Liberia annual NOTF secretariat technical report to Technical Consultative Committee (TCC): January 1, 2006-December 31, 2006

II RESERVED FOR PROIECT LOGO/IIEADING Final Northwest Project ORIGINAL : English ANNUAL NOTF SECRETARIAT TECHNICAL REPORT TO TECHNICAL CONSULTATIVE COMMITTEE (TCC) To APOC Management by 31 Januarv for March TCC meeting To APOC Management by 31 Julv for September TCC meeting AFRICANPROGRAMME FOR ONCHOCERCTASTS CONTROL (APOC) ) COUNTRY/: LIBERIA NOTF Approval vearz 1999 Renortins Period (Month/Year): January 1r2006 December 31,2006 Proiectvearofthisrenort: (circle)l 2 3 4 (Q 6 7 8 9 l0lll2 t3 t4 mitted:Date su n 3 FFU ?tf{17 ANNUAL NOTF SECRETARIAT TECHNICAL REPORT TO TECHNICAL CONSULTATIVE COMMITTEE (TCC) ENDORSEMENT Please confirm you have read this report by signing in the appropriate space. OFFICERS to sign the report: Country: Liberia National Coordinator Name: Dr. H. Tudae Torboh Signature: Dr. H. Tudae Torboh Date: December 2006 NOTF Chair Name: Dr. Moses Pewu Signature: Dr. Moses Pewu Date: December 2006 This report has been prepared by Name: Dr. H. Tudae Torboh Designation: APOC Signature: Dr. H. Tudae Torboh Date: December 2006 I WHO/APOC, 3 October2004 Definitions (v) (i) Total population: the total population living in meso/hyper-endemic communities within the project area (based on REMO and census taking). (ii) Eligible population: calculated as 84Yo of the total population in meso/hyper- endemic communities in the project area. (iii) Annual Treatment Objective: (ATO): the estimated number of persons living in meso/hyper-endemic areas that a CDTI project intends to treat with ivermectin in a given year. (iv) Ultimate Treatment Goal (UTG): calculated as the maximum number of people to be treated annually in mesoftryper endemic areas within the project area, ultimately to be reached when the project has reached full geographic coverage (normally the project should be expected to reach the UTG at the end of the 3'd year ofthe project). Therapeutic coveraqe: number of people treated in a given year over the total population (this should be expressed as a percentage). (vi) Geogaphical coverage: number of communities treated in a given year over the total number of meso/hyper-endemic communities as identified by REMO in the project area (this should be expressed as a percentage). (vii) Integration: The bringing together of two or more health programs, removing barriers between/among them, in order to maximise cost-effectiveness and permit free and equal association. For example delivering additional health interventions (i.e. vitamin A supplements, albendazole for LF, screening for cataract, etc.) through CDTI (using the same systems, training, supervision and personnel) in order to maximise cost-effectiveness and empower communities to solve more of their health problems. This does not include activities or interventions carried out by community distributors outside of CDTI. (viii) Sustainability: CDTI activities in an area are sustainable when they continue to function effectively for the foreseeable future, with high treatment coverage, integrated into the available healthcare service, with strong community ownership, using resources mobilised by the community and the government. iii WHO/APOC, 10 April2003 FOLLOW UP ON TCC RECOMMENDATIONS Using the table below, fill in the recommendations of the last TCC on the project and describe how they have been addressed. TCC session (Please add more rows if necessary) Number of Recommendation in the Report TCC RECOMMENDATION ACTIONS TAKEN BY THE NOTF SECRETARIAT FOR TCAAPOC MGT USE ONLY Joint mission visit representative of TCC, APOC Management Mission visited Liberia May 22-26,2006 ') To avoid repeated data mistakes Total population and UTG adopted 2006 ) Obtain a simplified reporting form Received simplified form in December 2006 1V WHO/APOC, l0 April2003 I Executive Summary Prepare an Execufive summary of the report in not more than one page, L Summary of treatment and population data comparing projects, trends in treatment over time i.e.- Total number of communities, communities' treated, total population, UTG, ATO and persons treated. 2. Summary of training data of projects (nationally) for: - Project Officer (training of trainers and/or other specific training), totd number of CDDs and health workers trained, total population per active CDD trained. 3. Extent of integration of CDTI projects into the health system. 4. Strengths and weaknesses of the national onchocerciasis control program; challenges and how they were overcome; and opportunities that will strengthen the program. 5. Key activities undertaken by the NOTF during this reporting period. 6. Progress on vector elimination activities (where applicable) v WHO/APOC, l0 April2003 Executive Summary Prepare an Executive summary of the report in not more than one page. From available estimated data of 1,252,588 people infected in the entire project area with Onchocerciasis, a total number 826,004 persons were treated in2l56 communities. During the reporting period under review, two training sessions for the County Health Teams (CHTs) were held. The training sessions took place in Gbarnga, Bong County. A Total of 75 CHTs from the fifteen counties attended the training sessions. The project also conducted two training sessions for Officers-in-Charge (OICs) of Bong, Lofa, Nimba, Montserrado and Gbarpolu counties. A total of ll5 OICs were trained in this training workshops. A total of 12,537 CDDs were trained by the OICs. Beneficiaries within the target communities were mobilized and all did receive health education regarding the disease Onchocerciasis. The communities received health education on River blindness by means of using health education kit containing posters, CDD brochures, measuring device and mectizan tablets. The selected CDDs by the communities were all trained by thel l5 Officers-in-Charge (OICs) within their areas. The Ministry of Health and Social Welfare of Liberia, Sight Saver Intemational (SSI) and the Christian Health Association of Liberia (CHAL) provided moral, logistics, financial and technical support for the implementation of the project. The financial and logistical support from APOC cannot be overemphasized. Financial contribution by the NGO, SSI has been very minimal. E.G. in 2006. The annual training of trainers (TOTs) has been stepped upwards with the establishment of more health facilities in the five counties. Many health NGOs partners have set-up health posts and centers within the fifteen counties with new health workers that need training. When these new health workers are trained and incorporated into the project activities, it will go a long way in the process of monitoring and supervision. This endeavor will aid the project for better therapeutic coverage in the year 2007. The willingness of the communities to take ownership of the program as manifested by their compliance to annual treatment, collection of their tablets from the agreed points of collection and their minimum support for their selected CDDs can be mentioned as strengths within the project. The major constraint encountered by the project is the inability of all beneficiaries to contribute for the support of the CDDs. Many community dwellers especially those residing in Lofa County are just trying to put their lives back together after the 14 years of civil upheaval. These rural dwellers themselves need to be motivated, hence their ability to motivate the CDDs chosen by them is an issue that has been handed to an appreciable level. Challenges: Inaccessibility ofaffected areas due to bad roads Inadequate OICS to carry out CDTI activities Demand by CDDs for financial compensation from NOTF The logistical challenge has largely been handle by the provision of motorbike by APOC to facilitate travel of OICs to train the CDDs in their various localities. Regular visits to communities to explain and assure them that CDTI was own by them and they should therefore be encourage to support their appointed CDDs. SECTION 1: Background information l.) J. 6 1.1. Generalinformation WHO/APOC, 26 September 2003 1.f.1. Description of the country program -CDTI and vector elimination (briefly) - Status of National plan implementation, population at risk, number of projects being implemented, other relevant activities, infrastnrcture (eg. Adequate health facilities, is system decentralized or not, etc), logistics, administrative structure. - Health system & health care delivery (state any problems related to health system that impede program implementation). - Provide map locating all projects (CDTI and Vector Control, if any) within country. In Liberia, there are three (3) major projects, Northwest: Lofa, Bong, Montserrado, Gbarpolu and Nimba. Southwest: Grand Cape Mount, Bomi, Margibi, and Grand Bassa, Southeast: River Gee, Grand Gedeh, Maryland, Grand Kru and Sinoe. From the available data (1999) the population infected is estimated at263,832 people and the population at high risk of contracting onchocerciasis at l,l 13,213 people. In the project areas, there are enough health facility run by MOH or NGO, the entire center is decentralized. The heath system and health care delivery is run by capable CHTs, OICs and other health personnel (see map provided). 1.1.2. Partnership Indicate the partners involved in project implementation at all levels (MOH, NGDOs -national, international) Describe overall working relationship urmong partners, clearly indicating specific areas of project activities where all partners are involved (planning, supervision, advocacy, resources mobilization, endemicity mapping / assessment, development of IEC materials, studies or surveys etc). State plans if any to solve any issues arising as regards CDTI implementrtion. Our partners are MOH, WHO, NGDO (SSI) working relation between WHO and MOH are cordial. The relationship between NOTF is strain. The Country Representation of SSI normally wants to take over of the work of the National Coordinator thereby pretending to do allthe work. The Representative carry out her own advocacy, planning, monitoring and supervision in certain CDTI project areas such as Southwest, but never present any result to NOTF. There is little or no financial support from SSI. 7 WHO/APOC, l0 April2003 Name of CDTI Proiect Total communities in meso/hyper- endemic zone Total population in meso/hyper-endemic zone Ultimate Treatment Goal (UTG) by 2010 Northwest 787 569,245 Southwest 847 415,560 Southeast 522 267,783 TOTAL 2,156 1,252,599 L.2, Population and Health system Table l: Projects and population at risk in the entire country whether they are treated or not during the reporting period. (Please add more rows if necessary) Source: From Oncho Project reports: National census: Other source, specify 2 Year ofsource: UTG: Calculated as the maximum number of people to be treated annually in meso/hyper endemic areas within the project area, ultimately to be reached when the projeci has reached full gePgraphic coverage (normally the project should be expected to reach the UTG at the end of the 3'd year of the project). SECTION 2: Summary of CDTI lmplementation 2.1. Distributionperiod Chart the actual distribution period for each CDTI Project in the country in the table below Overview of distribution undertaken rows as Briefly note any problems/issues (one paragraph) 8 { Distribution PeriodProject Name Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec SW Training Training sup Sup. Sup. Distr Distr Distr Coll. Rep Coll. Rep. Rep Writ Rep Writr Training Training S,rp sup. sup. Distr Distr Distr Coll. Rep Coll. Rep Rep Writ Rep Writ Training Training Sup. Sup Sup. Distr Distr Distr Coll. Rep Coll. Rep Rep Writ Rep Writ WHO/APOC, l0 April2003 2.2. Advocacy and Sensitization a) State the number and type of policy / decision makers mobilized at the national and lower (state and district level) during the current year; the reasons for the sensitization and outcome. b) State progress made towards intemal resource mobilization. c) Describe any policy-related constraints being faced by any particular project and describe what was done to assist the project (outcome). Explain any plans on how to improve advocacy. Advocacy is carry out by the National Coordinator to the decision makers such as the Superintendent, chiefs and elders in the various county and communities. This has resulted into willingness of the community to accept CDTI implementation and CDDs offer voluntary services as mentioned before. The constraints were the demand of compensation by CDDs, but by constant appealand educating them on the ownership of CDTI project, they gradually understood and accepted the project. The intervention of these political leaders result to voluntary rendering CDTI services To plan to improve advocacy through the work of other health workers. 2,3. Information, Education and communication strategy and materials development Briefly describe the IEC strategy being used in the country for CDTI. Note if any new IEC materials were developed or revised, the type of the material, the message and target audience, and where they were distributed. - How were the IEC materials developed ? - Are the materials reviewed to address upcoming issues (like decreasing refusals, sustainability, maintaining compliance to long-term treatment, SAEs)? - Report if any KAP surveys have been done and how their results were used? Beneficiaries within the target communities were mobilized and all did receive health education regarding the disease Onchocerciasis. The communities received health education on River blindness by means of using health education kit containing posters, COO brochures, measuring, device and mectizan tablets. The selected COs by the communities were all trained by the ll5 Officers-in-Charge (OICs) within their areas. Summarize information on: - The use of appropriate and innovative media and/or other strategies to disseminate information among the projects; - Mobilization and health education of women and minorities - method and response - Majoraccomplishments; - Weaknesses/Constraints; - Suggest ways to improve mobilization of the target communities among projects. 2,4. Communities' involvementin decision-making Comment on community participation making comparisons among projects - Participation of female and youth members of the community at health education meetings; 9 WHO/APOC, l0 April2003 In general, how do you rate the participation of minority groups and female members in community meetings, decision-making, (attendance, participation in the discussion etc.) other issues. 2.5. Capacity building Training of national, district level staff in CDTI and general management skills (computer applications, project planning, etc.) Briefly describe any training done by the NOTF for specific CDTI or Vector Control Projects (Objectives, participants, outcomes, any follow-up needed). The annual training of trainers (TOTs) has been reviewed upwards with the establishment of more health facilities in the five counties. Many health NGOs partners have set-up health posts and centers within the five counties with health workers that need training. When these new health workers are trained and incorporated into the project activities, it will go a long way in the process of monitoring and supervision. This endeavor will aid the project for better therapeutic coverage in the year 2007. The willingness of the communities to take ownership of the program as manifested by their compliance to annual treatment, collection of their tablets from the agreed points of collection and their minimum support for their selected CDDs can be mentioned as strengths within the project. Table 3: Type of training undertaken at national level by the GTNONOTF (Tick the boxes where specific training was carried out during the reporting period) Type of training Project staff MOH staff Opinion Leaders Others (speci&) Program management ^/ ./ How to conduct Health education ^/ ^/ OtCs Management of SAEs ^/ ./ OICs CSM SHM Data collection ./ OICs, COS & CDDs Data analysis ./ ./ Report writing ./ NC, CHO & OICs Others (speciff) l0 WHO/APOC, l0 April2003 cfloo cq L C) .o Eo A ru U) \o c.l doA{ o > oi, Su qr .a € S b q)\\)s q)\ Vr !) .t .Et\ 5q) \t\ B$t4 \S .B\SU!)Ir q) E 0o Ets \t) _rl s \. s\ B i .t) F qs a)\ U, r{ * q) ,a € o 4 q) L a) q) L rr) q) .t s \tLoaq)\ q) L S bo\ L BLS ,.q)\ Va a) *. F\\ B iq) =E\ h q)\dkLa -s.A\B a4 v-,q)()q) L\- 9.4o>o= o'LHq)HL FOF<So;OT oB .q q)P4ssEE. =u)j'^ o9 o.) Hoo'oxocx(!r3 v)(l)'48 6J.EE $s .; o- ,aE ].' 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Briefly describe all known and verified serious adverse events (SAEs) and provide in table 7 the required information when available. 2.7.4, In case the country has had no case of serious adverse event (SAE) during this reporting period, please tick in the box. No case to report Table 7: Cases of Serious Adverse Events (SAEs) that occurred during the reporting period 'lease add more rows * SAEs should be verified by project coordinator Sequelea is detined as those cases that have not recoveredfully from the SAE and are left with lasting neurological or other debililating effects. { Name of project Number of verified* SAE cases reported Action taken Number of cases with sequelea Number of deaths t4 WHO/APOC, l0April2003 rnoo(\l r o doA\ o rat $' ,$ a S B E S U\ .:5 ut) o'L\Ht\ B B IS € AJ s SQ I aS * B v,ll t, sU q) s \ ,S t3 Et\S\qJ S.tr\ q) -rt q) ta Etqr u 6i(l) Lr cl I(l) oLa (l) L E() o l-r € L. 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Superuision 2.8,1 Note the supervision that was undertaken by the NOTF (Project supervised, date, by whom, objective of supervision mission, outcome, follow-up needed) sion undertaken the NOTF lease add more rows 2.8.1. What were the main issues identified during supervision? Lacks of means of transportation, CDDs walk long distances, therefore motorbikes and bicycles are needed. 2.8.2, Was a standard supervision checklist used? Better means of transport needed 2.8.3. What were the outcomes at each level of CDTI implementation supervised? 2.8.4. Was feed-back given to the supervised, and how was the feedback used in improving the overall performance of the project? Complains were answered by National Coordinator based on information from the workshop team. Project Name Supervisor Date Objective of supervision Outcome/follow-up needed Northwest Nat. Cord. & Project Manager May 5-6 2006 Zorzor & Voinjama Using checklist to examine and correct all ledgers ofrecords on project areas Records corrected when necessary and monitoring carry out Southeast Nat. Cord. & Project Manager Mr. Gaoweh CHAL May 6-7 2006 Zwedru Using checklist to examine and correct all ledgers ofrecords on proiect areas Records corrected when necessary and monitoring carry out Southwest Nat. Cord. & Project Manager Rev. Jorgboh May 7-8 2006 Kakata Margibi Using checklist to examine and correct all ledgers ofrecords on proiect areas Records corrected when necessary and monitoring carry out t6 WHO/APOC, l0April2003 2.9. Community self-monitoring and Stakeholders Meeting Table l0: Community self-monitoring and Stakeholders Meeting (Please add more rows if Describe how the results of the affected project implementation cycle. community self- monitoring and or how they would be utilized stakeholders meetings have during the next treaftnent 2.10 Compliance to long-term treatment with Ivermectin Mention specific activities in the Table ll that the NOTF has done to ensure that CDTI projects comply with long-term mass treatment with ivermectin? (For projects 4 and above years old) Table I l: Activities of that promote compliance to long-term treatment with ivermectin Objective Specific Activities Project targeted l. Promote Integration of CDTI with other health care services Southwest CDTI I't year 2. Maintain high therapeutic (> 65%) and geo graphic( I 00%) 3. Promote strong community qu4ryrship 4. Promote high government commitnent 5. Support strong partnership 6. Put in place a strong IEC strategy that encourages continued treatment Southwest CDTI I't year Other SECTION 3: Other activities of the NOTF 3.1 Describe any additional activities undertaken by the NOTtr'(REMO, RAPLOA, KAP studies, vector elimination where applicable, etc). It has been any vector elimination in any of the project area. 3.2 What was done to coordinate CDTI Project activities? l. CDTI activities are coordinated to PHC System Project Name Total # of LGAs or districts in the entire project area No. and % of LGAs or districts that canied out self monitoring (CSlt) No. and % of LGAs or districts that conducted stakeholders meeting (sHIvr) TOTAL t7 WHO/APOC, l0 April 2003 E 2. Encouraged OICs to include Oncho among their daily/weekly health education talks at the clinics 3. Ensured that all communities/clinics display a CDTI poster and understand it Note meetings convened for the NOTF. (objective of meeting, issues addressed, date, participants, outcome, constraints faced follow-up needed) Note meetings attended to provide technical input to other projects, other countries, or other sectors. Held meetings with the Mano River Union countries, Sierra Leone and Guinea to encourage simultaneous border treatment for enhanced control 3.5 Briefly state any adininistrative duties undertaken - Number and type of reports reviewed (technical, financial), - Reports forwarded to APOC management, - Administrative assistance or trouble shooting for projects. 3.6 Insert the Plan of Action for the NOTF activities for the current year indicating activities by month, which were implemented. 3.7 Insert the Plan of Action for next year 3.3 3.4 18 WHO/APOC, 10 April2003 rooo c.l a. o do O. o o\ CJ o o 0) >rs 13 (rlE u,() L cl da vt(g o)(r, €tr .v H (/, c o)p oO o € o €)o v) t,(D L b0 ai o z bo c .t tso& o)k l"o I kt Ldo >a C) *I lr -oH t)Io(D 'a L< o< F aO (d oI (ntr C) dUL a -d -o u2 t)Ldoi.itr..= -Htr1Efi,9 oc -EoF+.() tEH -o.E\J ttz oE4IJ.9EtrEt-l oEq=a.'EyE.ET !uAUE -ts$.83 '79a HOEAir -I':lFl*ol(.=l ra.iFl(t) + Fl 1'() o 6l o) q)L I H U) EI c)+. L o q) E o H I o ta E L -ltr oU U,t<o -tr o o ttt o aAC) co .E(.)E ctEOE H() r<g ts cd O. o o z oq oo$ o\ oq o+ tn e € €NG$ F{ (! o (H o L t, oq € o\o N oq c\o c! q e.I$ N t-,(N\o \o \oOo c.l o() 'a LAq-{ o o ts cd z U)q) B l<oz (h o o V) u) 6do oa 6l +) otr If there are problems with release of counterpart funds, how were they addressed? - Comments State the number of projects that had no funding from APOC Trust Fund? N/A State the number of projects that had no funding from any outside source? N/A State the number of projects that are late in submission of the financial reports to APOC? N/A 4.2. Other forms of community support - Describe (indicate forms of in-kind contributions of communities if any) N/A 4.3. Resourcemobilizationefforts Describe activities undertaken by the NOTF to raise funds or mobilize in-kind resources and the outcome of those efforts. Adwocacy with the Committee on Health at the National Legislature (Parliament). As a result US$20,000 was allocated in the national budget for CDTI implementation. 4.4. Expenditure per activity by the NOTF secretariat - Indicate the expenditure on activities below in US dollars using the current United Nations exchange rate to local currency Table l3: Indicate how much the NOTF secretariat project spent for each activity listed below during the Comments: The frrll amount approved by the management of APOC and GOL for the implementation of the project was not disbursed to the project. Activity of NOTF secretariat Expenditure ($ US) and Source(s) of funding APOC MOH NGDO OTHER 300.00 300.00 Drug delivery from NOTF HQ/entry pqiqt to projects, districts, etc Monitoring and supervision of CDTI Projects Training of Project officers, TOT, NOTF staff, etc. Advocacy visits to health and political authorities at national level 15,755.00 1,500.00 100.00 302.00 IEC KAP studies, materials development, Annual review workshops Bi annual NOTF meetings Fuel and maintenance of Vehicles, 1,110.00 Maintenance of office equipment 250.00 Stationery Others (JAF MRU Meeting) 17,958.00 1,096.00 9,148.00 TOTAL 36,573.00 2,098.00 9,148.00 -0- Total number of persons treated 316,210 21 WHO/APOC, l0 April2003 urpursr Source Type of Equipment APOC MOH Other donors NGDO Private Condition of the equipment * Please state 1. Vehicle 2 functional 2. Motor cycle 5 functional 3. Computers I functional 4. Printers I functional 5. Fax Machines 6. Others a) Air conditioner 1 functional b) c) a 4.5. Equipment Status of ofNOTF Secretariat add more rows ne *Condition of the equipment (Functional, Currently non-functional but repairable, Written off). How does the project intend to maintain and replace existing equipment and other materials? - Describe the adequacy of available knowledgeable manpower at all levels. - rMhere frequent transfers of trained staff occur, state what project is doing or intends to do to remedy the situation (The most importont issue is what measures were taken to ensure adequate CDTI implementation where not enough lvtowledgeable manpower was available or staff often transferred during the course of the campaign). Budget allocation has been made for the maintenance and repairs of the equipment. Negotiation is going on with GOL for the replacement of existing equipment and other materials. 22 WHO/APOC, l0 April2003 i ciooGI a o Qo o. o > c.l c\l ErE SE E.e E rqE FEHp. e bbi! .s t'r 92 E€€Es SHs .,) 8F fE E9€p$i E , KQEts()E-ve € E H zdcaE E, *g:EraA uE tEEf;Ef; E! -e89',;EH; e*X {.:FHI;g iF; ETr"*EE ;HEgH E*EEE: BaEE{ Egi EqE fB.:85 $EEE€-" f Fs€9 fi*gsE E E t.EEEH g6s;Bts E?EBEE*?EEE*E iEggBiiEEiEEEi e!Fl ooooo oooo oo l.a t4 o\ a)Lo Es C) .lzd L(l)E tro (d cl o .c, c, I}(r{ o B(l) E(li) o F. - v .9Loq u0 t .-gL oa aP -o0()4 '- +.ihov-L.X l-{ LC)= €Eb: €otrEcl(D o0 'FEsgE tr5o6t .-! =:Eir to(D €=8;BE!uotrtr .F LFiESHo'=A.IHrlgO EEtsEh' -ocFbE =Ea .r .lAI.CJ -idj3fE E{BE:5-Xr^n'E .5€8 .l.Xa .5(l)Hii- vv9.-a 9X{-, L 'r3 Eh E:61 + i#\n B. 4€!-{(J E ..: ',]t-,{ raO rrlJra ui >. .o tro .a U) -Ebo_d tr8*E s a0 cl o.-tr'= r<I5bs Ez E * -Y) H'd.F fr8E E .EcUtr -E HHSBE6eE k(l) € ect8:p E.E EoqxE o- ddEg tr=f, E ar ca .=v EE Eti d]t l. d 2,-,Eg-H .= 'La (g ct =3>(.)AutQ>\ i*- H E.E g !,s [E 3E.E E o H cl z oO 'a A caOoN L0. o () o tr-r o rJr \f, ol +. ah () EI EI I Lq)E o E t ra +. c) o Eq) e EI t,o ea 6l E(l)(l)E 6) q) GI ' o 6lLq) E(l) a0 El-l ?a ia o d 9o)IVU (EA9 - 9H .F .r u)8tr.9 g -!.-A B .i.rE E 3Ei f, 5Eu E EeE E ESE fi E.HB B Ee € 6 EE8 E H€r $ 3E8 EB;ri cEE e.,'E gE EE H-E 'G)oL.CE EE€;(d trtrtrE E EE€.rE S* E€c E* ts tr:t 6J o'-E E HEB o H xE'6' '.!:@d,^L{I : tt, Er fsgES E: E€B 3 3.8 P1r E-9 s L .H d E€.Eq tI r I 3 gcEE E .o.$aE9o E.E.EEefl .gngSEA :6EE.EEHb0'.,roo/.\ trYa&.t o E E a',I J EIEEEE o oooo I L 5.2. Sustainability of projects: plan and set targets (mandatory at Yr 3) What arangements have been made to sustain CDTI after APOC funding ceases in terms of : 5.2.7. Planning at all relevant levels. 5.2.2. Funds 5.2.3. Transport and equipment (replacement and maintenance) 5.2.4. Human resources 5.2.5. Which projects have submitted sustainability plan? 5.2.6. To what extent have the plans been implemented? 5.3. Integration Outline the extent of integration of CDTI into the PHC structure and the plans for complete integration. 5.3.1. Ivermectin delivery mechanisms 5.3.2. Training 5.3.3. Joint supervision and monitoring with other programs 5.3.4. Release of funds 5.3.5. Is CDTI included in the PHC budget? 5.3.6. Describe other health programmes that are using the CDTI structure and how this was achieved. What have been the achievements? 5.3.7. Describe other issues considered in the integration of CDTI 5.3.8. Describe the integration of other programs into CDTI in your country and the results of this integration on CDTI (e.g. Is Vitamin A supplementation integrated and what are the results, is screening for cataract of primary eye care interventions integrated in all or some projects, if no integration has taken place, are there plans to pilot test a stratery, etc?) Yes there are plans to pilot integrating eye care in2007 5.4 Operational research 5.4.1. Summarize in half of a page the operational research undertaken in the country area within the reporting period. None 5.4.2. How were the results applied in the project? a , I 25 WHO/APOC, l0April2003 I5.4.3 Note the issues that have been identilied by the NOTF for future operational research. SECTION 6: Strengths, weaknesses, challenges and opportunities List the strengths, weaknesses, opportunities and threats of CDTI implementation process. List the strengths, weaknesses, opportunities and threats of the vector elimination project (where applicable). fndicate how challenges were addressed. Indicate how opportunities can be utilized to improve CDTI. \ 26 WHO/APOC, l0 April 2003 I