AFRICAN PROGRAMME FOR ONCHOCERCIASIS CONTROL (APOC) Year I Report for Community Directed Treatment with lvermectin CDTI Yusufari Yunusari Nguru Bade Bursari Geidam Jakusko Tarmuwa amaturu ang Fune Fcr Acri. To: TLc,to cA-tr A/rr Gulani For lnformotion To,JrA <-FVcr.i, c.s-I o.i. oru Cop .N(r Yobe State L3 S-,i._ooo Nigeria March 2000 l-' EXECUTIVE SUMMARY. situate4 in l'he yobe State was created out of the former Borno State in August 1991. It is northern North Eastern part of the country in Sahel Savannah and desert features in the hills and part of the Staie characterize its topography while the southern part has rocky The river mountainous terrain with rivers giving ii the identity of the Sudan Savannah. as breeding sites Yobe is of particular mention u, it cuts across Six (6) LGAs, and it serve sq. kilometers, with of the black flies. I'he State covers an estimated landmass of 47,153 a population of 1.4 million people. (12) of yobe State has a total of Seventeen (17) Local Government Councils. Twelve communities, which are Meso-endemic with few southern areas having hyper-endemic The people of the especially in those belts that run across the Biu LGA of Borno State. state are mostly involved in farming, cattle rearing, fishing etc. Memorandum of Treatment started in the state in the year lgg5, after CBM signed a persons have Understanding to assist in the controi effort. Over one hundred thousand possible assistance in the been treated since then. The State wrote a proposal to APOC for 1998' year 1997 to implement GDTI, and this *ut upp.ored for funding in September shifted to community CDTI is currently being implemented in the State with all emphasis better arratrgement ownership of the progiu1n*" from the onset. This we found to be a the communities that will encourage s]ustainability within the community levels, since and participate in its now see the programme as theirs and so the need to fully support implementation. with the state CDTI implementation started in the later part of (1998 - Dec' 19990 This year's treating u totul of 241,974 persons in 19i communities with ivermectin' mobilizitiion activities started in Jan. 2000 with training of 251PHC workers, comlnunity rr-244 communities while CDO's training is on - going' up fu|I responsibility of The state government is well mobilized and always ready to take its partnership contributions towards the programme' ) SECTION 1: BACKGROUND INFORMATION: There are244communities 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 Commu ities Implem CDTI Prior to MOFVCBIWAPOC partnership a total of 98 communities are recelvmg treatment in twelve L.G.A's. In the ls year of CDTI a total of 195 communities were treated. While in the 2"d year (2000), a total of 244 communities were mobilized and treatment is on the way in these communities. 1.3 Endemic I,.G. A.'s with treatment rounds S/N L.G.A. Round 1 Fika 6 2 Fune 6 3 Bursari 6 4 Gulani 6 5 Guiba 6 6. Tarmuwa 6 7 Jakusko 6 8 Nangere 6 9 Potiskum 6 l0 Bade 6 ll Karasuwa 6 12. Nguru 6 Note: Not all communities are in the sixth round of treatment because of our policy ofgradual expansion over the years. U SECTION II. THE IMPLEMENTATION OF CDTI Table I s/N DistricUlGA No. of No. of No. of No of Comm. No. of No of Comm. villages Comm. Comm. That decidcd Comm. Paying CDD's That That on month of With train in cash or selected collected distribution CDD's kind CDD's drugs going I Fika 27 27 On going 27 27 On 2. Fune 40 40 40 40 3 Bursari 49 49 49 49 4. Gulani 30 30 30 30 5. Guiba 23 23 23 23 (a 6 Tarmuwa ll ll ll ll 7 Jakusko t4 t4 t4 t4 aa I Nangere 7 7 7 7 9. Potiskum 9 9 9 9 aa 10. Bade l8 r8 r8 l8 I l. Karasuwa 5 5 5 5 t2 Nguru ll ll ll ll Total 244 244 TRAINING OF DIFFERENT LEVELS OF STAFF INVOLVED IN CDTI Table II No. CDD's s/N DistricULGA No. of Training No. of TOT No of No. of hcalth of Under taken trained DistricUlGA post staff Trained staff traincd trained 29 On going I Fika J 7 5 2. Fune 3 7 5 l9 3 Bursari J 7 5 l7 40 4. Gulani 3 7 5 -a 5 Guiba 3 7 5 2l 25 6 Tarmuwa 3 7 5 7 Jakusko 3 7 5 20 3a 8. Nangere 3 7 5 l9 9. Potiskum 3 7 5 l8 33 l0 Bade J 7 5 9 ll Karasuwa J 7 5 23 t2 Nguru ) 7 5 ll Total J 84 60 251 Note: The number of training undertaken in column three(3) are for SOC'T LOCT, and PHC personnel, while CDD training is ongoing at the time of writing this report. 5(? 2.1 Trainins obiectives l achievements Category of Workers Number to Train Number Trained Percentage Coverage L.O.C.T',s 60 59 98.33 PHC 260 251 96.1 CDD's 600 On going SOCT's 7 7 t00 2.2 Developed Training material used Those training Materials that were adopted by NOCP Nigeria, were developed and used in the field. Poster, flip charts and other necessary materials were used. 2.3 Improvins the qualitv of training 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 s/N DistricULGA No. of No of No ofAdvocacy No of MOH No. of NGDO Communities Communities visit to ststes or staff involved stafrinvolved Mobilized that rcccivcd regional in mobilization in hcalth Education Directors of nrobilization Health l Fika 27 27 ) 7 I ) Fune 40 40 2 7 I 3 Bursari 49 49 2 7 I 4. Gulani 30 30 2 7 I 5 Guiba 23 23 2 7 I 6. Jakusko l4 t4 2 7 I 7 Bade l8 l8 ) 7 I 8 Karasuwa 5 5 2 7 I 9 Nguru ll lt ) 7 I 10. Nangere 7 7 ') 7 I lt Tarmuwa u ll ) 7 I 12. Potiskum 9 9 2 7 I TOTAL 244 244 2 7 I 2.2.0 Mobilizationstratesv Mobilization strategies involve the use of policy makers both at State and Local Government levels, which proved quite effective. As a result of mobilization effort, communities were able to select their CDD's even though all communities showed willingness to support CDD's, not ail communities were able to give physical incentives to CDD's. u 2.2.1 Response of Communities Most communities are pleased with the partnership strategy of the programme and are happy to be involved in the planning stages. Their response is quite encouraging. 2.2.4 Suesestion to Improve Mobilization More emphasis should be geared towards encouraging communities to support and increase number of CDD's since most of them feel that CDD's are members of their communities and hence frnds it an honour to be selected to work without any incentive. TREATMENT As at the time of writing this report, training is ongoing and treatment will follow immediately in all LGAs that CDD training are completed. Detail result of treatment wiil be reflected in our subsequent report. FUTURE PLAN. l. Training of CDD's ( currently going on) 2. Update of community census (ibid.) 3. Mectizan Distribution 4. Wrap - up Exercise 5. Mop - Up Exercise 6. Re- Training progranlme 7. Community self monitoring 8. Review meeting and programme evaluation 9. Advocacy to LGA's I 0. Community mobili zation and health education..