Onchocerciasis Control Programme in West Africa and the African Programme for Onchocerciasis Control: Committee of Sponsoring Agencies, report of the seventy-third session, Washington D.C, 29 and 30 April 1997

RESTRICTED OCP-APOCICSAIT3 ONCHOCERCIASIS CONTROL PROGRAMME IN WEST AFRICA AND THE AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL COMMITTEE OF SPONSORING AGENCIES Report of the seventy-third session Washington D.C. 29 and 30 April 1997 1 A. B. C. CONTENTS PAge OPENING OF THE SESSION ADOPTIONOFTHEAGENDA .......1 APPROVAL OF THE REPORT OF CSA.72 AND MATTERS ARISING FROMTHATREPORT.... 1 2 2 2 J D. E. F. G. H. I. OCP MATTER.S 1997 OCP EXTERNAL EVALUATION MACROFILREVIEW. . . . OCP STAFFING ocP FUND AGREEMENT (1998_2002) THE EIGHTEENTH SESSION OF EAC . . . FAO SI]PPORT TO SOCIOECONOMIC DEVELOPMENT IN ONCHOCERCIASIS -FREED AREAS APOC MATTERS J. PROGRESS OF THE PROGRAMME CONSIDERATION OF PROJECT PROPOSAI-S APPROVED PROJECT PROPOSAI-S RATIFICATION BY JAF OF CSA APPROVAL OF PROJECTS AVAILABILITY OF CVs OF TCC MEMBERS TCC MEMBERSHIP ISSiIES FOR PROGRAMMATIC DISCUSSION AT JAF,.3 REVIEW OF THE REPORTS OF THE NINTH SESSION OFTHE NGDO COORDINATION GROUP 1 3 K. L. M. N. o. P. a. R. J 4 4 6 6 6 6 NVOLVEMENT OF THE NGDO GROUP IN CSA PARTICULAR CONCERN TO TI{E GROUP 6 7 DECISIONS OF OCP-APOC MATTERS FINANCING OF OCP AND APOC PRELIMINARY VIEWS ON THE DONORS' CONFERENCE (15-18 October 1997) . . DATES AND VENUS OF THE REMAINING SESSIONS OF CSA DURING 1997 . PROVISIONAL AGENDA FOR CSA.74 OTHER MATTERS 7S T 7 8 U. V. w 8 .....8 OCP-APOC ICSAfi3 Page I A. OPENING OF THE SESSION 1- The seventytird session of CSA, held at tne Wona Bank EIQ, was opened by Bruce Benton who particularly welcomed Bjorn Thylefors, newly appointed WIIO member of the Committee. B. ADOPTION OF TI{E AGENDA 2- The draft agenda was adopted with the addition of an item on support to socioeconomic development in oncho'freed zones (see section I. below). A presentation of the Wor1d Bank Endemic Disease Control Project in Senegal would be made under "Other matters" as would a presentation on the Participatory Monitoring and Evaluation Module prepared by the Bank and a report on the recent session of the Ecological Group. C. APPROVAL OF THE REPORT OF CSA.72 AND MATTERS ARISING FROMTI{AT REPORT 3 The report was approved with the following observations re: paragraph 2 and9: the definition of "technical assistance" recommended by TCC3 (advance copy of recommendations dated 27 Apnl lgg7, para.4) was endorsed with the understanding that the definition 6f limire,t rtrrrarion to "no more than 3 years' (sub.para.ii) be removed; effiorts should be made to emphasize and illustrate operational activities also at the forthcoming Donors' Conference. OCP MATTERS D. 1997 OCP EXTERNAL EVALUATION 4' Bruce Benton who was briefed by theEvaluation Group (2 mernbers absent) in paris reported that its report would be ready early in Septernber. 5' A problem of special concern to Mernbers of the Evaluation Group was thedifficulties encouatered in paru of Togo wherc particularly deuse forest archades hamper.ed ailjz1Iarviciding- It was suggested by CSA meurbers tLr i" suctr foci and in other areas where vector conhol was 'behind schedule'therc could be a case for weatually exteading afl1alIarviciding beyond ZWt for a brief period 6- Meurbers of the Evaluation Grorrp had, in f,rc., acrrd,as ambassadors for OCp in the lrtiopating Cqmties and, this, fu particnlar in rcqp; to fte move frrom mobile ivermecti,distribqtion-to community-dfuected treaturent with ivermectin- OCP-APOC/CSA/73 Page2 E. MACROFIL REVIEW 7. Bemhard Liese who attended the first session of the Review Group paid tribute to Colin Ginger, manager of Macrofll, for having prepared an excellent documentation for the Group. 8. The Review Group determined that is re1rcrt, likely to be finished during May, would be submifted directly to the Chairman of CSA. However, the Secretary of the neview Group was invited by Director, OCP to present the report to EAC in Ouagadougou during thl morning of Tueday 3 June 1997 when the External Evaluation Group w-ould also be present. 9' Should the evenhral implementation of the recommendations of ttre Review Group seem to have operational repercussions requiring clarification, Wynn Gutteridge would be invited to attend the seventy-fourth session of cSA in London (17-ig ruly)r. F. OCP STAFFING 10' The number of staff at the periphery reduced in proportion to the planned closure of the sectors and sub-sectors without causing problems for neta operations. At headquarters, however, ttre workload was increasing (more meetings, PET support to participating Countries etc.) and the staff was working to their limit. 11' CSA expressed its appreciation of the heavy workload carried by the Orragadougou staff and endorsed the Directors intention to recruit an additional profeisional staff member to alleviate the administration burden at OCp He. 12' The Committee also r@ommended that a statement be included in the proposed 199g Programme and Budget to the effect that CSA was concerned that the staffing at oCp He was nearing the critical level below which efficient management would be in jeopardy. G. ocP FUND AGREEMENT (1998_2002) 13' CsA agreed on the text of the Fund Agreement and the Memorandum of Agreement. The Bank, in consultation with LEG, WHO, would finatise the Fund Agreement while OCp,in consultation with LEG, wHo and in agreement with the Bank would finalise theMemorandum of Agreement 14' It was planned to have the Memorandum of Agreement signed by the participating Countries during the AFRO Regional Committee (3-9 september) followin! which individualprotocols between WHO and ttre Participating countries *oUa be signed. the Funa Agreement would then be signed by the Donors at the Donors Conference or, at the latest, during JpC inLiverpool- wHO LEG would be invited to attend the discussion on this item at CSA.74. Flans Rcmmc, who was also suggcstcd as an "invitcc", wiil bc occupicd crscwhcrc. OCP-APOCICSAfl3 Page 3 H. THE EIGHTEENTH SESSION OF EAC 15. A strong plea was made for memh.rs of CSA to attend fuure sessions of the Ecological Group and EAC, the forthcoming session of the latter to be hetd in Ouagadougou from 2 to 6 fune. I.FAoSUPPoRTToSoCIoECoNoMICDEVELOPMENTIN ONCHOCERCIASIS -FREED AREAS 16. Felix Moukoko-Ndoumbe informed the committee about the progress made in promoting the cSA+ndorsed Support Strategy for Sustainable Development (sssD) in oncho- freed areas. The awareness of sssD rorn o !o increase at the national and local level (at which seminars had been organized). It was now intended to hold an inter-country seminar in Ouagadougou during November 1997 ' 17. An FAO study on the complementariry of the SSSD approach and ongoing socioeconomic projects revealed the need for assisted spontaneous settlements ; support to activities in seulement areas close to already setrIed areas ; promotion of local markets ; land s@ure security ; and attention to the environment ; women's rights and access to land' 18. A second study would attempt dividing the ocP area into homogeneous development zones according to th; views of the participatin! countries and distinguishing between already settled and settle-able areas. 19. As to the mobilization of Fund under the FAO/Government cooperative Programme' Project profiles had been submitted for financing to Belgium, Norway and Sweden' APOC MATTERS J. PROGRESS OF TI{E PROGRAMME 20. A technical preparatory visit was paid to the Sudan by the APOC-management tealn' resulting in the submisiion of three propoott, while the OCi finance officer and the APOC administrative assistant visited Uganda io train an accountant in APOC procedures including the receipt, and monitoring of the use of APOC Fund by the oflce of the wHo Representative. Furthermor",-* Anglophone workshop was organilfd n Nigeria for Nigeria' Tanzania, uganda and Malawi ana anottrer, Francophone would be held in ouagadougou in June for Cameroon, Congo, CAR, Eq' Guinea, Chad' and Gabon' 21. Following the feasibility study on v@tor elimination in uganda (Itwara Focus) it appeared that the vector aeniity remained very low, suggesting a good prospect of disapeearance of blacldlies in the focus in the near future. This expected development was to be confirmed by entomological surveillance during the next two seasons' 22. CSA endorsed the Manager's insistence on an early implementation of approved projects to demonstrate that APOC was now "in business"' OCP-APOCICSAIT3 Page 4 23' The Committee agreed to the recruitment of a secretary on SSA status, additional tothe staff complement approved for 1997, in order to lessen the heavy burden on the ApOCprofessional staff. CSA also agree that an authorised post number be allocated to the position of APOC Manager. K. CONSIDERATION OF PROJECT PROPOSAI-S 24 CSA endorsed the TCC.3 recommendation that projects recommended !o the lor-nmjltee for approval pending modifications would if approved by CSA, be fundedforti\Idth for implementation while the management negotiated-the modffications. 25' Also, the Management was authorized to "fine-tune'the approved budgets and make adj ustments when necessary. L. APPROVED PROJECT PROPOSAIS 26' CSA approved the following projects recommended by TCC.3 with the understanding tttat APOC management would negotiate conditions attached by TCC unless the result of such negotiations substantially altered the proj ects. rrs$ Couotry (Proj""t number) Project title Duratiou Total cost (1997- 2001)(% ot APOC contnibution) Total cost (t997) fuagrrnt requested (t9D7) Amount approved (Le7) (% of |c/.al cost) Cumulative APOC fiDancing since start Malawit (MWTMt) Tyolo & Mwanza CDTI P-j".t 5 years | ott 629 (57,6%) 271 791 287 675 20266.5 198 665 Q3.t%) Nigeria (NGHQl) NOCP HQ support 5 years L It6 298 (6%) tu 625 t@ 125(55,7%) Nigeria (NGCRl) Cross River State CDTI P-jot 5 years I 985 320 (4o%) 634 718 336 765 231 865(36.' Nigeria (NGKGI) Kogi State CDTI Project 5 years I 672 985 (44%) 641 880 239 255 234 395 (36.s%) Nigeria (NGKDI) Kadunt State CDTI Project 5 years I t24 255 (s2%) 3M 146 2t9 754 206 754 (68.0%) I P-.iot proposar approvcd in 1996; additionar fund of uS$ l3,oo0 rcqucstcd for 1997 Country (Project number) Project title Duration Total cost(rw- 2Cor)(% of APOC contribrution) Total cost(te7) Amount requestod (1e7) Amount ap,proved (r9s7') (% of total co$) Cumulative APOC frnancing since start Nigeris (NGTB1) Taraba State CDTI Project 5 years 2 801 806 Q3%) 822222 298272 256 672 QL.2%) Sbd8tr (SDHQ1) HQ support 5 years 769 335 (se%) 288 &5 216 195 216 195 Q4.e%) Sudao (SDNS1) Northern sector Project 5 years 996 946 (s7%) 395 693 301 403 301 403 Q6.2%) Sudan (sDSS1) Soutbern sector CDTI Project 5 years 3 52r t?5 (6t%) I 004 715 599 865 599 865 (59,7%> fqnzenia ctzHQl) HQ support 5 years 965 759 Q4%) 316 769 238 153 238 153 Qs.2%) Tanzania cfzMHl) Mahenge CDTI Project 5 years 533 r73 (66%) 225 637 66 3m 156 3y2 (6e.3%) OCP-APOCICSAN3 Page 5 27. Given the special situation in Sudan, CSA, in approving the r@ommendations/ conditions of TCC made the following observations: - the Committee strongly supported the need for treatment of the affected population; - considering the currenfly prevailing unstable condition in the southern part of the country, CSA stressed the humanitarian motive of the intervention which' initially, might have to take precedent over the notion of sustarnaDillty; - therefore the initial objective would be to distribute ivermectin at low cost, allowing the NGDO. a large degree of flexibility in a truly locally appropriate way; - in the medium-term, implementation of the Project would provide support to the strengthening of health services on the lines of the primary health care concept; - CSA finally emphasized the need for caref ' monitoring and evaluation of the projects' 28. As regards Tanzania, CSA stressed that the REMO studies must be completed before any additionat eroject proposals be submitted and that TDR (Hans Remme) be contacted for clarification regarding the funds already made available for these studies- OCP-APOCICSAIT3 Page 6 M. RATIFICATION BY JAF OF CSA APPROVAL OF PROJECTS 29. The complete file for each Project would be available (in English or French) in the meeting room for scrutiny by JAF Members. Also APOC Staff would be ready to provide clarification whenever required. In addition the Management would prepare brief Project summaries following a standard pattern. This procedure would be tested at the forthcoming Donors's Conference. 30. Efforts should be made to impress upon Members of JAF the need to concentrate on matters of consistency with the objective, policy and strategy of APOC, and avoid discussion on "line items' in Project proposals. This could be achieved by a thorough briefing of the Chairman. 31. CSA might forward proposals of a "problematic' nature to IAF with a note for further consideration. Should JAF ever turn down a Project approved by CSA and already being implemented, its further execution using APOC Fund would be discontinued. N. AVAILABILMY OF CVs OF TCC MEMBERS 32. CSA decided that CVs of TCC Members would be made available to JAF Members who asked for them. O. TCC MEMBERSHIP 33. CSA decided that replacement of Members of TCC would commence in 1999. P. ISSUES FOR PROGRAMMATIC DISCUSSION AT IAF.3 34- An attempt should be made to deal with "routine" agenda items during the first day to leave the morning of the second day for programmatic and operational issues. This would include "reports from the field" from all projects in operation in terms of case-presentation, problems encountered and achievements. A detailed scenario would be worked out during CSA.74 in London. REVIEW OF THE REPORTS OF TIIE MNTH SESSION OF THE NGDO COORDINATION GROUP 35. The report itself not yet being available, CSA had before it a summary of the group's conclusions and recommendations and made the following comments : - welcomed the enhanced communications with the NGDo Group; - suggested line 1 of rec.[V to rea.d : "The group expressed concern about the possibility of difficulties of some" (the findings of the sub-committee on ways to enhance long- tlrm sustainability to be considered by CSA.7a); a OCP-APOCICSAIT3 PageT - CSA clarification of APOC financing of technicat assistance to NGDOs and governments (rec.V) done (para.3 of present report) ; - re.rec.Vll : carefi.rl not to overdo accelerated planning "so as not to overburden APOC Management". 36. Bruce Benton would communicate CSA comments to Chairperson NGDO Group- R. II{VOLVEMENT OF THE NGDO GROT]P IN CSA DECISIONS OF PARTICI]LAR CONCERN TO TI{E GROUP 37. CSA agreed to NGDO attendance at its sessions when issues of particular concern to the group were considered. CSA would therefore draw up at each session the provisional agenda for *re following session and identify items, f *y, of particular concern to the Group. 38. Bruce Benton would invite Chairperson, NGDO Group to attend CSA.74 in I-ondon. OCP-APOC MATTERS S. FINANCING OF OCP AND APOC 39. OCp : The reserve was expected to exceed US $ 12 million by the end of 1997 and the Phasing -out Period would be fully financed if the current Donors maintained their contributions for that Period at the level of 60% of their contributions for phase tV ; ApOC : expenditures to date teft only US $1.5 million for the remainder of 1997 but further payments were exp@ted to meet a potential shortfall ; 40. CSA was pleased to learn that FAO int€nded to contribute US $ 100.000 to the APOC Trust Fund for the period 1998-1999 pending approval of its governing bodies. T. PRELIMINARY VIEWS ON TIIE DONORS' CONFERENCE (15-18 October 1997) 41. The provisional agendas would include : for the OCP part : progress report Fund Agreement External Evaluation Macrofil Review Pledging. * * + * * LOCP-APOC/CSAI73 Page 8 For the APOC part : progress report statements by representatives of a participating country (uganda) and the NGDO group operational research Pledging. 42' At the conference, the APoc Management would also present a brief policy/strategypaper and summaries of Project proposals to test their acceptance at future sessions of JAF. U. DATES AND VENTJES OF THE REMAINING SESSIONS OF CSA DURING 1997 CSA.74 : 17 and 1g Juty in l-ondon CSA.75 : 14 October in paris CSA'76 : In conjunction with JPC/JAF in Liverpool during the fust week of December. 43' As the dates of CSA.75 were too late for the Commiffee's consideration of oCpdocumentation before its timely despatch to JPC participants, it was decided that thedocumentation would be airmailed to cSA Memb"r, ", and when available with theunderstanding that any comments wourd be faxed to the secretary. 44' Given tlnt TCC.3 was likely to be held around one month before CsA.75, most of theAPOC documentation would only be ready for CSA review by the time of CSA.75. V. PROVISIONAL AGENDA FOR CSA.74 1l^- ^ A proposed provisional agenda is annexed. It would seem that the chairperson of theNGDO Group could be invited to attend the discussion on items 11 to lg which would thenneed to be taken on 17 July as the chairman of the oCp External Evaluation Group wishesto make his presentation on lg Iuty. W. OTHER MATIERS 46. The proposed World Bank financed following a presentation by yves Genevier, CSA reaffirmed the need for Multi{isease Surveillance andControl systems in all OCp Countries ; called for compatibility among such systems ; andendorsed the initiative of the World Bank. * {( * :f 47 ' The World Bank haining module on Pertieiparory Monitoring end F.velrarion @ME):the paper was intoduced by Deepa Naragan. The interest of ocp/Apoc in this community-oriented approach would lie in the field of ivermectin monitoring distribution. ApocManagement would contact pME trainers in uganda (water supply project). I. OCP-APOC/CSA/73 Page 9 4g. During its January 1997 session, the F^ologic^l Grorrp noted that it had successfully implemented its e*panad mandate and that national hydrobiologist continu{ to confirm the abLnce of aquatic damage due to ocP larvicidhg. The Group now asked for cSA support to allow itself and the hy:drobiologists to become directly involved in environmental control in collaboration with other interested agencies. French speaking hydrobiologists had already been trained in environmental impact str,rdies and the Anglophones would be in the near future' 49. CSA noted that ilre World Bank experts were alerted to this collaboration and that FAO would made the Ministries concerned aware of this issue. '/tt'\ iLlr' OCP-APOCICSA/13 Page 10 LIST OF PARTICIPANTS Members: FAO - Felix Moukoko Ndoumbe World Bank - Bruce Benton (Chairman), - Bernhard Liese WHO - Bjorn Thylefors ANNFX I Participants : OCp/ApOC ex officio APOC Secretariat - Yankum Dadzie - Azodoga Sdk6reti - Ole Worm Christensen (Secretary) - Iaura Cooley - Yves Genevier 1OCP-APOCICSAIT3 Page 11 ANNFX ? LIST OF DECISIONS TDR (Wynn Gutteridge) to attend CSA.74 if recommendations of Macrofil Review Croup t "ue operationit i"p"t"utsions requiring clarification (para' 9) Agreement to recruitment of additional OCP professional staff (para' 11) CSA concern about OCP precarious staff situation to be reflected in 1998 PAB (para.12) lggS-z[OzFund Agreement/Memorandum of Agreement to be fnalizrxJ by World Bank and WHO LEG (Para.13 and 14)' plea for CSA attendance at EAC and Ecological Group sessions (para' 15) Agreement to recruitment of additional APOC secretary (SSA) (para'23)' Agreement to officialization of APOC Manager position (para.23) csA approved projects to be funded forthwith without awaiting result of modifrcations negotiiieO by the APOC Management Gnr:,'24)' APOC Management authorized to "fine tune' approved budgets G'ara'25)' Approval of TCC recommended projects (para-26) with special observations concerning the Sudan @ara-27)- No submission of additional Tanzania Project proposals before completion of REMO studies (para.28). Availability in meeting room of complete Project file.s (pam.25). Management to prepare brief Project summaries and policy/strategy paper for JAF sessions (to be tested at Donors' Conference) (para'29) Avoidance of "line-item' discussion at JAF sessions (para.30). JAF refusal of cSA-approved Project to entail cessation of APOC funding (para'31) Availability of cvs of Tcc Members to JAF participants, on request (para.32) commencement of replacement of TCC Members in 1999 (para.33) 2. 3. 4 5. 6. 7. 8. 9 13 10. 11. t2. L4. 15 16 17. i! OCP-APOCICSAIT3 Page L2 18. 19. Comments on NGDO Group conclusions and r@ommendations (para.35) to be communicated to the Group Chairperson (para.36) 20 NGDO Group representative to attend CSA.Z4 (para.3g and 45). JPC documentation to be cleared by csA Members prior to csA.75 @ara.aa) 2t APOC Management to contact Participatory Monitoring and Evaluation team in Uganda @ara.47). 1. 2. 3. Opening Adoption of agenda Approval of CSA.73 report and matters arising OCP Matters OCP External Evaluation Macrofil Review 1998 -2002 Trust Fund Agreement Ninth Aerial Contract EAC membership Mandate of the Ecological GrouP Preparation for the Donors Conference APOC Matters Progress of the Programme TCC.3 report Report of the Ad hoc group on evaluation Report of the NGDO Sub-group on sustainability Preparation for the Donors' Conference JAF.3 scenario Dates TCC.4 and TCC.5 OCP-APOC MATTERS Financing of OCP and APOC Provisional agenda for CSA.75 Other matters PROPOSED CSA.74 AGENDA (I-ondon, 17 and 18 JulY ) OCP-APOC/CSAfl3 Page 13 ANNFX 1 Comments To be taken on 18 JulY Idem Further expansion ? Ensure at least one month between TCC and following CSA 4. 5. 6. 7. 8. 9. 10 11. t2. 13. 14. 15. 16. t7. 18. 19. 20.