-! l NATIONAL ONCHOCERCIASIS TASK FORCE f T NOTF/VVHO - APOG CDTI PROJECT

3 fl( IIOlIilI REPORT -.-*A*.u .."_d.r#1 -: , , t -? : i: r -r.,. t November 2002 - APril 2003 , { ll) Cie lj t"'1411rr1; 'i\rfX rl Ji rr" .l{

t\i,, .,f rr'pl\ f t -1 fi, I -s., E>i', i i,i *l Victor Olu. Osikoya Project Go-ordinator lrttcras F,y ie i.-rr;'." .-: ri lr, ;," a'f,rC: $ lla r:'!, t\- iq' IAli\: x) . { fiLl L Adekunle JaiYeoba h= Omooba Zonal Coordinator 338" Zone ffi F"i

B- Submitted to the

AFRICAI{ PROGRAI{ME FOR ONCHOCERCIASIS CONTROL [L

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2'.. Taole 0f Cc;'lieriis

3. List of Ta:les

4. Acronyi':rs 1

5 Executive S_lfrifit&i-)z 2

6 Background infcri-nation 3-5

7 iinoier,reltatic:i of CDT| l^ ci Traiiring of difi'e,",:nt levels of stafi involved in cDTi

in-lpieinentatic;i -7cj

I Summary of Ti-ainlng O

1a iv'iobilization and Education cf rarget comrnunities 10-11 i't suminai-y oi i^riob;lization i-;ieeiing l'ritlr conrmunity

leadei^s in 8 A.poc assistetj Locai Gcvernrnerrt Areas 1?_

'i2 A,.chietremcnts 4a

13 sii'engti:s, w€ai

14 Photogi-aphs '15

ft ) J

J I

LIST OF TAB LES Table

* Target Population by LGA 1 i t * lmplementation of CDTI J il Training * of different levels of staff involved in CDTI implementation lll

J * Summary of Training IV ai { * Mobilisation and Education I of rarget communities V summary ':' of lvobilisation Meeting with community leaders in

B APOC assisted LGA VI Achievement (A) vil

iil ACRONYMNS

APOC African Pi'ogramme for Onchocerciasis Control

CDD Community Directed Distributor

CDTI Community Directecl Treatment with lvermectin D(PHC &DC)_ Director (Prirnary Hearrr care and Disease contror). HFS Health Facility Staff

IFESH Internationar Foundation For Education and serf Herp. LOCT Local Oncho Controi Team 'l\4erck MSD Sharp & Dohme NOTF National Onchocerciasis Task Force. SOCT State Oncho Controi Team ZOTF Zonal Oncho Task Force. t

EXFCUTIVE SUMMARY

one of the States in the south-western part of Nigeria is ogun state, situated in ,,8,, Health zone' From 1991 census (2.B3GR), the state has a population of 3,0g6.664, There are 20 Locar Government Areas that made up the state. The number of Local Government Areas for cDTl implementation is (B) eight. Total number of endemic communities tarEeted t is 869 with a target population of 300,274. 157 corirmunities have been mobilized and health educated so far, while the exercise is on going - in'the state. ln the period being reviewed, 20 visits were made to the B Endemic Local Government Areas. 10 socrs, 50 Locrs, 200 health workers and 250 cDDs have peen trained. -l-raining is however continuing in all the endemic LGAs. The training obiectives for all levels were met. The training materials usec1 incluc,e handout,iflipcharts, posters, tape ruies, chalk, video cassette and photographs. For now a total of 15'501 persons were treated with 42,615 tablets of Mectizan in 32 communities. This means geographical and therapeutic .\. coverage rates of 1g% and 5?%respectively. lreatmenf is still in progress. Some of the strengths of the project include high political support' high level of manageriai support by IFESH, and increasing level of compliance by benefitlng coi-nmunities to cDTI responsibirities. weaknesses and'constraints of the Project include the loss of royota Hilux tto ic zts B12to Men of the un.der- v,'orld at gun point on 16th March, zoo3and weak financial support by LGAs.

2- BAGKGROUND INFORMATION

Ogun State is one of the South Western States of Nigeria, located in "8" Health Zone. lt is bordered on the East by Ondo State, on the South by State and on the North by

Oyo and Osun State. The Oyan dam and numerous fast flowing streams are also located in the state. The Yoruba's are the ovenrvhelming major ethnic group.

The State has been found to be meso endemic for Onchocerciasis through the Rapid

Epidemiological lVapping for Onchocerciasis (RElVlO) carried out in the early 90s. The projected population from 1991 census (2.83GR) for the state is 3,086,664 with about

70% of the, population living and working in the rural areas. There are 20 Local

Government Areas in the state, out of which B is endemic for Onchocerciasis. These are

Abeokuta North, South, , lFO, lmeko/Afon, Obafemi/Owode, OCeda and North

The proposal presented to the African Programme for Onchocerciasis Control (APOC) for assistance in 1999 was approved in the year 2000. IFESH is the supporting NGDO to the project. The Project commenced activities from 1tt November, 2OO1 with a sum of

$40,000 received as-first installment, while the second installment of $42,030 was received later'during the first cycie.

The logistic support received from APOC during the first year include the following:-1

Toyota Hilux double cabin with accessories, B Suzuki lVotor cycles (125) and accessories, 1 Desktop Computer, 1 Photocopier etc. The first installment of $35,000 for the second year activities has also been received by the state.

There are 869 endemic communities with a target population of 300,274, from the census conducted in the project. The breakdown by LGA as presented below.

J TABLE 1 TARGET POPULATION BY LGA s/N LGAS TARGET POPULATION NO OF ENDEMIC GOMMUNITIES

1 31,482 119

2 38,108 110

3 Ewekoro 28,583 BB

4 lfo 32,606 110

5 lmeko/Afon 48,261 92

6 Obafemi/Owode 31,729 93

7 32,425 104

8 57,080 153

TOTAL 300,274 869

A community is defined as a group of people who live in a particular place (i.e. have a common geographical boundary) and who share a common interest in what happens there.

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't PERFORMANCE OF THE CDDs:-

* They paid attention during the training' clearly understand after the training showed that they * Their performance in an assessment

all things theY were taught'

* They showed interest to train new CDDs' .:.Theirperformanceduringthequestionandanswersessionconductedafterthetraining

showedthattheyunderstoodallessentialaspectsofthetraining

ToIMPRoVETHEQUALITYoFTRAININGoFHEALTHSTAFFANDCDDS: .Adequatepqsterswithillustrationinlocallanguage. .TrainersmustbefullyequippedwithlatestinformationonCDTI. and individuar trainers to update their knowledge . Newsretters .must be circulated to

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ii MOBILIZATION

A one day awareness seminar for community leaders in lmeko/Afon Local Government

was jointly organized by the project to mark year 2003 National Oncho Day on 12th [V'larch,

2003. 60 people were in attendance.

o lntegration of CDTI into other PHC Programmes was intensified during a day

seminar organized for School Health Service Coordinators in 20 LGAs in the state.

. Oncho Control Unit was invited for lectures on Control of Onchocerciasis by: 5

Community Development Associations, State Conference of Anglican Diocese,

Women's wing. 1B Babcock University students of Public Health Education

Department attended a day training on control of Onchocerciasis in 3 batches.

Youth Corpers in the state also benefited from the lecture.

MEDIA USED TO DISSEMINATE INFORMATION: .\ . A:- Use of media houses

. "Ela Loro" at NTA station

, ll'era Loogun Oro in Radio Broadcasting Station (OGBC)

. NTfuOGTV News in Yoruba and English during Oncho day commemoration. ' . B:- Local System

, Town l/obilisers (criers) . Health Education Campaign in lVeeting places, of cooperative. . l.E.C [Vaterials e.g. Posters, Hand bills, Flip chart, Photographs, T-Shifts Calendars, were produced and distributed. ' Composition and production of indigenous songs and choruses with local beat (talking drum) in 30 audio cassettes distributed to community leaders. HOW TO IMPROVE MOBILIZATION OF TARGET COMMUNITIES. o There is need to encourage the participation of local NGOs/CBOs. tr A regular meeting with the community leaders to share ideas and give on the treatment program.

tl IN 8 APOC TABLE VI V{ITH COMMUN ITY LEADERS MOBILIZATT ON IVIEE TING L 2003 SUMMARY OF NOVEfulBER 2002 - APRI LOCAL GOVERN I1JIEilIT AREAS RELIGIOUS ASSISTED VILLAG E WOnnE, f't S/N LGA LEADERS I{EADS LEADERS 4 4 Notth 5 1 Abeokuta 4 5 + 2 Abeokuta South L+ 2 5 a, Ewekoro 1 a 1 4.. lfo 4 4 lmeko/Afon 5 5 3 J 3 6 Obafemi/Owocie a 2 5 Odeda 7 2 6 5 Yewa North B. oo 22 37 1a) TOTAI:

to B LGAs. ^.!,t[,E$?tl'|i,r,.ing materiars produced and distributed

imPlementation of CDTI'

health Progi'ammes'

awareness on the CDTI implementation'

implementation at all levels in the state'

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t)t STRENGTHS:

community based organization to develop plans sustaining the drug

distribution.

implementation.

Oncho Day

WEAKNESSES:

,/ Some LGAs are yet to release counterpart funding

r' 'The loss of the State Toyota Hilux No FG 715 F 12 to men of the under -world at

' gun point on 16th [/arch, 2003 \ FUTURE PLAN:

* 2nd Round treatment commence in tVay 2003.

geographical * Taking coordinates of the endemic communities in the state.

* Cornputer training of SOCTs

* Supervision and monitoring .

CONCLUSION

While further investigation and search for the last vehicle is still going on the state ministry of health has been so generous enough to refurbish one broken

down vehicle (a Toyota Hilux double cabin) for the use of the project. We also appreciate the efforts of all active initiators of the CDTI project ih Ogun State.

IT :!, ',:, t.

'One of the particinants making her contribution during the LACT/ i{ealth }icrkers Training li,rorkshop in ' Local- Governm.:.}.rtn \

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M:'s. Osunleti (Zonal Faciiita.tor) C.:mcnstrating to tfre perrticipants the measurement- by,hei-ght cluring the LCC?/rtealth iiorkers fraini.i,i l'lgrkshOn in Tncl