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MMDP PROJECT ANNUAL PROGRESS REPORT October 1, 2017 – September 30, 2018

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MMDP PROJECT ANNUAL PROGRESS REPORT October 1, 2017 – September 30, 2018 Prepared for: Emily Wainwright, AOR MMDP Project, USAID Submitted by: Helen Keller International Date: November 15, 2018 For more information: Kathy Tilford, Project Director, [email protected] THE MMDP PROJECT The Morbidity Management and Disability Prevention (MMDP) Project is a five-year project funded by the United States Agency for International Development (USAID) with the goal of strengthening national ownership and capacity within a select number of countries to scale up the provision of quality services for the management of morbidity, disability and disfigurement related to trachoma and lymphatic filariasis in a manner that will help to meet disease elimination targets. To achieve this goal, the MMDP Project will focus on the following four intermediate results: 1. Strengthened MMDP data availability and quality for decision-making at the country level. 2. Strengthened support for MMDP implementation scale-up and quality improvement at the country level. 3. Strengthened capacity of MMDP systems within Ministries of Health. 4. Provision of global leadership through building-upon the knowledge and evidence-base for MMDP preferred practices and policy. The MMDP Project is a global project led by Helen Keller International in partnership with the African Filariasis Morbidity Project and RTI International. The project is funded by the US Agency for International Development under Cooperative Agreement No. AID-OAA-A-11-00054. The period of performance for the MMDP Project is July 22, 2014 through July 21, 2019. The authors views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. Cover photo: A trichiasis surgeon examines a woman's eye in the Tigray region of Ethiopia several months after having performed the surgery. (Photo: HKI) MMDP Project FY18 Annual Progress Report (October 1, 2017 – September 30, 2018) 2 CONTENTS ACRONYMS ................................................................................................................. 4 EXECUTIVE SUMMARY ................................................................................................. 6 KEY PROGRESS INDICATORS ....................................................................................... 8 GLOBAL PROJECT - TECHNICAL.................................................................................. 10 BURKINA FASO .......................................................................................................... 31 TRACHOMA ........................................................................................................................................... 39 LYMPHATIC FILARIASIS ......................................................................................................................... 49 CAMEROON ............................................................................................................... 58 TRACHOMA ........................................................................................................................................... 66 LYMPHATIC FILARIASIS ......................................................................................................................... 75 ETHIOPIA ................................................................................................................... 81 TRACHOMA (Oromia) ............................................................................................................................. 84 TRACHOMA (Tigray) ............................................................................................................................... 99 TRACHOMA (RTI) ................................................................................................................................. 109 LYMPHATIC FILARIASIS ........................................................................................................................ 111 GLOBAL PROJECT - OPERATIONAL .......................................................................... 136 APPENDICES ............................................................................................................ 138 MMDP Project FY18 Annual Progress Report (October 1, 2017 – September 30, 2018) 3 ACRONYMS AIM Accelerating Integrated Management ASTMH American Society of Tropical Medicine and Hygiene BA Burden Assessment BB Buno Bedele zone BG Beneshangul-Gumuz CBHW Community Based Health Workers CDC US Centers for Disease Control and Prevention CNTD Centre for Neglected Tropical Diseases COR-NTD Coalition for Operational Research on Neglected Tropical Diseases CSPS Center for Health and Social Promotion (Centre de Santé et de Promotion Sociale) DFID Department for International Development DGS Central Health Directorate (Direction Générale de la Santé) DMT Dedicated Mobile Team DQT Dedicated Quality Team DRS Regional Health Directorate (Direction Régionale de la Santé) DRSP Regional Delegation of Public Health ECU Eye Care Unit EMMP Environmental Monitoring and Mitigation Plan ESPEN Expanded Special Project for Elimination of Neglected Tropical Diseases FASTT Filaricele Anatomical Surgical Task Trainer FHF Fred Hollows Foundation FMOH Federal Ministry of Health FOG Fixed Obligation Grant FY Fiscal Year GAELF Global Alliance to Eliminate Lymphatic Filariasis HCWM Health Care Waste Management HD Health District HDA Health Development Army HEAD START Human Eyelid Analog Device for Surgical Training And Skills Reinforcement in Trachoma HEW Health Extension Worker HKI Helen Keller International HMIS Health Management Information System HRD Human Resources Development IAB Illubabora zone IC Infection Control ICTC International Coalition for Trachoma Control IEC Information, Education, and Communication IECW Integrated Eye Care Worker IESO Integrated Emergency Surgical Officer LF Lymphatic Filariasis LQAS Lot Quality Assurance Sampling LSTM Liverpool School of Tropical Medicine M&E Monitoring and Evaluation MDA Mass Drug Administration MMDP Project FY18 Annual Progress Report (October 1, 2017 – September 30, 2018) 4 MMDP Morbidity Management and Disability Prevention MMMM Monthly Morbidity Management Meeting MOH Ministry of Health MoST Ministry of Innovation and Technology1 MOU Memorandum of Understanding NaPAN National Podoconiosis Action Network NGO Non-Governmental Organization NTD Neglected Tropical Disease NTTF National Trachoma Task Force ORHB Oromia Regional Health Bureau PFSA Pharmaceutical Fund and Supply Agency PECU Primary Eye Care Unit PHCU Primary Health Care Unit PNLCé National Blindness Prevention Program (Programme National de Lutte contre la Cécité) PNLO National Onchocerciasis Control Program (Programme National de Lutte contre l’Onchocercose) PNMTN National Neglected Tropical Disease Control Program (Programme National de lutte contre les Maladies Tropicales Négligées) QA Quality Assurance RA Readiness Assessment RHB Regional Health Bureau SAFE Surgery, Antibiotics, Facial cleanliness, Environmental improvement SAR Semi-annual Report SECU Secondary Eye Care Unit SNNPR Southern Nations, Nationalities, and People’s Region STTA Short-term Technical Assistance TAB Technical Advisory Board TAP Trachoma Action Plan TAS Trachoma Assessment Survey TEO Tetracycline Eye Ointment TF Trachomatous inflammation- Follicular TIS Trachoma Impact Survey TOT Training of Trainers TPS Traditional Health Practitioners (Tradipraticiens de Santé) TRHB Tigray Regional Health Bureau TSS Trachoma Surveillance Surveys TT Trachomatous Trichiasis TWG Technical Working Group UIG Ultimate Intervention Goal UNC University of North Carolina USAID United States Agency for International Development WHO World Health Organization WoHO Woreda Health Office ZHD Zonal Health Department 1 Formerly named the Ministry of Science and Technology MMDP Project FY18 Annual Progress Report (October 1, 2017 – September 30, 2018) 5 EXECUTIVE SUMMARY The Morbidity Management and Disability Prevention (MMDP) Project2 works at the national and global levels to expand the capacity of ministries of health to provide quality MMDP services for trachoma and lymphatic filariasis (LF) as a part of global disease elimination efforts. The project works to: support service delivery and implement quality assurance measures that contribute to stronger health systems, improve data availability and use, disseminate best practices, and contribute to advancing the global agenda by sharing experiences and collaborating with local and international partners. In FY18, the MMDP Project continued to work closely with national programs in Burkina Faso, Cameroon, and Ethiopia to strengthen national ownership and global capacity for the scale-up of trachoma and LF care. The project also worked with global partners and experts, including those on the project’s Technical Advisory Boards for trachoma and LF, to leverage field experiences and contribute to the global discussion on capacity building and support for meeting the 2020 elimination goals for trachoma and LF. The MMDP Project supported 20,813 trachomatous trichiasis (TT) surgeries during the reporting period, advancing ministry of health efforts to meet the trachoma elimination goals. To provide these surgeries, during the reporting period the project screened 584,088 individuals living in endemic areas across the three countries, using a variety of community mobilization and new case-finding strategies. In addition to supporting
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