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}l+ L BAUCHI STATE, For Action Toi PROGRE, SS -1 ( \"'J C RE,PORT
For ln{ormotion Ton MARCH TO MAY2OOO
SUBMITTED MAY 2OOO
AFRICANPROGRAMME FOR ONCHOCERCIASIS CONTROL OUAGADOUGOU EXECUTIYE SUMMARY
Bauchi State project areas is located in the north east of Nigeria. There are 20 Local Government Areas in the state.
The state lies in the Savanah region of Nigeria, with variation in ecological conditions depending on geography. Some major rivers transverse the state. These include the rivers Hadeja, Jama'are, Gongola and Dindima. Most of the endemic Local Government areas lie along these river systems.
Altogether a total of 13 L.C.As have been targeted for CDTI but almost all the 20 L.G.As contain hyper and meso endermic foci. The 13 L.G.A.s. are Ningi, Warji, Darazo, Alkaleri, Kirfi, Dass, Tafawa Balew4 Toro, Shir4 Bauchi, Katagum, Ganjuwa and Misau.
The settlement pattern varies in different parts of the State. Generally, there is a pattern of nucleated village settlements, with surrounding farmlands. In some areas there is dispersed
settlement, and in others, a combination of nucleated and dispersed settlement is found'
Treatment in the state started in 1991 with the assistance of UNICEF. However, it is obvious that the treatment programme has not lived up to its full potentials epecially with the lack of commitment of various partners.
The proposal for the implementation of CDTI in the state was approved late last year but funds were received in March 2000. The project financial cycle was revised to start from March 2000 to Febuary 2001.
So far only training for 8 SOCTs and 26 LOCTs have been conducted. These then went ahead to mobilize and health educate 376 communities. Meanwhile Mectizan distribution under the old method has continued in order not break the treatment cycle while re- orientation of personnel and establishment of CDTI structures continue. Consequently a total of 160,492 persons have so far been treated in 13 L.G.As in the state since the beginning ofthe year.
/1 The communities are yet to fulfill their responsibilities under CDTI. They have just been mobilized
The project intends to train and re-train 6 SOCTS, 39 LOCTS and 2,336 CDDS to achieve suffrcient success in the State. So far the project has achieved l33yo for SOCTS and 67Yo for LOCTS in terms of training.
The project is experiencing late release of funds, presence of some bureaucratic bottlenecks at the state level, lack of adequate support by assisting NGDO and inadequate support from
Policy makers at state and L.G.A. Levels. SECTION 1
BACKROUND:
Bauchi State project areas is located in the north east of Nigeria. There are 2A Local Government Areas in the state. The state shares borders with Plateau, Kano, Jigawa, Yobe, Borno, Taraba and Gombe States.
The state lies in the Savanah region of Nigeria, with variation in ecological conditions depending on geopgraphy. The southern and western parts of the state is sudan or guinea savanna, having a relatively higher rainfall, with numerous rocky out-crops and hilly terrain. The northern part of the State in sahel savanna, with much drier condition and fewer hills. Some major rivers transverse the state. These include the rivers Hadeja, Jama'are, Gongola and Dindima. Most of the endemic Local Government areas lie along these river systems.
Altogether a total of 13 L.G.As have been targeted for CDTI but almost all the 20 L-G.As contain hyper and meso endermic foci. A planned update of REMO will give a better picture. The 13 L.G.A.s. are Ningi, Warji, Daruo, Alkaleri, Kirfl, Dass, Tafawa Balew4
Toro, Shira, Bauchi, Katagunr, Ganjuwa and Misau.
The state has two distinct seasons, dry season and rainy season. There is six months of rain, beginning in May and ending in October. The farming season is from May to December , including the harvest period, which takes place between October aad December.
Most of the Onchocerciasis endemic communities have no year- round access roads. The
dirt and laterite roads to these communities are usually not motorable during the height of the raining season. Even in the dry seasorL where the roads are sandy, 4 Wheel drive vehicles are required along with motorcycles and bicycles.
The settlement pattern varies in different parts of the State. Generally, there is a pattern of nucleated village settlements, with surrounding farmlands. In some areas there is dispersed settlement, and in others, a combination of nucleated and dispersed settlement is found.
3 There are numerous ethnic groups in the state, although the Hausa and Fulani are the largest. The vast majority of the indigenous population inhabit sedentary farming communities. They also keep herds of cattle, sheep and goats, and other domestic animals. Treatment in the $tate started in 1991 with the assistance of UNICEF. However, it is obvious that the treatment programme has not lived up to its fulI potentials epecially with the lack of commitment of various partners. However since then the following number of
persons have been treated.
27,131 31,411
The state was divide d in 1997, so the treatment figures for 1997 and 1998 are for the new Bauchi State, and hence do not reflect a fall in persons treated, as the total population ofthe
state was reduced.
The proposal for the implementation of CDTI in the state was approved late last year but from funds were received in March 2000. The project financial cycle was revised to start March 2000 to Febuary 2001.
So far only training for 8 SOCTs and 26 LOCTs have been conducted. These then went Mectizan ahead to mobilize and health educate communities in the 13 L.G.As. Meanwhile distribution under the otd method has continued in order not break the treatment cycle while re-orientation of personnel and establishment of CDTI structures countinue. Consequently a total of 160,492 persons have so far been treated in 13 L.G.As in the state
since the beginning of the Year.
4 t.
Number of Endemic Communities in the State sfl{o L.G.AS NO OF DIST. NO Or TOTAL ENDEn/flC POPTILATION. COMM.
I ALKALERI 4 51 156,282
2 SHIRA 2 t02 211,720
J. WARJI l0 28 88,185
4. DARAZO 5 27 2A,546
5. NINGI l1 73 t33.337
6. TORO J 16 291,1 18
7. KIRFI I l9 66,149
8. DASS 2 36 133,700
9. TAFAWABALEWA 2 24 101,916
TOTAL 9 40 386 1,192,953
N.B The registration is still going on
- All 386 have been receiving Ivermectin before at various times and all are been
included now in the APOC Project. - The various communities have received treatment at least once. - Community is a group of people living together, with hierarchical nature of leadership, and sharing the same culture and tradition. SBCTION 11
:|:'iPLEMENTATION OF CDTI (YEAR 1)
The communities are yet to fulfill their responsibilities under CDTI. They have just been mobilized
TRAINING OF THE DTFFERENT LEVEL OF STAFF INVOLVED TN
CDDS saro L.G.AS TRAININGS TOT L.G.AS HEALTES UNDER TRAINEI) STAFF CENTRE/POST TRAII\IEI) TAKEN TRAINED STAFF ON CDTI TRAINED ON CDTI
I SOCTS 8
2 13 26 Yet to be Trained L.G.AS Total 3 I 26
{ The project intends to train and re-train 6 SOCTS, 39 LOCTS and 2,336 CDDS to
achieve suffrcient success in the State. Materials used in training so far include training manual, MIS forms and various posters. The project is however yet to produce sufficient materials for training and health education.
MOBILIZ{TION & EDUCATION OF TARGET COMMUNTTIES.
s/I\Io L.G.A. COMM. TARGET AI}VOCACY M.O.H NGDOS MOBILIZ COMMS. VISIT TO STAIT' INVOLYEI) ED WHICH STATf,/LGA MTVOLVEI) IN RECETYED IN MOBILIZA HEALTE MOBrI.rza TION. EDU. TION. ABOUT EXTENDEI) TREAT.
t. ALKALERI 51 51 J I Nil
2. I{INGI 73 73 J 1 Nil
J. WARII 28 28 3 I Nil 4. DARAZO 27 27 3 I Nil
5. KIRT'I l9 l9 J I Nil
6. DASS 36 36 J I Nil
7. T/BALEWA 24 24 J 1 Nil
8. TORO 16 l6 J I Nil
9. SHIRA 102 102 .5 I Nil Total 9 376 376 27 9
l. Media used for mobilization and health education included. (a). Town Criers for informing the communities. (b). Posters and flipcharts in meetings for CDTI.
2. It is rather early to concluded that we are satisfied with the result of the mobilization. However communities have accepted the CDTI concept by agreeing to perform their various duties under CDTI.
J. We can only state that the target communities are responding favourably when the communities have concluded the implementation of CDTI. One thing is however
clear, the general acceptance ofthe drug has been extremely favourable.
Yl 4. Our plan to improve mobilization of endemic communities include: a). Regular visits to the community leaders. b). Periodic meetings with Policy and Community Leaders c). Use ofvisual aids such as posters, stickers, flip charts etc.
SECTION T11 Treatment is yet to be carried out according to CDTI principles. However, as stated earlier in tlre introduction a total of 160,422 persons have been treated using the old approach in order not to break the treatment cycle for the affected communities.
ACHIEYEMENTS
The end of year technical report will contain details oftreatment and other achievements by the project. But for the training the project has achieved l33o/o for SOCTS and 67Yo for LOCTS.
SECTION TV
STRENGTflS O.F TEE CDIIPROJECT
l. The Communities are involved fully in the programme. They have started appreciating the fact that the programme is theirs-
2. With CDTI implementation very remote ilreas are being reached.
3. There is commitment on the part of SOCTs and some of the LOCTs
4. Full support and direct supervision of activities by NOCP' s Zonal Office.
( WEAKI\IE S SES/CONSTRAINT S l. Late release of funds.
2. Presence of some bureaucratic bottlenecks at the state level.
3. Lack of adequate support by assisting NGDO
4. Inadequate support from Policy makers at state and L.G.A. Levels.
5. Seeming unwillingness by communities to offer incentives to CDDs.
THE INVOLYEMENT OF STATE /LGAS:.
The state and L.G.A5 have so far been responsible for provision of ofiice space, and payment of staffsalaries. In few cases they have provided some little funds for supervision.
L.G.AS are more forth coming in support of their staffand have also provided materials for the on going registration. Actual contributions by state and L.G.AS will be submitted in the l$ year technical report.
HELP NEEDED:
FROM GOVERNMENT:- o Counter part funding .
. Support in mobilization of Local Government Policy makers. . Support for Oncho Staffto carry out their duties effectively.
FROMAPOC:- . Support in mobilizing the state policy makers. o Release of capital equipment. o Early release of funds
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