Technical services - letter of agreement epidemiological evaluation, (Sierra Leone), 1994

,ONCHOCERCIASIS CONTROL PROGRAMME IN WEST AFRICA 01 P.O. BOX 549 - Te1.(226) 30.23.12 - Telex 4241BF OUAGADOUGOU 01 . BURKINA FASO National Onchocerciasis Team Ministry of Health and Social Services Makeni Sierra Leone. Registry File: 08/181, I 1.11 Date:31,/08194 Allotment: OU ICP CTD 306 ON 94 834 TECHNICAL SERVICES - LETTER OF AGREEMENT For the purpose of carrying out epidemiological evaluations and large scale ivermectin treatments in Sierra Leone: The World Health Organization, Onchocerciasis Control Programme, hereinafter referred to as "WHO/ONCHO" on the one hand, and The National Onchocerciasis Team Ministry of Public Health and Social Services Makeni Sierra Leone hereinafter referred to as the "INSTITUTION", on the other hand; HAVE AGREED AS FOLLOWS: 1. DUTIES TO BE PERFORMED Missions A: Epidemiological evaluation for incidence study of onchocerciasis in 10 villages and large scale ivermectin treatment in the Rokel I river basin including sensitization during 30 days from September 25, to October 24, t994. The first 5 days of the mission is granted to 3 technicians of the national team and 4 nurses from Lunsar Hospital and 3 drivers for the sensitization of the villages to be treated (see annexe 1.1) B: I-arge scale ivermectin treatment of Gbangbai and Taia II basins including prior sensitization during 20 days from 25th October to 13th November, 1994. The first 5 days of the mission is granted to 3 technicians of the national team and 3 drivers for the sensitization of the villages to be treated (see annex 1.1). C: Simple epidemiological evaluation, collection of blood samples, validation of "Dec patch test" and large scale ivermectin treatment in the Rokel II basin including prior sensitization during 20 days from 14th November to 3rd December 1994. The first 5 days of the mission is granted to 3 technicians of t 2the national team and 4 nurses from Lunsar hospital and 3 drivers for the sensitization of the villages to be treated (see annex 1.1). D: Large scale ivermectin treatment of Taia I basins including prior sensitization during 24 days from 4th to 27th December, 1994. The first 5 days of the mission is granted to 3 technicians of the national team and 3 drivers for the sensitization of the villages to be treated (see annex 1.1). The working programme for this agreement could be modified in the course of its execution by WHO/ONCHO after discussions with the National Team. 2. METHODOLOGY Missions: A&C: The national team (2 medical doctors, 7 technicians/nurses, 3 external nurses 4 nurses from Lunsar Hospital and 10 drivers) in collaboration with 1 technician from the EPI Unit of the OCP will carry out the epidemilogical evaluation and large scale ivermectin treatment in the above mentioned basin. The methodology of the evaluation will be as follows: Microscopic reading of the skin snip will be done after 30 minutes of incubation of the snips in distilled water and after 24 hours incubation in saline for the negatives. Monitoring of adverses reactions will be observed for 36 hours after the ivermectin treatment. B&D: The national team (2 medical doctors, 7 technicians/nurses, 7 external nurses and 10 drivers) in collaboration with 1 technician from the EPI Unit of the OCP will carry out the large scale ivermectin treatments of the above mentioned basins. Monitoring of adverses reactions will be done for 36 hours after treatment. 3. OBLIGATTONS OF WHO/ONCHO 3.1. Lump sum indemnity See annex 1..1 A total amount of 176 000 Irones (one hundred and seventy six thousand Irones) representing the lump sum indemnity will be paid to the national team. The lump sum will be paid monthly to each member of the team having worked during at least part of the corresponding month. 3.2. Travel oerdiem See annex 1.2 A total amount of 6 848 800 Leones (six million eigth hundred and forty eigth thousand eigth hundred Irones) representing the per diem, will be paid to the national team. The perdiem will be paid only for the number of days spent by the team in the field. The number of days spent could be less than that assigned in the letter of agreement. J3.3. Ooeratins costs Fuel and Lubricants Annex 1..3. WHO/ONCHO shall provide Mission A: - 3000 litres of diesel oil and 10 litres of vanellus for the vehicles and 60 litres of fuel for the motorcycles. Mission B. - 2200Iitres of diesel oil and 10 litres of vanellus for the vehicles and 60 litres of fuel for the motorrycles. Mission C. - 2500 litres of diesel oil and 10 litres of vanellus for the vehicles and 60 litres of fuel for the motorcycles. Mission D. - 3000 litres of diesel oil and 10 litres of vanellus for the vehicles and 60 litres of fuel for the motorrycles. Other ooeratins costs An amount of.240,000 Leones (two hundred and forty thousand [,eones) shall be provided for unexpected expenses including bank charges to cover the missions. 3.4. Means of travel WHO/ONCHO shall provide: 9 (nine) 4 wheel drive vehicles, 1 truck and 5 motorcyles. 3.5. Office Suoolies and others. a) WHO/ONCHO shall provide the necessary office supplies for these missions. b) A quantity of "ad hoc" drugs shall be provided to the Institution by WHO/ONCHO for the treatment of the sick in the villages to be visited. 4. CONTRIBUTION OF THE INSTITUTION The Institution in agreement with its Government shall provide the following staffformissionsA&C: - Medical officers 2 - Technicians/nurses 7 - Nurses (Lunsar) 4 - External nurses 3 - drivers 10 TOTAL % 4For missions B and D the personnel will be the same as above except that this time there will be 7 external nurses and no nurses from Lunsar. 5. PERIOD COVERED BY THIS AGREEMENT This letter of agreement shall cover a period of 55 days as follows: Mission A: From 25th September to 24th October, 1994 (30 days) Mission B: From 25th October to 13th November, 1994 (20 days). Mission C: From 14th November to 3rd December,1994 (20 days). Mission D: From 4th to 27th December, 1994 (24 days). 6. FINANCIAL ARRANGEMENTS 6.L The total amount of expenditure estimated by this agreement is 9 506 040 Le (Nine million five hundred and six thousand forty lrones) 6.2. This amount will be paid in one instalment as soon as this agreement is duly signed by the two parties concerned and the document returned to the WHO/ONCHO. 6.3. At the end of the mission all accounting documents (bank statement, receipts, travel claims etc.) shall be forwarded to the following address: The Programme Director Attention: Budget and Finance Officer wHo/oNCHO 01 P.O. Box 549 Ouagadougou 01 Burkina Faso * 6.4. A technical report on the mission together with a map (foolscap size paper) showing the treatment area should be sent to: The Programme Director Attention: Chief EPI wHo/oNCHO 01 P.O. Box 549 Ouagadougou 01 Burkina Faso Any unliquidated balance at the end of the period covered by this current agreement shall be paid back to WHO/ONCHO by the Institution or deducted later on from the amount of the sum WHO/ONCHO will have to pay in the framework of any possible subsequent agreement. 6.5 * Please comply with section 6.4 above for smooth communication. 57 LEGAL ARRANGEMENTS It is understood that the execution of this work does not constitute any employer/employee relationship between WHO/ONCHO and the Institution. The Institution shall therefore be solely responsible for the modalities for the execution of the work. WHO/ONCHO shall not be responsible for any loss, accident, damage or injury suffered by the Institution or any person claiming under it arising in and out of the execution of this work or in any manner whatsoever. Any dispute relating to the interpretation or execution of this agreement shall, unless amicably settled, be subject to conciliation. In the event of failure of the latter, the dispute shall be settled by arbitration. The arbitration shall be conducted in accordance with the modalities to be agreed upon by the parties or, in the absence of any agreement, with the rules of arbitration of the International Chamber of Commerce. The parties shall accept the arbitral award as final. If your Institution accepts this proposal, we should be grateful if you would see to the signing of all the 4 copies of this agreement by two of the national authorities responsible for the execution of the work and return three copies to us. Signatories WHO/ONCHO L. Dr. Boakye A. Boatin Chief EPI 8*,6^ Signature ou,..3J.i {:.Tt.. Signatories Institution 1. Name, Function tu,.... t. :... (........?..Y..:. U ,,,{-,,^ ,( C.rtv),'qt 4 * Signature D ate:.....1..7.. :.... i. v 'J ' ll4t$ 4 t< Signature a G ,6, Ebrahim M. Samba Programme Director Signature 2. Name.ir^J W4 J-;^'l* 0r:l;"ff*') Function oate :..e.f; .1..1..1 g.*.. Date 2:17I y# 6ANNEX 1. 1. LUMP SUM Mission A. (September, 1994) Sensitization 3 tech./nurses* x 2 000 Le/month 4 nurses (Lunsar)* x 2 000 Ir/month 3 drivers* x 1 000 Ir/month Total Traitement: (September/October, 1994) 2 medical officers x 3 000 Lr/month 3 technicians x 2 000 Le/month 4 technicians x 2 000 Le/month 4 nurses (Lunsar) x 2 000 Lr/month 3 external nurses x 2 000 Ir/month 3 drivers x 1 000 Ir/month 7 drivers x 1 000 I-e/month Total Mission B: November, L994. 2 medical officers x 3 000 Le/month 7 technicians x 2 000 Le/month 7 external nurses x 2 000 lr/month 10 drivers x 1 000 Le/month Total Mission C. (December, 1994) 2 medical officers x 3 000 Ir/month 7 technicians x 2 000 Ir/month 3 external nurses x 2 000 Le/month 4 nurses (Lunsar) x 2 000 lr/month 10 drivers x 1 000 Le/month Total Total of lump sum indemnities x L month x 1 month x L month x 2 months x L month x 2 months x L month x 2 months x L month x 2 months x 1 month x L month x 1 month x 1 month x L month x L month x 1 month x 1 month x L month = 6000Ir 8 000 Le =3000Lr = 1Z00OL& = 12 000 Le 6 000 Le 16 000 I,e 8 000 I-e = L20001* 3 000 Le = 14 000 Le = 71 000 Le = 6000Le = 14 000 Ir = 14 000 I,e = 10 000 lr = 44_Q00lr = 6000Ir = 14 000 I.e = 6000Le 8000k = 10 000 Le 44 000 te = -176_000 Ir 72. PER DIEM Mission A. (25 Sept. - 24th Oct., 1994) Sensitization 3 technicians* x 3 900 l*lday 4 nurses(Lunsar)* x 3 900 I*/day 3 drivers* x 1 950 l*lday Treatment 2 medical officer x 5 800 l*/day 3 technicians x 3 900 l*/day 4 technicians x 3 900 l*/day 4 nurses (Lunsar) x 3 900 l*/day 3 external nurses x 3 900 l*lday 10 drivers x 1 950 l*/day Sub Total Mission C. (14 November - 3 Sensitization 3 technicians* x 3 4 nurses (Lunsar)* x 3 3 drivers* x 1 Treatment 2 medical officers x 5 3 technicians x 3 4 technicians x 3 3 external nurses x 3 Mission B. (25th October - 13th November, 1994) Sensitization 3 technicians* x3900 I*/day x5days 3 drivers* x1950 \*/day x5days Treatment 2 medical officers x 5 800 l*lday x 15 days 7 technicians x 3 900 l*/day x 15 days 7 external nurses x 3 900 L.elday x 15 days 10 drivers x 1 950 l*lday x 15 days Sub Total December, t994) 900[*/day 900l*/day 950l*/day 800 Lelday 900l*lday 900[*/day 900l*/day x 5 days x 5 days x 5 days x 25 days x 25 days x 25 days x 25 days x 25 days x 25 days x 5 days x 5 days x 5 days x 15 days x 15 days x 15 days x 15 days 58 500 Le 78 000 I-e 29 250 I-e, 290 000 t.e 292 500 I.e, 390 000 I-e 390 000 Le 292 5001.r', 487 500 I-e =W. 58 500 Le 29 250 l* = L74 0001-e, = 409 500 t€ = 409 500 Le = 292 5001.r', | 373 250 I'e, 58 500 k 78 000 I-e 29 250 l* = 174 0001-e, 175 500 k = 234 0001-r- = 175 500 t€ 8Mission D: 4th - 27th December, 1.994. Sensitization 3 technicians* x 3 900 l*/day 3 drivers* x 1 950 l*lday 4 nurses (Lunsar) 10 drivers Sub Total Treatment 2 medical officers 7 technicians 7 external nurses 10 drivers Sub total Total des per diem x 3 900 l*lday x 1 950 l*lday x 5 800 I*lday x 3 900 l*/day x 3 900 l*lday x 1 950 L*,/day 3000 I 60 I 10 I 2200t 60 I 10 I = 234 0001-e, = 292 5001i, I 451,250 r-e, 58 500 I-e 29 250l-e, = 2204001* = 518 700 k = 518 700 Le = 370 500 Le 1.716 050 Le 6 848 800 t.e = $ 990.00 = $ 23.4 = s 27.7 = g1 041.1 x 600 Le = 624 660 trone = $ 726.00 = $ 23.40 = $ 27.70 = $ 777.10 x 600 Ir =466 260l*one x 15 days x 15 days x 5 days x 5 days x 19 days x 19 days x 19 days x 19 days * Five (5) supplementary days have been granted to 7 technicians (including 4 nurses from Lunsar Hospital) and 3 drivers as shown in the Annex 1.1 for the sensitization of the population in missions A and C and for 3 technicians of the national team and 3 drivers for missions B & D. 3. FUEL Mission A: Diesel Oil Fuel for motorrycles Vanellus TOTAL Mission B: Diesel Oil Fuel for motorcycles Vanellus TOTAL Mission C: Diesel Oil x $0.33 x $0.39 x *2.77 x $0.33 x $0.39 x $2.77 2500 I x $0.33 = $ 825.00 9Fuel for motorcycles Vanellus Total Mission D: Diesel Oil Fuel for motorrycles Vanellus Total TOTAL COST OF FUEL RECAPITULATION Lump sum Per diem Fuel & Lubricants Operating cost TOTAL out 9+/ oo7O3g ou/9 4t ooto4l oute4tootbso out9+too706s = $ 23.40 = $ 27.70 = $ 876.10 x 600 I* 525 660 [-eone 990.00 23.40 = $ 27.70 = $1,041.10 x 600 Ir = 624 660lrone =2 241240l*one = 176 000 L.e = 6 848 800 t.e = 2 241 240 b, = 240 000l.r-, = 9106_Q40 1& 60r 10 I x $0.39 x $2.77 x $0.33 x $0.39 x 52.77 3000 I 60 I 10 I =$ =$