 I155 29Chad 3,017 I118 50CAR 4,995 21,109 9l 27Congo 48,066 830 44D.R. Congo 48,066 830 44Kasai Ueles l3l 25Eo.Guinea CDTI 140 27 183 31 6Ikfa-Shekka CDTI, Ethiopla 934 Not applicableGabon Not applicable Not applicable Not applicable 0.5Lofa. Bong. Nimba, Llberia 5,738 104 28 30 10Malawl 1,949 647 1,998 180 l0 ISudan 1Southern Sector 487 116 4 26 INorthern Sector 1,511 64 392 55 3Tsnzania 7,328 1,296 38 38 1Mahenge Focus 1,876 62 47 2Kilosa Focus CDTI 1,808 176 61 6Ruvuma 1,944 56 r00 3Tanga 6Tukuyu Focus CDTI 404 60 44 25,971 1,062 142 6Uganda Phase I 1,7 45 ll9 7l 5 3Phase II 6,900 159 146 9Phase III 10,535 462 206 lt2 5Phase IV 6,791 322 56,7 50 9,83s 26 4Nigerla 46 2Kaduna 5,370 253 2,01s 293 t9 3Taraba l'roir:ct - i'niri I railrcrl llcalllt 'l railring or rctt'airtirtg rr rlrlit'rrI'l'ai rrt'rl llt l'\t )ll\ Nurnhcr lrairtcrl lirt' I0.(l(10 ( 'l) l)r I lcalllr lr0ll\tl\ JAF 8.6 Page 38 Table 26: CDDS and health workers trained or retrained in 2001 (continued) Cross River , 51r 980 26 l0 Kogi 2,730 375 22 3 Adamawa 2,068 342 22 4 Borno I,5t7 253 23 4 FCT 609 184 24 ,| Plateau Nassarawa 2,678 32452 5 Osun 720 301 t0 4 Enugu, Anambra, Ebony 7,339 I,358 25 5 Kano t,346 405 30 9 Imo, Abia 3,775 609 24 4 Yobe 568 298 L6 8 Zamfaru 349 35 22 2 Edo, Delta 2.121 454 t9 4 ovo I,200 616 9 5 Jigawa 320 15129 6 Benue 2,451 540 19 4 Kebbi 585 36 42 3 Kwara 2,044 205 29 3 Bauchi 800 16200 4 Ekiti 1,508 300 23 5 Gombe 763 248 l3 4 Niger 3,366 324 4t 4 Ondo 7,c)77 645 57 5 Ogun State s03 284 l t':rirtirtg or relririltirtg N rrrrrlrt'r' l r':rinttl lirr I 0.(XX) t, '\olt\ l'r'o.icr'1 ('l)l),, l'r':riltcrl I r':rirrtrl Ilr':rlth u rlrlict's ('l)l)s lle:rlth 1l01'l\cl'\ \ll \l)()( ( l{ corrrrlrics I l().()() I t5.lJl7 I 3{ l JAF 8.6 Page 39 Table2Tt Community mobilization and participation in CDTI in 2001 48,604 627All APOC (14 countries) 49,407 52,940 3,455 351Cameroon 5,511 4,231 458430 430Adamoua 430 s67528 528North Province 528 101 667South West I 785 725 502 502 303Littoral II 502 347442 442 442Centre 3 683394 394 394Centre I 384South West II 1642,1 80 894 894Western Province 299316 316 164Cerfre2 318Chad 3169 3169 199CAR 5014 4985 4842 423 956Congo 423 423 621D.R. Congo 631Kasai Ueles s89 157Equatorial Guinea CDTI 612Kafa-Shekka CDTI, Ethiopia 500 500 500 Not applicable 439Ggbon Not applicable Not applicable Lofa. Bons. Nimba. Liberia I,988 l,988 1,540 803 Malawi 697 2r6 606 893 Sudan 270 1,523 3233 Southern Sector t2 4,639 t,934Northern Sector 270 1,51 I 2262Trnzanie s88 s88 s88 Mahenge Focus 115 I 15 115 3,001 Kilosa Focus CDTI 148 148 r48 2,703 Ruvuma l5s 155 155 1,923 1,620Tanga 120 120 120 50 I,851Tukuyu Focus CDTI 50 50 Uganda 3,445 3,445 3,445 532 668Phase I 370 370 370 Phase II I,040 I,040 1,040 454 Phase III t,392 1,392 1,392 367 Phase IV 643 643 643 939 3t,872 30,036 684Nigeria 30,814 2,511 2,517 2,517 459Kaduna Taraba 1,580 I,565 I,565 618 Sclcclctl('l)l)s Itt,l'sort;tct'( orrurrrrrril\'l)ro.iccl rrrolri Iizcrl Nu rrrllcl' ol' coltrlrtutritics u h ich ( ollcclerl rlrrr:g I JAF 8.6 Page 40 Table 28: Community mobilization and participation in CDTI in 2001 (continued) I Cross River 934 932 932 1,028 Kogi 2,403 2,364 2,371 512 Adamawa 2,154 2,s04 2,504 383 Borno I,166 I,1 66 I,165 596 FCT 563 563 485 455 Plateau Nassarawa 574 932 574 891 Osun I,543 778 778 656 Enugu, Anambra, Ebony 3,412 3,412 3,4t2 833 Kano 775 775 775 2,510 Imo, Abia 2,21 2,21 2211 606 Yobe 245 245 245 1,456 Zamfara ll9 ll9 1t9 1,36.1 Edo, Delta 474 966 474 1,103 oyo 2,t56 2,799 2,743 474 Jigawa 99 99 99 1,564 Benue 2,004 2,040 2,031 620 Kebbi 188 188 188 769 Kwara 861 861 861 735 Bauchi 633 633 633 790 Ekiti 507 507 204 1,928 Gombe 567 567 567 1,053 Niger r,680 1,680 1,680 485 Ondo I,449 t,449 903 966 Ogun State 9l \ruubcr ol' corruurrnitics rr lriclr l'crrort ltcr corrrrr nit\rttoltilizctl st'lcc tcrl ('olk.rlerl tlrrrg \ll,\1,()( lJ corrrrlrier {e"{07 52.910 {lJ-60J {q.J07 l'ro JAF 8.6 Page 41 D. OVERIVEW OF BUDGETS SUBMITTED TO TGC AND CSA IN 2OO2 Igblg22: Budget (US $) per country I $261,047 $261,047 $212,769 $272,769 $ 1,780,101$672,854 $2 1 0,03 3 $389,231 $40,979 $466,998 $274,361 s274,361 $296,910 $ l 19,s45 $ 185,850 $602,305 $6s8,688 $658,688 $25 1,6 l l $23,480 $138,151 $413,242 $306,1 10$306,1 10 $16r,5r7 $ l6l,517 $r,304,900$137,670 $78,959 $136,312 $479,836 $472,123 s277,087$277,087 $ 188,936 $98,696 $230,868 $595,773$77,273 $ 13,037 $261,164 $274,801 $2.387.907 $509,290 $961.283 $1,441,247 $1,882,954 $7.182.681I ()',t \t llu ru rrrl i ('orrtll r ,\tt l:t \ t'ltt'5Ycitr'.J Yt':rr { l ol:rlYcrrr'2Ncrr t ciu' \eiu'l ('lr lrrt,r'oorr ('hatl l)Jl. ( oltgo _!:fql!gr,,r t (l u i rrc:r l')tlriopia l,ihu'iir i\litl:tu i Nigt' t tit Srrrl:rrr 'l arrz:rlria I Igrtrtrlu - JAF 8.6 Page 42 &bIs-3Q: Breakdown per project and per country of the total budget (7,182,681 US$) submitted in2002 a SN Counfi Project Year I Year 2 Year 3 Year 4 Year 5 I Angola Lunda Sul & Norte $261,047 2 Burundi Cibitoke & Bubanza $272,769 3 Cameroon North West $672,854 4 Centre 1 $ 140,514 5 Centre 2 $69,519 6 South West II $129,126 7 West $260,1 I I 8 Littoral II $40,979 9 NOTF/HQ $81,245 10 Adamaoua $74,122 ll North $96,406 t2 Centre III $ I I 1,260 l3 South West I $ 103,96s 14 Chad Chad $274,361 l5 DRC Tshopo $ r 07,830 t6 Bas Congo $ 189,080 17 Ueles $ r I 9,545 18 NOTF/HQ $88,400 t9 Kasai s97,450 20 Eq Guinea Bioko CDTI $36,586 21 Vect Elim. $622,082 22 Ethiopia Bench-Maii s 160,625 23 North Gondar s90,986 24 Kaffa Shekka $138,151 25 NOTF/HQ s23,480 26 Liberia South East s 1s6,500 27 South West $ 149,610 28 Malawi Thyolo Mwanza & Ext. $ l6l,517 29 Niseria Akwa-Ibom s137,670 30 Ogun $78,959 3l Ondo s79,032 32 Ekiti ss7,280 33 Borno $76,011 @L: JAF 8.6 Page 43 Breakdown per project and per country of the total budget (7,182,681 US$) submitted in 2002 (continued) sn{ Country Proiect Year I Year 2 Year 3 Year 4 Year 5 34 Nigeria Adamawa $67,024 35 oyo $56,645 36 Edo/Delta $ I 13,349 37 Jigawa $ 18,220 38 Benue $64,290 39 Kebbi $34,280 40 Kwara $50,017 4t Kaduna $35,556 42 Cross River $59,875 43 PlateauA.{asarawa $54,443 44 Enugu/Anambra/Ebonyi $127,896 45 FCT $29,408 46 Imo/Abia $68,31s 47 Kano $32,s8s 48 Osun $40,305 49 Yobe s23,740 50 Sudan Southern Sector s277,087 51 Tar:.z,ania Morogoro CDTI $ 188,936 52 Kilosa s77,273 53 Tanga focus CDTI $66,906 54 Tukuf,u CDTI $31,790 55 Tukuyu Vector Elim $230,868 56 Uganda Itwara Vector el. $ 13,037 57 Phase II $68,004 58 Phase III $102,174 59 Phase IV $91,586 TOTAL $2,387,907 $509,290 $961,283 $1,441,247 $1,882,954 I a