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FOR ONCHOCERCIASIS CONTROL (Cdri)

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FOR ONCHOCERCIASIS CONTROL (Cdri) AFRTCAN PROGRAMME, FOR ONCHOCERCIASIS CONTROL (APOC) Year 3 Technical RePort for Community Directed Treatment with lvermectin (cDrI) Birniwa Sule Tankor Kazaure Y w Guri Maduri Babura Bosuna Gumel Hadejia Garki Kaugamt Taura w Miga Jahun Dutse Birin Kudu I J u,- For Acu*,,. l'o: \cc l* Jigawa State D'dFA cl. Nigeria c Lv- I ( c.P B, rl-t fc September 2001- August 2002 B bciwio3 For lnformr:iion l'o, l- tC- AO )l (.l.' {t 3t, r:Y.o3 f S Nigeria' The State has a total Jigawa state is situated in the Northern part of out of which seventeen number of twenty-seven (27) l-ocal Government areas onchocerciasis, Eight (17) of these Local Government Areas are endemic for KAIausa Kaugama' (g) L.GAs namely Birnin Kudq Birniwa Gwanam, Dutse, implementing CDTI' Ringim and Taura are meso endemic and are currently hypo endemic, and the The remaining Nine (9) Local Government Areas are in these areas state has been carrying out treatments in all the communities The invermectin with the assistance from the supporting NGDO (C.B.M')' immediately distribution programme (IDP) started in Jigawa State in 1996 Ministry of after the memorandum of understanding was signed between health and Christoffel Blinden Mission (C.B.M.) of Germany in 1996 to date' Below is the result of IDP exercise since from the inception YEAR TREATMENT RESULT (8 1996 36,758 L.GAS) t997 37820 (8 L.GAS) (17 1998 124,744 L.GAS) t999 144324 (17 L.GAS) (17 2000 188,153 L.GAS) 2001 24600s (17 L.GAS) 2002 2662e8 (17 L.GAS) 2 programme state is in the 7th round of Ivermectin Distribution (rDp) in Jigawa in the year 2000 after an initial treatment, but CDTI strategy actually started the project' The project has just approval was granted for APOC assistance to completed its third year of CDTI implementation' of community members During the year under review, targeted mobilization concept' In addition to was conducted to create awareness on the CDTI visits to all the endemic mobilization, the State officials carried out advocacy on the need to support the Local Govemmdnt Areas to sensitize the executives their roles and prograrnme, ffid mobilize their subjects to honour proce s s' re sponsibilitie s in the implementation personnel was conducted Targeted training and retraining of CDTI progralnme Jigawa state has 5 SOCTs at the state, LGA and community Levels. Presently, trained or 32 LOCTs 110 PHC workers, and 252 CDDs who were either partners have been of retrained in the State. The Nocp and the NGDO the state MOH assistance to the state in the training of SOCT, while and LGA Staff successfully carried out training and review for the LOCT, conducted the training for the CDDs' 3 endemic and the Hypo endemic Treatment was carried out in both the Meso persons were treated with areas of the state. A Total number of 139,843 of a total of 266,298 persons mectizan form the eight Apoc assisted LGAs out treated in 17 LGAs lrr2002' BACKGROUND INFOR]VIATION : 1991' The State falls Jigawa State was curved out of Kano State in September generatly flat or slightly in Sudan Savanna and Sahel zone. The Terrain is particularly the Southern undulating with few rock and hills in some places by some major part of the state bordering Bauchi State' The state is drained are largely rivers such River Hedejia, River chinyako and their tributaries The flood plain of River seasonal, while the main rivers have water year round. the presence of Hadejia contains extensive wetland and swampy areas, and sites for black flies' some man made dams in the states provides breeding CDTI 1 1 COMMUNITIES IMPLEMENTING CDTI There are 105 Oncho endemic communities in the 8-targeted a pattern of Local Govemment Areas in the state. The communities have heads and nucleated settlements under recognized ward heads, village 2,500 paramount rulers. The average community size is approximately 4 have an average of 5-10 persons. The households in these communities persons each but may have up to 20-30 members' R EM endemic Local Govemment The following are the treatrnent round for each area. TREATMENT piOUND S/NO LOCAL GOVRI\MENT AREAS 7 1 BIRNIN KUDU 7 2 BIRNIWA 7 3 DUTSE 7 4 GWARAM 7 5 KAFIN HAUSA 7 6 KAUGAMA 7 7 RINGIM 7 8 TAURA also in the same rounds of The remaining Nine(l9) hypo endemic L .GAs are treatrnent as above . persons' resident in The main goal of the project is treat a total of 250,000 disease' This task has been communities that are known to be endemic of the consolidate on this effort to achieved in the year 2002 and we now hope to Conscious effort will retreat community members yearly in all the 17 LGAs' effective and be made by the state, LGAs and communities to establish owned by the people sustainable Community Directed Treatment prograrnme support' through participation and effective implementation and 5 2OO1 AUGUST CDTI IMPLEMENTATION YEAR 3 SEPTEMBER' - 2002 couuuxntrs NO.OF -x6.or CDDS IN CASH OR IN KIND COMMUNITIES COMMUNITIES THAT COLI.ECTED COMMUNTTIES COMMUNITIES/vlL COMMUNITIES THAT DECIDES WTTH TRAINED -noor DRUGS DECIOES ON LAGES THAT SE[E TED ON THE CDDS CDDS I **rr* I I DISTRIBUTION METHOD OF I DISTRIBUTI ON I 36 39 39 39 u 1 BIRN 39 KUDU 5 4 5 5 4 BIRNIWA 5 5 l2 8 5 8 6 7 DUTSE I I 22 15 22 21 20 GWARAM 22 22 4 o I I I 5 KAFIN I I HAUSA 3 7 7 8 KAUGAMA 8 8 I 11 5 11 I 10 7 RINGIM 11 11 I 3 3 3 I TAURA 3 3 3 95 105 57 105 105 105 93 is difficutt because of Getting to know the sort of support that cDDs receive members' Our conflicting claims between the CDDs and the community concern themselves with the suggestion is that project implementers should not members during support issue, but should only encourage community mobilization activitie s. 6 C OF F AFF o IMPLEMENTATION 2.1. Training Objectives/Achievement of 417 The annual training objective was to train at total number using CDTI personnel for the ivermection distribution prograrnme these 399 programme approach in the 8 APOC supported LGAs. Out of workers were trained. TABLi 1A ANNUAL TRAINING OBJECTIVES COVERAGE S/NO CATEGORY OF TARGET ACTUAL o/, PERSONNEL 5 5 t00% 1 SOCT 100% 2 LOCT 32 32 a 110 95% J TIEALTH WORKERS 115 (PHC STAFF) 95% 4 CDDS 265 252 TOTALS 4t7 399 9s% 2.2 Developed Training Material Used' Training being an integral part of the CDTI process was given due developed consideration during the period under review. Materials were in line with the NOTF instmctions. Little modification were made in 7 the posters and the T- shirts to some of the materials produced such as the customs and have some Arabic writings which is in tine with brochure has been believes of the people, currently the English cDD ffanslatedintoHausalanguageandproduced.Thisistomake comprehension better. 2.3 Performance of CDDs was goods, but in The perforrrumce of the CDDs during the exercise number of CDDs some communities, it is difficult to have required distribution thereby increasing the work - load of the few during of the activities. Many of them have demonstrated a good understanding were properly CDTI Concept during training and mobiluation Records kept by most of the cDDs, with mectizan drugs well managed. 2.4 Improving the Quatity of Training workers have The quahty of training has improved since more health Hausa been trained to assist the LOCT in this task. The traditional during training' Language has been the main means of communication from The Health education and training flip chart have been translated increasing Engtish to Hausa Language. This wilt go a long way in 8 trainers order to understanding. TOT has been condUcted for in strengthen their abilities during training' devolve training As the projects starts activities for year fotrr, we hope to putting responsibilities to the LGAs without compromising standard, the confidence more emphasis only on the new CDDs. This will increase level of the LGA PHC workers involved in the pnogralnme' 9 TABLE II INVOLVED IN TRAINING OF DIFFERENT LEVELS OF STAFF CDTI IMPLEMENTATION. no. or coos OF OF s,No NO. TRAINED DSTRICT STAFF FACTLITY STAFF UNDERTAKEN TRAII{ED TRAINED TRAINED 4 30 78 I IRNIN KU 3(LOCTHMORKERS & 2 CDDS 16 2 4 7 2 BIRNIWA 3( & CDDS 26 2 4 10 3 DUTSE & CDDS 56 2 4 25 4 GWARAM 3( & CDDS 28 2 4 12 5 KAFIN HAUSA 3( & CDDS 16 & 2 4 I 6 KAUGAMA CDDS 22 2 4 13 7 RINGIM sfl-ocrHrwoRKERS & CDDS 10 & 2 4 5 B TAURA CDDS 110 252 TOTAL 16 32 l0 TABLE III COMMT]NITIES MOBILIZATION AND EDUCATION OF TARGET OF NGDO NO.OF NO. OF MOH STAFF NO. NO.OF COMMUNITIES NO.OF I sruo L.G.A INVOLVED IN STAFF ADVOCACY VISIT COMMUNITIES THAT RECEIVES INVOLVED MOBILIZED MOBILIZED H/EDUCATION ABOUT TO STATE OR THE IMPORTANCE OF REGIONAL EXTENDED DIRECTORS OF TREATMENT HEALTH. 39 5 1 BIRNIN KUDU 39 1 2 5 5 2 BIRNIWA 5 1 2 I DUTSE I 1 2 22 5 4 GWARAM 22 1 2 I 5 KAFIN HAUSA I 1 2 8 5 b KAUGAMA I 2 11 5 7 RINGIM 1 1 1 2 3 5 I TAURA 3 5 1 TOTAL 105 2 105 they were The team visited selected communities to ensure that mobilized in readiness for the Third Year CDTI implementation exerclse.
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