Bauchi State CDTI project, third year technical report from March 2002 to February 2003

.1' :' , NATIONAL ONGHOCERCIASIS CONTROL PROGRAMME BAUCHI STATE CDTI PROJECT THTRD YEAR TECHNICAL REPORT F'ROM MARCIil2OO2 TO FEBRUARY 2OO3 BY ABDULKAzuM D. DANJEBU STATE PROJECT COORDINATOR SUBMITTED TO APOC MARCH 2OO3 r/,d, .4q. 03.CrJ ,' ..I "lC-r r { \I" ( t; EXECUTIVE SUMMARY Bauchi State is located in the north eastern part of the country. It has a population of 2,826,444based on the 1991 census and is made up, of 20 LGAs. There are 13 CDTI LGAs with an endemic population of 609,911. Mass distribution with Ivermectin started in the state in l99l with the assistance of I-INICEF. Proposal for the implementation of CDTI in the state was approved in December,1999. Treatment started with 140 communities in 1991. In 1999 when CDTI was introduced the number of communities undergoing treatment rose to 633. In the year under review 633 communities selected their CDDs and most collected drugs and decided on their method/period of treatment. Due to non - receipt of APOC funds and inadequate financial support from the Government, only 26 LOCTs and 540 CDDs were trained thus achieving about40yo training achievement for both categories. Mobilization was carried out in all 13 Oncho endemic LGAs. 519,193 persons in 633 endemic communities in the 13 CDTI LGAs were treated using 1,621,925 Mectrzantablets. These give a 100% geographical coverage and85%o therapeutic coverage. I-INICEF provided N634, 000.00 while the State gave a counterpart contribution of N137,000.00 during the reporting period. Strengths of the prograrnme include increase in number of communities supporting their CDDs, high level of commitment of SOCTs and LOCTs, support by the Zonal Office and increasing involvement of communities in the CDTI process. The weaknesses and constraints facing the project are lack of updated population figures, inadequate financial support by Government and non - release of funds bY APOC for the entire Year' BACKGROUND BauchiStateislocatedinthenortheastofNigeria.KanoandJigawastates bounded it to the north, to the east Gombe and Yobe states, Kaduna to the west and Taraba and Plateau to the south' It has a population of 2,826,444based on the 1991 census and is made up' of Z1LGAs. Some major rivers transverse the state, and these are River Hadeja, Jama'are,Gongola and Dindima. Most of the Oncho endemic LGAs lie along these rivers. The State lies in Savannah area of Nigeria, with variations in ecological conditions. The south and western parts being Sudan or Guinea Savannah having relatively high rainfall, while the northern part of the state is Sahel Savannah. The settlement pattern varies in different parts of the state from nuclear settlement with surrounding farmlands to disperse settlement. Agriculture is the chief economy of Bauchi state are the farming season starts from May to December. There are l3 CDTI LGAs with an endemic population of 609,911 out of which 517 ,289 are eligible persons. Mass distribution with Ivermectin started in the state in 1991 with the assistance of LJNICEF. Proposal for the implementation of CDTI in the state was approved in December, 1999. Funds were received in March ,2000 and the financial cycle was revised to start in March 2000 to February 2001. Even though the second financial year was supposed to start in March 2001, funds were not received until September,200l. Currently the 13 hyper/Meso LGAs implementing CDTI are Alkaleri, Ningi, Kirfi, Warji, Dass, T/Balewa,Darazo, Shira, Toro, Zakr, Gamawa, Itas/Gadau and Jama'are. Treatment started with 140 communities in 1991' In 1999 when CDTI was introduced the number of communities undergoing ffeatment rose to 633' Distribution in the third year was unique in that everything was done by devoid of funds from Apoc. There was an increase in treatment figure from 333,108 in 2001 to 599,193 in2002' TABLE 1: IMPLEMENTATION OF CDTI YEAR THREE 2OO2 No.of comm. CDDs trained No.of comm. paying CDDs in cash/kind S/N 1 LGAs \o.of ;omm. No.of comm. which selected CDDs No.of comm. which collected drugs No.ot comm. Which decided on method of distr. Alkaleri 83 83 83 31 46 46 73 26 26 2 Ningi 73 73 73 38 38 40 40aJ Darazo 38 3U 93 93 4 Toro 7l 7l 7l IT 38 23 23 5 Iama'are 38 3E J6 23 20 2A 6 (1qrt'tqvrtq 33 3'3 35 28 28 22 227 Kirh 28 '26 4Q 40 8 T/Balewa 49 49 49 54 JU 41 36 569 Zaki 54 54 39 28 45 2610 ltas/Gadau 39 59 36 36 47 4711 Dass 36 JO 45 45t2 Warji 38 38 38 /. 53 53 56 s613 Shira 53 )J Totals 633 633 633 518 539 540 TABLE2:TRAININGOFDIFFERENTLEVELSOFSTAFFINVOLVEDIN CDTI IMPLEMENTATION No. of ToT trained LOCTs trained No. of CDDs trained S/N LGAs No. of Training undertaken I Alkaleri 2 1 2 46 I 2 262 Ningi z aJ Darazo 2 I 2 40 I 2 934 Ioro ') 5 Jarna'are 2 I 2 23 6 Gamawa 2 I 2 20 7 Kirfi 2 I 2 22 8 I/Balewa 2 I 2 4Q 9 Zaki 2 I 2 36 10 Itas/Gadau 2 1 2 45 11 Dass 2 1 2 47 I 2 45t2 Waqi '2 13 Shira 2 I 2 56 Totals 26 13 26 s39 Table Z and3 show that, 1300 CDDs had been targeted for training and re - train during this year, but only 540 CDDs could be trained. A total of twenty six LOCTs had to be ffained on CDTI due to transfers from one Local govemment area to another. This low level of training was due to lack of funds from APOC and the State Counter part conffibution. The 540 CDDs were trained with the support of LINICEF. TABLE 3: TRAINING OBJECTIVES & ACHIEVEMENTS S/N Personnel Projected Actual 7o Achievements 1 SOCTs 7 0 0 2 LOCTs 65 26 4A 3 DHS 130 0 0 4 DDs l 300 540 41.5 TABLE 4 : MOBILIZATION & EDUCATION OF ENDEMIC COMMUNITIES No.of MoH staff involved in mobilisation No.of NGDO staff involved in mobilisation S/N LGAs No.of comm. mobilized No.of comm. Which received H/E on CDTI No.of advocacY visit of state to LGAs Directors of Health 2 4 1I Alkaleri 65 o) 2 Ningi 50 50 2 4 I 4 1 3 Darazo 23 23 I 4 I4 foro 42 42 z 2 4 15 Jama'are 10 IU 2 I 6 Gamawa t2 l2 / 2 1 7 Kirfi l1 II Z 3 I 8 T/Balewa t5 t5 2 9 Zaki 2l 2t 2 2 I 10 Itas/Gadau 23 23 2 4 I l1 Dass r0 10 2 1 I 2 2 It2 Warji t4 t4 4 I 13 Shira 39 39 2 Totals 33s 335 26 The staff from the ministry involved in the mobilization are Deputy Director disease control, the state coordinator, the information officer of the ministry of Health, Coordinator public health and one staff from Zonal Oncho control offtce Bauchi. ACHIEVEMENTS In the course of the year 5lg,lg3 persons in all 633 communities were ffeated with I ,62l,gZ5 Mectizan tablets. These represent a therapeutic coverage of 85% and a geographic coverage of 100%. Treatments over the years since programme inception are presented in the chart below' t, o+,G ot- *,g CL o o CL rF o oz 900,000 700,000 600,000 500,000 400,000 300,000 200,000 100,000 0 Mecti zan treatment trend ..f fr." €rd ,.r"o Srt C +$ +& Years .+NO.OF PEOPLE TREATED S| .r" noe fr" TABLE 5: COUNTER PART CONTRIBUTION S/N PARTINERS AMOUNT APPROVED AMOUNT RELEASED 1 STATE GOVT N2,000,000 N 1 37,000 2 UNICEF N634,000 N634,000 3 APOC N9,503,600 NIL 4 GAs NA NA STRENGTHS l. Fuller involvement of communities in the programme. 2. Appreciation and acceptance of CDTI by communities as theirs. 3. More communities are willing to pay CDDs in cash or kind now. There was an increase in number of communities who paid CDDs in cash or kind from 84 to 244 (34%) 4. There is commitment on part of SOCTs and LOCTs 5. Ready support by NOCP zonal office. CONSTRAINTS 1. Non - release of funds from APOC in the year. 2. Lack of updated census of endemic communities 3. Poor financial reporting 4. Inadequate counterpart funding from State