OSUN STATE ]\OTF/}YIIO.APOC PROJECT TECIINICAL REPORT OF TIIE CD'TI AC'I'I\/IT'II'S IN OST]N S'I';\]'E I'ITOJI'C'I' ,\llRIl, l99E - .IANtL\RY 1999 I'RINCE 1'lN'lO'[l IY OI,LIIIIINII ADlitr;\RAI(.\N (,1.p.) PITOJ Ii(]T COO RD I NA'IOR NItt. A.()..t.\tYEOliA ZON,T L COO tI DI NA'I'O R. I}-ZO N Ii Ir\Ntlr\iiY 1999 l EXECUTIVE SUIIIN,IARY Osun State is onc of thc states in the southr.i'cstern pafl ol'the countri,and is locatecl in t5e ll 5clltlt .l'here Zorte lt has a 1998 projected popLrlation of about 4 nrillion arc 30 LG;\s in thc statcoLrt ol' rvhich l0 rvere selcctecl 'fhc lbr irttplenretttation ot'CD-I't in the lirst ycar ltrcr,alcltcc slrr'cy ol'l()tig 90 and the subseclr,rent lLllN4O of 199r4 re'u'ealcd thal the stateis cnclentic 1or Onchocerciasis N4ectizan distribution in tlle state staftecl in 1993 unclcr the auspices ol'lnternatiglal lroupclatio. lbr- Education and Sell'-l'lelp (IITESIJ) in Irovolc LGA and later extenclccl in l<)9.1 to scven UNICI:tr assisted LGAs. Currently 27 LGAs are enjoying either actir.,e or / and passiye clistributio, 'l'he tert LGAs selected for the CD'l'l inrplcrnentation {or the Iirst y-ear arc Ail,cdire. I}oripe. Ecle Soutlr. II'c East. II'c Nor1h. ll'c sotrtlr. Ila. ruo. obokun and or.iaclc LGAs Prer"ioLrsly 339 conrntunities had been reccir,'ing trcatnrent in the state and are,o\\. joired b' aclditional 76 communities in the fbcal LGAs In inrplernenting CDTI so lbr the fbllolvin_q activitics havc been carried otrt. '/ Training of SOCTs, t.OCTs and CDDs '/ Mobilization ')- and health education ol3l7 target conrrnunities '/ N'lcctizan trcatrlcnt it-r 327 conturunitics. N,lonitoring and supervision of'the CD-l.l pr.ocess. The acltievenlcnts ol'the proiect fbr ttolv are thc traininu of 26 soc]'s. 80 Loc-fs. 155 othcr hcalth r'vorkers and 1,054 CDDs. tlte treattnent of 151,355 p"rro,',, in327 coprrlulities. a,d,robilizatio. ol- 377 cortrmunities to select their CDDs and picl< up N,lectizan fionr designated collectio. poirts. The strengths of the CDTI intplementation process inclucle the appointnrent ol'conr,rurity based supervisors, the revitalizatioll of donrtant village health conrnrittees, proqress ip i,teqratio, ol'CD'fl intothe I)FIC systern the high level ol'corn,nit,r-rent by pro.iect staff o,rt.t ti," rvillirgness.f quite a Itulrtbct' ol'corrtttrtttritics to livc up to lhcir rcsl;onsibiiitlcs gldcr ('l)-l'l However, lack ol'adequate cotlltttittttertt to thc proccss bv l-GA coorciinatclrs. irraclecluatc supcr.r,isiorr of CDDs and the inability of sev'eral cornrtrunities to oft-er incentives to thcir CDDs ar-e *,eal< poi.ts in the irnplernentation pr.ocess N4oreover the project is fiaught rvith sonre constraints rvhich ncecl to be aclclressccl to lbstcr *,icler coverage These include inadequate supply of N4ectizan tablels and IEC nraterials. biting {uelrsvr scarcitv-Jv(r a.d inaccessibility of solre targcr corrr*unitics The project in the comitlg tnotrtlts intends to train nrore CDDs especiallf irr the harcl-to-re.c5 areas. intensily supervisiott and tnonitorin-e of cDDs to cnsure proper recorcl l<eepipg arcl r,anaqerre,t o[- minor reactions, train and l'etrain Locrs and other PIIC stafl. and aqsrcs.ir,"in,nrobilize'.9-o- ancl healtlr educate selected target conrnrunitics. .TECIINICAL IIE,I'OR'I'ON CD'I'I IN,II'LIiN{E,N'I'A'I'ION IN OSTiN S'I'A1'I.], NIC[]I{I,t. SECTION I 8,,\C I(G I{O tl N D I N I.O IiNI i\'l'l O r\,{ Osurt State is ottc of the statcs irt thc soutltrvcstcrn part ot'Niccria and is locatccl ip tlrc []-llcalr6 zolc It shares boultdaries in the ltorth r.vith l(r.vara state. in tlle east tvith Ondo state. in the w,cst riilh Ovo state ancl in the south rvith Ogun statc 'I'he Yorubas coustitttte or,'errvhelnrin-uly the nrajor ethnic:4roup in the state ancl fbrrl t6c incli-qcqous population of the area Hor.vcr.'er indir.'iclr-rals llonr other cthnic,qrorrl)s such as t5c lrulagis. lgb-ir-as. Agatus, lbibios and the Ilausas har,.c .risrated i,to the ar-ca Bythe l99l census Osutt State has a population of 2,203.016 Currently it has a projectecl populaliorr of aborrt 4 nrillion fbr 1998. There are presently 30 LGAs in the stateor-rt o1'1v5ich l0 r.,'crc sclectcd fbr CDTI In the first year these ten LGAs rvere sclcctcd fbr thc inrplerrrerrtution of CDTI trut expansion 'uvill be made in later ,-ears to other endcrnic LGr\s Ottcllocerciasis related activities sta(ed in 1988 r.vith sl<in snip prevalencc survcy.. l5ich el6ccl i, 1990. The result of this surve)'as rvell as that of Rapid Epiderrriological N{appi1-r2, ol'O,c6occrciasis (REI\4O) exercise conducted in 1994 revealecl that Ostrn state contaill l11,per'and nreso elrdepric lbci Thus thcse sltorved that Onchoccrciasis is onc of the nrajor health probllnrs in the statc Mcctizan distribution startccl in thc statc in Ircw'olc t,GA in 1993 rv'ith assistancc ltonr lntcrnational Foundatiorl for Education and Self--tlelp (lFESIl) ln 1994 LINICDIT started assistance lbr rnass distributicln 'l'his itl seven LGAs assistaltce was exteltdccl to scvelt aclclitional LGAs irr 1995 \\/ith thc creation clltnorc LGAs in 1996 rnass distribr-rtion r.vith UNICEI; sLrpport \\,as cxtcndccl to includc lg LGAs Ctrrrerltly active attcl passir,'c clistribution is on going ilt 27 LGz\s u,itlr citlter tiNI('lrlr assistance or self sr-rpport by,thc LGAs IFESFI is currently cxtetrclitts assistance to Irer.vole and Isol<an LG;\s rvherc CD'l'l has u.rv bcerr iritroduced J'he fen t-GAs selectccl lbr the irrtplernentation ol-CDT.l rvith assistancc lj.orn AIrOC lbrthc l99gig9 project cycle are Boripc, II-e North, Obokun. Ilb South. II'e lras1. r\i1,cclir-c. Ildc S6Lrt6. Iu,o. lla a,cl Oriade t-GAs + PITOJECT' PITO PI LI. N/IXIE OIt PRO.|ECT. Osun State i\OI'F/WFIO APOCCD-l'l l)rojcct DATE OF COilX'lENCEIIEhrr OF .4POC ,4SSIST,4^\CE April lees PIL4SE OF TECIINIC,4I. REI'OI(T-. ,\pril l99ti N{aroh 1999 Iablc I ENDE,IVIICI'IY LEVEL -fotal S/N LGAs No of No of Hi,per No of iVleso No of Target Ertdenric [rrrdenric lrndcnric llrdeuric [)opulatiou Districts Conri:runities Coninirinities Conrilrurliiies I IIa l0 7 49 56 28.21 l 1 2 Obokun t0 -)) 62 _-i9, t l8 -) Ife East IU 8 ci8 76 -\7.45() 4 Ife South t2 8 62 70 108.091 ,5 Ife North t0 7 48 55 .10.581 aa 6 A-ycdire 4 8 3O -r 1.4i0 7 lwo t2 t5 53 68 20.656 1 ?a 8 Bclripe 10 -ro 45 56. I 50 I Oriacle l0 8 57 65 70.5(r5 l0 Edc South l0 5 7? 11 32_662 TOTAL 98 80 479 60{ 470,934 ACTIVITIDS DONI! BI!'[\\'EBN .IANTJAI{\' AND NIAITCII I993 After the revierv meeting for UNICEF assisted st{rtes fbr the y'ear I 997 he ld at ,\kLrrc. Ondo State in January the state prepared atrd later carried out various activities to ltrarli the national Onchoccrciasis day in February. This rnarkin-q was rnore irnportant to the state due to the neu's that thc proltosal fbr the itrtplcrrtelttation lor CDTI has bccn approvecl b1, AI,OC J'hus the pcriod w,as usccl to initial sensitization forthe actual execution of the project once tlre neccssary lirnds arc made available Shorrly after that the rtronthly review nrecting lbr Jarruary, lbr LOt"l's and SO("I-s n,as hcld Oncc again the trteeting provicled the opportunity to serrsitize the afl'ectcrl L.OC'l's on thr-- on-csntinr{ CDT'l irnp IcurentaLio n Training of'CDDs'. Training of CDDs on the process of CD'l'l rvas carriecl out in lre.,r,ole and lsol.arr LGAs betrveen 17(l'and 23'''rof FebrLlary sim,.iltaneor-rslv It nrust horvever be statecl that tlre training was not that comprcltensivc. btrt basic lirndamcntals on CDI'I were tnught ln lrervolc LCiA 67 CDDs were trailted whilc in Isok:rii LC,\,77 wcrc ti-aiiiccl. Llciriccrr lo'l'aii<i I8'l'ol'\!ai'cli -18 CI)t)s wcrc trained in Aiyedirc LGA. Mectizan Distributiott. Mcaltwhilc distlit:LrLiort ol'lver.tttectin corrLinucd in sorue corrrnrurritics \Vitlrin this quarter atotal o{'12,655 tttales and 13.635 I-enrales (total : 2b.290) n,ere (r.catecl ri'ith 38.7,1S 5 tablets t.J U) 5 rn E\ -I ED I l I I I I I I I I I \o o\ -I Fg F trJ { I 5t\, lJl \o Ur }J U' € b.J a- €A o\ (1 H - ttJ z zH o a a- tv o\ ,* NUI\IBEIT OF CONINIT.INITIES IU'CEIVING I\/EITN,TEC'TIN PITE\/IOLISLY r\NI) 1'IIOSI NO\ry INCI-TIDI'D IN ]'tIE,\POC PITO.IIC'I 'l'ablc 2 LGr\ r\.to No of Cornnrrrnities Additional Total No of Pl'cviousll, (lcrrurrunities tlndcr Conrntrrnitics Ilcceivin N'lcclizalt r\POC llcin rl AIYEDIRE l6 2_1 ? 25 BORIPtr 27 L-l -+ 27 IIDE SOTJ'| I I t4 l0 ) l) II]E EAST 21 6O 9 lFIl NORTI I 26 l9 l5 l-l IFE SOUTFI l4 -) -) -1.+ ILA 25 2t -\ 2L'' rwo l5 26 6 .1 ', OBOKUN je l(r ii 50 ORIADE 28 25 il 36 TOTAI, 200 339 76 -l t5 NB-r Treatnlertt is still on--soittg in not onll,tlre lbcal LGAs but also tlr-ougSout t5e state .