)ra!oCe Corp.1 TECHNICAL REPORT ON KADUNA STATE CDTI PROJECT (YEAR FIVE) JANUARY _ DECEMBER, 2OO2 BY: MR. PHILIP D. SANKWAI STATE ONCHOCERCIASIS COORDINATOR For Actiou Tol TCc,,l-( C'Jn a6 1B csI C"s-p Jfl Cd 81m 8fic E €Jr* RECU L4 u, u5 For lnformollon Tor *br ( rl 2 7 FE\,. 2003 Ito APOC/DIR ,s tl ,l .t ',fl lil 'ic .:f; t ,I Ct --.T 6 )o i 4" o" 3cr' t' c'o o' ADMI Sl v' NIST RATI V E MAP OF I(A DUNA STATE N It^ Jo' I(ANO STATE + fxarstr.ra _iD ! n ./ o I q XUDAN okorl i ',J a lk r'1 t r,j Sobo 't >< K v ] t) * x-,-lt\ o 'J * SO BA L l- IG A B )*4 >L K 4 r-r'- r'- *- * ,- * /- r->t K- * -a- a v- (aAu -o J- l- T U U /l k U * /-r' v- f- / /- f o 7 /- + + ;+ *r -i- t- f- D K/NONI UrU2a l- 1) * + f /- r'- f- t- 7 LE HE t +f- *'* + >-,t- *- I I O Kojuru l- KAURU /-tl >- t-t +t-/- Sominoko A Y-rtt'-* r-/-*4 KAJUR U )A y-* -/r * a -t_* y-f- *-.* * >--/- /^t r-tt- /-t'-f- t- l' )-* r* r> f * ** -* r' * { * * * t- t* t- t- * 1-* * /- f * 'l) z A N GON t- * S-* r(- * * KA T A F * 7a- f f t c t- x AIF 3OUN0Any f-t . -._ _ - ry-. rqr. t- * o n k o * 1 P I G.1IOUNOARy .. .,.- L/^\_./ t * Ou t,r AUn X6 [,Rdeau.c,n's _ ._...___.-_ r A. A Kolonchon * /-r- a j- * j JEnA'a f *- * on * / *+ f) S (rl 5TA TE J Q-, D w ,]0 6 3o o i. 0' 'l 3n' go o' I Bo'so I _i i.l EXECUTIVE SUMMARY The implementation of Community Directed Treatment with Ivermectin (CDTI) under the African Prograrnme for Onchocerciasis Control, (APOC) entered its Fifth year. All the 16 endemic LGAs are fully implementing CDTI. The project was evaluated in January 2002 by a team of extemal evaluators. The result showed that the State is doing fairly well, thus, heading towards sustainability. The Hon. Commissioner of Health gave a press briefing as part of activities commemorating Oncho week. He reiterated that APOC supports ends this year.However,SSl will continue to provide Mectizan and other logistics to sustain the programme,The 16 endemic LGAs Corporate organizations and individuals will also have to sustain the programme. He showered appreciations to Sight Savers International (SSD and APOC for their immense contribution in terms of logistics and financial support. He said the State would not forget the support and advice of the National Onchocerciasis Control Programme. There is a sffong partnership in the programme.SSl and NOCP Zonal office have continued to train SOCT and LOCTs and provided minimal supervision. il 8 SOCT members were re trained on CDTI strategy, while 305 LOCTs were trained/re-trained in l6 LGAs on the control strategy of CDTI, community t roles and responsibilities, monitoring and supervision, Health Education and Community mobilization.5,55l CDDs were trained/re-trained. In our self- ["';l sustainability bid, all the Health workers in Birnin Gwari,Chikun, Jema'a and Kaura LGAs were trained. L] During the year, there has been increased Government involvement and commitment to CDTI programme in the State. The Hon. Commissioner, il Permanent Secretary and all Directors in the Ministry of Health were involved in advocacy visits/Social mobilization to endemic LGAs. The LGAs Hon. Chairmen, Traditional and Religious leaders and Community l members were re-sensitized on their roles and responsibility in CDTI implementation. l I l-i 2 l1 t.l ti I Community mobilization/Health Education was carrieil out in all the 16 ,'l endemic LGAs, 1,215 Communities were mobilized. Distribution of Mectizanhas been completed; reports collated with 16 LGAs reporting 960,558 people treated. TECHNICAL REPORT ON KADUNA STATE CDTI PROJECT I Section I BACKGROUND INFORMATION I Kaduna State is located in the north central part of Nigeria. The State shares boundaries with Plateau State to the east, Nasarawa to the southeast, Niger to the west, Federal Capital Territory to the south, Katsina and Kano State to the north. The State has 23 I I-Ges and a projected population of 4.7 million. The major rivers are river Kaduna, Galma and Gurara. The vegetation is mainly savannah grassland with pockets of forest mosaic. The climate consists of the dry season (November to March) and the wet season I (April to October). il The main occupation of the people is farming, fishing and trading. The people are mostly indigenes living in permanent settlements. Community leaders in consultation with their I elders and community members take decisions. i-J Mectizan distribution started in Kaduna State in 1988 in Lere and Kauru LGAs. Distribution was expanded to Bimin Gwari LGA in 1990 and Kachia and Zango Kataf LGA in 1993. Six thousand two hundred and seventy (6,270) people were treated in Lere LGA in 1988 and 6,149 in 1993. 5,694 in Lere, Birnin Gwari and Kauru LGAs in 1990, 5,015 in 1991 and 10,032 in 1992. From 1993 to 1997,37,464, 145,342,234,730, l 283,642 and 285,845 persons were treated respectively in the five LGAs of Kauru, Lere, Bimin Gwari, Zangon Kataf and Kachia. t.i The APOC project proposal was approved in May 1997 and funds received in October 1997. The first year (1998) of CDTI implementation 333,935 people were treated in the aforementioned LGAs. In the second year (1999) of CDTI implementation funds were tl received in April and September 1999 respectively. The State Ministry of Health contributed US$2,438.43 to' the project as counterpart funds in year one. US$5320 was approved for year two but was not released. In the second year of implementation, I 146,225 persons were treated in 10 LGAs. In the third year (2000) of implementation, 833,172 persons were treated in 13 LGAs. APOC released US$68,007, for CDTI activities in the State, while US$9,200 was approved, and released as State counterpart l funds. In the fourth year (2001), US$42,395'was approved by APOC while the State approved and released US$19,504 as counterpart funds; a total of 958,061 people were treated for the year. The State has approved the sum of US$19,410 as counterpart fund _l for year 2002. APOC has approved US$35,556 for CDTI implementation for the fifth year activities,'uvhile the State has approved US$19,410 as counterpart funds. I 1 J _l i,] ;u ,:-l 1 -.1 .=1 a;:l at '-..j :..1 I I TABLE I THE TOTAL NUMBER OF COMMUNITIES IN HYPER AND MESO ENDEMIC LGAS 1 s/l\o LGAs HYPER MESO TOTAL COMM. UN TREATMENT I BIRI\IN GWARI 40 180 220 ) KACHIA 85 24 109 3 KAURU 84 85 169 :r 4 LERE 100 115 2ts 5 Z/KATAF 180 224 404 tl 6 JEMA'A 133 133 7 KAGARI(O 113 113 8 KAJURU 11 118 129 il 9 KAURA 185 185 10 SANGA 218 218 i-t 11 CHIKUN 196 196 ii t2 JABA 86 86 13 KUBAU 131 131 t4 GI\vA 2t 2t l5 IGABI 62 62 16 IKARA 26 26 I TOTAL 500 1,917 2,417 i.J (i) 1 197 communities received IVermectin in 1998, 2,075 comm.unities in 1999 2,423 il communities received Ivermectin for year 2000,2,515 Communities were issued with Ivermectin in the year 2001. 2,417 communities were issued with 13 Ivermectin in the year 2002. In the second year, the 5 additional APOC LGAs (Jema'a, Kaura, Kajuru, U Kagarko and Sanga) with 872 communities received treatment for the third time, using the CDTI strategy. 1,203 communities (in Bimin Gwari, Lere, Kauru and ,} Zangon-Kataf LGAs) are on their fifth round of treatment under the project. J Treatment is on going in Chikun, Jaba and Kubau with 348 Communities, using the CDTI strategy for the third time. The last three LGAs (Giwa, Igabi, Ikara) -] with 109 communities commenced the CDTI strategy for the second time this year. 4 l,,l IJ I ) (ii) A community is defined as a group of people living in one place, considered as a a-'I ,.r1 whole, sharing the same race and having the same leader. --'t I I I TABLE 2 -l IMPLEMENTATTON OF CDTT (YEAR s) :l I District/ No. of No. of No. of No. of No. of No. of No. of .'-,'l LGA Cornmunities Communitics communities/ communities communities communities communitieVvi /Vilhges Villages /villages that /villeges /villeges llages paying ,l which which decided on which with trained CDDs in cesh selected coilected method of decided on CDDs or in kind CDDs drug distribution month(s) of :-) treatment I :i B/Grvari 220 220 220 220 172 220 196 Kachia 109 109 109 109 95 109 86 :-1 Kauru 169 169 169 169 141 169 r45 -j'l Lere 215 215 215 215 152 2t5 189 ZlKataf 404 404 404 404 287 404 329 Jenra'a 133 133 133 133 106 133 122 -)I : I Kagarko 113 ll3 ll3 l13 84 113 102 Kajuru r29 129 129 129 93 129 92 136 185 151 a-t Kaura 185 185 185 185 Sanga 2r8 218 2t8 218 173 218 159 Chikun t96 196 196 196 142 196 154 Jaba 86 86 86 86 82 86 72 Kubau r3l l3l l3l l3l tt2 l3l 96 Giwa 2t 2t 2t 2l 14 2t l8 Igabi 62 62 62 62 47 62 46 't Ikara 26 26 26 26 l9 26 20 TOTAL 2,417 2,417 2,417 2,417 1,861 2417 1,983 -t With the expansion of the project to 5 additional LGAs,2075 communities received Mectizan at the end of the second year (1999) compared to ll97 inthe first year (1998).