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Attcanprocramme for CHOCERCIASIS CONTROL (Apoc) o"\ I I ATTcANPRocRAMME FOR CHOCERCIASIS CONTROL (APoC) Year 2 CDTI Activities RePort Birniwa Sule Tan Guri Babura Gumel Garki Taura Miga Dutse Irm Kudu For Actic= To: Cc,ttt c50 State ct u Jigawa CarP Orrn Nigeria Ar-o AO September 2001 .-di* L4,4, For lnformotion \)+ Tor )t A rrr'\r |.oZ AFRICAN PROGRAMME FOR oNcHocERClASls CONTROL (APOC) IE(OND YEAR REPORT FOR COA/TA{UNITY DIRE(TED TREATMENT WITH IVERMECTIN (DTI SEPTEMBEB 2OOO - AUGUST 2001 JIGA]UTA STATE NIGEP[4.. EX TIVE MMARY 1991' The State Jigawa State was curved out of Kano State in September Government Araes' presently fuas a total number of twenty seven (27) Local are endemic for oncho Seventeen (17) of these Local Government Areas Birnin Kudu, Gwaram cerciasis. E,ight (8) Local Government Areas namely are meso endemic' Dutse, Birniwa, I(/Hausa, Kaugama, Ringim and Taura and are ctrrrently implementing CDTI' Hypo endemic' The The remaining Nine (9) Local Government Areas are with the state has been carrying out treatment in all the communities (CBM)' It was a cheerirrg assistance from the state and the supporting NGO treatment in all hypo- news that APOC is disposed to the idea of supporting endemic communities of the State' zone. The terrain is generaliy Jigawa state falls in Sudan Savanna and Sahel hitls in some places flat or slight undulating with few rock out crops and Bauchi State' The State particularly the southern part of the State bordering Hadejia, River chiyako and is drained by some major rivers such as River while the main Rivers their tributaries. The tributaries are largely seasonal, Hadejia contains have water year round. The flood plain of the River presence of some man maCe extensive wet land and swampy areas, and the flies. dams in the state provides breeding sites for black in Jigawa State in 1996' Ivermectin distribution programmes (I.D.P) started was signed between immediately after the memorandum of understanding (C'B'M') of Germany' Ministry of Health and christpftel blinden mission I from the inception in 1996 to Below are the results of IDP exercise since date YEAR TnnnrnnENT FrGURES t996 T6,7sB (8 L.cAS) t997 37 ,820 (8 L.GAS) 1998 124,744 (17 L.GAS) t999 t44,324 (17 L.GAS) 2000 188,153 (17 L.GAS) number of 200'000 rural The main goal of the Project is to treat a total of the disease by the year populace who are known to be infected, or at risk treatment with invermectin tablets' This 2OO3 in Jigawa state through annual under treatment by establishing task we hope to achieve in the 17 LGAs progralnme, owned by the effective and sustainable Community Directed and support' people through participation and effective implementation the existing PHC services at both The project has integrated its activities into for the purpose of sustainability' the state and the Local government levels involved in the socT, LOCT and other Health workers are actively implementation of the Programme' SECTION 1 BACKGR OUN D INF oRMATION 1.1 c ME I the 8 targeted CDTI There are '99 oncho endemic communities in The communities have a Local Government Areas in Jigawa Sate' Z community size is approximately pattern of settlements. The average 2,,5oopersons.Thehouseholdsinthesecommunitieshaveanaverage have up to 20'30 members' of 5-10 persons each but some may M ENT R oUND END EMIC L.G .A.S WITH TREAT for each endemic local The following ate the treatment rounds government area. T AREAS DISTRIB UTION S/NO LOCAL GoVE,NNNIBN (L.G.A) ROUND 5 I BIRNIN KUDU 5 2 BIRNIWA 5 a DUTSE, 5 4 GWARAM 5 5 KAFIN HAUSA 5 6 reuceue 5 7 RINGIM 5 8 TAURA TheremainingNinehypoendemicLGAsareinthesameroturdsof treatment as above 3 P 1 TABLE ? NO OF NO. OF NO. OF NO. NO. OF NO. OF COMMUNITI ;/ L.G.A NO. OF COMMUNITIES coMMLllllrl COMMUNITI COMMI,]h{ITIES PAYING COMMU COMMUNI THAT Df,,CIDES ESWITH ES ES TIIAT DECIDES ON NITIES TIES TIIAT ONTHE TRAINED CDDSIN COLLECTED MONTHOF IN /YIt,LIA SELECTED OF CDDS CASH OR DRUGS DISTRIBUTION METHOD GES CDDS DISTRIBUTION KIND 32 38 t5 - 38 38 35 t BIRNIN 38 KUDU 5 ) 5 4 , BIRNIWA 5 5 5 7 5 6 7 i DUTSE 7 7 7 20 t2 20 20 20 4 GWARAM 20 6 1 3 7 7 6 5 7 HAUSA ) 6 8 8 8 6 6 AW 8 A l0 l0 ll 5 RINGIM 1l ll ll j J 3 TAURA 3 J 3 88 99 44 )TAL 99 99 99 91 CDDs receive is difficult because of Getting to know the sort of support that the community members' our conflicting claims between the cDDs and should not concern themselves with suggestion is that project implementers community members during the support issue, but should only encourage, should be revised by APOC to allow mobilzation activities. The above table project share exPeriences more' month of treatment in the project has Communities making decisions on the of the differences in opinion frotn not been too easy to report on, because is more feasibte is their choosing periods, one vilage to the other. what has prefer to be treated' This suits the which often is a range of months that they tCt The reporting project,s planned activities and the logistics that are available' experiences' table should permit for more discussion on some conflicting I NI F IFF T Et t IMPLEMENIAIION 2.1 Tratn ecti t of 300 The annual training objective was to train a total number using CDTI personnel for the ivermection distribution programme these 294 approach in the 8 APOC supported LGAs' Out of Workers and progratnme workers were trained (SOCT, LOCT' Heatth CDD S) representing 98%o - 2.2 Develo Ded Material Used. was given a due Training being an integral part of the CDTI process Materials were consideration during the period 'under review. modification developed in line with the NOTF instructions. Little the posters and were made in some of the materials produced such as in line with the the T -Shirts to have some Arabic writings which is English CDD customs and believes of the people, currently the and produced' This brochure has been translated into hausa language is to make comPrehension better' 2.3 Performance of CDDs was good, but in The perforrnance of the cDDs during the exercise number of cDDs some communities, it is diflicult have required during distribution thereby increasing the work - load of the few understanding of activities. Many of them have demonstrated a good Records weie the GDTI concept during training and mobilization' 5 properlykeptbymostoftheCDDs,withmectizandrugswell managed. 2.4 Im the of health workers have \ The quality of training has improved since more The traditional Hausa been trained to assist the LOCT in this task. during training' Language has been the main means of communication translated from The Health education and training flip chart have been way in increasing English to Hausa language. This will go a long trainers in order to understanding. TOT has been conducted for progralnmes' The very faci strengthen their abilities during training in this past. years' that the project conducted training and re-traitting for both the trainers and has made training activities more enjoyable the trainees. to devolve As the projects starts activities for year three, we hope standarc' training responsibilities to the LGAs without compromising 'fo that inexperienced' putting more emphasis only on the new cDDs PHC workers involved will increase the confidence level of the LGA in the programme. € TABLE II DTI NING OF DIFFERE TEVE oFsTAFF I VOLV rNc IMPLENTAIION NO. OF NO. OF NO. OF L.G.A NO. OF s/N L.G.A NO. F TRAINING HEALTH CDDS UNDERTAKEN TOT DISTRICT TRAINED STAFF FACILITY TRAINED TRAINED STAFF TRAINED 76 2 4 15 t. BIRNIN :(locr FUWORKE RS KUDU & CDDS 2 4 4 l0 2. BIRNIWA 3(LOCT & CDDS ') 4 7 t4 J DUTSE 3(LOCT FYWORKERS & CDDS ) 4 l0 40 CWARAM 3(LOCT FIlWORKERS & CDDS ) 4 7 l4 KAFTN 3(LOCT HAUSA & CDDS 4 5 l6 KANGAWA 3(LOCT H/WORKERS 2 & CDDS ) 4 8 )) RINGIM 3(LOCT rvwoRreRs & CDDS 4 J 6 TAURA 3(LOCT 2 & CDDS l6 32 59 198 TOTAL rl TABLE III IO D o R NO. OF NGDO NO. OF NO. OF NO. OF MOH s/l{ L.G.A NO. OF STAFIT ADVOCACY COMMUI\ITI STAFF COMMUNITIES INVOVED IN INVOLVED THAT RECEIVES VISIST TO ES STATE OR MOBILIZED MOBILIZATI H/EDUCATION ON ABOUT THE REGIONAL IMPORTANCE DIRECTORS OF EXTENDED OF HEALTH. TREATMENT I 2 38 5 I BIRNIN KUDU 38 I 2 5 5 ) BIRNTWA 5 I 2 7 5 DUTSE 7 3 I 2 20 5 4. GWARAM 20 I ) 7 5 KENIN HAUSA 7 8 5 I 8 ) 6. KAUGAMA I 2 1l 5 7 RINGIM ll I 2 3 5 TAURA J 8. I 2 99 I TOTAL 99 that they were * The team visited all the communities to ensure implementation mobilized in readiness for the second year CDTI exerclse. implementation period' * To guarantee success in the second year of the mobilization the SOCT and the LOCT team carried out community It was a rewarcling activities twice during the period under review' year. To avoid duplication' the experience in preparation for the thild activity' project did not present two separate tables for this 2.2.0 Advocacv Visit 6 period under review t'r Advocacy visits was carried out during the Executives before state and Local Government Areas (L.G.A) chief state has been able to and during the take -off of the project.
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