Devolution

WORLD HEALTH ORGANIZATION ORGANISATION UONDIALE DE I,A SANTE ONCHOCERCIASIS CONTROL PROGMMME IN I{EST ATRICA PROGRAMME DE LUTTE CoNTRE LTONCHOCERCoSE EN AFRIQUE DE LToUEST NATIONAL ONCHOCERCIASIS COMMITTEES Tenth meetlng Cotonou, 3-5 June 1986 Noc.10.3 ORIGINAL : FRENCH DEVOLUTION I. Reflexlons on Ehe formulatlon of the devolutlon plan AE a rime when Ehe country ls gettlng ready to flnallze lts devolutlon plan, lt seems opportune to lay speclal emphasls on three fundamentaL polnts: 1. The devoluEion plan should be a document leadlng to concrete, observable and measurable act,ions. 2. It must be reallstlc ln order to get the unquallfled support not, only of the Donor Countrtes but also of the ParttclpaEtng Countrles. I 3.ItmustbetheworkofEheParttc1pat1ngCountrybuttheonchocerc1aets Control Programme (OCP) w111 contribute Eo lt as far as lt,s ctrcumetCnces permlE. II. Terms of reference of Ehe consultatlon mlsslon for the fornulatton of the devolutlon plans 1. To descrlbe the methodology and ldentlfy the manpower, materlal and flnanclal- resources exlstlng ln the flelds of entomologlcal and epldenlologlcal ' survelllance of the common dlseases ln the countrles ae lrell as the reaourcea ava1lable for Ehe dlstrlbutlon of drugs to entlre populatlons. 2" To describe rhe proposed meEhodology and ldentlfy the addltlonal meana requlred tor the lncluslon of an enEomologlcal and epldenlologlcal survelllance tn onchocerctasls control. 3. To evaLuaEe the cosE of the operatlons mentloned under 1. above and estlmate the cost of the operatlons under 2. above 4. To formulate a mode of dlstributlon for ivermectln lntegrated lntoTf,e healttr se rvlces t system. 5. To esttrnate tlre cost of dtstrlbutton of lvermecEln. 6. To elaborat.e a mechanlsrn ln the health servlces system for the follow-up and evaluaElon of the entomologlcal' and epldemlologlcal eurvelllance of onchocerclasls. Outllne of he devolut 3. NOC10.3 page 2 Healch slEtratl'on tn the country : pioblems, functtontng, means and coet of healthservlces Entomological survelllance - vectors under survelllance - funcElonlng of Ehe surveillance - resources for the survetllance - cost of the survelllance - constraints Epidemlological survelllance - dlseases under surveillance - funcElonlng of the surveillance resources for the surveillance - cost of the survelllance - const.ratnts 4. Drug dlstrlbutlon -distrlbutlon neEwork -4rueans of dlstrlbutlon - constralnEs B. 5. Onchocerclasls survelllance and control Blackfly surveillance alerE, catchlng, dlssectlon - requesE to- OCp for larvlctdlng - organtzation and means - estlmated cosE of the survelllance III. Ar 1. 6. EpldemloJ.oglcal evaluatlon of onchocerclasls - examlnatlons - dlagnosls of lndlvlduals who present themselvee - frequency of the ex.aminations - organlzaElon and means .l 7. dlstrlbutlon of lvermecEl,n - dlstrlbuElon nefwork and/or teams - organlzatlon and means - estlmated cost of the dlsErlbutlon Tlmetable for Ehe lmplementaElon of devolutlon collaboratlon wlth ocP (support/replacement of ocp entomologlcal eur1retllance,tralnlng, standardlzaElon, etc. ) I estlmated cost of Ehe evaluatlon collaboratlon wlth ocP (selectlon of vl1lages, menuals, etandardlzatlon,analysis of results, tralnlng, etc.) 8. 9. NOC10.3 page 3 Follow-up and evaluaElon nethodology - organlzatlon (lncludtng reportlng system) Research and Development (R & D) Sujets : . Collaboratlon wlth OCP . fleld trlal of manuals . use of OCP personnel on return Eo country (prlor EralnLng by OCP) . coordlnation of external ald . publlc lnformatlon (for example, preparatlon for the retun of blackflles ) . recolonlzatlon to a denslty not. permlttlng Eransmlsslon of 0. volvulus . c. 10. .t l,-