Plan of action and budget 2005

JOINT ACTIQN FORUM Offite of the Chairman Provisional Aeenda item 15 JAF-FAC: Tenth session Kinshasa (DRC), December 2004 FORUM D'ACTION COMMUNE Bureau du Pr6sident African Programme for Onchocerciasis Control Programme africain de lutte contre l'onchocercose '18,000,000 16,000,000 14,000,000 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 PIan of Action and Budg et 2005 JAF T0.6 ORIGINAL: French October 2004 I *h n t,o JAFIO.6 Page i AT'RICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL PLAN D OF ACTION AND BUDGET FOR 2OO5 WORLD HEALTH ORGANZATION JAF1O.6 Page ii TABLB OF CONTENTS Pages INTRODUCTION IA. B C. OVERVIEW OF PLAN OF ACTION 3 FORECASTING BY PROGRAMME ACTIVITY 8 TABLE 1 :ESTIMATE OF THE NUMBER OF.PROJECTS (CDTI, VECTOR ELIMINATION AND NATTONAL SECRETARIAT SUPPORT) TO BE CARRIED OUT AND MANAGED IN 2005.......................................7 TABLE 2 : PROPOSED BUDGET FOR 2005 AS COMPARED TO THAT APPROVED FOR 2004..........................11 TABLE 3 : BUDGET BY CATEGORY OF EXPENDITURE............ ................12 FIGURE 1: BUDGET BY CATEGORY OF EXPENDITURE (YEAR 2005) t3 FIGURE 2 : EVOLUTION OF APPROVED BUDGETS FROM 1996 TO 2005............. ......14 FIGURE 3 : OPERATING COSTS COMPARED TO ADMINISTRATIVE COSTS IN THE PROPOSED BUDGET FIGURE 4 : EVOLUTION OF NUMBER OF APPROVED PROJECTS SINCE 1996............. ................15 LIST OF ANNEXES ANNEX 2 : AVERAGE COSTS USED FOR BUDGETARY CALCULATIONS (US$) t7 LIST OF TABLES AND FIGURES JAF10.6 Page 1 A. INTRODUCTION 1. The Plan of Action and Budget for year 2005 (PAB 2005) will be the tenth plan of action submrtted by the African Programme for Onchocerciasis Control (APOC), for the consideration and approval by the Joint Action Forum (JAF). Wrth thrs new Plan of Action and Budget, APOC will strengthen the sx-year achievements of phase I, and the first three years of phase II. This fourth year of Phase II will see the implementation of sustainability plans of 45 CDTI projects in 11 countries (Cameroon, Equatorial Guinea, Malawi, Nigeria, Uganda, CAR, Sudan. Chad, Tanzania, DRC, Ethiopra) that have already benefited from five years of financial support. Thus, apart from the technical and financial assistance, which continues to be provided to Member States of APOC whrch are eligrble for CDTI, in terms of the implementation of activrties of their community-directed ivermectin distribution projects, and for the development of new project proposals, the first three years of Phase II of the Programme were primarily centred on (r) the dehnition of indicators of sustainabrlrty, (ir) the mid-term evaluatron of prolects rn their thrrd year of rmplementation, in order to correct the lapses observed, as against the objectives set for the prolects, (iii) the evaluation of CDTI projects, which are in their fifth year of implementation in order to help the sard countrres rn drawing up their sustainability plans that will enable them, if need be, to still take advantage of a low level of APOC financing, and to substantiate the bases for contrnurng CDTI actrvities after the cessation of cument APOC support, (iv) the development of guides and forms for reviewing sustainability plans and (v) the development of a gurde for evaluating the implementation of sustainabiliry plans of CDTI projects. 2. Highlights of 2004 were as follows (i) The implementation of the first year activities of sixteen (16) nerv CDTI projects (2 in Angola, 1 in Burundi, 5 in Cameroon, I in Congo, 1 in Liberia, 3 in R.D.C,2 in Sudan and I in Tanzania). (ii) Continuation of the activities of twenty one (21) Projects in their second year of implementation including 20 CDTI ones (l in Angola, I in Cameroon, 6 in Ethiopia, I in Nigeria, 9 in DRC and2 n Tanzania) and one NOTF Secretariat strengthening project in Angola. (iii) Reinforcement of the implementation of six (6) CDTI projects in their third year of implementation (1 in Cameroon,2 in Ethiopia and 3 in DRC). (iv) Continuation of the implementation of ten (10) projects in their fourth year of implementation, including 9 CDTI ones (2 in Cameroon and I in each followrng country: Congo BrazzavlTTe, Lrberia, Malawi, Nigeria, DRC, Uganda and Tanzania) and I NOTF Secretariat strengthening project in Ethiopia. (v) Completion of reinforcement activities under the implementation of fifteen (15) projects in their titth year of implementation, including 12 CDTI ones (1 in Ethiopra, I in Equatorial Guinea, I inDRC, 6 in Nigeria, 2 in Tanzania and I in Uganda), 2 vector elimination projects for Uganda and I NOTF Secretariat support project in DRC (vi) (vii) Consolidation of the activities of entomological monitoring in two (2) foci of vector elimination projects, one of whrch is in its sixth year of implementation (island of Bioko in Equatorial Guinea) and the other one in its seventh year of implementation (Tukuyu focus in Tanzania). Support, on the basis of plans established by the countries, for the activities meant to enhance CDTI sustainability in thirty- three (33) CDTI projects in their sixth and seventh years of implementation (6 forCameroon, 1 forMalawi, 19 forNigeria,2forrJganda, 1 for Sudan,2forTanzania, I forthe CAR and 1 for Chad). This strengthening of CDTI was done, primarily, through its closer integration into the health systems, and through the use ofthe "Community-drrected treatment" (ComDT) approach, so as to take up the challenges thrown by other health interventions, such as the "Vitamrn A" distribution campaigns, the campaigns against schistosomiasis, the distribution of impregnated mosquito nets under malaria control programmes, and the fight against sexually transmitted diseases and the HIV/AIDS, for example in the onchocerciasis zones. Support, on the basis of the plans establish by countries, of the activities of reinforcement of sustainability for four (4) projects of strengthening National Onchocerciasis Task Force Secretariats (NOTF) which are in their sixth and seventh years of implementation (Cameroon, Nigeria, Sudan and (viii) JAFIO.6 Page 2 (i*) (x) (xi) Tanzania). This strengthening was done primarily through taking charge of the costs of this secretariat, and supporting its coordination and supervision of onchocerciasis activities by the Mrnrstries of Health of APOC member countries. Continuation of the evaluation of sustainability of seventeen ( 1 7) CDTI proj ects, includtng, particularly 12 projects in their fifth year of implementation in the following countries: Cameroon (1), Equatorial Guinea (1), Nigeria (7), CAR (1) and Uganda (2) and 5 projects in their third year of implementation, under the mid-term evaluation of sustainability in the following four countries: Cameroon (2), Nigeria (1), DRC (l) and Tanzania (1). Continuation of Assistance to NOTFs for developing their sustainability plans, on the basrs of outcomes of the evaluations. Continuation and strengthening of the organization of workshops of experience-sharing among the implementers of the Programme activities, on the management and coordination of CDTI projects. and on the intensification of the training of Communify distributors. (xii) Continuation of the training of trainers of Community distributors, and more particularly of district health workers to build up their capacity of effectively assuming the responsibrlity of the activities relating to ivermectrn distribution. (xiii) Continuation of the training of field technical staff on the techniques of elaborating and conducting operational researches and the use of the results for decision-making. (xiv) Continuation of the coordination by APOC management, of the Rapid Epidemrological Mapprng of Onchocerciasis (REMO) in the following Member States of the Programme: Burundi, DRC, Angola, Sudan, Tanzania; Continuation of the refinement of these REMO surveys in the countries concerned, and the integration of the data of these surveys into the Geographic Information system (SIG). (xv) Continuation of the coordination by APOC Management of the mapping of Loa loa in the following APOC Member States: Angola, Congo, DRC and in southern Sudan, to determine the onchocerciasislLoa loa co-endemic areas, where the risk of serious adverse events, after treatment with ivermectin would be the highest. (xvi) Support, in liaison with the Regional WHO/AFRO office and/or other partners, for activities to control the nuisance due to the unbearable bites of blackflies in some countries such as the DRC, Congo- Br azzav 1l7e and Cameroon. (xvii) The start-up ofphase II of the evaluation of the longterm impact of APOC operations on the indrcators of onchocerciasis endemicity based on the epidemiological, dermatologrcal, ophthalmologic entomological and socio-economical levels. (xviii) Continuation of the participative follow-up/monitoring of rvermectin distribution projects by independent scientifi c experts. (xix) Continuation and reinforcement of the self-monitoring of the implementation of CDTI by community members themselves. (xx) (xxi) The start-up of the evaluation of the implementation of sustainability plans of CDTI projects. The management of eventual severe adverse events in onchocerciastslLoa loa endemic areas, and support to operational research proposals aiming at clarifying all problems related to cases of serious adverse events. The continuation of advocacy,Information, Education and Communication (IEC) activities, through the production of a guide on the strategy of developing IEC messages that are adapted to the local context, and the production of tools to support the IEC activities. (xxii) (xxiii) JAF1O.6 Page 3 The contrnuation of the consolidation of the scientific bases of the Programme through operatronal research, in close collaboration with the Special Training and Research Programme on Tropical drseases (TDR). (xxiv) The continuation of collaboration between the Programme's Management, the Regional WHO office for Africa, the WHO Representative offices in the partrcipating countries, the Onchocerciasis unit of the World Bank in Washington, the admrnistrative and financial services of WHO in Geneva, and the Programme for the Prevention of Blindness and Deafness (PBD) of the WHO headquarters in Geneva which, as in the past, will carry out liaison and coordination with the NGDO group. (xxv) (xxvi) The support to the APOC/AFRO liaison office based at the WHO headquarters in Geneva. Covering of consultant costs, of half of running costs of the offrce of the NGDO coordrnator, based in Geneva including: half of the cost of a secretary for the office based rn Geneva, and travelling expenses, as well as the costs of office supplies. (xxvii) (xxviii) Continuation of the support to the search for a macrofilaricide, in close cooperation with TDR. Continuation of vector elimination activities in the foci identified in three APOC Member States Equatorial Guinea, Uganda, and T anzania. (xxix) The implementation of a policy to support and follow-up treatment activities of onchocerciasis patients living in hlpo-endemic areas that are not eligrble for CDTI. (xxx) Continuation and reinforcement of the collection of statistical data relating to ivermectin distribution, and progress of CDTI implementation in APOC Member States. To this end, the Programme will continue the training ofnational officers in statistics for the collection, analysis and interpretation of data in order to improve the performances of CDTI. (xxxi) Taking charge of the emoluments of the Programme staffbased in Ouagadougou (see organrzation chart in ANNEX 1), of follow-up missions, evaluatron and coordinatron of activrties rn the participating countries by Programme staff and consultants. The participation of APOC Management in meetings of the Commrttee of SponsonngAgencies (CSA), as well as in missions for advocacy and mobilization of funds organised by the World Bank. The preparation and holding of two ordinary sessions of the TCC in Ouagadougou (Burkina Faso), and a special meeting on the sustainability of CDTI activities, and also preparation of the l0'r' JAF in December 2004 in Democratic Republic of Congo (DRC). (xxxii) (xxxiii) (xxxiv) The continuation, without direct financial incidence on the budget of the Programme, of the coordination and management of the activities in the SZ areas of the ex-OCP. 3. Most of these activities will continue and be intensified during year 2005. They were used as a basis for drafting this plan of action and budget. B OVERVIEW OF PLAN OF ACTION In a nutshell, the plan of action for 2005 makes provision for: 1. The implementation of the first year activitres of fourteen (14) new CDTI projects (4 in Angola,2 rn Burundi, 1 in Uganda, 4 in R.D.C and 3 in Sudan). 2. The continuation of activities of sixteen (16) CDTI Projects in their second year of implementation (2 in Angola, 5 in Cameroon, I in Burundi, 1 in Congo,2 in Sudan, 3 rn DRC, 1 in Liberia and I in Tanzania). JAF10.6 Page 4 3. The reinforcement of the implementation of Twenty (20) CDTI projects in their third year of implementation (1 in Angola, 1 in Cameroon, 9 in DRC, 6 in Ethiopia, I in Liberia, I in Nrgeria, and I in Tanzania) and one NOTF Secretariat strengthening project in Angola. 4. The continuation of the implementation of six (6) CDTI projects in their lburth year of implementation (1 in Cameroon,2 in Ethiopia,3 in Equatorial Guinea). 5. The completion of reinforcement activities of the implementation of ten (10) projects in their lilth year of implementation including 9 CDTI ones (l in DRC, 1 in Nigeria,l inTanzania,2inCameroon, I in Congo, 1 in Malawi, Uganda, Liberia) and I NOTF Secretariat reinforcement project in Ethropia. 6. The consolidation of entomological surveillance achvities rn four (4) foci of vector elimination projects, two of which will be in their sixth year of implementation in Uganda (Mpamba Nukusi and Itwara), one in its seventh year of implementation in Equatorial Guinea (island of Bioko) and another in its eighth year of implementation in Tanzania (Tukuyu Focus). 7. The support, on the basis of plans established by the countnes, of activrtres meant to enhance CDTI sustainability in forty-five (45) CDTI projects in their sixth, seventh and eighth years of implementation (6 for Cameroon, 1 for Equatorial Guinea, I for Malawi,25 for Nigeria, 3 for Uganda, 1 for Sudan, 4 for Tanzania,l forCAR, I forEthiopia, l forDRCand I forChad). ThisreinforcementofCDTIwillbedone primarily through a closer integration into health systems and through the use of the community-directed treatment approach (ComDT) with a view to taking up the challenges thrown by other health interventions, such as the "Vitamin A" distribution campaign, the campaigls against schistosomiasis, the distribution of impregnated mosquito nets as part of the malaria conlrol campaign, and the fight against sexually transmitted diseases and HIV/AIDS, for example, in "onchocerciasis" areas. 8. Support, on the basis of plans established by the countries, of activities for strengthening sustainability in five (5) projects of reinforcement of the NOTF secretariats which are in their sixth, seventh and eighth years of implementation (Cameroon, Nigeria, Sudan, DRC and Tanzania). This strengthening will be carried out primarily by supporting the costs of that secretariat, and the support to its activities of coordination and supervision of onchocerciasis control by the Ministries of Health of APOC participating countries. 9. Table I presents, by country, the number of projects to be carried out, the management of whrch wrllbe followedupin2005.Atotalofl22projects, ofwhichl13havealreadybeenapproved(l02CDTI,4vector elimination and 7 NOTF secretariat projects reinforcement) and 9 new CDTI projects, the dralting of which are planned by the NOTFs of these four countries: Angola (2), Burundi (2), Uganda ( 1), DRC (4); 10. Figure 4 illustrates the trend of number of projects approved by the advisory bodies of APOC since 1996:' 11. The continuation of the evaluation of the sustainability of twenty-nine (29) CDTI projects including in particular 9 projects in their fifth year of implementation in the following eight countries: Cameroon (2), Nigeria (l), DRC (1), Congo (1), Tanzania (l), Malawi (1), Uganda (1) and Liberia (1) and 20 projects in their third year of implementation, under the mid-term evaluation of sustainability in these seven countries: Cameroon (1), DRC (9), Nigena (l), Tanzania (1), Angola (l), Ethropia (6), Liberia (1). 12. The continuation of Assistance to the NOTFs for developing their "post-APOC" ivermectin drstnbution plans, on the basis of the result of the evaluations. 13. The continuation and reinforcement of the organization of experience-shanng workshops for implementers of programme activities, on the management and coordination of CDTI projects and on the rntensification of training of Community distributors. 14. The continuation of the training of trainers of Community distributors, and more parlicularly of district health workers, in order to build up their capacity for effectrve take over of the activities of ivermectin distribution. 15. The continuation of the training of field technical staff on the techniques of elaborating and conductrng operational research, and on the use of the results for decision-making. JAFIO.6 Page 5 16. The continuation of the coordination by APOC Management, of the Rapid Epidemiological Mapping of Onchocerciasis (REMO) in the following Member States of APOC: Burundi, DRC, Angola, Sudan, Liberia, CAR; the continuation of the refining of these REMO surveys in the countries concemed, and the integrafion of the data of these surveys into the Geographic Information System (SIG). 17. The continuation of the coordination by APOC Management of the mapping of Los loa inthe following APOC Member States: Congo Brazza, DRC, Cameroon and in Southern Sudan, to determine the onchocerciasisl/,oa loa co-endemic areas, where the risk of serious adverse events, after treatment with ivermectin, would be the highest. 18. The support, in liaison with the Regional WHO/AFRO office, and/or other parfners, to activities of nursance control due to the unbearable bites of blackflies in countries such as DRC, Congo -Brazzavllle and Cameroon. 19. The continuation of the phase II of the evaluation of the long-term impact of APOC operations on the indrcators of the endemicity of onchocerciasis based on epidemiological, dermatological, ophthalmologrc, entomological and socio-economical 1eve1s. 20. The continuation of participative follow-up/monitoring of ivermectin distnbution projects by independent scientific experts. 2l . The continuation and reinforcement of the self-monitoring of the implementation of CDTI by members of the communities themselves. 22. The management of eventual severe adverse events tn Loa loalonchocerciasis co-endemic areas, and support to proposals for operational research aiming at clarifying problems of all kinds relating to severe adverse events. 23. The continuation of advocacy, Information, Education and Communication (IEC) through the production of a guide on the strategy for developing IEC messages that are adapted to the local context, and producing tools to support the IEC activity. 24. The continuation of the strengthening of the scientific bases of the Programme through operational research, in close collaboration with the Special Training and Research Programme on Tropical Diseases (TDR). 25. The continuation of collaboration between APOC Management, the Regional WHO Office for Afnca, the WHO Representative offices in the participating countries, the onchocerciasis unit of the World Bank in Washrngton, the administrative and financial services of WHO in Geneva, and the Programme of Prevention of Blindness and Deafness (PBD) of WHO Headquarters in Geneva which, as in the past, wrll ensure liaison and coordination with the NGDO group. 26. The support to the APOC/AFRO liaison Office based at WHO headquarters in Geneva. 27. The provision for the cost of consultants, half of the cost of the operating expenses of the NGDO Coordinator's office based in Geneva including: half of the cost of one secretary based in Geneva, as well as the travelling expenses and the costs of office supplies. 28. The continuation of the support to the search for a macrofilaricide, in close collaboration with TDR. 29. The continuation of activities relating to vector ehmrnation in foci identified in three Member States of APOC: Equatorial Guinea, Uganda, and T anzania. 30. The implemention of a policy to support and follow-up treatment activities of onchocerciasis patients living in hypo-endemic areas not eligible for CDTI. 31. The continuation and reinforcement of the collection of statistical data relating to ivermectin distribution, and the progress in CDTI implementation in APOC member states. To this end, the Programme wrll continue the JAFI0.6 Page 6 training of national officers in statistics for the collection, analysis and interpretation of data wtth a view to improving CDTI perfornance. 32. The support of the emoluments of Programme staff based in Ouagadougou (see organization chart in ANNEX 1), of follow-up missions, evaluation and coordination of activities in the participating countries by Programme staff and consultants. 33. The participation of APOC Management rn the meetings of the Committee of Sponsoring Agencies (CSA), as well as advocacy and fund mobilization missions that are organrsed by the World Bank. 34. The preparation and holding of two ordrnary sessions of the TCC in Ouagadougou (Burkina Faso) and the I ltl' JAF session in a donor country of the Programme. E> cD 1l 0aHOO{o\ la lo) lC' lo lna FO .D + o d oH +) H €. oo U) o -l o o oFt o c0 J FD o. o c0 U)ooFt o !,F.t o, 0 o 4 o do o FJIH rD 0) o- DD FO 0a(D o- N.J (,l o\ i 0a o E o- o o 0a o tll o '6 l0 - on H Po do ln P QJ .D F) o o p) A o ID o o o a + ID -ll0 N FO o) z 0ao p) oa 0) o. 0) 7 ID DD{ o o A 5 NJ 5 oHN9n \l /1tr - E zt i : YiE9Jo)4; Y^)--. oa'x ,6 aq oe o\ NJ (! N) 6 NJ.o: tJ \o .iq0)ax o\ N) (, ds \o N) duA)E NJ * N) o\ o+ *a;U(JJE E',^H --'z a -* =E='Y 9 H AE E il5 = =E $!i,:xY B'd*3to 5 X:o'+ * N) O Xets+ .0 0)ts 1 tD ia a5 0= !c o l..J N.) (.D:'s+ X:s+ Xror+ o-D= z !9 D' o(! i(D 19 o (D q f; s-,-NX XsHd- s (D D)t Xg oa. b.J d:J t.J Xrs+ b.J h.) 6 (,J [.J (, b..)b.J bJ o\ -I \o hJ6 -I tJ ->FlOFl -:-t - a' :a ur a= -6-= E o -*F f9.d ao; * tD0Q 5? l:tD- cr-lE 2.6 a- .orD =?'H -^ li+!1 X 6s-ix uX d, --'og.o tD :,:'< iD!!e >i;a o 3> fi6X .DO- -<i (D(D= =<: -lDLi.HIErD^49 aiXo. < =.:6av t ts.o :;ci =;.q o rlE aao =s= a, I'ts :i--.x -.? s.6 {tD + i.la ='-3c;q Bge.(D-l d:o. .i ^. (! rD< tDx idE OA .D '1,i,o o P- p o5 A-r q- tD A) CJAFIO.6 Page 8 FORECASTING BY PROGRAMME ACTryITY Activity/Event 3 5. Implementation, follow-up, evaluation and audit of 65 CDTI projects m 12 countries and limited support, after evaluatron, of the sustainability to 45 CDTI projects that have already benefited from five years of APOC support in I I countries for the reinforcement of sustainability; management of serious adverse events in the Loa loalonchocerciasis co- endemic areas; contribution for the reinforcement of 7 NOTF secretariats in 7 countries; [ - Contribution up to 7 5o/o of Projects costs; - Include, if possrble rn CDTI proposals other health interventions such as the distribution of Vitamin A l - approval by the Director of the Programme of specral allowances for operational research in projects. 36. Implementation, follow-up and evaluation of 4 vector elimination projects rn 3 countries. 37. Training, workshops, IEC and production of guides on the implementation of CDTl-related activities: - local training of health staff so as to enable them acquire the skills of collecting, processing of statistical data relating to CDTI and other health proj ects for decision-making. - training of health staff in order to enable them acquire the skills for identifying problems related to CDTI implementation, come out with operational research subjects, and undertake these researches for adequate solutions finding. - Training of hainers of Community distributors in order to standardize the contents of messages to be delivered to trainees, and also enhance the skills of trainers. - training of health staff involved rn the management of APOC funds, in order to enable them acquire or improve the administrative and financial skills in project management. - Support to some Member States of APOC, for organising workshops that gather all stakeholders in the implementation of CDTI to reinforce the popularisation of the APOC philosophy. - Production of training manuals and tools for IEC. - Discussions with specialized institutions on the use of HealthMapper to enable the Programme staff concerned acquire the new knowledge in GIS, and the use of HealthMapper. Required resources National Human resources, logistics and financial Human resources, technical equipment Facilitators, participants, logistics; educational, advocacy and IEC materials Estimated budeet (us$) 7 119000 557 000 485 000 38. Programme Headquarters operating expenses (maintenance of buildings, office property and vehicles, electricity, water, telephone, security). 39. Equipment and supplies (office supplies and various consumables, paper and computer hardware, maintenance of computer network) 40. Organization of two sessions (March and September 2005) of the Technical Consultative Committee in charge of reviewing new project proposals, and evaluating the progress made in the implementatron of projects. 41. Preparation and holding of the 1ltr' JAF session, including the translation of related documents. 42. APOC Personnel office: Administration of Programme and general coordination of these activities; support to the countries in the development of project proposals; follow-up and evaluation of the ivermectin distribution Projects in the communities, and vector elimination projects; linking up with the NGDO Broup, and support to the statutory bodies of the Programme. 43. Support visits to countries (see activities summarized under item 37 above) and participation of Programme Director in fund mobilization missions organrzed by the World Bank. 44. Continuation of Phase II of data collection on the entomo-epidemiological and socio- economic indicators for the evaluation of the long-term impact of APOC operations. - Continuation of Rapid Epidemiological Mapping of Onchocerciasis (REMO), integration of data into the regional Geographic Information System (GIS),and refinement of Oncho mapping in the concerned countries. - Continuation of the Rapid Epidemiological Assessment (REA) in the Loa I oal onchocerciasis co-endemic areas eligible for CDTI. - Continuation of the programrne of assistance to countries for the evaluation of sustainability indicators of CDTI projects, and structures to be reinforced in order to facilitate the gradual financial phasing out of APOC; - Continuation of the follow-up/monitoring of CDTI projects by independent experts, and by Material resources Material resources Travels and allowances for TCC members. Human, material and technical resources. Supplies and production of documents of the meeting. - Director and his direct secretariat (5 members) - Coordrnation office of Programme Dir. (41 members) - Sustainable drug distribution unrt (7 members) - Epidemiology and vector elimination of unit (13 members) Human resources ( APOC staff and NGDO Coordinator), Travels and per diem . Consultants: 131 m/m * Human resources, cost of travels and per diem. (* m/m: men/month) JAF1O.6 Page 9 145 000 140 000 122 500 47 500 232 400 I 024 000 375 600 498 000 200 000 919 000 JAF10.6 Page l0 the communrties themselves. - Recruitment of temporary professionals to support Programme Management. - Recruitment of consultants and temporary advrsers to act as facilitators ofreflectron meetings and workshops on subjects of interest for the Programme. 45. Continuation of collaboration with TDR: - for integrating CDTI into health systems; - for reaching and maintaining high therapeutic coverage rates, and regular treatment of onchocerciasis; - for using "Community-directed treatment approach " to intervene in other health sectors; - for develop ingrapid Loa loa mapping methods at communrty level; - for developing treatment strategies in Loa loa I onchocerciasis co-endemic areas; 46. Continuation of collaboration with other research institutes (IRD, "Institut Pasteur", Liverpool School etc). 47. Continuation of support for the search of a macrofilaricide. This has to do with the clinical and pre-clinical development of macrofi laricides against onchocerciasis, and also the development of diagnostic tools capable of detecting the resistance of O volvulus to ivermectin at the molecular level, not forgetting the final validation of the onchocerciasis diagnosis by the Diethyl Carbamazin "DEC" patch test. 48. Contribution to the costs of administrative support provided by WHO/AFRO, WHO/Geneva, including the NGDO activity coordination office, and the offices of WHO Representations in APOC countries. GENERAL TOTAL Research grants Research grants Research grants Human resources, cost of travels and per diem 499 000 90 000 700 000 390 000 13 544 000 JAF10.6 Page 1 1 PRoPo s ED BUDG#TokE rlo o, o, coMP ARED TO THAT APPROVED FOR 2OO4 (us $) * The contribution of APOC to PBD operation for NGDO liaison office is included in the budget line items described in points 43 and 48 above. Category of expenditure Proposed Approved Approved 2005 2004 2003 RENBWABLE/RECURRENT EXPENDITURES Personnel Services 2,130,000 2,130,000 1,595,000 Consultants 919,000 861,000 900,000 Travels 200,000 200,000 200,000 Macrofil Project 700,000 700,000 700,000 Contracts (research and others) (i) PBD - for NGDO liaison * {< * (ii) TDR, APOC countries and other institutions 589,000 619,000 420,000 (rrr) cDS (REMO/GrS) Operating expenses 145,000 148,000 128,000 Supplies 62,000 20,000 50,000 Statutory meetings 170,000 170,000 150,000 National ivermectin distribution projects, including if possible, other health activities 7,1 19,000 6,675,854 8,144,083 National vector elimination projects 557,000 460,000 825,000 Training, Workshops, Mobilization, Advocacy 485,000 450,000 370,000 Administrative support - WHO/AI'RO/HQ Geneva, NGDO and WHO Offices of APOC countries 390,000 390,000 367,000 Sub-total 13,466,000 12,823,854 13,849,083 FIXED ASSETS (capital costs) Office Equipment 39,000 45,000 15,000 Computer equipment 15,000 15,000 30,000 Technical equipment 24,000 30,000 20,000 Sub-total 78,000 90,000 65,000 TOTAL 13,544,000 12,913,,854 13,914,083 JAF10.6 Page l2 TABLE 3 BUDGET BY CATEG(SJ:] OF EXPENDITURE The contribution of APOC to PBD operations for NGDO liaison office is included in the budget hne rtems described in points 43 and 48 above. Category of expenditure Budget Proposed Approval Approval 2005 2004 2003 RENEWABLE/RECURRENT EXPENDITURES WHO/APOC staff Director and his direct Secretariat 232,400.00 232,400.00 209,400.00 Office of Coordination of the Office of the Director 1,024,000.00 1,024,000.00 695,600.00 Sustainable drug distribution unit (Social Scientist) 375,600.00 375,600.00 252,800.00 Epidemiology and Vector Elimination 498,000.00 498,000.00 437,200.00 Sub-total 2,130,000.00 2,130,000.00 1,595,000.00 Consultants Travels 919,000.00 200,000.00 861,000.00 200,000.00 900,000.00 200,000.00 Macrofil Project 700,000.00 700,000.00 700,000.00 Operating expenses 145,000.00 148,000.00 128,000.00 Contracts (research and others) (i) PBD - for NGDO liaison * * * (ii) TDR, APOC countries and other institutions 589,000.00 619,000.00 420,000.00 Supplies and Equipment 140,000.00 110,000.00 115,000.00 CDTI projects, including if possible, other health activitres 7,119,000.00 6,675,854.00 8,144,083.00 National vector elimination projects 557,000.00 460,000.00 825,000.00 Training, Workshops, Mobilization, Advocacy 485,000.00 450,000.00 370,000.00 Statutory meetings 170,000.00 170,000.00 150,000.00 Administrative support - OMS/AFRO/HQ Geneva, NGDO and WHO Offices in APOC countries 390,000.00 390,000.00 367,000.00 Sub-total 11,414,000.00 10,783,854.00 12,319,083.00 TOTAL 13,544,000.00 12,913,854.00 13,914,083.00 !k Figure 1: BUDGET BY CATEGORY OF EXPENDITURE (YEAR 2005) JAF1O.6 Page 13 ($ us) 7,676,000.00 56.67% 919,000.00 6.79% Key: o//11 a National projects (CDTI * Vector Elimination) a Consultants o Training,Workshops,Mobilisation,Advocacy . Personnel o Macrofil project o Contracts (research and others) o Administrative support WHO/AI'RO/HQ Geneva, NGDO, WHO offices in APOC countries o Statutory meetings o Travels o Supplies and Equipment . Operating costs 485,000.00 2,130,000.00 700,000.00 589,000.00 200,000.00 140,000.00 14s,000.00 3.58% 15.13% 5.17% 4.3s% 1.48% 1.03% 1.06% 390,000.00 2.88% 170,000.00 1.26% TOTAL Administrative WHO/AFRO/HQ Geneva, NGDO & Country WHO Offices of APOC countries 2.ggo/a Contracts (research and other) 4.35% Project 5.17o/o Personnel services 15.73% Training, Mobilization, Advocac 3.58% Statutory meetings 1.260/0 Consultants 6.79o/o ravels 1.48o/o 1.06% National projects DTI + Vector Elimination) 56.67% 13,544,000.00 100.00% Supplies and Equipment 1.03o/o Operating costs JAF1O.6 Page 14 Figure 2 : EVOLUTION OF APPROVED BUDGETS FROM 1996 TO 2005 18,000,000 16,000,000 14,000,000 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Figure 3 : OPERATING COSTS COMPARED TO ADMINISTRATIVE COSTS IN THE PROPOSED BUDGET FOR 2OO5 ADMNISTRATIVE COSTS 14.92% OPERATING COSTS 85.08% $o o N o o o N No o N oo N o O o N o o o O o o o o (o o) o $ N oN olo o\t r.o o(o o o O o m o oo o ::rl \i- .o l E f O o F o .0 c c o L oo o .c) l oLoo o o 0) 0- o! o)Lo E o z 1 oN o \o o\ o\ tr.lQ za V)FQ tr.l o n tr.l o& PA o H FA z z tri o zo F) Fl - lf.1 ; q) bo t- \Otr) -Ol! bo<s aP I'6 o ooo z" trlobgo oo oo .o EO <'a 6"62 '6 >9o: E <tro -OOoo! trd63o e G o o oo = ",fi@<)9trFI9a <= F- u, o- -(L6g tr o G N o xg o o oo .9 ;trE a6 o ooo o tr6 .E L ,9 o @ .E o U) oo o E . f oo c6 f o oo .9 o c6 : o .9 F4= >:)0- 90or: =lsllJ = uJo () Ed- -d E9I(J() IIJ E" E . >ro .9E E'ooE <E d o =; .Esc<oo i o 6 6o J o u rt! 6(J =rsba fr.=2. o llJrF zlt o e,6 o ooo t UJo Lr o uloi?Z6tr- 05 F u,t(, of o d lrJ(J r Lo6 uJr(J- z I o '6 oroo <tr .G o.: 'EL oo od tr?-UO rri .o .9 oo od o oooc9E <f .o .9 oE o O E E oIa ,9 d UJo Z-Lox Fvd>- E8E Pd =4o lrJF t 6 E G o ooo o o oo = C .d{ i.c <", .9 oo <U) !o<o -= .9 oo . o o oo d oF<^oJ<odzt tF *o ci o d lrJ ( 0 o.IoF I g o J o o E o o o U) t rPoirtuj^<doidx axoEv(-) 8U-(Jll L o oo oo o o = .9 *i :o EU)Eoo ._e '=v) oo a" o o o U) zo*kIa =i>ox-Lv oo o oI o o o oU l 6 J o(J c U. t o o .z o!g o - o o oo J I o .9 o i6tr>E6<i .9 o v, o o (, .2 o 6 E - ,9o-tro <o ,U, EE . o o ooo . G o ooo oo oe =Ers' z o =2u .,uJ^trc)o(/,tr< =o =o E.9 d roO <{(')o,z o oocco E:9otr .=o oo =- trLoo faU^u- (9 =u..o= 3= @2<F^2=o <5r?Ee= =(l0_6 frd Io .9 o{r FC;oie LO .g o- oo i o o ooo E.9 d < &u, cq;u <.; v( 6 i5s * :is"<t H Unv AlH I I I I I I I L o N oo! 9ro" Il. 5bc)<(nx -;o. otr oo N oo EIo o () oI d o JAFlO Pagel7 2001 ANNEXE 2 AVERAGE COSTS USED FOR BUDGETARY CALCULATIONS (US$) 2005 2004 2003 2002 Personnel Professionals -P6-D2 170,000 170,000 155,000 155,000 155,000 - P4-P5 145,000 145.000 145.000 145.000 145,000 -P3 I15,000 115,000 115,000 115,000 - STP4-STP5 90,000 90,000 85,000 85,000 85,000 - STP2-STP3 65,000 65,000 65,000 - General Services 18,000 18.000 x 14,000 20,000 20,000 - STG 8,800 B,BOO 8,800 6,000 4,000 - Consultant/month 7,000 7,000 7,000 7,000 7,000 - Temporary (General Services) 800 800 800 800 800 Value of the US dollar - CFA francs 560,00 550,00 600,00 550,00 550,00 - Euros 0,841 0,849 1,55 5,50 ** 5,5 ** - Swiss franc - Pound sterling - Canadian Dollar - Japanese Yen 1,3 I 1,30 1,42 7,42 7,42 0,584 0,610 0,58 0,58 0,58 1,35 1,3 8 1,38 1,38 1,38 112,00 118,00 112,00 t12,00 112,00 * Average cost scaled up in relation to 2003 in consideration of the reality of incurred expenditure. *x Indications of the French franc