BENIN FY2020 Annual Work Plan
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USAID’s Act to End NTDs | West Benin FY20 WORK PLAN USAID’s Act to End Neglected Tropical Diseases | West Program BENIN FY2020 Annual Work Plan Annual Work Plan October 1, 2019 to September 30, 2020 1 USAID’s Act to End NTDs | West Benin FY20 WORK PLAN Contents ACRONYM LIST ............................................................................................................................................... 3 NARRATIVE ..................................................................................................................................................... 6 1. National NTD Program Overview....................................................................................................... 6 2. IR1 PLANNED ACTIVITIES: LF, TRA, OV ............................................................................................... 8 i. Lymphatic Filariasis ........................................................................................................................ 8 ii. Trachoma ..................................................................................................................................... 12 iii. Onchocerciasis ............................................................................................................................. 14 3. SUSTAINABILITY STRATEGY ACTIVITIES (IR2 and IR3) ...................................................................... 16 i. DATA SECURITY AND MANAGEMENT .......................................................................................... 16 ii. DRUG MANAGEMENT .................................................................................................................. 17 iii. MAINSTREAMING AND HSS ACTIVITIES (IR2) .............................................................................. 19 iv. PLANNED ACTIVITIES: SCH, STH, POST VALIDATION/VERIFICATION SURVEILLANCE (IR3).......... 22 2 USAID’s Act to End NTDs | West Benin FY20 WORK PLAN ACRONYM LIST AcceleraTE Accelerate Trachoma Elimination AE Adverse Event AFRO Regional Office for Africa (WHO) ALB Albendazole APOC African Program for Onchocerciasis Control ATP Annual Transmission Potential AZT Azithromycin BMGF Bill & Melinda Gates Foundation CAME Centrale d’Achat des Médicaments Essentiels (Center for Procurement of Essential Medicines) CDD Community Drug Distributor CDTI Community-Directed Treatment with Ivermectin CES Coverage Evaluation Survey Co-RUP Co-Responsable d’Unité Pédagogique (Pedagogical Unit Deputy Chief) CP Conseiller Pédagogique (Pedagogical Advisor) C/SPIRS Chief of Planning Information and Health Research Service (Chef Service de Planification Information et Recherche en Santé) C/RAMS Chargé de Recherche et d’Appui à la Mobilisation Sociale CRP Chef de Région Pédagogique (Head of School District) DDEMP Direction Départemental de l’Enseignement Maternelle et Primaire (Departmental Directorate of Pre-school and Primary Education) DDS Direction Départementale de la Santé (Departmental Health Directorate) D-FEAT District Filariases Elimination Action Tool DFID UK Department for International Development DNSP Direction Nationale de la Santé Publique (National Public Health Directorate) (MOH) DOT Directly-Observed Treatment DPMED Direction de la Pharmacie du Médicament et des Explorations Diagnostiques – DPMED DPP Direction de la Programmation et de la Prospective (Directorate of Programming and Foresight) DPS Direction de la Promotion de la Scolarisation (Schooling Promotion Directorate) DQA Data Quality Assessment DSA Disease-Specific Assessment EDC Electronic Data Capture EPIRF Epidemiological Reporting Form (WHO) ESPEN Expanded Special Project for Elimination of Neglected Tropical Diseases (WHO AFRO) EU Evaluation Unit FTS Filariasis Test Strip FY Fiscal Year 3 USAID’s Act to End NTDs | West Benin FY20 WORK PLAN GOB Government of Benin GTMP Global Trachoma Mapping Project HAT Human African Trypanosomiasis HdZ Hôpital de Zone (Health Zone Referral Hospital) ICT Immunochromatographic Test IDM Intensified Disease Management IEC Information, Education, and Communication IITA International Institute for Tropical Agriculture INSAE Institut National de la statistique et de l’analyse économique (National Institute of Statistics and Economic Analysis) ITI International Trachoma Initiative IVM Ivermectin JAP Joint Application Package (WHO) JRF Joint Reporting Form (WHO) JRSM Joint Request for Selected PC Medicines (WHO) KCCO Kilimanjaro Center for Community Ophthalmology LF Lymphatic Filariasis M&E Monitoring and Evaluation MCZS Médecin Coordonnateur de Zone Sanitaire (Health Zone Head Doctor) MDA Mass Drug Administration MDP Mectizan Donation Program MDSC Multi-Disease Surveillance Center (Burkina Faso) MEMP Ministère de l’Enseignement Maternelle et Primaire (Ministry of Pre-school and Primary Education) Mf Microfilaraemia MMDP Morbidity Management and Disability Prevention MOH Ministry of Health NGO Nongovernmental Organization NTD Neglected Tropical Disease OCP Onchocerciasis Control Program OV Onchocerciasis PC Preventive Chemotherapy PCR Polymerase Chain Reaction PNLLUB Programme National de Lutte contre la Lèpre et l’Ulcère de Buruli (National Leprosy and Buruli Ulcer Control Program) PNLMT Programme National de Lutte contre les Maladies Transmissibles (National Program for Control of Communicable Diseases) PNLP Programme National de Lutte contre le Paludisme (National Malaria Control Program) POS Powder for Oral Suspension PZQ Praziquantel 4 USAID’s Act to End NTDs | West Benin FY20 WORK PLAN RDT Rapid Diagnostic Test RPRG Regional Programme Review Group RUP Responsable d’Unité Pédagogique (Pedagogical Unit Chief) SAC School-Age Children SAE Serious Adverse Event SAFE Surgery–Antibiotics–Facial Cleanliness–Environmental Improvement SCH Schistosomiasis SCT Supervisor’s Coverage Tool SMM Sustainability Maturity Model SNIGS Système National d’Information et de Gestion Sanitaire (National Health Information and Management System) SOP Standard Operating Procedure STH Soil-Transmitted Helminths STTA Short-Term Technical Assistance TAP Trachoma Action Plan TAS Transmission Assessment Survey TEO Tetracycline Eye Ointment TI Trachomatous Inflammation - Intense TF Trachomatous Inflammation–Follicular TFGH Task Force for Global Health TIPAC Tool for Integrated Planning and Costing TIS Trachoma Impact Survey TS Trachomatous Scarring TSO Technicien supérieur en ophtalmologie (Senior Ophthalmological Officer) TT Trachomatous Trichiasis TV Television UNICEF United Nations Children’s Fund USAID United States Agency for International Development WASH Water, Sanitation, and Hygiene WHO World Health Organization XOF West African Franc ZS Zone Sanitaire (Health Zone) ZTH Zithromax® 5 USAID’s Act to End NTDs | West Benin FY20 WORK PLAN NARRATIVE 1. National NTD Program Overview Benin’s administrative and financial capital is Cotonou. In 1999, the country’s six political and administrative departments were reorganized into a total of 12 departments (Alibori, Atacora, Atlantique, Borgou, Collines, Couffo, Donga, Littoral, Mono, Ouémé, Plateau, and Zou). These departments (hereafter referred to as regions) are further subdivided into a total of 77 communes (hereafter referred to as districts), which are composed of a total of 546 arrondissements (boroughs, hereafter referred to as sub- districts) and 5,295 villages (population size can vary from 500 to 2,000). The Ministry of Health (MOH) is responsible for the initiation, planning, implementation, coordination, and monitoring and evaluation (M&E) of the country’s health programs, with plans laid out in its National Health Development Plan, the current version of which covers the period 2017–2021. Facilities at the central (first) level of the health pyramid includes the Hubert Koutoukou Maga National University Hospital, the National Hospital of Respiratory Medicine, the National Psychiatric Center, the Gerontology Center, the Lagune Mother and Children’s Hospital, the Entomological Research Center, and the National Medical Laboratory, all located in Cotonou. At the intermediate level of the health pyramid, the country’s reorganization into 12 regions became effective in February 2017 with the nomination of a Departmental Director of Health for each region. Each region is subdivided into zones sanitaires (ZS - health zones). Each region is comprised of between two and four ZS for a total of 34 ZS across Benin. Each ZS is made up of one or more districts. Each health zone is supervised by a health zone head doctor (Médecin Coordonnateur de zone sanitaire [MCZS]) and is intended to consist of a network of first-line health facilities (village health units, stand-alone maternity wards, clinics, sub-district health centers), and private health facilities, all of which are supported by a health zone referral hospital (Hôpital de Zone [HdZ]). As of mid-July 2018, each of the 34 health zones has a focal point for neglected tropical diseases (NTD), based in one of the districts that make up their health zone. At the ZS level, the MOH has designated nurses to serve as NTD focal points; additionally, “Chargés de la Recherche et d’Appui à la Mobilisation Sociale” (C/RAMS) are in charge of social mobilization activities. The districts are the implementation units for public health activities. District Medical Officers are in charge of leading the activities implemented at this level and they also supervise nurses who are in charge of the sub-districts affiliated to that district. The health care sector also includes humanitarian organizations