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Six Months Report on Year 3 community Directed rreatment with lvermectin (cDrr)
Yusufari Yunusari Nguru
Jakusko Tarmuwa
Fune turu
Gulani ) l-. L- For AcUi:n Te: axlia rh p-r i r .rrr.,..tr.',tu,l f / Yobe State cty'o.i- Nigeria (-H r
','\r'a,:.i' For hformotion l{;il I MAY 2001 To, ;,,q f; ::'u xln I :t ;rjii ,.iii:1 l-, ,f_t /\ -',,, I R Eli*. ,,19 4. a 9-q ? [,1 EXECUTIVE SUMMARY.
Yobe State was created out of the former Borno State in August 1991. It is situated in the
North Eastern part of the country in Sahel Savannah and desert features in the northeru
part of the State characterize its topography while the southern part has rocky hills and
mountainous terrain with rivers giving it the identity of the Sudan Savannah. The river
Yobe is of particular mention as it cuts across Six (6) LGAS, and it serve as breeding sites
of the black flies. The State covers an estimated landmass of 47,153 sq. kilometers, with
a population of 1.4 million people.
Yobe State has a total of Seventeen (17) Local Government Councils. Twelve (12) of
which are Meso-endemic with few southern areas having hlper-endemic communities.
especially in those belts that nrn across the Biu LGA of Borno State. The people of the
state are mostly involved in farming, cattle rearing, fishing etc.
Treatment started in the state in the year 1995, after CBM signed a Memorandum of
Understanding to assist in the control effort. Over two hundred thousand persons have
been treated since then. The State wrote a proposal to APOC for possible assistance in the
year 1997 to implement CDTI, and this was approved for funding in September 1998.
The state APOC proposal for assistance was approved in 1998, and so CDTI is in its third
year of implementation. There has been tremendous achievement in the area of
community awareness and ownership of the programme.
The state government is well mobilized and is always ready to take up full responsibility
of its partnership contributions towards the progftunme. Since CDTI implementation
started in the state, the government has constantly released counterpart frrnds to thc project. SECTION I:
There are 245 communities undergoing treatment currently in 12 LGA,s of the state. The coverage population of the communities is between 1000 to 3500. These communities are defined in terms of 8 to 15 people living in each household or even more.
1.2
A total 245 of communities are currently implementing CDTI in the state. The implementation of CDTI has brought about a lot of financial and logistic support to the programme' This is responsible for the treatment of these communities as against a total of 98 communities that were receiving treatment in twelve LGAs before the implementation CDTI.
1.3
,riI ,,'
1 Fika 7 2 Fune 7 3 Bursari 7 4 Gulani 7 5 Gujba 7 6. Tarmuwa 7 7 Jakusko 7 8. Nangere 7 9 Potiskum 7 10. Bade 7 ll Karasuwa 7 12. Nguru 7
Note: Although most of the communities are in the seventh round of treatment, some are in various rounds of treatment.
! SECTION II.
o
Table I
'r.;'ilii.i ;rlli .li ,
i,.,il 1 ,1r1ii :1..r rj! .;:" .., t,i,l ' l-,;';,;,,.r, . ] I ,i,i,: I I l8 l8 l8 2. Bursari l2 45 43 45 J 45 4l 43 43 4. Fika 38 30 30 5 30 33 26 2t I 2t 7 2t 8 4 t4 t4 l4 8. l0 5 5 5 5 9, Nguru 5 3 9 9 9 9 10. 9 7 7 7 7 I 7 4 9 9 9 12. ll I ll I Total II 239 245 245 24i- 9t
N'B It's a difficult Judgment determining the accuracy of these indicators, as compliance has not been one hundred percent from the very beginning of the project year, but with persistent mobilization and education, most communities complied. Apoc management can do something about updating these indicators, so that projects can be comfortabre in providing more accurate and realistic data.
r! TRAINING OF DIFFERENT LEVELS OF STAFI'INVOLVED IN CDTI Table II
snv,iilr
,. ii ,]
Bade 3(LOCT, PHC & 7(SOCT & 5 (LOCT) ll 3l CDDs) LOCT)
2. Bursari 3 7 5 t4 42
3. Fune 3 7 5 38 46
4. Fika J 7 5 33 4t
5 Gulani 3 7 5 l8 39
6. Gujba J 7 5 l7 27
7 Jakusko 3 7 5 ll 28
8 Karaswa 3 7 5 t9 l3
9 Nguru J 7 5 23 t4
10. Nangere 3 7 5 26 9
lt Potiskum 3 7 5 t2 l8
12. Tarmuwa 3 7 5 12 22 Total 3b v *?H 60 234 330
Note: Although health post staff trained are also TOT, but we did not include them in the number of the TOT trained in column 4 above because of the fear of duplication
2.1 Training obiectives / achievements
c{tqrybf workffi + r lTry,t,ffifl"rr#1 LOCT 57 57 l00Yo PHC workers 235 234 97%
CDDs 337 330 98%
SOCT 7 7 l00Yo
2.2 Develooed Trdinins moterial used
Various training Materials were used by the project. These materials includes, flip charts, CDD brochures, registers, measuring sticks etc.
- 2.3 Improvins the qualitv of trainins
In preparation for the CDD training, the SOCT and the LOCT have perfected their strategies in ensuring that the training is carried out in such a manner that comprehension and participation by the participants will be achieved.
MOBILIZATION AND EDUCATION OF TARGET COMMUNITIES
I Bade l8 l8 2 t4 I
2. Bursari 45 45 2 l4 I
3. Fune 43 43 ) l4 I
4. Fika 30 30 2 t4 I
5. Culani 33 33 2 t4 I
6. Gujba 2t 2t ) t4 I
7 Jakusko t4 t4 2 t4 I
8 Karaswa 5 5 ) t4 I ., 9 Nguru 9 9 l4 I
10. Nangere 7 7 2 t4 I ll Potiskum 9 9 2 l4 I 12. Tarmuwa ll ll 2 t4 I TOTAL 245 245 2 t4 I
N.B The executives of the ministry of health participated actively in advocacy to LGAs and in the mobilization of communities. This we found so encouragiirg to the programme.
h 2.2.0 Mobilizption stralesv
Mobilization strategies involve the use of policy makers both at State and Local Government levels, which proved quite effective. As a result of mobilizati;rn effort, communities were able to select their CDDs even though all communitics showed willingness to support CDDs, not all communities were able to gile incentives to CDDs.
2.2.1 Response of Communilies
Most communities are pleased with the partnership strategy of the programme and are happy to be involved in the planning stages. Their response is quile encouraging. The only envisaged problem is that of total commitment and sponsorship of the CDDs for training and collection of the drugs and durir:g distribution.
2.2.4 fuesestion to Imorove Mobilfu
Communities should be encouraged to support CDDs by way of community effort instead of looking upon the government with the hope that they will alleviate that responsibility from them in the near future. Those communities that
are doing well will be commended, while the rest will be urged'to do better.
5 TREATMENT
As at the time of writing this report, treatment of communities with Mectizan is ongoi,g in all endemic LGAs' Detail result of treatment will be reflected in our subsequclt report.
FUTURE PLAN.
l. MectizanDistribution (ongoing) 2. Supervision 3. W.up - up Exercise 4. Mop - Up Exercise 5. Re- Training progrilnme 6. Community self monitoring 7. Review meeting and programme evaluation 8. Advocacy to LGA,s 9' Community mobilization and hearth education.
OF
The year 2001 is a rewarding one for the project as the state governrpent was able to approve and released the sum of Two Million Naira (2 million) to the project as counterpart funds.
STRENGHT
o Yobe state government is very much committed to the programme o The project has dedicated Socr implementing the programme. o The project has enjoined tremendous support of the assisting NGD. and Nocp o APOC financiar and logistic support to the project is quite encouraging o Acceptance ofprograrrune by communities is a o success indicator. The project has Identified few cBos (community Based organizations) that will be useful in the implementation process.
) WEAKNESSES.
o The Low literacy level ofthe peopre has made selection of cDDs very difficult in some communities. o Most of the community members craimi they are too poor to support cDDs o Lack of adequate support on the part of the LGAs.
SUGGESTIONS
o There should be increased community mobilization a Advocacy visits to LGAs should be intensffied. o PHc worker should participate more in supervision of cDDs in their local areas of assignment without necessarily expecting rewards.
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