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Democratic Republic of the Congo Work Plan FY 2018 Project Year 7

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Democratic Republic of the Congo Work Plan FY 2018 Project Year 7 Democratic Republic of the Congo Work Plan FY 2018 Project Year 7 October 2017–September 2018 ENVISION is a global project led by RTI International in partnership with CBM International, The Carter Center, Fred Hollows Foundation, Helen Keller International, IMA World Health, Light for the World, Sightsavers, and World Vision. ENVISION is funded by the US Agency for International Development under cooperative agreement No. AID-OAA-A-11-00048. The period of performance for ENVISION is September 30, 2011, through September 30, 2019. The author’s views expressed in this publication do not necessarily reflect the views of the US Agency for International Development or the United States Government. ENVISION Project Overview The US Agency for International Development (USAID)’s ENVISION project (2011–2019) is designed to support the vision of the World Health Organization (WHO) and its member states by targeting the control and elimination of seven neglected tropical diseases (NTDs), including lymphatic filariasis (LF), onchocerciasis (OV), schistosomiasis (SCH), three soil-transmitted helminths (STH; roundworm, whipworm, and hookworm), and trachoma. ENVISION’s goal is to strengthen NTD programming at global and country levels and support ministries of health (MOHs) to achieve their NTD control and elimination goals. At the global level, ENVISION—in close coordination and collaboration with WHO, USAID, and other stakeholders—contributes to several technical areas in support of global NTD control and elimination goals, including the following: • Drug and diagnostics procurement, where global donation programs are unavailable • Capacity strengthening • Management and implementation of ENVISION’s Technical Assistance Facility (TAF) • Disease mapping • NTD policy and technical guideline development • NTD monitoring and evaluation (M&E). At the country level, ENVISION provides support to national NTD programs by providing strategic technical and financial assistance for a comprehensive package of NTD interventions, including the following: • Strategic annual and multi-year planning • Advocacy • Social mobilization and health education • Capacity strengthening • Baseline disease mapping • Preventive chemotherapy (PC) or mass drug administration (MDA) • Drug and commodity supply management and procurement • Program supervision • M&E, including disease-specific assessments (DSAs) and surveillance. In the Democratic Republic of the Congo, ENVISION project activities are implemented by RTI International, IMA World Health, and World Vision. ENVISION FY18 PY7 Democratic Republic of the Congo Work Plan ii TABLE OF CONTENTS ENVISION Project Overview .................................................................................................................... ii LIST OF TABLES ....................................................................................................................................... iv LIST OF FIGURES ..................................................................................................................................... iv COUNTRY OVERVIEW .............................................................................................................................. 7 1) General Country Background ...................................................................................................... 7 a) Administrative Structure ........................................................................................................ 7 b) Other NTD Partners ................................................................................................................ 7 2) National NTD Program Overview ................................................................................................ 9 a) Lymphatic Filariasis ................................................................................................................. 9 b) Trachoma .............................................................................................................................. 10 c) Onchocerciasis ...................................................................................................................... 16 d) Schistosomiasis ..................................................................................................................... 18 e) Soil-Transmitted Helminths .................................................................................................. 18 3) Snapshot of NTD Status in Country ........................................................................................... 19 PLANNED ACTIVITIES ............................................................................................................................. 20 1) NTD Program Capacity Strengthening ...................................................................................... 20 a) Strategic Capacity Strengthening Approach ......................................................................... 20 b) Capacity Strengthening Objectives and Interventions ......................................................... 22 c) Monitoring Capacity Strengthening ..................................................................................... 23 2) Project Assistance ..................................................................................................................... 25 a) Strategic Planning ................................................................................................................. 25 b) NTD Secretariat ..................................................................................................................... 26 c) Building Advocacy for a Sustainable National NTD Program ............................................... 26 d) Mapping ................................................................................................................................ 26 e) MDA Coverage ...................................................................................................................... 27 f) Social Mobilization to Enable NTD Program Activities ......................................................... 28 g) Training ................................................................................................................................. 29 h) Drug and Commodity Supply Management and Procurement ............................................ 31 i) Supervision for MDA ............................................................................................................. 32 j) M&E ...................................................................................................................................... 33 k) Supervision for M&E and DSAs ............................................................................................. 34 APPENDIX 1. Table of USAID-supported Activities in FY18 ................................................................... 35 APPENDIX 2. Table of USAID-supported Provinces and HZs in FY18 .................................................... 37 ENVISION FY18 PY7 Democratic Republic of the Congo Work Plan iii LIST OF TABLES Table 1: Non-ENVISION NTD partners working in country, donor support, and summarized activities ........................................................................................................................ 9 Table 2: HZs with TF>5% from ENVISION-supported trachoma mapping, FY14–FY16 ............ 12 Table 3: Candidate HZs for trachoma surveys in FY18 ............................................................. 15 Table 4: Potential HZs for trachoma mapping in North and South Kivu .................................. 15 Table 5: Snapshot of the expected status of the NTD in DRC as of September 30, 2017 * ....... 19 Table 6: Project assistance for capacity strengthening ............................................................ 23 Table 7: USAID-supported districts and estimated target populations for MDA in FY18 ........ 27 LIST OF FIGURES Figure 1. TF prevalence mapped FY14–FY16 ............................................................................. 11 Figure 2. ENVISION-supported mapping strategy partially implemented in FY17 .................... 13 ENVISION FY18 PY7 Democratic Republic of the Congo Work Plan iv ACRONYMS LIST AFRO Africa Regional Office (WHO) ALB Albendazole APOC African Programme for Onchocerciasis Control CDC U.S. Centers for Disease Control and Prevention CDD Community Drug Distributor CDTI Community-Directed Treatment with Ivermectin CI Confidence Interval CY Calendar Year DFID U.K. Department for International Development DQA Data Quality Assessment DRC Democratic Republic of the Congo DSA Disease-specific Assessment END Fund End Neglected Tropical Diseases Fund ESPEN Expanded Special Project for the Elimination of NTDs EU Evaluation Unit FOG Fixed Obligation Grant FTS Filariasis Test Strip FY Fiscal Year GTMP Global Trachoma Mapping Project HQ Headquarters HZ Health Zone ICT Immunochromatographic Test ICTC International Coalition for Trachoma Control IEC Information, Education, and Communication INS National Institute of Statistics (Institut National de la Statistique ) ITA Nurse Supervisor ITI International Trachoma Initiative IT Health Area Nurse IVM Ivermectin LF Lymphatic Filariasis LOE Level of Effort LSTM Liverpool School of Tropical Medicine M&E Monitoring and Evaluation MDA Mass Drug Administration MDP Mectizan® Donation Program Mf Microfilaremia MOH Ministry of Public Heath NTD Neglected Tropical Disease OV Onchocerciasis PC Preventive
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