AFRICAN PROGRAM FOR ONCHOCERCIASIS CONTROL (APOC) YEAR l REPORT ON COMMT]NITY DIRECTED TREATMENT WITHIYERMECTIN (cDrr) I L. ,i Action lo: -l c t ,r.9,, c!,r, ,.i. ' ";-'t' t 't _'t \ , ('f l r A,i ,' / )-l €ri+ j,/.8.$o For lnformotlon To, ;r p JUNE, 1999 TO MAY , 2000. ADAMAWA STATE on the 1. BAqKGRo:**D#?ilXl#IStonsola State in August leel is located Adamawa State, crt northeastern Part of Nigeria' llyzo and 14 !/ao East:' 7o 28r and 10o 551 and longitude The State "lies between latitude ^gtttteg TherearelllocalGovernmentCouncilareas(LGAs).TheStatelieswithintwonotabletfi"" a1a spafe trees in the the sub-SuOon Su'unnatr *itf' rhe vesetational zones, ,iirQ ;'itn in the southern zone' nolth.rn part and,i,.'E i"r*"S.;;".h where three major rivers along the camerooniui-iora","rl^9fi;;t presence of few d;J;;ntains 'l"t"i;ffi';,t* These with has given th, .watercourses for and have their sources ji"ri,r," .ntiir"trd;"* luna ur.u into arable place traversed and.turriJ their tributaries have Damnosum' breeding sites for the Similium agriculturat activitill ;;;;" The rainy season begins in the dry and the rainy seasons. The state has two main seasons, tsq in the northern parts and ;,* l%i*.;;;1f4i'"; wettest April and ends in ;il'b;i;t* and" Toungo LGAs' The in the southern part, parti^cyiarif?i"rq fanye The dry l0l lmm rainfalls' *"lLugutt aid' September' signify the perio-d of ftJni"'t January and months, which oo"urr? ooJi, *i tt th; ;#J months being season starts rror,r'iti" "ro'oi il;",y when humidity is as low as l3o/o' groups Their rural cultures' languages and dialect State is multi-ethnic with varied not along socro- The ,utJriitJ'grt"prl*f,ich are often than settrements are in large and ,.un cultural, and language lineage' together by their natural hospitality, diversity the peopre are still bound Despite this apparent tgi'''on languages Hausa and d; St'te and ft* 'like as political/administrati"vl'r,."iur. "fff i' il ii to E;;lish' wtrictr has been adopted Fultude which are widely spoken. "Jiition tft" off,"i"f medium of communication' State' There are nine hyper- in 17 out of the 2l LGAs in the onchocerciasis is prevalent Meso-endemic LGAs only endemic LGAs' In some endemic LGAs and eight Meso "i'ttt i.* t.uuY foci have been noticed' with onlynine(9)LGAsoutofthelTLGAsarepresentlyenjoyingthesupportofAfricanth. p.ogrun,it ii, tri" State of expansion program ro, on"t o."r.l"ri, control. Ho*"n.., area with *t'i'f' has almost t"J"a every endemic the Mectizan Distribution Prograr, Mectizan drug in this treatment season' Approximately|,364communitieswerereceivingMectizantreatmentbeforeAPOCuno", Mectizan Treatment has in. The ,rJ; oi.oroo'uniti.r assistance started coming and CDTI implementafion the AP6c rrpp"n.. T]rlsupport now increased to 2,6i6'6ril*ing the State who were earlier I I M;; Bnatti" LGd of - have been extended toit r",,uiiing " Treatment approach. on using Co mmu nit,"ilJ irermeitin I 2 Trcrtmcnt undcr Mcso Endemlc h APOC Round Endcmlc Trcrbncnt bcforc includcd S/N LGA Comrnunltlcs 7 213 161 7 I MADAGALI 189 189 4 2 HONG 105 280 7 3 SONG 107 ,, 80 4 GOMBI 61 61 6 5 GIREI 95 95 6 6 138 138 4 7 GA}TYE 164 289 8 JADA 147 147 4 MAYO BELWA 18 9 52 1 94 l0 94 2 11 104 104 I 98 l2 98 5 13 24 24 1 YOLA 100 l4 100 1 60 l5 60 2 DEMSA 98 16 98 l5r l&1 t7 630 15 TOTAL 3 #of #of #of #of #of #of CommJvll Commsflllleg #of Comms/Vllhgcs comms/Vlllegcs cs Comms/Vll ilccftlcd legcs wtth Prlng Commtlc Comrns/Yllh thet dccldcd on whlch CDDs ln Cash wftlch lages months tnlncd srYlllegcs gcs mclhod of on thc orklnd. thclr whlch thc CDDs sctcctcd Dtrtrlbu0on of Treatmcnt CDIh Collecttd I 6 1 161 1 6 I I 6 1 161 161 189 AGALI 161 189 189 1 MAD 189 189 189 189 280 280 2 HONG 280 280 280 280 280 80 80 3 SONG 80 80 80 80 61 80 61 6l 4 GOMBI 61 61 6l 6l 95 95 5 GIREI 95 95 95 95 138 95 138 138 6 138 138 289 138 138 289 289 7 GA].IYE 289 289 289 289 147 147 8 JADA 147 147 147 147 52 BELwA t47 52 52 9 MAYO 52 52 52 52 94 94 l0 94 94 94 94 104 94 104 104 ll MAIHA 104 104 104 104 98 98 t2 MICHIKA 98 98 98 98 24 98 24 24 l3 FUFORE 24 24 24 24 100 100 t4 YOLA SOUTH 100 100 100 100 60 100 60 60 15 GTIYIJK 60 60 60 60 98 98 DEMSA 98 98 l6 98 98 t7 98 TOTAL 2 by the participation and suppon_1o-gDDs has been an appreciabre community There bamako Initiative (CBBI) Committees' members through the.C^ommunity-Based in community There has been no much diffrculty which exist both at that I-GA and co.,rirriiyl;;;ir were already io the fact that the communities adopting .DTI implementation appro.;"d; in' r.tJirit g treatment before APOC came 1n.,..eabe113obilizedatotalof2070Communitiesto supplement the HKI n'iO ffff ptouiatd vehicles with the presence and support 9f "uff' logistics iequirement of the project' PHc staff and was by approaching the LGA process of community mobili zationadopted Traditional The who act as u glia". rfr'e paramoxnt invariabry tr,e lca 6"c'to io-ordirator community leaders p..ronlirno will sermT,in" subordinite Leader will be the next contact Ato used as a means of A."-io-face contact, town *"tL for briefing eprrt it, "ti;;; Based Bamako Initiative to the *L'U"t'' Coi'nunity getting information across "on,t.,nit, of communitv members' members were arso ir;d; il;;-;"bilization and committee include pootit' information brochure Materials used during the mobilization''*,-"i" Mobilization/llealth vroUiri'ation, r'au""tio' HKI Booklet on Corimunity "5"i'"u*tnt(rz1 LGAs as.against six LGAs was ."rii.a'o* in Seventeen Education of the communities were treated during the year (1g;;;. in" uoai ional l i l6es covered in the last treatment early Part ofthe Year' of MOII -No ofNGDO AdvocecY Vtrlt to No. No. of ln strlf lnvolvcd ln No. of No. or Rcglonol StalT lnvolvcd s/ll rectlvcd IIE ebout Stete Moblllze6on Comm./ whlch of IIcalth rnoblllz,rtlon Importrnce of Extmdcd Dlrcctors Vlllegcs ) 2 1 98 98 2 I FUFORE 2 I 6l 6l 7 2 GIREI 2 J 280 280 3 SONG 3 2 80 2 4 GOMBI 80 3 2 161 z MADAGALI 161 , I 1 24 24 1 6 YOLA SOUTH 1 I 98 98 2 7 LAMURDE 2 I 100 100 2 8 GUYUK 2 I 52 52 9 2 3 95 95 l0 TOUNGO 2 3 138 138 1l GA}IYE ) 3 289 289 t2 JADA ) 3 A 147 t47 13 MAYO BELw 2 J 60 60 l4 DEMSA 2 3 189 189 l5 HONG 2 3 104 104 l6 MICHIKA 2 3 94 94 t2 t7 MAIHA 2 39 TOTAL 2 se was satisfactory a. Mobilization exerci was evidenced bY the level of resPonded favorablY. This b. Most communities have Based Bamako to the The CommunitY communitY involvement and suPPort Programme. of fully involved in the mobilization and education Initiative Committee members were their communitY members' 3 LOGT members time for community mobilization' In order to address the issue of limited of c. six d";;i per health zone, comprising spent more time in the commuriti". a;;r;of 2 - 3 districts or 12 communtttes' 5 in the involved in the control of Onchocerciasis conducted for the various staff 44 Training was State Control Team Members, update workshoP for the seven State. These include an 2,068 CDDs for the next Supervisors (PHC level), and LGA Trainers, 225 District Health in the 17 LGAs. round of Mectizan distribution No. Trelnlng PHC Targetcd No. ofTOT No. Ccntcr No of Tralntng Workcrs CDDs Traincd s/I{ DISTRICT/LGA Tratncd Tralned Undcrtrkcn Traincd 81 74 2 I 4 I 8 I TOI.]NGO 124 trz 7 4 J 7 I 384 7 2 GANYE 4 9 400 2 4 6 3 JADA 215 168 I 4 3 9 4 MAYO BELwA 50 47 6 2 2 6 SHELLENG 2 8l 5 5 ) 2 26 I 00 I 3 6 GUYUK 20 98 98 I 3 3 7 ,, 60 54 2 J 4 DEMSA I 16 I 8 ,, 2 2 24 I 6 9 YOLA SOUTH 8 98 32 3 2 - l0 FUFORE I 6l 4l 3 2 2 6 GIREI 2 170 9 ll ) 1 6 253 I 4 10 t2 SONG 24 173 155 2 4 4 2l t3 GOMBI 40 340 122 I 4 3 l4 HONG 100 94 8 3 3 t2 I 11 15 MAIHA 16 254 l14 2 4 4 t6 MICHIKA 369 306 l0 4 2 l2 t7 MADAGALI 2 l17 55 44 225 TOTAL 1 &2 730h 8I o/o and PHC workers. out was to train 3,055 prog.ramme staff a. The annual training objective ofthis,2,34Sweretrainedforthelvermectindistributionprogram. Flipchart' provided by Training Manual, cDD Guide' and b The materials used were cDD ff"L" itffer Worldwide and APOC respectively' c.Thereisneedtoincreasetrainingoftrainers,sothateachtrainercantraincDDsat communities' training centres very close to their 6. ACHIEVEMENTS: recorded: ir,. ror@have been (cDDs) in GDTI' & LeA ilJs) and 2,o6sDistributors a.