Plan of action and budget for 1998

, I I ar JOINT ACTION FORUM Office of the Chairman JOINT ACTION FORUM Third session Livemool.4-5 December 199'l Provisional agenda item 13 African Programme for Onchocerciasis Control Programme africain de lutte contre I'onchocercose JAF-FAC PLAN OF ACTION AND BUDGET FOR 1998 FORUM D'ACTION COMMUNE Bureau du Pr6sident JAF3.3 ORIGINAL: FRENCH October 1997 I i I PMt APOCl26ll0t9l JAF3.3 AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL PLAN OF ACTION AND BUDGET FOR 1998 I WORLD HEALTH ORGANIZATION CONTENTS A. INTRODUCTION B. OVERVIEW OF THE PLAN OF ACTION C. ESTIMATED COST BY PROGRAMME ACTIVITIES LIST OF TABLES TABLE I ESTIMATE OF THE NUMBER OF PROJECTS (CDTI AND VECTOR ELIMINATION) TO BE IMPPLEMENTED AND MANAGED IN 1998 TABLE 2 PROPOSED 1998 BUDGET COMPARED WITH APPROVED I997 BUDGET TABLE 3 : BUDGET BY CATEGORY OF EXPENDITURE FIGURE 1: BUDGET BY CATEGORY OF EXPENDITURE - 1998 ANNEX 1 ORGANIZATION CHART OF APOC MANAGEMENT IN RELATION TO SUPPORT SERVTCES OFOCP, WHO/AFRO AND WHO/HQ . . . . Pa-qe I I 4 z 7 8 9 10 t. JAF3.3 Page I A. INTRODUCTION 1. The proposed Plan of Action and Budget (PAB) for 1998 is submitted to the Joint Action Forum (JAF) of the African Programme for Onchocerciasis Control (APOC) for its consideration and approval. 2. The year 1997 was essentially marked by: (i) the continued support to the National Onchocerciasis Task Forces (NOTFs) of APOC member countries in the preparation of their national plans for the control of onchocerciasis as well as their Projects proposals. 2l new projects proposals from 7 countries (20 for ivermectin distribution and 1 for vector elimination) were accepted by the Technical Consultative Committee (TCC) and approved by the Committee of Sponsoring Agencies (CSA). Added to these projects which are purely technical, were 4 others approved by the CSA upon the recommendation of the TCC. These 4 projects proposals are for the strenghthening of the central offices of the NOTFs in 4 countries. (ii) the finalization of the preparatory activities leading to effective implementation of ivermectin distribution and vector elimination projects in five APOC countries (Malawi, Nigeria, Uganda, Soudan, Tanzania); (iii) the implementation of the first year's activities of the first two ivermectin distribution projects approved in December 1996 for Malawi and Uganda; (iv) the strengthening of the scientific basis of the Programme through operational research; (v) the strengthening of the Programme structure, especially at its Headquarters in Ouagadougou, with the consolidation of the collaboration and administrative links between the Programme, OCP, WHO/AFRO, WHO Representative offices in APOC member countries, the WHO Headquarters in Geneva. 3. All these actions will make 1998 the year of intense activities in the field, aiming at implementing the approved Projects. These activities formed the basis for the preparation of the present plan of action and budget. B. OVERVIEW OF THE PLAN OF ACTION In short, the plan of action forsees for 1998 4. The implementation of the second year activities of the two Community Directed Treatment with Ivermectin (CDTI) Projects approved in December 1996 for Malawi and Uganda; the accomplishment of the first year's tasks of the vector elimination Project in the Itwara focus, approved in December 1996 for Uganda; the follow-up of the first year's activities of the 7 approved CDTI Projects for Nigeria, Sudan and Tanzania in April 1997 under the 1997 budget but for which the Letters of Agreement cover the period August 1997 - July 1998; the launching of activities for the second year of these 7 Projects in August 1998; the implementation of fbrseen activities tbr the first JAF3.3 Page 2 year of tlre 14 Projects (13 CDTI and one vector elimination ) approved in September 1997 for Cameroon, Chad, Central African Republic, Nigeria, Uganda, and Tanzania; the preparation and approval of 11 new CDTI Projects and one (1) vector elimination Project to be submitted to APOC Management by 31 January 1998 by 4 countries. The first year's activities of these new Projects are planned to be implemented in 1998. Table 1 below shows the number of Projects planned to be implemented and managed in 1998 by country. A total of 33 CDTI Projects and 3 vecror elimination Projects spread over 10 countries will be implemented and managed throughout the year 1998, keeping in mind the basic principle of their sustainability. This search for sustainabiliry of Projects will call for intense activities in training, sensitization at all levels and mobilization of communities. Table 1 : Estimate of the number of Projects (CDTI and vector elimination) to be Implemented and managed in 1998. CountV Total Malawi 1 I Uganda I 1 I J Nigeria I2 4 l6 Tanzania 2 1 I 4 Sudan 2 2 Cameroon 5 5 Chad I I CAR 1 I Equat. Guinea 1 I 2 Dem. Rep. of Congo 1 I 24 0 36 5. ln addition to these 36 Projects (table 1 above) which activities will start or continue under the 1998 budget, there will be the preparation by 3 to 4 countries of 15 other CDTI Projects Proposals which will be reviewed by the TCC in August 1998; if these 15 Projects are approved by the CSA, their activities will start in 1999. 6. The continuation of the oganization of workshops in the Participating Countries as well as at the Programme's Headquarters, on the philosophy of APOC, the concept of community directed treatment with ivermectin, the harmonization of activities and procedures of the Programme; these workshops will allow exchange of experience among different actors; on-the-job training will also be sponsored; CDTI Projects ,Vector 1st year financing ,,:,,1stiY€ar, ,...':.finanCin$ 2nd Year financing :, TOTAL (tr0 countries) 9 ,. JAF3.3 Page 3 7. The coordination by the APOC Management of the Rapid Epidemiological Mapping of Onchocerciasis (REMO) surveys, the integration of the results of these surveys into the Geographical Information System (GIS) with the technical support of the Programme for the Control of Tropical Disease (CTD) of WHO in Geneva. 8. The collection of the basic data for the study of the long term impact of APOC operations on the main epidemiological and entomological indicators of onchocerciasis; 9. The continuation of the strengthening of the scientific basis of the Programme through further operational research with close collaboration with the Special Programme for Research and Training on Tropical Diseases (TDR) 10. The continuation of collaboration between the APOC Management, OCP, the WHO regional office for Africa, the WHO Representative offices in the member countries, the administrative and finance services of WHO in Geneva and the Programme for the Prevention of Blindness and Deafness (PBD) of WHO's Headquarters in Geneva which, as in the past, will ensure the link and coordination between the NGDO coordination group; the diagramme in annex 1 shows this relationship between APOC and all the above-mentioned actors and the document lAF3.2 describe in detail the nature of the administrative links and the modalities of the collaboration in question. 11. The support of cost of consultants, the emoluments of the Programme personnel based in Ouagadougou, of half of the cost of the secretary of the NGDO Coordinator based in Geneva as well as the travel cost of the Coordinator and the cost of the basic equipment of his office in Geneva. 12. The support to the research on a macrofilaricide in close collaboration with OCP and TDR; 13. Activities related to vector elimination in selected foci in three countries: Uganda,Tanzania and Equatorial Guinea; L4. The monitoring, evaluation and activities coordination missions in the Participating Countries by the Programme staff and consultants; 15. The holding in Ouagadougou (Burkina Faso) of two sessions of the Technical Consultative Committee (TCC) and of the fourth session of the Joint Action Forum (JAF) in Accra (Ghana). JAF3.3 Page 4 C. ESTIMATED COSTS BY PROGRAMME ACTIVITIES Activity/event 16. Implementation,monitoring, evaluation and audit of 33 CDTI Projects in l0 countries; reinforcement of NOTF central offices and secretariats in 5 countries (contribution of up to 75% of Projects costs). 17. Workshops/trainingi Mobilization. facilitators, participants logistics 18 Reimbursement to OCP for use of facilities. T9 Transport and maintenance of OCP vehicles used. Equipment and supplies. Maintenance of liaison coordination and administrative support with NGDO Group in PBD Unit at WHO/HQ; part of the cost also covered by the NGDO Group. Two sessions (March & September) of the Technical Consultative Committee in charge of reviewing Projects proposals and evaluating progress in the implementation of Projects. APOC Personnel services: Programme management and general coordination of its activities, support to countries in the elaboration of CDTI Projects proposals; monitoring and evaluation of distribution Projects in the communities; liaison with the NGDO coordination group and support to statutory bodies of the Programme. - NGDO Coordinator (travel) - Secretary: 6m/mt - Office equipment and miscellaneous travel and per diem for TCC members, - Director: 2.4 mlm - Programme manager: 9.6 m/m - 2 scientists:24 mlm - 4 secretaries and one administrative assistant: 60 m/m - travel and per diem Estimated budget (US$) 7 ,841,781 300,000 35,000 20,000 76,000 40,000 60,000 12,800 92,500 3l ,000 t24,000 290,000 68, 120,000 20 2t 22. 23 000 I m/m: man/month Resources required national human resources, logistics, financing 24 Activity/event 25 26 27 Support to countries in the development, monitoring and administrative and financial management of CDTI Projects; analysis of distribution Projects which yield good results and snrdy of elements of their success; epidemiological and entomological impact assessment of CDTI Projects with special emphasis on the collection of basic data for such impact assessment. Support to research on a rnacrofilaricide (one third of the total cost), the rest of the cost being supported by TDR and ocP. Continuation with the assistance of TDR,of studies on the sustainability of different approaches to community directed treatment with ivermectin and the integration of these treatments into Primary Health Care systems. Studies on monitoring, recording ofdata and reporting; advocacy for effective marketing of onchocerciasis control to health personnel at district and central levels.These research activities will be undertaken in close collaboration with the national researchers and NOTFs. Continuation of the Rapid Epidemiological Mapping of Onchocerciasis (REMO) and the application to REMO data of the Geographical Information System (GIS) developed by TDR with the technical support from the WHO Programme for the Control of Tropical Diseases (CTD). This GIS software will be gradually extended to the monitoring of ivermectin distribution in 1998. These activities will necessitate the support of CTD/Health Map. Resources required consultants: 65m/m research grants research grants human resources and technical materials JAF3.3 Page 5 Estimated budget (US$) 455,000 700,000 280,000 134,000 Activir.v/event Resources required Estimated budget (US$) 70,00029 30 Holding of the fourth session of the JAF. human resources, technical materials, supplies and documents Administrative support from OCP, Geneva & the WR offices in APOC countries 200,000 JAF3.3 Page 6 JAF3.3 Page 7 TABLE 2 PROPOSED BUDGET FOR 1998 COMPARED WITH APPROVED 1997 BUDGET (us $) Category of Expenditure PHASE 1 Proposed 1998 Approved L997 Expenditure t996 RECURRENT COSTS Personnel Services Consultants Operational Travel Macrofil Project Contracts (Research and Others) (i) PBD - for NGDO Liaison (ii) TDR - for Operational Research (iii) TDR/CTD/APOC - for REMO/GIS Vector Control Operations Operating Costs Supplies Statutory Meetings National Ivermectin Projects Training/Workshops/Mobilization Administrative Support from OCP, Geneva and the WR offices in APOC countries 513,000 150,804 : 455,000 60,066 700,000 280,000 .... 300,000 134,000 426,817 55,000 .... 45,000 16,000 , 54,986 16?'Q00 4,660,000 10,,285 Subtotal ..... 11,316,898 .. ,..,,,,,,,,,,,,,,,,,,,, 605,V 69 CAPITAL COSTS Office Furniture Data Processing Equipment Technical Equipment 20,000 15,000 25,000 20,000 27,89r 15 20,000 Subtotal 60,000 55,000, TOTAL 11,376,898 7,077,000 633,660 505,000 7194';0:00 52,882 120,000 120,000 112,800 170;000, 104,051 70,000 10,000 2r3i,000 15,000 162,500 r28,572 7,,841,7,81 300,000 268,000 200,000 200?000 ::......... ,'7,0.22i400 ,, ,27,ggL JAF3.3 Page 8 TABLE 3 BUDGET BY CATEGORY OF EXPENDITURE (us $) Category of Expenditure PHASE 1 Proposed 1998 Approved L997 PERSONNEL SERVICES WHO / APOC/SSA Staff Programme Director: Programme Manager: Epidemiologist/Biostatistician Scientist (Social science) Temporary Assistance Administrative Assistant t 2 Secretaries 2 SSA Secretaries ..:] '., 145,000 145;000 ' 145,000 42,882 t7,237 Subtotal 513,ooo 505,000 193,686 Consultants Operational Travel Macrofil Project Operating Costs Supplies and Equipment Contracts (Research and Others) (i) PBD - for NGDO liaison (iD TDR - for Operational Research (iiD TDR/CTD/APOC - for REMO/GIS National Ivermectin Projects Vector Control Operations Training/Workshops/Mobilization Statutory Meetings Administrative Support from OCP, Geneva and the WR offices in APOC countries : 455,000 120,000 55,000 ,,,, 14,723 . --?6,,000= 280,000,,, -: .134.;,00Q', 7;84lr7El, 426;817 l-------- 300,000 82,87V - - 104,051 - ,t , ,, 20,000 i+tr.i+- ,tt 10,000 - t6:2,500 200,000 Subtotal 10,863,898 ... 6,572,000 ' 439,974 TOTAL 633,660 31,000 38,750 71.6,342 t24,000 116,25A 145,,000 60,000 60,000 17,225 9,000 294,000,, 120,000 700,000 45,000 70,000 170;000, 70,000 4,660,000. 213,000 268,000. 10,285 t28,572 200,000 11,376,898 7,077,,000 JAF3.3 Page 9 FIGURE I BUDGET BY CATEGORY OF EXPENDITURE - 1998 8 g 10 11'12 7 6 5 4 3 2 1 1. 2. J. 4. 5. 6. 7. 8. National Ivermectin Projects Macrofil Project Contracts (research and others) Personnel Services Consultants. . . . Vector Control Operations Training/workshops/mobilization Administrative Support from OCP, Geneva and the WR offices in APOC countries Statutory Meetings Operational Travel Supplies and Equipment . . Operating Costs . US$ 7,841,781 . 700,000 . 526,800 .513,000 . 455,000 . 426,817 . 300,000 o,//o 68.93 6.15 4.63 4.51 4.00 3.7s 2.64 9. 10 11 T2 200,000 162,500 120,000 76,000 55,000 t.76 t.43 1.05 0.67 0.48 TOTAL: 1 1 ,376,898 100 U o o O I 3 o *,L o + Oo E o ooo q r oL U o NO v] o J o. ?id,9Er6tQzcl E 'ri ---t U) d =':F< .Doo(h U) A(-) o T- _T-tt __l _l d)otr q0) '= ra :d a:((J o U) € ch4dri!a; AOO o I I I I I I -l (a) €< ^(,q! ^oO o -"t!,--.. zFal frZe', H 5:, E o5lOEt I rn E9l ot'o' >4", JAF3.3 Page 10 7o Fr> j rri BB '2,, ')1 2oHil E!90 <EZ><- ZFr .'' 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