Onchocerciasis Control Programme in the Volta River Basin Area: Committee of Sponsoring Agencies, report of the twenty-seventh session, Washington, 27 to 29 April 1986

u RESTRICTED ocP / csL/ 27 ENGLISII ONLY ONCIIOCERCIASIS CONTROL PROGRAMME IN WEST AFRICA COMMITTEE OF SPONSORING AGENCIES Report of the Twenty-Seventh Session Washington, 27 to 29 April 1986 t ocP /csL/27 PaEe 2 A B c. Page 3 3 3 3 4 4 5 6 6 7 D. F. G. H. I. J. OPENING OF THE MEETING ADOPTION OF THE AGENDA APPROVAL OF REPORT OF CSA.26 FINANCING REVIEW OF PROGRAMME ACTIVITIES SOCIOECONOMIC DEVELOPMENT DEVOLUTION OTHER MATTERS DATE, VENUE AND AGENDA FOR CSA.28 APPROVAL OF REPORT OF CSA.27 ANNEX I PARTICIPANTS B2 ocP lcsLl2T page 3 A. OPENING OF THE MEETING 1. The twenty-seventh session- of the Conmlttee of Sponsoring Agencies was held in the World Bank, Washington, under the Chairmanship of Mr Lawrence E. Hinkle. ADOPTION OF TIIE AGENDA The following agenda was adopted: Approval of report of CSA.26 Financing - prospects for additional funding sources Review of Programme activities including extension operaEions and chemotherapy Socioeconomic developnent Devolution Other matters Date, venue and agenda of CSA.28 Approval of report of CSA.27 C. APPROVAL OF REPORT OF CSA.26 3. The report of CSA.25, already cleared by its chairman, was approved by the Committee. D. FINANCING 4. A11 current donors, except the African Development Bank and A1 Sabah Foundation, had signed the Fund Agreement in Washington on 4 February 1986 at a very successful ceremony. A strict conservative interpretation of the pledges made by the donors in the latest Fund Agreement would provide US $88 million during the third financial phase. 5. Taking into consideration anticipated continuity of funding beyond 1986 from the Federal Republic of Germany, Japan, UNDP and United Kingdon, which would bring in an additional $20 rnillion, and drawing down $fS niftion froro the reserve according to the criteria agreed to at the 1985 JPC, a shortfall of roughly $fO rnillion for Phase III would remain. 6. The Bank presented proposed objectives for fu1ly covering both the anticiPated overall shortfall and the peaking of third phase expendituresduring 1988-89. These included, inter alia , an EEC contribution in the order of ECU 10 nillion in 1987 or 1988, possible participation of new donors such as Australia and Sweden, and, to the extent possible, concentrating donor contributions in the niddle two years of the phase. 7. The Committee congratulated the Bank on its achievements. Analyzing the situation in detail it highlighted the lmportance of the size and tining of the EEC contribution in fully funding Phase III. The Committee agreed that obtaining EEC particlpatlon no later than 1988 $/as a hlgh priorlty along with the Bankts contlnuing efforts to interest other new donors. 8. The Committee recalled that funds additlonal to the US$133 mllIion'wou1d be required for support to the Onchocerciasis Chernotherapy Project beyond the lnitial funding. The need for additional funds, lf any, and the level of that fundlng would be decided by an independent review body in 1987. It was antlclpated any additional funds would be necessary only afEer 1988. 1 2 3 4 5 6 7 8 , t ocP I csA/27 Page 4 E. REVIEW OF PROGRAMME ACTIVITIES 9. The Comrnittee was inforned of action taken to successfully combat an outbreak of resistance to temephos in certain foci and of the progress being nade in preparing for operations to commence in the Western Extension. A rePort was also given on the anticipated registration of Lvermectin, the clinlcal trials with CGP6140, and the provision by the t^Iellcome Foundation and Upjohn of candidate compounds for screening in the caEEle nodel. 10. The Conrnittee rdas notified that the President of Mali had authorized the release of 100 nillion CFA francs for the construction of subheadquarters inMali; meantLme temporary offices were available. The protocols between WHO and the governments r{ere being finalized. River gauges were being installed, and everything rras on course for operations to commence in 1987. F. SOCIOECONOMIC DEVELOPMENT 1-1. The OCP Impact Study was in the process of revLsion, iE being intended that the annexes would be lncorporated ln the final docuuent. Reaetions requested fron CSA members and certain donors had been received or were antlcipated soon, and these would be addressed. The Comrnittee was informed of difficulties being encountered in obtainlng the details of the satellite study of selected river basins intended to supplement the Impact Study. 12. The Comnittee decided that WHO should proceed with the preparation of the final verslon of the Iunpact Study on the basis of comments already reeeived so that the document would be ready as planned for JPC.7. 13. In a critical review of follow-up action on socioeconomic development in the OCP area in response to the concerns of the JPC.6, four topics were considered. Terms of reference of future activities Financing of the work Role and contribution of the individual agencies Role of CSA as a body supervising the work. 14. Fo1low-up studies would assess prospects for, and identify and recommend rneasures to prouote development. Ln the oncho-controlled valleys and would lnclude recommendations with regard to project opportunitles, policies and policy adjustments. 15. Prelirninary draft terms of reference were presented to the Committeer whlch reflected objectives, methodology, tyPes of recommendations and estimated costs for proposed development-opportunity studies. These studies would eonsist. of regional studies comparing resettlement strategies in the oncho-controlled areas, assessments of the base-line natural resource potential and land-use activities in the extension areas, and a series of naEional studies which would identify and recommend activities regarding potential development opportunities which Participating Countries and donors could pursue ln each of the seven original countries. It was deemed important thaE the beneficiary countries collaborate in the preparation of the nagion.al development opportunity studies at the earliest possible stage. L6. RecommendaEions coming out of the national development opportunity studies would be formulated in the context of each countryrs national development strategy, and fol1ow-up actlon would be coordinated by each country separately. The Cornmittee also considered the mechanisms for coordinating socioeconomic development activitles in response to the natlonal studles in each of the Partlcipating Countries. (a) (b) (c)(d) !ocP / csA/ 27 page 5 L7. In addition to the information available in the OCP Impact Study, the Committee reeognized that considerable additional information and data which could be incorporated in the socioeconomic follow-up studies already existed, nuch of it within the agencies themselves. A thorough lnformation inventory and review would take place as an early phase of the study preparation Process. 18. The Comrnittee agreed thaE it was pertinent to take action inmediately towards proceeding with the studies and to rePort Progress to JPC.7 in December 1986. In this respect the following programme was approved.' (a) The Terms of Reference for the preparation phase of the studies would be prepared, incorporating a revision of the draft proposals discussed by the Committee. Time required would be approximately one Donth. (b) A draft report to JPC.7, to which the Terns of Reference would be attached as annex, would be prepared. Time required would be 6 to 8 weeks. (c) The initial phase of the regl-onal follow-up work would be launched, with decisions first being Eade on its financing and the consultants required. Funds may be sought from UNDP or through a Bank SPPF ln 1986. Time required would be approximately 8 months. (d) Reaction of selected donors and/or all beneficiaries would be sought on (i) the Terms of Reference and (ii) the Draft report. Tirning and extent of reaction sought r^rill depend on when (b) could be completed and what it will contain. 19. If UNDP were to be approached for funding of this study, the Coumittee was informed that a formal request would be required by mid-June. 20. The Cornmittee endorsed the need for Ministries of P1an, Finance and/or Econouic Developuent in the countries to be involved in socioeconomic development to supplement discussions of the joint National Onchocerciasis Commlggg. neetings and the Joint Programme Coumittee on these matters. 21. In preliminary discussions the Committee considered that the draft report to the JPC on socioeconomic developuent follow-up would address additional analytical work necessary to pursue developrnent opportunities resulting from onchocerciasis control, qrork to be undertaken aE regional leve1 (preparation of nethodology, assessments of comparatlve approaches to settlement, etc.), natlonal studies to be undertaken as follow-up of Impact Study, contributions of CSA members and the process whereby beneficiary and donor countries would be involved (e.g. round-tables, consultative groups as apPropriate). Its length was anticlpated to be 5 to 10 pages plus annexes. G. DEVOLUTION 22. The Comrnittee was informed of the response of the governments to devolution. The three countrles in 002.01 were positive in their actions, had appointed people to spearhead the process and would have documents ready for the JPC.7. These documents would follow agreed terms of reference and woul'd detail the current situation in each country, the level of services required to assume responsibllity for devolved act.ivities, the shortfall in capaciEy and resources, and measures required to fill the shortfall. Depending on the area and/or country capacity these resources will be requlred for entomological surveillance, epidemiological surveillance or disease dlagnosis, and distributlon of medicaments. Devolution must be seen as a national responsibility, OCP collaborating wlth the countries as required. I a ocP /ca6127 page 6 23. The Comnittee, assured that the document.s would include provisional costs of additional resources, recognized that funding for devolution acEivities was outslde the strlct provision of the Joint Programme Coumittee and, in fact, would probably have to be addressed through the same mechanisus as for socioeconomic development . 24. The Comroittee discussed preparation of the progress report on devolution, which had been requested by JPC.6, and which would be presented to JPC.7. This would include action to date and Ehe methods followed, the relationship to other funded health projecEs in the country, and a review of how these activities could be financed. The Cornmittee also urged that more support inforruation be provided on devolution generally so that the concept and iEs inplications would be more readily appreciated by all concerned. 25. The Committee foresaw OCP continuing to coordinate maintenanee activities in the area through 1997 which gave adequate time to plan what nechanisms, if any, might be required thereafEer. 26. The couuitEee proposed that discussions be held with the Ministers of Health of Burkino Faso, Mali and Nlger to deEermine how to handle devolution and funding requests in relation to the donors before JPC.7. H. OTHER MATTERS EAC-EG membership 27. A brief report was made on the situation regarding the appointments to the Ecological Group and the Expert Advisory Cornmittee. The CSA agreed that preparation for changes in membership should be reviewed in advance of requirements and proposed that this matter be on the agenda for the next meeting. The Commit.tee members would be informed of the proposed changes beforehand with a list of current meubers, their areas of expertise, their length of membership on the committee or group and a list of proposed members with areas of expertise. DATE VENUE AND AGENDA FOR CSA.28I. 28. 7to 29. The next session of the CSA will be convened at UNDP, New York from 9 October 1986. The proposed agenda is as follows: 1 2 Approval of report of CSA.27 Socioeconomic development - CSA report, - Inpact studY Devolution 1986 cash flow situation in OCP Review of JPC.7 documents CSA presentation to JPC.7 Arrangements for JPC.7 Financing EAC and EG membershiP Other EaEters Date, venue and agenda of CSA.29 Approval of report 3. 4. 5. 6. 7. 8. 9. 10. 11. L2. \ ocP / cSL/ 27 page 7 J. APPROVAL OF REPORT OF CSA.27 30. The Comnittee agreed that the report of the meeting be drafted after iEsclosure, cleared by the Chairrilan, and then circulated to other members. ocP/csA/27 Page 8 ANNEX I PARTICIPANTS Members: UNDP FAO World Bank I\rHO o. M.S L.E E.M Mr Mr Mr Dr Ess ien .0. Nicholas . Hinkle (Chairman) .. Samba Secretariat: Mrs J. Bazile-Finley, United Nations Development Programme Mr Bruce Benton, Onchocerciasls Coordinator, West Africa Progranrmes I, World Bank Mr J.D.M. Marr, Chief, OCP Lialson Office, WHO, Geneva ( Secretary ) Mr D. MatEheisen, Research Assistant, West Africa Programmes I, World Bank p