Plan of action and budget 2008

JOINTACTION FORT]M Office of the Chairman JAF-I'AC: Thirteenth session Bmssels / Belgium, Ilecember 2007 JAFI3.6 Page I T,ORUM D'ACTION COMMUNE Bureau du Pr6sident JAF 13.6 ORIGINAL: English August 2fi)7 African Programme for Onchocerciasis Control Programme africain de lutte contre I'onchocercose Plan of Action and Budget 2008 Item l3 of the Provisional Agenda World Health Organisation 4 U 1. 2. 2.1. 2.2. JAFI3.6 Page2 TABLE OF CONTENTS 4 OBJECTIVE 7 Overall Programme Objective Specific objectives of the 2fi)8 plan of action........- 7 To establish sustainable national onchocerciasis control programmes in all African countries where they are needed To implement onchocerciasis control activities in conjunction with other health interventions (co-implementation). .' To be able to determine when and where ivermectin treatnent can be stopped and to provide guidance to countries on preparing to stop ivermectin treatment" ' To reduce the risk of transmission of onchocerciasis from former OCP countries whose epidemiological and entomological situation threatens neighboring co*t i"t in which the disease has been brought under control To ensure that governments ultimately take full responsibility for onchocerciasis control... To cease all APOC operations without jeopardizing past achievements of OCP and APOC. 3. B(TDGET BREAKDOWN AND TUSTIFICATION........ .....................12 3.1 Budget by technicaUoperational activity Bu dget by administrative/m anagement activity t4 a a a o a 3.2 3.3. Table I Table2 Table 3. Table 4: Table 5: Fig.l: Fig2: Fig.3: Fig.4 Summary of 2008 annual budget....... ""' 16 Estimated number ofNational Projects to be implemented and managed in 2008 Projected annual Trust Fund expenditure by technicavoperational and administrative/ management activities 2008 - Projected operational cost by country in 2008 2008 budget compared to2007 and2O06 budgets. Average unit costs used for budget calculations... ... Technical/operational and administrative cost in 2008. Graph representation of 2008 budget by line item.. Funds pledged (US $ million) and number of projects funded, 1996-2008. Organization chart of APOC Programme a JAFI3.6 ABBREVIATIONS Page 3 AHE APOC BFO CAR CDI CDTI ComDT DRC FO GIS GNNTDC HIA HIPC HSAM IEC ISO JAF NEPAI) NGDO NOTF NTI) OCP OTI) PAB PRSPs RAPLOA RC SAEs SWAPS TDR Advocacy and Hedth Education Officer African Programme for Onchocerciasis Control Budget and Finances Officer Central African RePublic Community- directed intervention Community-directed treatment with ivermectin Community-directed treatment Democratic Republic of Congo Finance Officer Geographical Information SYstem Global Network for Neglected Tropical Diseases Control Health Impact Assessment of APOC operations Heavily indebted Poor countrY Health education, sensitization, advocacy and mobilization Information, Education and Communication Information System Officer Joint Action Forum New partnership for Africa's development Non Governmental Development Organization National Onchocerciasis Task Force Neglected Tropical Diseases Onchocerciasis Control Programme in West Africa Other Tropical Disease Plan of Action and Budget Poverty reduction stratery Papers Rapid epidemiological assessment procedure of Loa loa Regional Committee of Health Severe adverse events Sector-wide aPProaches UNDP/lYorld Bantr/WHO Speciat Programme for Research and Training in TroPical Diseases Traduction Officer West African Health Organization World Health Organization TRAD WAHO wHo JAFI3.6 Page 4 1. INTRODUCTION Summary of Activities carried out in 2fi)7 ln ZO07,the following activities were undertaken to accelerate the attainment of the Programme's goal, and to ensure a results-based approach. (i). Enhancing the performance of CDTI projects and NOTF headquarters support activities; o One hundred and seven (107) CDTI projects were financed and implemented, and seven (7) NOTF headquarters strengthened o The nurntrer of trained peripheral health workers increased from 31rfi)0 to over 351000 o The number of trained cDDs increased from 350p00 to over 450'000 o Financial and technical support was given to DRC and Cameroon to manage serious adverse events (SAEs) (iD Elimination ofblack fly vectors in approved selected foci; o Entomological evaluation in three project areas (Itwara, Mpamba-Nkusi, and Bioko) was conducted . preparatory activities for the conhol of Black fly nuisance in the Inga hydro+lectric dam area (DRC) were undertaken (iii). Operational research activities and the search for a macrofilaricide; o phase II study on external monitoring incentive policies for community volunteers completed o Devolution of management of Operational research to countries initiated; to be completed in 2008 o Financial support given to the search for and dwelopment of a macrofilaricide (iv). Monitoring and evaluation of programme field activities; o Independent monitoring of2 projects conducted o Evaluation of the sustainability of 1 CDTI project was undertaken o Monitoring governments' implementation of 5 CDTI sustainability plans carried out (v). Assisting National Oncho Control Programmes' (NOCPs) staff with technical assistance and resources for capacity building; o Training of health personnel in data management, GIS, financial management, resource mobilization and leadership and IEC; GDTI sEategy and philosophy workshops conducted o Joint leadership and IEC; CDTI stategy and philosophy workshops conducted o Audit mission and review of projects' performance in DRC (vi). Epidemiological evaluation o Rapid health impact assessment of APOC operations conducted by Erasmus University, Rotterdam . Coilaboration with the Multi-Disease Surveillance Centre on onchocerciasis surveillance (vii). Srengthening partrrerships with NGDOs, and collaboration with the Neglected Tropical Diseases (NIDs) and other control prqgrammes o Financed and organized trro Regional meetings on integntion of CDTI activities in national health systems, co-implementation of onJhocerciasis control with other neglected tropical diseases and malaria. o Financial and technical support to projecs to foster co-implementation of CDTI and other health interventions in remote areas and post<onflict states with weak health infrastructure . Close collaboration with NGDOS, OTD/AFRO, NTD/Geneva, TDR, GWU and GNNTDC JAFI3.6 Page 5 (viii). Strengthening Programme administration; o Administrative support given to projects by WHO country offices and the NGDOs o Appointnent of BFO under a fixed-term contract o CSD andBIM posts/contracts underway o COP, AO, mO, post urdertrandormation o Initiated the process to transf,orm the posts of AHE, TRAD, ISO and FO into fixed-term o Statutory meetings of the Programme organ2ed . Co-sharing with WHO country offices oiproject support administrative costs, and provision of appropriate logistics ensured o GPN, wireless internet andvideo conferencing in$alled (ix). Advocacy and resource mobilisation o Joint mission with world Bank in LondorL united Kingdom came off o Advocacy missions undertaken in C-ameroon, Central African Republic and Equatorial Guinea o Firnncing secured from the World Bank Regional strates/ 10 attach a health component to strenglhen CDTI and control black fly nuisance in Inga hydro+lectrical dam (*) Collaboration with regional institutions, APOC and WAHO, on the introduction of community- directed treatnent (ComOf) sfategy into ttre medical and nursing training curricula; campaign for the integration of onchocerciasis control in the agenda of other regional institutions including NEPAD. (x) preparation and presentation to the 57th Regional Coqliuee of Health of WHO/AFRO of a document on "Onchocerciasis Control in the WHO African Region- Current situation and way forward" (xii). Community information database initiated in collaboration with 10 NOTFs (xiii).Integrated mapping ofNTDs initiated in Equatorial Guinea (xiv) Special technical assistant provided to CAR, and process initiated for other conflict/post-conflict countries DRC, Liberia, Angola, Southern Sudan, and Chad) Plan of Action and Budget 2008 The plan of Action and Budget for 200g (PAB 2008) will be the thirteenth plan to be submitted by the African programme 6r Onchocerciasis Control (APOC) for consideration and approval by the Joint ActiJn Forum (JAF). This plan is the first Plan of Action and budget for the Phasing-out of the Programme. The focus of ApOC, as shown in the PAB 2008, will be to scale up treatment and geographic coverage rates; launch CDTI in the remaining post-conflict project areas where implementation- had bein deferred; continue to implement the- recommendations of the external evaluation of 2005; conduct the activities defined in the phasing-out plan, and continue to build the capacity of endemic communities and health systems in preparation of the exit of APOC. out of a total budget of uS$I5.02 million submitted for 2008, 83Yo of it will cover operational costs. A results-based approach was used in the allocation of resources. One hundred and t"n (ilg) CDTI and seven (7) NOTT headquarters support projects in 15 countries (with the exception of Gabon) will benefit from APOC Trust support for planned activities in 2008. 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Overall Programme Objective The overall goal of APOC's phasingout and exit strategy is to have established, by 2015, a country- led system capable of eliminatrng olnchocerciasis as a poUti" health problem in all-African countries endemic for onchocerciasis, bothihose within the geographical area covered by APOC's mandate and those in the former OCP area that are causing concern' APOC JAF 13 6 2. OBJECTTVE a 2.2. Specific objectives of the 2008 plan of action Specific Objective 1: To establish sustainable national onchocerciasis control progranrmes in all African countries where they are needed. Strategic approaches . Strengthen the capaclty of communities to manage the GDTI process; . Strengthen National Onchocerciasis Task Force Secretariats; . Reinforce health education sensitization, advocacy and mobilization (HSAM); . provide technical staffin the 7 most fragile post-conflict countries - Angola, Burundi, Central African Republic, Chad, Democratic Republic of Congo, Liberia" and Sudan to improve geographic and therapeutic coverage; . fot"g*t of CDI strategy in the curricula of nursing and medical students; . Ensure in high risk areas of co.endemicity onchocerciasis-Loiasis safe sequential distribution of ivermectin in Angola (l project), cameroon (2), DRC (1a) and sudan (l) o Monitor and evaluate of CDTI projects; o Foster collaboration with national and regional universities/intuitions to integrate CDI strategy in the curricula of nursing and medical students; Activities to be imPlemented o Devolve technical, administrative and financial skills to all NOTF Secretariats; r Conduct advocacy and sensitization for elaboration of national integration policy document in Malawi, Ethiopi4 Nigeri4 Uganda and Tanzania; . Complet. ntifOA.o*.y. in 3 conflict/post conflict countries (Angola" DRC, and Southern Sudan)., o Conduct advocacy visits to 4 universities in 3 countries (Sudan, Benin, Nigeria) to adopt the curriculum and the training module on CDI strategy; o Carry out independent participatory monitoring in Ethiopia (6 exercises), DRC (11), Angola ( l); o Evaluate of CDTI projects for sustainability in Nigeria (3 projects), Cameroon (l) and Liberia (1),; . Monitor implementation of sustainability plans in Nigeria (4 projects),), DRC (l) o Collect and integrate CDTI data from 7 countries (Nigeria, Uganda, Malawi, Tanzania, Burundi, Congo anA Etniopia ) in APOC community information database. 7 APOC JAF 13.6 Targets Specific Objective 2: To implement onchocerciasis control activities in conjunction with other health interventions (co- implementation) Strategic approaches o promote the use of the CDTI process as a cost-effective vehicle for delivery of multiple health interventions; . Co-implement multiple health interventions, in using research-based evidence; o promote co-funding and co-implementation of other health interventions in Onchocerciasis endemic countries,"in collaboration with NGDOs, the Ottrer Tropical Diseases unit of the WHO Regional Office for Africa, the Departrnent for Corrtrol of Neglected Tropical Diseases at WHO headquarters in Geneva, Switzerian4 and the Global Network for Neglected Tropical Disease Control (GNNTDC). Activities to be imPlemented . Contribute to the organisation of national and regional meetings on CDTI as a cost-effective vehicle for the "colimplemented" delivery of multiple health interventions for 27 CDTI projects in Nigeria (a), Cameroon (3), Mahwi (2), DRC (3), Burundi (2), Tanzania (3), bthiopia (5), Uganda (4), Equatorial Guinea (1) . Assisi five (5) -corrrrt ies (Malawi, Ethiopia, Nigeria, Uganda and Tanzania) to elaborate their national co-implementation action plans 8 Milestones Year 200E Baseline(year Targets/f ndicalors 90o/o88%Terget l: Geographical ilermectin co\-erage rate of total APOC area >65 o/o62.1o/oTarget 2: Tlrerapeutic ivermectin colerage rate at high risli ofoftotal population onchocerciasis in the APOC area. -1 -l Loiasis RAPLOArrhich[ru'ith areascountriesAPOCconflict-affectedofNo.3.Target andolchocerciasisorderin confirmtocarriedbeen out suspectedsuf\ har-e'e)'s -50national CDTI integ5ation poliocorurtries rvith aTarget {, No. of APOC +{25Target 5: No. of CDTI Proiects into national health qstemsfrrllr integrated u60'eharthatCDTI;-evaluated derelopedofNo. sustainabilin pro.iects6:Terget ,'enilnentsecuretothem 50Target 7: No. of rnonitoring and er APOC countries in uhich capacitl- ,'aluation of CDTI proiects is rurder building has ensued that the responsibilitl of -19.00020 m0onchocerciasis+ndemic the[l APOCconunruritres operationalNoE: ofTarget databaseinformationtheininchrdedtlnt arezone APOC JAF 13.6 Targets Specific objective 3: To be able to determine when and where ivermectin treatment can be stopped, and to provide guidance to countries on preparing to stop ivermectin treatnent' Strategic approach o Fund the expansion of research aimed at the development of criteria for stopping ivermectin treatnent in forest and mixed forest-savannah zones (in order to validate the applicability.to ApOC countries of the findings of ongoing TDR/MDSC research in the former OCP countries on the ma:rimum duration of ivermectin treatment required to eliminate the risk of recrudescence of the infection); o Develop guidelines for stopping ivermectin treatnent in forest areas; o Train country staffin using criteria and guidelines for stopping ivermectin treatment' Activities to be imPlemented o Do advocacy on implementation in Nigeria, Cameroon, DRC, Tanzania, Sudan, Chad, CAR the results oithe stpdies conducted in savannah areas of West Africa; . Identifu study sites and experts to implement studies on stopping ivermectin treatment in forest and mixed forest-savannah zones; o Undertake research (field research and research on developing criteria and tools for stopping ivermectin t *ur"nt) in savannatr areas of the former ocP expanded to APOC savannah zones ; o Conduct Training and capacrty building in Nigeri4 Cameroon, DRC, Tanzania, Sudan, Chaq CAR; Targets Milestones Year 2OOBBaselineTargets/Indicators 5 0nationalhalethat ceimplementationcourtrresAPOCNo. ofTarget co-forfrurdshartlnt allocated'e hdgetand regrrlarpolicies 6lTarget 2: No. of CDTI Pro.iects co-implelrenting other health inten'entions along rrith ivermectin treatment lWilestones Year 2OO8Baseline Targe*/f ndicators OlIy'savarurah areas Target I : criteria for Onclrocerciasis-endemic areas stopping itennectin treatment for n hich epidemiologiml are ar-ailable 9 APOC JAF 13.6 Specific objective 4: To reduce the risk of transmission of onchocerciasis from former OCP countries whose epidemiological and entomological situation threatens neighbouring countries in which the disease has been brought under control. Strategic approach provide time-limited (2oog-2012) technical and financial support to countries with high-risk areas, so as to intensifu and strengthen GDTI activities in these areas. Activities to be imPlemented o Reinforce large scale ivermectin distribution in 4 ex-OCP countries (Ghana, Guinea-Bissau, C6te d,Ivoire, and Sierra Leone) threatened by recrudescence of disease; o Facilitate the organi zation of 2 sub regional (Ghana, Guinea-Bissau, C6te d'Ivoire, Sierra Leone, Liberia, Burkina Faso, Guinea Conafry and Togo) cross border meetings for Onchocerciasis control and surveillance activities; o Train nationals to conduct mass distribution of ivermectin and disease surveillance; r Conduct epidemiological evaluation and disease surveillance; Specific objective 5 To ensure that governments ultimately take full responsibility for onchocerciasis control. Strategic approaches o Assist countries to elaborate the country APOC exit plan; o promote dialogue between health and finance ministries in order to procure sustainable financing from countries' regular budgets; o promote the use oiother funding sources for onchocerciasis control such as the Poverty Reduction Strategy papers (pRSPs), Sect-or-Wide Approaches (SWAPs), and the Heavily Indebted Poor Country G{PC) Fund and the Global fund; o Conduct advocacy at global level for financial and technical support to onchocerciasis control' Targets lWilestones Year 2008 Baseline(year TargeE/f ndicators 20has been re-rrhichilrcorurtnesOCPfonuerNo.I of higfrrisliTarget end 20in\TiIcountriestheseulAPOClaunclrcd SOYI6OYoTarget 2: Geognphical ir'ernrectin co\-erage rate in the area fonner OCP coruttries covered br'high-risli 78o/o -58% riskatofrate totalthe higrco\3: populationivermectin ;erageTherapeuticTarget corurtnesOCPin forrnerhfectiononchocerciasisof 10 APOC JAF 13.6 Activities to be imPlemented o provide technical and financial support to 4 countries for developing a country APOC exit plan; o Do advocacy during regionaVsub regional meetings: ECOWAS, African Union "" ; o Conduct advocacy to increase governments and NGDOs' financial contributions to CDTI activities in DRC, Congo, Equatorial Guinea, Angol4 Sudan, Liberia; o Transfer capacrty in resource mobilization to 6 countries (Cameroon, Nigeri4 Liberia, Uganda, Tanzania, Equatorial Guinea) to enable funding of onchocerciasis activities by country financial resources; o Undertake technical and financial review visir in the above-mentioned 6 countries to monitor regular release of funds by Governments to onchocerciasis control activities. Specific 0bjective 6: To cease all APOC operations sithout.ieopardizing past achievements of OCP and APOC Strategic approaches o Establish sentinel sites to monitor clinical and epidemiological impact of APOC operations; o Set up a regional onchocerciasis surveillance system; . Support drug development to provide countries with a macrofilaricide; Activities to be imPlemented . Undertake clinical and epidemiological studies in sentinel sites distributed over l0 projects in 5 countries (Cameroon, Nigeria, Tanzania, DRC, and Equatorial Guinea); . Commission MDSC to carry out onchocerciasis surveillance in the African reglon, o Initiate in collaboration with Erasmus University a comprehensive health impact assessment of APOC operations; o Fund the development of a mathematical model for analyzing RAPLOA data by Lancaster University; . Assist wHo/TDR^dacrofil in the implementation of moxidectin phase 3 clinical studies Milestones Year 2OO8BaselineTargets/Indicators I0actionallto APOCmbmiftedhale ageldacountriesAPOC thatNoI ofTarget financial.allcessation ofAPOCfor stlrer toholr'out plan preparesettiug controlonchocerciasisforandteclurical Z25o/" 250Aactircontrol 'itiesonchocerciasisonAPOCof expendihre2 ProportionTarget contributions.NGDOzurdbr 6.l -1 regrrlar budget frxrds to finance onchocerciasis control actir-ities Target 3. No of APOC corutries using l9l6:Target {. No of corurtries receiting and operational mPPort from APOC furancial. teclurical ' Cameroon, Tanzann and Uganda 'Keny4 Rwanda, Mozambique, Gabon received one year fruding 1t APOC JAF 13.6 Support countries in carrying out operational research to strengthen onchocerciasisa control. Targets 3. BUDGET BREAI(DOWN AND JUSTIHCATION 3.1 Budget by technicaUoperational activity and surveillance activities. (i). Mapping of onchocerciasis and Loiasis Steps will be taken to complete the mapping of onchocerciasis in the post-conflict countries, i.e. CAR, ORC, I-iUeria, Angola and South Sudan. nepfOa surveys will be carried out in Angola, DRC and Sudan to completJttre rist map in the African region being developed by l4nryTt University. The total amount budgeted under this line item (US$0.12 million) represents 0.8f/' of the total budget for2008. De (iD. Community-directedtreatnentwithivermectin Efforts to increase coverage in the projects being implemented will be reinforced. In addition, the cost of launching the remainiig projects will be higher than in the existing proJects The total amount budgeted under this tine itelm OSSi.88 millionfr.pt"tent* 25.53% of the total budget for 2008. The prolramme will strength., tf," capacity of countriei with logistics to be able to continue with control L$8 + (iii). Training and capacity building Training, IEC and capacity building are critical to the success of APOC and to its sustainability as highligriied above. Tire external evaluation team has recommended that these activities should be intensified to ensure that each country has a reservoir of the technical expertise needed for onchocerciasis control at senior management level; and that more appropriate IEC messages are prepared and disseminated at all levels in the countries. In 2007, based on the recommendations of the tC'C, tfr" CSA endorsed the recruitment of technical advisors to support the implementation of prqects in 7 post-conflict countries. The costs will be covered in this budget line item. A total amount of US$1.4g million has been budgeted for these activities. This represents 9-85%, of the total budget for 2008. Dlilestones Year 2OOBBaseline Targets/f ndicators WHO African Regton WHO African RegionTarget I : Regional entities supporttngactilities orrclrocerciasis controlAfrican corurtries )0'eillancesithcountries sllf\' co\-efingNo. APOC q'sternsofTerget health ;stelrnationalinto theandonchocerciasis t2 ,- APOC JAF 13.6 (iv). Monitorine and evaluation ApOC will, in 200E, continue to support armual monitoring or evaluation of 28 CDTI ivermectin distribution proj ects. For the above activities, an amount of US$0.69 million i.e.4.59o/o of the total budget, is earmarked for2008 1 u5 (v) Developing a communiw information database As of mid-2007, 56 CDTI prqects (more than 20,000) had embarked upon entering their data into the community information aut u*. (cD). As of the end of 2008, 49,000 communities' data are integrated in the CID. For the above activities, US$0.74 million, which is 4.93o/af the total budget of 2008, has been set aside. (vi). Inteeration of CDTI into national health systems Through a continuous process of integration and devolution, APOC will continue to make significant contrii'ution to the human resources olcountries' health systems, in addition to the material resources the programme gives to CDTI projects, such as vehicles and other equipment needed to access hard- to-reach communities. Advocacy and workshops are also part of the process which will need US$0'21 million, i.e.1.40"/oof the total budget for 2008. This budget line includes also actiiities for the integration of the CDI strategy into the curriculum of medical students and nurses (vii). Co'implementation of multiple health interventions By 200g, the CDTI network and strategy will become, ipso facto, an integral part of the primary health .yrt"* and thereby strengthen its potential to maintain and sustain its high coverage of the population with ivermectin treatnent. A total of 27 CDTI projects will be co-implementrng multiple health interventions in 2008. This activity will continue to be supported by the Trust Funds for US$1.18million, which represents 7.86o/oof the total budget for 2008. (viii). Research and Macrofil project As recommended by the Working group on the future of APOC and stated in the Plan of Operations, substantial operational research is neeaea to strengthen the scientific basis of the APOC, to adequately address the Challenges raised during the implementation of the CDTI projects and to help the countries in decision *ut ing. Most oFthe operational research will be conducted by the countries in collaboration with TDR and varior, .rr*..h Institutions in the countries. The Erasmus University of Rotterdam will also play an important role in updating/adjusting the ONCHOSIM model to the APOC situation. An amount of US$1.06 million, i.e.7 .06%"of the total budget for 2008 is budgeted for these important research activities. This amount is shared as follows: US$0.4 for Macrofil and US$0'66 for operational research. (ix). Epidemiological evaluation and disease monitorins and surveillance l3 APOC JAF 13.6 As described above in the plan, resources will be put aside to establish sentinel villages in l0 project sites in 5 countries in oider to use epidemiological trend indicators to evaluate CDTI project performance. This activrty will need special equipment and material for the many teams to be istablished in the following countries: Cameroon, Nigeria, Tanzanlla DRC, and Equatorial Guinea. In addition to capacity building of the country teams, and the well-known costs of evaluations (logistics and perdiem), tom ttre OCp experience, the cost of this activity has been estimated at US$0.98 million, representing 6.52%of the total budget of 2008. (x). Monitoring and Marurgement of SAEs in Onchocerciasis and Loiasis co-endemic zones The encephalopathy caused by treatment of patients with onchocerciasis and loiasis can only be managed ifectiuety in an adequately equipped hospital or district referral health facility. In most of the areas corce-ed by this co-endemicity, these structures are very weak and APOC needs to invest a lot to ensure that these conditions are met. An amount of US$.48 million is budgeted for this activity in 2008. This represent s 3 .20Yo of the total amount required to cover the needs of the Programme for 2008. (*r) Advocac)'andhealtheducation At this stage of the Programme, advocacy, sensitization and education are of key importance for the success of any ofthe operations. This activrty, including the preparation and production of appropriate materials, is very expensive and should be undertaken by or with the support of specialists. A total amount of US$i.SS million is budgeted forthis activrty in 2008. This represents 8.99olof the total amount required to cover the needs of the Programme for 2008. (*ii). Assessing health impact of APOC ooerations A comprehensive health impact assessment of APOC operations will be conducted along with a sensitivlty analysis by Erasmus University of Rotterdam (under special agreement planned to cover the 2008-2014 period) to improve the evidence base for prediction and validation of results. An adapted Onchosim model will be used by countries and projects for direct use in management and planning of control activities. For 2008, the cost of this activity has been estimated at US$0.27 million, representing 1.80% of the total of the budget of the mentioned year. 3.2 Budget by administrative/management activity (i). Human resource. management and administration As described in the plan above, there will be an increase in the number of professional staff as from 2008. In addition, the usual yearly increase in salaries will be higher. The total cost of the human resource management and administration during the 2008 will be US$1.75 million. This amount represents ll.65yoof the total amount needed to cover the cost of the 2008. (ii). Collaboration with WHO/AFRO. WHO/Geneva and the NGDO coordinator's ofiice Collaboration will continue but slightly increased up till 2010 to strengthen the decentralisation process. The WHO and other entities, as well as NGDOs will then progressively take over the iesponsibility. The total cost of this collaboration effort will amount to US$ 0.36 million. This represents 2.4Do/o of the total amount needed to cover the cost of the Phasing-out and exit Period activities. l4 APOC JAF 13.6 (iii). Statutorymeetings For the organization of the two regular TCC sessions, as well as two to three sessions of the CSA and the JAF meeting, an amount of US$ 0.30 million, representing 2.00% of the total budget, has been earmarked for jOOt to cover the cost of travel and per diem of the Programme staff members and consultants as well as the cost for the preparation of special events for these meetings. (iv). Maintenance of equipment including vehicles and HO/APOC computer network As already highlighted in the plan above, allocation will be made for the maintenance of the buildings at the APOC Headquarters, as well as the general running costs of the offtces. A limited number of vehicles will be made available to the Programme to replace some of those that were allocated to the Programme by OCP after its closure in2002. For these expenses, an amount of US$ 701000 representing 0.47% of the total budget is earmarked for 2008. (v) Office supplies. logistics and printing Additional office equipment (including computers) will be purchased for new staffmembers and also to replace those that are no more functional. The cost for the production of documents for statutory meetings is also taken into account in this section. An amount of US$ 50,(m0 will be allocated to this budget line item for the Period. (vi). Missions to strengthen parhrerships In view of strengthening CDTI, APOC will reinforce its advocacy as described in the plan above, including highJevel advocacy. A total of US$50,0fl), representing 0.33yo of the budget is earmarked for 2008. t5 APOC JAF 13.6 3.3. Summary of 2008 annual budget On the basis of the detail provided above, concerning the expenditures planned for th9 Programme in 200E, tables and figures ilfustrating the breakdown of the annual budget are presqfied below. Ttble 2: Projected annual Tnrst Fund expenditure by technicavoperational and administrative/rnanagemeilt activities 2008 (15.02 uS$ million). Fig.l: TechnicaUoperational and administrative cost in 2008 Tecfrrcal / Administratve / MarEg€rnert cost ltxOperatioral cost Gtx No Activity 2008 nroiected esDenditure Total (US $million) Percent (/"1 o,12 0.8006I Disease and Loiasis 2 Comrnunitr '{irected treatrnent l-ith ivermectin 3,88 25.83o/o 1,48 9.85o/oJ and 4 and evaluation 0,69 4.59% _5 Dev of Communih' information database o,74 4.9306 6 Integration of CDTI into national health svstems o,21 1.40o/o 7 C of health intervention 1,18 7.ffio/o I Research and Macrofil 1,06 7.060./0 9 evaluation and disease suneillance 0,98 6.52o/o l0 Monitoring and Managernent of SAEs in Onchocerciasis and Loiasis co-endemic zones 0,48 3.20o/o ll Adv-ocacv and health education 1,35 8.99o/o t2 Health impact assessrnent of APOC operations o,27 1.809o l3 Human resource. management and administration 1,75 11.65% l4 Collaboration sith WHO/AFRO and WHO/Geneva 0,36 2.40% I5 Statuton 0,30 2.00% t6 Maintenance of vehicle fleet. ofAPOC 0,07 o.47% t7 Office supplies and logistics 0,05 0.33% l8 Missions to 0,05 0.3306 Total erpenditure 15,02 100.00% t6 APOC JAF 13.6 Table 3: Projected operational cost by countries in 2008 (12.44 US$ million) Countries Project er-OCP countries Total cost CDTI HQ Limited support Amount Percent Angola 7 I 619,000 4.9806 Burundi 5 383,000 3.08o/o Cameroon l5 I 1.205,000 9.6906 CAR I 357,000 2.87o/o Chad I 352,000 2.83o/o Congo 2 397,000 3.19olo DRC 2T I 1,842,000 14.81o/o Eq. Guinea I 386,000 3.10o/o Ethiopia 9 I 863,000 6.94% Gabon 311,000 2.50o/o Liberia J 506,000 4.07o/o Malawi 2 311,000 2.50o/o Nigeria 27 I 1,693,500 13.6106 Sudan 6 I 920,000 7.400/0 Tanzafia 7 1 995,000 8.007o Uganda 5 650,500 5.23o/o C6te d'Ivoire I 235,000 1.89o/o Ghana I 235,000 1.89o/o Guinea-Bissau I 167,000 1.Yolo Sierra Leone I 323,000 2.600/0 TOTAL 110 7 4 12,446,996 r00.00% t7 APOC JAF 13.6 : 2008 budget compared to2oo7 and 2006 budgets Budget line item Proposed Approved Approved 2008 2007 2006 RECI]RRENT EXPENDITURE Personnel serv'ices t.750.000 t-670.000 1.260.000 Consultants and Technical Assistance 2.5_50.000 2"531.200 t.538.000 Travels 230_000 218.000 163.000 Macrofil Proiect 400.000 700.000 700.000 Contracts (research and others) 660.000 549.800 430.000 (i) PBD - forNGDO liaison (i0 TDR. APOC countries and other institutrons (iii) cDs (REMO/GIS) Operating costs 70.000 120.000 r40.000 Supplies 50.000 40.000 40.000 Statuton' meetings 300.000 3 t0.000 180.000 National CDTI Pro.iects including co- irnplementation activities 4.790.000 5.149.000 6.066.25-5 National vector elimination pro.iects I18.000 58.000 Ex OCP countries suPPort 960.000 Training. Workshops. Mobilisation. Advocacr 2.830.000 1.370.000 220.807 Administrative suPPort ofwHo/AFRO/HQ 360.000 621.000 386.000 FIXED ASSETS Office equiprnent 20.000 20.000 36.000 Computer equiPment 49.000 79.000 29.000 Technical equiPment 1.000 4.000 1.938 Totd 15,020,000 13,500,000 11,249,000 t8 APOC JAF 13.6 Fie 2. Graph representation of 2008 budget by line item o,ffice equipnent Cornprter eqtirnent 0.33% Adnirt'stratiw st+Port olWIIO/ARO/!{Q 2lo.h 0.13% Tectnica! eqr{rnert 0.01,6 Training. WorksltoPs. Personnel servhes 11.65%i,lobalisati{xl. 18.8,1% Consuf,ants and Teclrrical Assislance 1G.98% Trawls r.53% Macrofl Pr<{ect 2.6696 tlatirnal proiects (CDTlrllQs+erOCF cormtries +co inplementatiut activilies) 3828% Cdtracts (research and dhers) '1.39% SrypIes 0.33c/6 Operathg costs O/;Tc/c Statutorymeetings 2.00% t9 I APOC JAF 13.6 Fig.3: Funds pledged (US $ million) and number of projects funded, 1996-2008 t16.00 lm 1m tt o o q 608 oa E:c Sl,f.m 312.00 sr0.00 18.00 36.00 Sarxl lz00 s{r.00 8r!q O o , ,E9 E u) {0 20 0 rs96 1997 1998 199S 20oo 2ffi1 2fi2 2003 2fi4 2c05 20(b 2ffi7 2m8 $1r.03 ITotel Funds pledged (trs$ mil[on) *Number of implemented and funded ('DTI proJect3 $15.02 $13.,lit $12.s5 $11.08 $9.36 $9.26 $9''14 $8.97 $8.98 $4.25 i0.63 a 20 101 aAPOC JAF 13.6 Table 5: Average unit costs used for budget calculations * Average cost scaled up in relation to 2006 costs. to account for actual expenses incurred ** French Franc 2008 *:r* 20/D42005 2003 20022007 2005 Staff Professionals -D1-D2 334000190000190000170000170000155000155000 - P4-P5 232000 165 000 165 000 145 000 145 000 I4s 000 145 000 -P2-P3 194 000 116 000 110 000 l15 000 115 000 l15 000 -STP4-STP5 l2l 000 90 000 90 000 85 000 85 000 STP2-STP3 90 000 90 000 65 000 65 000 65 000 NPO-OB 39 000 - General Services 3000027000*2200018000180001400020000 8 800 8 800 I 800 6 000 - STG Consultant/month I 900 8 700 7 000 7 000 7 000 7 000 7 000 - Temporary staff/month (General Services) I 200 I 200 800 800 800 800 800 Dollar equivalent - CFA Francs (XOF) 480 533 505 560 550 600 550 - Euros (EUR) 0.731 0.813 0.770 0 .847 0 .849 1 .55 5 .50** -Swiss Franc (CIIF) 1.199 1.27 l.l8 l 3l 1 .30 | .42 I .42 - Pound sterling (GBP) 0.496 0.557 0.554 0 .584 0 .610 0 .58 0 .58 - Canadian dollar (CAD) 1.059 I '14 | '23 I .35 I .38 r 38 1.38 - Japanese Yen (JPY) 116 115 110 112.00 118.m 112.00 112.00 **+ In 2008, salaries cost and non payroll cost are combined for each staffmember ofWHO 2l FU oo E -()) b\ lrl 0a 5 ort oo D Np o .) p El ox! 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