.1' :' , NATIONAL ONGHOCERCIASIS CONTROL PROGRAMME BAUCHI STATE CDTI PROJECT THTRD YEAR TECHNICAL REPORT F'ROM MARCIil2OO2 TO FEBRUARY 2OO3 BY ABDULKAzuM D. DANJEBU STATE PROJECT COORDINATOR SUBMITTED TO APOC MARCH 2OO3 r/,d, .4q. 03.CrJ ,' ..I "lC-r r { \I" ( t; EXECUTIVE SUMMARY Bauchi State is located in the north eastern part of the country. It has a population of 2,826,444based on the 1991 census and is made up, of 20 LGAs. There are 13 CDTI LGAs with an endemic population of 609,911. Mass distribution with Ivermectin started in the state in l99l with the assistance of I-INICEF. Proposal for the implementation of CDTI in the state was approved in December,1999. Treatment started with 140 communities in 1991. In 1999 when CDTI was introduced the number of communities undergoing treatment rose to 633. In the year under review 633 communities selected their CDDs and most collected drugs and decided on their method/period of treatment. Due to non - receipt of APOC funds and inadequate financial support from the Government, only 26 LOCTs and 540 CDDs were trained thus achieving about40yo training achievement for both categories. Mobilization was carried out in all 13 Oncho endemic LGAs. 519,193 persons in 633 endemic communities in the 13 CDTI LGAs were treated using 1,621,925 Mectrzantablets. These give a 100% geographical coverage and85%o therapeutic coverage. I-INICEF provided N634, 000.00 while the State gave a counterpart contribution of N137,000.00 during the reporting period. Strengths of the prograrnme include increase in number of communities supporting their CDDs, high level of commitment of SOCTs and LOCTs, support in the CDTI by the Zonal Office and increasing involvement of communities process. The weaknesses and constraints facing the project are lack of updated release population figures, inadequate financial support by Government and non - of funds bY APOC for the entire Year' BACKGROUND BauchiStateislocatedinthenortheastofNigeria.KanoandJigawastates Yobe states, Kaduna to the west bounded it to the north, to the east Gombe and and Taraba and Plateau to the south' 1991 census and is made up' It has a population of 2,826,444based on the River Hadeja, of Z1LGAs. Some major rivers transverse the state, and these are lie along Jama'are,Gongola and Dindima. Most of the Oncho endemic LGAs these rivers. The State lies in Savannah area of Nigeria, with variations in ecological conditions. The south and western parts being Sudan or Guinea Savannah having relatively high rainfall, while the northern part of the state is Sahel Savannah. The settlement pattern varies in different parts of the state from nuclear settlement with surrounding farmlands to disperse settlement. Agriculture is the chief economy of Bauchi state are the farming season starts from May to December. There are l3 CDTI LGAs with an endemic population of 609,911 out of which 517 ,289 are eligible persons. Mass distribution with Ivermectin started in the state in 1991 with the assistance of LJNICEF. Proposal for the implementation of CDTI in the state was approved in December, 1999. Funds were received in March ,2000 and the financial cycle was revised to start in March 2000 to February 2001. Even though the second financial year was supposed to start in March 2001, funds were not received until September,200l. Currently the 13 hyper/Meso LGAs implementing CDTI are Alkaleri, Ningi, Kirfi, Warji, Dass, T/Balewa,Darazo, Shira, Toro, Zakr, Gamawa, Itas/Gadau and Jama'are. in 1991' In 1999 when CDTI Treatment started with 140 communities undergoing ffeatment rose to 633' was introduced the number of communities that everything was done by Distribution in the third year was unique in increase in treatment figure from devoid of funds from Apoc. There was an 333,108 in 2001 to 599,193 in2002' TABLE 1: IMPLEMENTATION OF CDTI YEAR THREE 2OO2 No.of comm. \o.of No.of No.of No.ot comm. No.of S/N LGAs paying CDDs ;omm. comm. comm. Which comm. in cash/kind which which decided on CDDs selected collected method of trained CDDs drugs distr. 46 83 83 31 46 1 Alkaleri 83 26 26 73 73 73 73 2 Ningi 40 a 38 40 J Darazo 38 3U 38 IT 93 93 4 Toro 7l 7l 7l J6 38 23 23 5 Iama'are 38 3E 2A (1qrt'tqvrtq 23 20 6 33 3'3 35 '26 28 28 22 22 7 Kirh 28 JU 4Q 40 8 T/Balewa 49 49 49 41 36 56 9 Zaki 54 54 54 28 45 26 10 ltas/Gadau 39 59 39 36 36 47 47 11 Dass 36 JO 45 45 t2 Warji 38 38 38 /. 53 56 s6 13 Shira 53 )J 53 540 Totals 633 633 633 518 539 TABLE2:TRAININGOFDIFFERENTLEVELSOFSTAFFINVOLVEDIN CDTI IMPLEMENTATION No. of S/N LGAs No. of No. of ToT LOCTs Training trained trained CDDs undertaken trained 2 46 I Alkaleri 2 1 2 26 2 Ningi z I a 2 40 J Darazo 2 I ') 2 93 4 Ioro I 2 23 5 Jarna'are 2 I 2 20 6 Gamawa 2 I 2 22 7 Kirfi 2 I 2 4Q 8 I/Balewa 2 I 2 36 9 Zaki 2 I 2 45 10 Itas/Gadau 2 1 2 47 11 Dass 2 1 t2 Waqi '2 I 2 45 56 13 Shira 2 I 2 Totals 26 13 26 s39 - Table Z and3 show that, 1300 CDDs had been targeted for training and re train during this year, but only 540 CDDs could be trained. A total of twenty six LOCTs had to be ffained on CDTI due to transfers from one Local govemment area to another. This low level of training was due to lack of funds from APOC and the State Counter part conffibution. The 540 CDDs were trained with the support of LINICEF. TABLE 3: TRAINING OBJECTIVES & ACHIEVEMENTS S/N Personnel Projected Actual 7o Achievements 0 1 SOCTs 7 0 4A 2 LOCTs 65 26 3 DHS 130 0 0 4 DDs l 300 540 41.5 TABLE 4 : MOBILIZATION & EDUCATION OF ENDEMIC COMMUNITIES MoH staff No.of NGDO No.of No.of comm. No.of advocacY No.of S/N LGAs in staff involved comm. Which visit of state to involved in mobilisation mobilized received H/E LGAs Directors mobilisation on CDTI of Health 2 4 1 I Alkaleri 65 o) 2 4 I 2 Ningi 50 50 I 4 1 3 Darazo 23 23 4 I 4 foro 42 42 z 2 4 1 5 Jama'are 10 IU / 2 I 6 Gamawa t2 l2 Z 2 1 7 Kirfi l1 II 2 3 I 8 T/Balewa t5 t5 2 2 I 9 Zaki 2l 2t 2 4 I 10 Itas/Gadau 23 23 I l1 Dass r0 10 2 1 I t2 Warji t4 t4 2 2 2 4 I 13 Shira 39 39 Totals 33s 335 26 Director The staff from the ministry involved in the mobilization are Deputy the ministry of disease control, the state coordinator, the information officer of offtce Health, Coordinator public health and one staff from Zonal Oncho control Bauchi. ACHIEVEMENTS ffeated In the course of the year 5lg,lg3 persons in all 633 communities were coverage of 85% with I ,62l,gZ5 Mectizan tablets. These represent a therapeutic programme and a geographic coverage of 100%. Treatments over the years since inception are presented in the chart below' Mecti zan treatment trend 900,000 t, 700,000 +,o G 600,000 t-o *, 500,000 g .+NO.OF PEOPLE CL 400,000 TREATED o o CL 300,000 rF o 200,000 o z 100,000 0 S| .r" noe fr" ..f fr." €rd ,.r"o Srt C +$ +& Years TABLE 5: COUNTER PART CONTRIBUTION S/N PARTINERS AMOUNT AMOUNT APPROVED RELEASED 1 STATE N2,000,000 N 1 37,000 GOVT 2 UNICEF N634,000 N634,000 3 APOC N9,503,600 NIL 4 GAs NA NA STRENGTHS l. Fuller involvement of communities in the programme. 2. Appreciation and acceptance of CDTI by communities as theirs. 3. More communities are willing to pay CDDs in cash or kind now. There was an increase in number of communities who paid CDDs in cash or kind from 84 to 244 (34%) 4. There is commitment on part of SOCTs and LOCTs 5. Ready support by NOCP zonal office. CONSTRAINTS 1. Non - release of funds from APOC in the year. 2. Lack of updated census of endemic communities 3. Poor financial reporting 4. Inadequate counterpart funding from State.