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Co M M U N Ity-R,.Ihi T Lxffi,'*,.H Rve Rm Ectin (Cdrr) ,.[: : ,l AFruCAN PROGRAMME ri' FOR ONCHOCERCIASIS CONTROL (APOc) co m m u n ity-r,.IHi t lxffi,'*,.h rve rm ectin (cDrr) ,Bwari : Abaji ). Gwagwalada M*t:Y ,? fl,u{'t ' Municipal _r) ,r,l I Kuje [,i (r, r / '' .''! rt l,,p'' tT r Federal Capital Territory, r Nigeria April I 1998 to March I ggg 1 5 FEV. 1999 rr EXBCUTIVI' SUMMAITY: I-lre Federal capital Territory (Fcr) lies in. the center o[ Nigeria, just humid lowla,ds north of the hot of tlre Niger-Benue Trough, but south of thJdrie, lies just nortlr ur"u, to the ,orth. It of tlre wiclc alluvial plainr"lb.;;"t ,rr" exte,ds well v confluence of the Jos plateau, irrto the ,riddlc of FCT. ttour mai<lr .i"J., flowing flow through the arca, all of thenr rotrghly lrorn nortlr to south and clrai'inf in," trre river Niger. The rivers oftcn [l,w swillly th*rugh rgckv gorgcs' provicling lrcl'l'c,rrsists,l'a anl,lear habitat ft,.. tli".rinruliur, fly. .1.6c tiltcd 1;lair, ris-irrg ii',,,,, ,,,Ilcvation ,l'300 irr thc srutlr- wcst, t, a[;ovc at the rtortltcasl cor.cr. I(ising out rhis i;3"1fl"1i11 of prai, ,." ,,un,".ous r,cky arrtl I-he trcl- is divided i,l'o six aclntinisl.r'ative areas, comprising is being twe,ty-eight 6istricts. cDll implemented in areas outsicle the clinic based treatnrent is nraclc available to the urban resiclents through "rpili;lr. ,i.r",rr", within the There is a good road "*irting city capital. network leailing Lo the Aia Councirs to the Fleadquarters. However, r,ost slttaller setLlettretrts are at b.est ruclinrerltary. About 20y, of t6ese roads accessible duri,g rai.ing season. are not 4wD vehiclcs u.e quitc esscnr.iar supplies unJp".ro.,n"t. fr.-i.orrpurtatio, oI tutori ,o be :H'j-"'t' ""i"rircr ""'"0 concruci.a a*ing rrre <rry Fcr is highly endenric of onchocerciasis, and it is in view of this that NocP askecl t. assist i. the c,tltrol ol"this discase, cBM which has affecr.ecr-----'vu a4 lotrut ortn.ur rtte a.i.,ingIarnt nrembers, causing them untord hardship co,rnrunity Mass distribution of Mectiz-an tablets began in rgg5, after Epidemiological Mappi,g conducting the Itapid onclio.cerciasiJ (REMdi in some thc insight as Io ttrosc 'f r.o p*rvidc c'rnnrurriti"r.. g1y1' .wr;IJ ,.*.n[ "",r,rrri,ies-flrrouglr collabora[ivc cllirrl o['thc trcatnrcnt. tlrc gru".,',,',.,",r1 .l'trc'r'rni Curra, a treated in I78 conrttluttitiei' -l'reatrnent t.terr or-57,54, pcrsor.rs wcrc started i, these communities contrnunity Based Distributo* trrrougrr usirrg thc c<rntr,l fcnor; *itn irr" Locar Government oncrrocerciasis w'rkcr supervising. In 1996,' trr" crorl was exr.endcd to 2ll were trearecr."or"r[. rn r ;H:lTlt;::r:ffi,9,l:4e.perso,rs sts7, atotar or i r t,l'i'gpersons were Fcr wrote and t:Pglt"g a proposal for APoc assistance, which was funding in April of 1998' a"tiuiti"llrave approved for so lar assumed a different dimension enrphasis now shifted. to community with muclr ownership of th" p.og.-u,n from the make decisions on when is their beginning ancr to b"rt tin'," to L" t."ui"'Ju,rd how distribution be undertaken given their w'uld best peouliu. Ail enrphasis lrold in each conrrrrunity "i."r,rrtances. now is to let cD.l.l take at thcir u*r'oplr,.rpriate pace. S, far thc ilrrplcrttcntati,n lta.s cotnmencccl but success grudual of inrplcnrentation rras to bc lrccausc wc arc aolually clcalilrg *itn JilrJ.rr-i"u,u,r*ritics attd cultural witrr vari,us s,ciar backgrou,ds. A toral o7. t6z,7lo9-;;,;;,,, conrrnunities lrave bcen trcatcd 420 during tlre period un<ler review. i, n SBC'I'ION I: BACKGRO UND INT.'OITMA'IION : ]'he FCT Oncho control CDl'l activities is being inrplemented in all the six Area Councils. 'l'hcse Arczr Councils include Municipal, nLaji, Kuje, Kwali, Bwari, an6 Gwagwalada. There are approximately 530 communitics tlmr-wlll participate in the CDTI program' Sttnre of these comntunities are quite small due to the diflerences in the tribes ol'thc pcoplc. 'l'he fl ty1;ical population ol'a cornrnunity is bctwccn 350 to 600 pcrsorrs. I l)rior [o n '2 l'ocl itssist:tltcc, a total of 276 c<lrnrnunitics wcrc trcatcd in 1997 in 1997' CurrenLly,420 colnttrunitics are inrplernenting CDl'1.'l'his is not say that CD'l'l 6as beett very successlul in I;Cl' now, but a lot of et'lort has been put in to create t6e awareness on the concept and principles of CDTI. We clo hope t6at^better results will be yielded in the luture as 'ear regards to true sustainability. l'3 'l'he followings are the nunrber of names of the Area Courrcils participal.ing in CDTI and the number of rounds of treatment of each. l. Murricipal Rouncl 4 2. Abaji Rouncl4 3. Kwali Round 4 4. Kuje Round 4 5. Bwari Round 4 6. Gwagwalada Round 4 It should be noted tltat although all tlrc six Area councils are in their lorth rouncl of trcatttrcttt, n<lt all the 420 commurrities treated have actually rcceivecl the fourth Mcct izalr. dose of wc h,vc a policy' r gr,truar cxpansiorr t' ncw conrnrunir.ics. Slrcl'lON 2 .TABLI] TIIE IMI,LBMNTATION OF CTDT (Aprit _DEC) t998 I. s/N l)istricUl,GA No. of No. of No. of No. of No. of No, of No. of (lomnr / Conrmunilics Conrmunities Comm Comnr Comm Comnr Villages /Villnges /Villnges 'l /Villagcs thnt /Villeges /Villegcs /Villngcs hnt selecterl lhet collected decirJed on thrt deci<led wilh lrrined paf ing CDDs Drugs Cl)l)s Monlh(s) of on lhe CDI)s in cnsh or dislribution. nronth(s) of Kind. 'l rerlnrcnt. Murrici 89 8tt 88 88 88 2 88 l 8t 58 58 58 s8-------l sBI 56 3 85 82 82 I 82 I 79 4 LrwAprvalada 58 58 58 5 Krvali 66 (r6 53 66 6 (t4 Brvari 64 (t4 64 'r 64 64 60 o1'A! 4,6 4t6 4t6 416 r. 4t6 J9J *+ l)lcasc ltotc tltat wc carclully sclrcdulcd thc distribution pcriod irr accor4a,ce witlr wishes^ol'the people thc who will want to be treatecl belbre thc commencement active larnring ,f- their activitics, since r.ajority,f the villagcrare farnrers. Y TIIAINING OF DIFFEIIBNT LBVBI-S OF S'tAFF INVOLVED IN CDTI IMPLEMENTATION 2.1 Troiningobjectives/achievenrcnt 'l'he annual training ob.iectives lbr IrCl' is to train 7 SOC'|, 3 I LOCT, 150 I lealth workcrs and 4tl0 CDt)s (totalirrg (167 prcg,rarn workcrs). Out of this ttutttbcr, 6 SOCI', 3l I-OC1', 45tl CI)l)s arrd 97 llcaltlr rvorkcrs (totalirrg 592) havc bccn tretittcd bctwccn April to l)cccrnbcr l99tl, which is 89'2, aclticvctttcltt. t 2.2 Developed training nruteriol used The material developed and used for tltese trainings are mainly those that CBM had produced. Such nraterials include LOCT and CDD guides and flip charts. APOC assistance was received late, during which tlre first phase of training and distributiort were over. 2.3 I'erfonnattce of the CDD,s CDDs perlorrned very well. They understood their roles aud respousibilities in the irnplententation of CDTI within rLheir rcspcctive cornrnunities. The basic indicators uscd to nteasure tlreir level of performance includes reaching treatnrent targets, registering the houscholds corrcctly and the ability to rnanage and account lor the Mectizarr'[ablcts in their possession. 2.4 Intprovirtg the quolity of ,lraining. 1'raining is still a scnsitivc issuc in tlrc succcsslul inrplernclttation of CDTI in FC'l'. l-hc Local Govenrnrent Onchocerciasis Control feam members (LOCT) needs more'l'O'l'to become more efficient in trainirrg which is a cardinal role that they will have to play especially now that the Area councils are partners in the implententation of the prograttt. It is hoped that AI'>OC will endcavor to release money on tinre for nraterial productiolt. TABLB 3 MOtllLlzATION, AND I'DUCA'I'IOT{ OF TAITGET COMMUNI'TIE,S. YN DistricULGA No of No. of 'l'nrgel No of Advocecy No of lllOll No of NCI)O Conrnrunities nntl Conrnr/Villeges thet Visits to Strte or slr[f involved Staff involved Vi llages lll obiliz.ctl receivcd Ilerlth llcgional in in llducation nbout the l)irectors of llf obilizntion. Mobiliz.etion. itnporlnncc of I lcrlth extcntk:tl lrcAtnlcnl. lt9 89 3 6 2 I Murricillitl ) 5 It l 6 2 Ahr{i -s lt ) l Kujc lt5 85 3 6 2 ,l (irvagwal:rrla .58 5tt l 6 a 66 66 l (r .5 K rvali ) (r4 (r4 6 I ! rvnri l 6 1 'lotAl, 4ztt 420 t8 6 I * The sarne MOII and NCDO staff involverl irr tlre rnobilization activitics travcled to pr<ljcct LGAs SECTION 3: o (See table 4) ACHIBV M[,N1'S 3.1 'freatment coverage rate 87% 3.2 Total(census)population 212,045 3.3 l3ligible populatiorr 197,036 3.4 Absentees/Refusals l3o/o of the eligible population in the cndernic communities were eithcr absentces or re[usals. 4.5 Sonrc of fhe reosorrs for absentees ond refusals spelt out by sonrc of the corrrrrrutrities include.' . (l) Most of the villagers are farmers thai sometimes travel to some distant areas, whiclr incidentally coincides with the tinte of distribution. (Z) The learof side reaction by some people that had suffered from it during past treatltlcnt.
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