) OGUN STATE CDTI PROJECT OltlClNAL : Linglish COUNTRY/NOTF: NIGERIA lroigct Nilnte: OGUN STATE CDTI PITOJECT Aprlroval year: FEBRUARY ,2000 Launching year: NOVEMIIE It, 2001 Reportine Period: From: January, 2006 To: December, 2006. Month/Ycar Month/Yca Proiect year of this repo (circleone) I 2 3 4 (5\678910 Date subrnitted: December, 2006. ITGDO partner: IFESHi UNIVA. ANNUAL PROJBCT TBCHNICAL IIEPOITT SUBMITTED TO TECHNICAL CONSULTATIVE COMMITTEE (TCC) Ac-icn ' .i'j) I er TEL 6sb c€\l BIM coq AHE DEADLINE FOR SUBMISST ON: BfO u0 To APOC Management by 3l January fbr March TCC rneeting i:or ltfornuiion Tor To APOC DiR Management by 31 Julv fbr Septernbcr'l'CC ntecring ho frAlt4w n-kk;Ld '.t'.-E:tr,FF.4,:t -E-_T_ ONCHOCERCIASIS CONTITOL (APOC) | Wl-lO/n l'OC. 24 Nove rnber'2()04 2 o iUlL, 2007 \ A]\[NUAL PROJECT TECHNICAL REPORT TO TECHNICAL CONSULTATIVE COMMITTEE (TCC) ENDORSEMENT Please confirm you have read this report by signing in the appropriate space. OFFICERS to sign the report: Country: NIGERIA National Coordinator Name: Mrs- P- Ogbu Pearce Signature: ... Yk /- Date: 1....J.\*{5 Zonal Oncho Coordinator Name: Otunba A- Jaiyeoba Signature: . NGDO Representative Name: Dr. R. A. Aderinoye Signature, ...&r::.)..-i.. :... .:. * >it r{. d ,, j- ;':'r 4 -t' Date: . r../ :\*<. ..':<.\ .' This report has been prepared by Name : Mr- V. O. Osikoya Designation : Project Coordinator Signature, ..,&rf:1.F -l:{:.o ' ,')fL' Date ..5........J.r.q.r.*L.. ?..t:-i / Table of contents ACIIONYMS.................. 5 DEFINITIONS......... .....6 FOLLOW UP ON TCC' RECOMMENDATIONS... 7 BXECUTIVB SUMMARY......... ....... u SECTION I : BACI(GROUND INFOT{MATION ........ 9 t. Ct,NnrtnL lNt.ortMn't'toN ........................ ,9 I I De sc r ipt ion oJ' t he proje c r ( b r i eJty) .9 I I 2. Purtnership.......... l0 2. Pot,uLnt'toN ll SECTION 2: IMPLEMENTATION oF CDTI .... r3 2.1. Tttr.tt L.tNu orr Ac't-tvtfiljs......,..... .., . ....... l.l 2'2' A'vocacv ................. rj 2.3. Mogtt,tza'rloN, sENStt-tzATloN AND IiliAL'n-rDDUCn roN oF A'r'r(rsr( corvlMUNuu_s r7 2.4. CoulruNrry TNVoLVEMENI-........... ................. lg 2.5. C,npncn'y BUILDINC... ................... 19 2.6. TnuelveN-ts .............. .................. 2 t 2.6.1. Treatnent/igures............ .............2t 2.6.2 l[/\rcil are the cquse.s of absenteei.sm? .......... ............. ]1 2,6.3 What ure tha rau,,;on,sfor rc./irl*rl.t,?.....,.... ...... , ll 2.6.1 tlricJly describe ull known andveriJied.s'erioLts'udvcr,vc c,,,crt,\. 1s:AL,s1 rrtut... )J 2'6'5' Ttcnd of treutnrcnl ac'hievenrcnlJi'om CDTI prttjcct itrception !o tlta c,t,rrrcnt yas11.l11 2.7. OtroERrNG, s't'oRACE nND DELIVET{y ot, rvDr{MECt-rN .........27 2.8. corvvuMry SELF-MONI]'oRrNC AND sTAKET]oLDErts Mutr.tNc 2,9. Sut,8RV1s1oN................ .......... 2g ................. 29 2.9.1. Provide aflotv chart of supervision hierarc,hy. ...... J9 2.9.2. lvhut were the moin issues identiJiet) cluring supervisittrt.).... ... ... ... lg 2.9.3. lI/o.t a supen,i:;ion checklist u:;ecl?........... ._ . .. 2g 2'9'1' l'l/hul were lha ottlcontes ttt euch lcvcl oJ L'DI'l itttplctttan!uttt)n.tLrltct.t,r.ttrtrt, -i() 2 9 5 ll/asfeedback givcn ro rhe per:sott or groltps:;upervi,sad).. _j0 2'9'6' How wtrs thefeedback usecl to tnrproie th'c ove:rall perJt-trtrturtc.a oJ the prolcct/J0 SBCTTON 3: SUPPORT TO CDTI 3.1. EqrrrpvnNr 3.2. FtNnNctel coN'rRrBUr-roNS orr pAllr.Nlrr{s r.rE AND coMMuNr.r.rrrs 2 3.3. OlnsR Fot{MS oF coMMUNt-ty suppor{.t................. 3.4. Exl,[NDlt'utrtrputlnct'tvr.l.y 2 SECTION 4: SUSTAINABILITY oF CDTI 4.1, II.IT'IITTNEI; INDEPIINDENT PAI{]-ICIPAI'ORY MONI'I-OI(IN(;; EVNL,UIT'IICIN. 1' l' l Ll/al; Monitorirtg/cveiluation curriacl oul durirtg llta reltot.ttttg 1tct.iotl',) (ltcA rttt.r' oJ tlrc which ttrc ul4tlicetbla)... /itllorvtrtg ... .. .,, -iJ 1.1.2. U/hetl wcre tltc recttntntcntlctlittn:;'!. ... .i/ 3 Wll()/n l'()( . l.l Nrrisnll)st jOO-l 1.1.3. How have they been intple ntented'?........., 31 4.2. SusrntNnntLITy otr I,RoJECt's: PLAN AND sET t'Alr.clll's (MANDA'l'or{y Ar'. 34 Yrr 3) i+ 1.2.1. Plunning ett ull relevant levels..... ....... jl 1.2.2 F'und:;......... ........... jJ 1.2.3 Transporl (replacemertl and mairttcnartc.a) _l-t 1.2.1. Other resources _i-t y,hut 1.2.5. To exlenl ha:s the plan been irupleruente(1... ....... j.t 4.3. IN'rticlrrvrtc)N..,........... ....... 35 1.3.1. Ivernrcctin dclivery nrcchanisnt.r................. ,....... ....... jj 1.3.2. Trutning..... _ij 1.3.3. Joint supervi.ti'n and nrcniloringwilh other 1trogr,m,\ ......... _lj 1.3.1. lle lausa oJ'JiltulsJitr prtlcc.t ttclivittal;.... ,..,...... Jj 1.3.5. l.s CDTI inc.lutlccl pHC in the hudgcr'?... -i., 1.-1.6. Dc};c'rilrc otlrcr ln'ttlllt l)rout'uuunt,s'lltttt ttt't, rrsitty llrc,('l)'l't \lt'uL,tyt.(,t1ttl lrrtr tlti:s tvtr:; crchievad. I{hql huve bccn the erchievetnutl.t,,? .... -i-, 1.3.7. Dc:;cribc orhar.s ilsl;trc,;' con.sidcrcd irt rlrc ittlcgretrictrt of L'D:L _jj 4.4. Opnnn'troNAt_ nllsEAr{cr-t ................... 36 1'1'1. Strtttttturizc in trut ntora lhutr onc lur(/'ty''(t pul1c tlta r.4tartrttottttl rc,satrt.t,lt ttndcrtqke n in the pro.ject cucct tyilhin the repctrlittg pariocl. ... _j6 1.1.2. I lttrv tvcra tlrc ra:;trlt:s c44tlicd irt tlrc prqjc-cl'/............. ....,..,. j6 SECTION 5: STREN GT}IS, WEAKNESSES, CHALLENGBS, ANI) OPPOTTTUNITIBS ... .. Jo sEc'tloN 6: UNIQUE FEATURIS olr rHIi PROJIICT/OrHER MA'r.I.t us....... J6 4 Wl'lO/n I'OC', 24 Nor,cntbcr. 2004 Acronyms APOC Aliican Programnre lbr Onchocerciasis Control ATO Annual Treatnrcnt Obj ective ATrO Annual Training Objective CAN Christian Association of Nigeria CBO Conrnr un ity-Based Organ ization CDD Cornm un ity-Directed Distri butor CDTI Cornnr u n ity-Di rected Treatmetrt w ith I vcrntcctitr CSM Corrnrun ity Sel l'-Mon itoring ITGN Federal Governmcnt of Nigeria FM Irrequerrcy Modulation CCCC Covernurent Cash Counterpart ContribLrtion II.-ESFI International Foundation tbr Education & Sell-Help LC Local (loverntrent LCA Local Covernrnent Area LOCT Local Covernment Oncliocerciasis Control Teanr MOH Ministry of Flealrh NCDO Non-Governmental Development Organization NCO Non-Governmental Organ ization NOTItr National Onchocerciasis'fask Force NPI National Progranrme on Immunization NTA National Television Authourrity OCBC Ogun State Broadcasting Corporation OCRUMED Ogun State Rural Medical Schetne OGTV Ogun State Television PHC Prirnary Health Care PHC & DC Prinrary Health Care & Disease Control RBM Roll Back Malaria REMO Rapid Epidenriological Mapping of Onchocerciasis SAE Severe Adverse Event SHM Stakeholders rneeting SOCT State Onchocerciasis Control Tcarn TB 1'uberc u losis 1'B/L Tuberculosis and Leprosy Progratnme 'l-cchnical TCC consLrltative cornrnittcc (AIroc scicntillc aclvisorl gr.uLrp) TOT Trainer of traincrs UNICEI.- Urrited Nations Children's Fund IJN IVA University Vi I lage Association UTC U I titn atc'frcatnte.rrt Coa I wHo World Health Organizatiorr 5 WllO/n l']OC. 2J Norurrbe r l(X).1 .i. Definitions (i) Total population: the total populatiorr liviug in nreso/hyper-endenric conruir-rrritrcs within the project area (based on REMO and cerrsirs taking). (ii) Eligible pop,rrlatiorr: calculated as 84o/u ol'thc tottrl populatiort rn rrrcsoilryper- errdertric corlnrunities in the project area. (iii) Anrrual Tre ent Obiective (ATO): tlre estimated nurnber o1'persons lrvins irr nleso/lryper-endcntic areas that a CD'l'l project intcrtds [o Lt'ci,rt witlr rvut.rle!:trr rr a given year. (iv) lJllitttittc Trclt.!!rrcrrt Goill (tJ'l'C): cirlculirtccl as tlrc rrr:rxirrrrrrrr rrrrrrrtrer ol';leoPl,., lo be trcatcd attrtually irt rttcso/ltypcl crrelcrtrie arcas witlrrrr Ilre l)r'()]eel .lre(r. ultirrrlrtcly tt.t bc t'eitcltecJ rvhcn thc plojcct has lcachecl lirll geogr.lrl-rhic ctrvcr.lge (norrlrally the project should bc cxpcctcd Lo leaclr thc U'l'C at Lhe crrcl ol'tlrc -j',r year ofthe project). (v) Tllerapeurtic coverage: nutlber of people treatecl irr a glvc'n _vear ovet thc tptirl population (this should be cxltrcssecl as a pcrce nLage ). (vi) Geographical coveraqe: t.ttttnber of corlrnunities treatecl in ir grverr ycar ovcr.tlre total number of meso/hyper-endernic conrmunities as identiliecl bv REMO rrr rlre project area (this should be expressed as a percentage). (vii) Ittlctlt'ittitltt: clclivcring aclclitional hcalth irrtclverrtiorrs (i.c. viLuntilr A sultlllcrlcrrts. albenc!-."zole fbr LF, screening fbr cataract, ctc.) [hl.oLlgh cDll (r_rsrr.rg Ilre :.rrrre systellls, trairling, supervision and pelsorrncl) in order'to rnaxirnrse cost- efl'ectiveness and empower cornrlrunities to solve rlole ol'thcir health pr-oblcr;s. This does not include activities or irrterveutions carricd or-rl. by cornrrurrity distribLrtors oLrtside of CD'II. (viii) SLrstainability: CDTI activities in an area are sulstainable,,vhen they coptrprrc ro futrction efl'ectively for the lbreseeable firturre, with high Ircatr)rr:nt covcrlgc. integrated into the available ltealthcalc service. *,11, )rlorrg eL)r11rgr)rr-\ ownership, using resources rnclbiliscrl by the conlnrLurty ancl thc gu*r,,,,,.,.,t. (ix) CornmLrnity self:rnonitorins (.CSM): The process by which tlre cor.nrlurrtrrl, is etnpowered to oversee and tnonitor the perlbrmance ol'CD1'l (or alry conllr)L;lrt_\- based health intervention programme), with ii view to.,,sr-,,:i,-,g rlrrrr Llre programme is being executed in the way intendecl. It encourages the ct-rrr,1rLr1it1 to take full responsibility of ivernrectin distribution and rnal<c appr-opr.r1te tnodillcations when necessary. 6 Wl-lOiA POC', 2.1 Novcnr ber. 2004 FOLLOW UP ON TCG REGOMMENDATIONS Usirrg the table below, fill in the recomrnendations ol' thc last 'l'CC orr tlre projcct irrrd descrihc how they have been addressed, TCC scssiorr Numher of TCC ACTIONS TAKEN BY TIIE FOR T('-('/..t P( )( llcc'onnc trktt ion RECOIzIIUIENDATIONS PIIOJECT t\l(i'l'L'5'l;t)\l ) tn thc lleport I -_l (Plcusc uclcl norc rows f'nccessury) 7 Wl lOin l')()('.