JANUARY 22-26, 1990 LOME, TOGOworked closely with the OTAPS Water Supply/Sanitation Specialist, the...

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Sponsored by the U.S. Agencyfor International Development

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PEACE CORPS

GUINEA WORM ERADICATION

PROGRAM START - UP WORKSHOP

JANUARY 2 2 - 2 6 , 1990

LOME, TOGO

WASH FIELD REPORT NO. 296

MARCH 1990

• •'• .i n ^ p

Prepared forthe Peace Corps Office

of Training and Program Supportwith funding support from the Africa Bureau

and Program Policy Coordination Bureau,U.S. Agency for International Development

WASH Task No. 122

WASH Field Report No. 296

PEACE CORPS GUINEA WORM ERADICATION PROGRAM START-UP WORKSHOP

LOME, TOGO

JANUARY 22-26, 1990

Prepared for Peace Corps Office of Training and Program Supportwith funding support from the Africa Bureau

and Program Policy Coordination Bureau,U.S. Agency for International Development

under WASH Task No. 122

-,1-P?»LY

Lee Jennings

andDick Wall

March 1990

Water and Sanitation for Health ProjectContract No. 5979-7-00-8081-00, Project No. 836-1249

is sponsored by the Office of Health, Bureau for Science and TechnologyUS. Agency for International Development

Washington, DC 20523

2>qo?E

CONTENTS

CHAPTER Page

BACKGROUND NOTES iiACKNOWLEDGMENTS ü iACRONYMS vEXECUTIVE SUMMARY vii

1. INTRODUCTION 1

1.1 Background 11.2 Approach and Planning 11.3 Materials Preparation 11.4 WASH Trainer Preparation 21.5 Workshop Site 21.6 Participants 2

2. THE WORKSHOP 3

2.1 Workshop Goals and Methodology 32.2 Overview of Sessions 32.3 Products 4

3. FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS 5

3.1 Trainer Findings and Conclusions 53.2 Recommendations 53.3 Summary of Participant Evaluations 6

APPENDIXES

A. Scope of Work for the Facilitators 7B. List of Participants and Staff 11C. Workshop Schedule 15D. Workshop Session Objectives 19E. Country Work Plans 29F. Summary of Evaluation Results 71

BACKGROUND NOTES

Lee Jennings is a professional trainer with TrainingResources Group. He has been a consultant to the WASHProject for the past seven years. Mr. Jennings servedas Peace Corps Country Director in both the Gambia andUpper Volta.

Dick Wall is an independent training consultant. He wasPeace Corps Country Director in Chad, Mauritania, andZaire, and served as the Peace Corps's first AIDSCoordinator.

11

ACKNOWLEDGMENTS

A number of people contributed to the success of this workshop. At the PeaceCorps, we thank Jaime Henriquez, Water and Sanitation Specialist in the Officeof Training and Programming Support (OTAPS) , who coordinated the workshop; ScottSmith, Training Officer for the Africa Region; and Robert Nicolas, CountryDirector in Togo, and his staff, specially Etienne Apeleté. We also thank DavidYohalem, who was unable to attend this workshop, but whose recommendations guidedthe training design.

Next, we wish to acknowledge the contributions of four experts who attended theworkshop: Dr. Ernesto Ruiz of the Centers For Disease Control in Atlanta;Dennis Carroll of USAID's Office of Science and Technology; Robert Larsen,UNICEF/Nigeria; and Dr. Alhousseini Maiga from WHO/Mali. Their activecollaboration was particularly useful.

Finally, a special note of thanks to Rhonda Trad, from the OTAPS Water andSanitation sector, whose considerable support made the workshop logistics easieron all of us.

iii

ACRONYMS

APCD Associate Peace Corps Director

CDC Centers for Disease Control/Atlanta

GWE Guinea Worm Eradication

GWEP Guinea Worm Eradication Program (PC/OTAPS)

OTAPS Office of Training and Program Support (PC/W)

PATS Programming and Training System (PC/W)

PC Peace Corps

PCV Peace Corps Volunteer

PC/W Peace Corps/Washington

PEVG Programme d'Eradication du Ver de Guinée

UNICEF United Nations Children's Fund

USAID U.S. Agency for International Development (overseas mission)

WASH Water and Sanitation for Health Project (AID/W)

W/S Water and Sanitation Sector (PC/OTAPS)

WHO World Health Organization

EXECUTIVE SUMMARY

The Peace Corps Office of Training and Program Support (OTAPS) and the AfricaRegion have begun an effort to support Peace Corps Programming and TrainingOfficers and Associate Peace Corps Directors (APCDs) with a series of in-servicetraining workshops. As part of this effort, the Water and Sanitation for Health(WASH) Project helped the Water and Sanitation Sector of OTAPS and the AfricaRegion to plan and implement a start-up workshop for Peace Corps's Guinea WormEradication Program. Thirty-four participants, including APCDs and Ministry ofHealth (MOH) representatives from eight West African countries, met 22-26 January1990 in Lome, Togo.

The workshop addressed methods of increasing coverage and effectiveness of PeaceCorps programming to assist national and international efforts against guineaworm disease (dracunculiasis). The process included sharing current Peace CorpsGuinea Worm Eradication (GWE) efforts and applying the new Guinea WormEradication Programming Guidelines within the framework of Peace Corps'sProgramming and Training System (PATS). Participants initiated their own GWEprogramming efforts by developing draft action plans to use upon return to theirrespective countries.

Through this workshop, participants learned of the GWE efforts and resources ofUNICEF, Centers for Disease Control (CDC), Global 2000, WASH, and OTAPS.Participants became aware of GWE programming opportunities and of the currentstatus of national guinea worm eradication programs in the eight countriesrepresented. Their draft action plans will help the OTAPS Water and SanitationSector improve and increase Peace Corps eradication efforts. (See Appendix E forthese plans.)

vii

Chapter 1

INTRODUCTION

1.1 Background

In August and September 1989, the Peace Corps (PC) and the Water and Sanitationfor Health (WASH) Project held two planning meetings on the joint Peace Corps andAID Guinea Worm Eradication Program (GWEP). One outcome was a decision to holda project start-up workshop for Peace Corps staff of certain West Africancountries. Subsequently, PC/Washington received agreement that PC/Togo wouldhost such a workshop in Lome, Togo from 22-26 January 1990. Peace Corps's Officeof Training and Program Support (OTAPS) asked WASH to provide two facilitatorsto help design and implement the workshop.

1.2 Approach and Planning

A collaborative approach prevailed throughout this activity; the WASH consultantsworked closely with the OTAPS Water Supply/Sanitation Specialist, the AfricaRegion Chief of Program and Training, and PC staff in Lome, Togo. The Centersfor Disease Control of the U.S. Public Health Service and the Global 2000 Programof the Carter Center at Emory University supported the specific focus on theguinea worm eradication program.

The workshop approach and its goals and objectives were finalized in November1989 during a team planning meeting at Peace Corps/Washington. The consultantsand Peace Corps collaborated on the workshop design, with final workshoppreparations taking place in Lome four days prior to the workshop.

1.3 Materials Preparation

Each participant received five draft documents: Peace Corps's Guinea WormEradication Program Project Paper; Peace Corps's and USAID's Guinea WormEradication Programming Guide; Peace Corps/WASH's Orientation to Guinea WormDisease: A Guide For Use in Pre-Service and In-Service Training (Training GuideNo. 1); Teaching Guinea Worm Prevention in Secondary Schools: A Guide forTraining Peace Corps Volunteer Teachers (Training Guide No. 2); and HelpingCommunities to Eradicate Guinea Worm (Training Guide No. 3). Handout sectionsof the guides were translated into French, as was the Program Project Paper.French and English versions of the films "The Waters of Ayole" and "The FierySerpent" demonstrated the value of community participation. Copies were madeavailable to the participants.

1.4 WASH Trainer Preparation

In addition to the team planning meeting, the consultants held discussions withWASH activity managers before the workshop. The meeting allowed trainers toacquaint themselves with the workshop objectives and Peace Corps expectations andcompare working styles. The meeting also identified pre/post-workshop activitiesto be undertaken. A briefing was held for Peace Corps/Washington staff and theassistant to the WASH activity manager to review the plans and receive anycomments and suggestions.

1.5 Workshop Site

Participants and workshop staff stayed at the 2 Février Hotel in Lome, where theconference facilities were located. Audiovisual equipment was made availablethrough the hotel and the U.S. Information Service. Workshop outputs were typednightly and printed out for participants the following day.

Please note that although the hotel provided a fully-equipped translation service(an absolute need for this conference), the conference room structure was ill-suited to the relaxed exchange among participants that is so beneficial to thiskind of workshop. This room's tiered seats, arranged in circles and dominatedby a podium, lend themselves to more formal presentations.

1.6 Participants

The workshop served a total of 34 participants: 8 Associate Peace CorpsDirectors (APCDs) from the Africa Region; 13 officials from 8 West Africancountries (water and sanitation specialists, physicians, and health educators);3 Peace Corps Volunteers (PCVs) working in water and sanitation; andrepresentatives from CDC, U.S. Agency for International Development (USAID),UNICEF, World Health Organization (WHO), and Peace Corps/Washington. SeeAppendix B for the complete list of participants and staff.

Chapter 2

THE WORKSHOP

2.1 Workshop Goals and Methodology

To meet the workshop goal, which was to motivate and support PC involvement inthe international effort against guinea worm, the planners laid out sixobjectives:

• Review the Guinea Worm Eradication (GWE) Program Plan.

• Develop short-term (6-12 month), country-specific, GWE activities.

• Develop long-term (12-36 month), country-specific, GWE activities.

• Review and comment on present PC guinea worm projects.

• Identify ways that other agencies such as the Centers for DiseaseControl (CDC), the United Nations Children's Fund (UNICEF), andGlobal 2000 can support country-specific GWE activities,

• Develop a plan for potential technical-assistance needs.

The workshop methodology, based on principles of adult-learning theory,emphasized active participation in sessions designed to encourage discussion andsharing. Small-group work with report-outs and summaries dominated; however,trainers also used panels, films, and presentations. Appendix C contains theworkshop schedule.

2.2 Overview of Sessions

Following a formal opening, the introductory sessions gave participants a chanceto see what the workshop was all about, a chance to get acquainted, and a chanceto share what each knew about guinea worm infestation. (Note: Copies ofspeeches by the Ambassador and the representative of the Ministry of PublicHealth are available at Peace Corps OTAPS and WASH.)

The first afternoon focused on international efforts to eradicate guinea worm andthe Peace Corps role in this effort. By focusing on the global context,participants could see the scope of available resources.

During the second day, participants learned about the Peace Corps's formalprogram to help eradicate guinea worm infestation, and the various ways PeaceCorps volunteers can help. (See Appendix D.) This session gave participants anopportunity to raise and resolve questions about the program. The second halfof the day was devoted to presentations by each country covering national effortsto develop guinea worm control programs.

The third day focused on the range of possible volunteer interventions and onways to use volunteers to create a new program or to expand or strengthenexisting activities. Participants had an opportunity to raise and resolvequestions about the appropriateness of possible volunteer interventions, andabout how to match volunteer activities to national goals.

During the final two days, participants developed a short-term and long-term planto use Peace Corps volunteers in national efforts to control guinea worminfestation. Each country outlined its plan on a form provided by the workshop.Copies of the country work plans appear in Appendix E. The workplans also givePeace Corps a sense both of the urgency of having volunteers participate ineradication efforts and of the kinds of resources that would be necessary.

The French-speaking participants appeared somewhat reluctant to begin the countryworkplans. It took some time to realize that although we were using standardFrench vocabulary to describe the tasks, the words meant different things todifferent people. The choice of brouillon, to indicate a rough plan for thepossible use of volunteers, was perceived by some participants as a request tocommit themselves to using volunteers. One participant finally suggestedexercise to his colleagues, which proved a satisfactory term to everyone. Thisincident may serve as a caution against assuming that because all participantsspeak a particular language, they speak the same dialect or agree upon all wordmeanings.

2.3 Products

The participants generated the following products:

• suggestions for strengthening the GWE Program Plan;

• reports on the current status of national and Peace Corps GWEefforts in each of the eight countries represented (available atPeace Corps OTAPS and WASH);

• lists of principal tasks involved for each of the four GWEinterventions proposed in the GWEP Programming Guide ;

• short/long-term draft workplans that .include objectives, proposedactivities, needed resources/materials, and evaluation indicators.

Chapter 3

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

3.1 Trainer Findings and Conclusions

At the end of the five-day workshop, each country emerged with a plan for usingPCVs. The plans reflected the point at which each country found itself in itsability to eradicate guinea worm. Three countries—the Gambia, Guinea, andMauritania—were unsure of the extent of the problem, and their plans focused onsurveillance as the principal activity. Two countries, Togo and Mali, recognizedthat guinea worm existed in their countries, and their plans focused on ways toinvolve volunteers in continued surveillance, health education, and water supply.Programs were already underway in three countries: Benin, Ghana, and Cameroon.Their program focus was on expanding ways to involve volunteers.

All countries saw value in using Peace Corps volunteers in an eradicationprogram. Although most saw GWEP activities as secondary to a volunteer'sprincipal job, they were open to using volunteers full time as the programsdeveloped.

Technical-assistance requests fell into six general areas: personnel assistance,educational materials , well-construction materials , transportation, and financialsupport for training workshops. There were also requests for media support anddesktop publishing. Initial requests will probably grow both in size and kindas the country plans are put in place.

3.2 Recommendations

1. In bilingual workshops, provide key workshop materials in French andEnglish.

2. Consider single-language workshops that could take place in more-relaxedsettings, since bilingual workshops are restricted to sites that havetranslation services and therefore are very formal environments.

3. Give general orientation to Peace Corps's programming process if anyparticipants have little prior Peace Corps exposure (recommended by theparticipants).

h. Monitor draft country workplans over the next year.

5. Hold a follow-up conference within the next fifteen months (ideally withthe same participants) to review progress, identify difficultiesencountered, redirect resources and energy, update each other on local andregional activities, and include successes and unforeseen obstacles.

3.3 Summary of Participant Evaluations

Overall, evaluations indicated a high level of satisfaction in achieving workshopobjectives. Seventy-five percent of the group felt the workshop "mostly" or"completely" met the goals of motivating and supporting a role for Peace Corpsin GWE efforts, identifying ways donor agencies could be supportive, anddeveloping long- and short-term plans. On the other hand, 70 percent felt theprogramming and training guides were "adequately" to "mostly" introduced,presumably because these documents were in English instead of French. Seventy-six percent also felt the goal of developing a plan for potential GWEP technicalassistance was "adequately" to "mostly" met. As countries become clearer aboutwhat they would like the volunteers to do, the kind of technical assistance theywould require will probably also become clearer.

Nearly everyone thought the conference went well, and particularly liked theopportunity to exchange ideas and develop country plans. No general themesemerged as to what was found least useful or what should be included in thefuture. (Appendix F contains a complete summary of participant evaluations.)

APPENDIX A

Scope of Work

for the

Facilitators

PEACE CORPS

GUINEA WORM ERADICATION PROJECT START-UP WORKSHOP

SCOPE OF WORK

Background

In August and September 1989, the Peace Corps and WASH held two planning meetingson the joint Guinea Worm Eradication Program under Task No. 065. During thosemeetings, the decision was made to plan a project start-up workshop for the staffof up to ten Peace Corps countries in West Africa. In early September,PC/Washington received agreement that PC/Togo would host such a workshop in Lome,Togo from 22-26 January 1990. PC/OTAPS requested WASH to provide twofacilitators to assist them in designing and implementing the workshop.

The goal of the workshop will be to motivate and support PC involvement in theInternational effort to eradicate guinea worm. The specific objectives of theworkshop will be to:

1. Review the GWE Program Plan.

2. Develop short-term (6-12 month) country specific GWEactivities.

3. Develop long-term (12-36 month) country specific GWEactivities.

4. Review and comment on present Peace Corps guinea wormprojects.

5. Identify ways that other agencies such as CDC, UNICEF andGlobal 2000 can support country specific GWE activities.

6. Identify and develop a plan for potential technical assistanceneeds.

Responsibilities

The following tasks are the responsibilities of the consultants:

1. Read and become completely familiar with the summary notesfrom the 14-15 August, 15 September, and 17 October planningmeetings.

2. Participate in a team planning meeting with Peace Corps atWASH. (Scheduled for 24-25 October 1989.)

3. Develop a design and supporting materials for the workshop.

4. Facilitate the 5-day workshop in Lome, Togo.

5. Write the final report which describes the workshop, assessesthe results, and makes recommendations for follow-up.

6. Conduct a debriefing at either WASH or Peace Corps followingthe assignments.

Timing

The field work will take place 18-26 January 1990. The time will be spent asfollows :

18-21 January—Workshop Preparation22-26 January—Conduct Workshop

Personnel

Two consultants will be required for this workshop. Both consultants should beexperienced trainers and facilitators. One of the consultants should beexperienced in water and sanitation programming.

10

APPENDIX B

List of Participants and Staff

11

BENIN

CAMEROON

GAMBIA

GHANA

GUINEA

MALI

GUINEA WORM ERADICATION WORKSHOPJANUARY 22-26, 1990 IN LOME, TOGO

LIST OF PARTICIPANTS

Roger D'Almeida, Peace Corps Deputy Director in Charge of Educationand Health

Dr. Théophile Zohoun, Public Health Professor, Director of NationalHealth Protection at the Ministry of Public Health

Ruth Gibson, Peace Corps Volunteer/Benin

Scott Juall, Peace Corps Volunteer/Benin

Michael Finley, Peace Corps Associate Director in Charge of Healthand Community Development

Deborah Agbor-Tabi, Epidemiologist, Ministry of Public Health,Department of Preventable Diseases, Division of Epidemiology andMalaria

Burang Goree-Ndiaye, Peace Corps Associate Director

Dr. Abdou Jah, Health Department

Seth Adu-Assah, Coordinator of Training for Rural Development

Mary Arday-Kotei, Senior Health Educator, Ministry of Public Health

Suzanne Poland, Training Officer

Dr. Moussa Keita, National Director for Control of Malaria and OtherParasitic Diseases

Lynn Uttal, Associate Director of the Peace Corps in Charge ofHydraulic Ressources

Hamadoun Cisse, Social Affairs Technician in Bandiagara

Dr. Haidara, National Coordinator of Guinea Worm Eradication,Ministry of Public Health

13

MAURITANIA

Brownie Lee, Peace Corps Associate Director in Charge of Educationand Health

Cisse Gualadio, Sanitary Engineer, Ministry of Public HealthTOGO

Tchao Bamaze, Peace Corps Associate Director in Charge of Educationand Health

Mary Marrow, Peace Corps Volunteer/Togo

Dr. Ananou Anoumou Edorh, Chief Physician, Division of Major EndemicDiseases

Dr. Kpinsaga Djarba, Chief Physician of Habo, Notse

Dr. Adjogble Kokou Sewonou, Chief Physician of Bassar

Dr. Ocloo Ayaovi Avuletey, Chief Physician of Wawa, Badou

Ayele Foley, Peace Corps Consultant

CENTERS FOR DISEASE CONTROL

Dr. Ernesto Ruiz, CDC/Atlanta

USAID

Dennis Carroll, USAID/Washington

UNICEF

Robert Larsson, UNICEF

Michel Saint-Lôt, Consultant, UNICEF

WHO

Dr. Alhousseini Maiga, WHO/Mali

WASH

Lee Jennings, Trainer

Dick Wall, Trainer

PEACE CORPS/WASHINGTON

Jaime Henriquez, Water and Sanitation Specialist, OTAPS, ConferenceCoordinator

Scott Smith, Training Officer, African Region

Rhonda Trad, Water and Sanitation Sector, OTAPS

14

APPENDIX C

Workshop Schedule

15

UNITED STATES PEACE CORPSGUINEA WORM ERADICATION PROGRAM-START-UP WORKSHOP

JANUARY 22-36, 1990 IN LOME, TOGO

8:30 an

9:00 am

12:30 Ptt

U:30

18:00

19:00

Monday

SESSION 1:Introduction

* OpeningCeremony

* Introductions* Icebreaker* Expectations* Objectives/

Schedule* Working Norms

SESSION 2:Life Cycle,Causes, & EffectsOf G.U.

LUNCH

SESSION 3:InternationalEffortsto Eradicate G.W.

SESSION 4:Peace Corps1

G.W.E. Program

* PanelPresentations

* 0 & A* Wrap-Up

Tuesday

SESSION 5:G.W.E. ProgramGuidelines

SESSION 6:CountryPresentations onG.W.E. Efforts byHost Country andPeace Corps

Wednesday

SESSION 7:Potential PCVActivities

AFTERNOON FREE

Meeting of APCOswith Africa RegionTraining Officeron PC/AfricaIssues

Thursday

SESSION 8:Developing ActionPtans

SESSION 8:(Continued)

* Sharing/DiscussingShort TermAction Ptans

* Refining ShortTerm ActionPlans

Friday

SESSION 9:Developing ActionPlans

SESSION 9:(Continued)

* PresentingLong-TermAction Plans

SESSION 10:Closing andEvaluation ofWorkshop

* ReviewIdentifyingnext step

* Evaluation* Closure

RECEPTION

APPENDIX D

Workshop Session Objectives

19

ATELIER SUR L'ERADICATION DE LA MALADIE DU VER DE GUINEEGUINEA WORM ERADICATION WORKSHOPJANUARY 22-26, 1990 IN LOME, TOGO

OBJECTIFS DE LA 1ère SEANCEOBJECTIVES OF THE 1st SESSION

A la fin de cette séance, les participants auront:

By the end of this session, the particpants will have:

1. Fait connaissance les uns/les autres, les experts, et les organisateurs.

Become acquainted with one another, the experts and the organizers.

2. Discuté et clarifié leurs attentes pour l'atelier vis-a-vis du but et desobjectifs visés.

Discussed and clarified their expectations for the workshop vis-a-vis thegoal and objectives set.

21

OBJECTIFS DE LA 2eme SEANCEOBJECTIVES OF THE 2nd SESSION

CYCLE DE VIE DU VER DE GUINEE, LES CAUSES ET LES EFFETS DEL'INFECTION PAR LE VER DE GUINEE

GUINEA WORM LIFE CYCLE, CAUSES AND EFFECTS OF GUINEA WORM INFESTATION

A la fin de la séance, les participants seront capables de:

By the end of the session, the participants will be able to:

1. Expliquer le cycle de vie du ver de Guinée.

Explain the life cycle of the guinea worm.

2. Enumérer les causes de l'infection par le ver de Guinée.

List the causes of guinea worm infestation.

3. Décrire les effets adverses sociaux et économiques de la maladie.

Describe the social and economic impact of the disease.

22

OBJECTIFS DE LA 3eme SEANCEOBJECTIVES OF THE 3rd SESSION

LES EFFORTS INTERNATIONAUX D'ERADICATION DE LA MALADIE DU

VER DE GUINEE

INTERNATIONAL EFFORTS TO ERADICATE GUINEA WORM

A la fin de la séance, les participants seront capables de:


1. Décrire les programmes de chacune des organisations participantes.

Describe the activities of each of the participating organizations.

2. Décrire comment le programme GWEP du Corps de la Paix peut s'intégrer dansl'effort global d'eradication du ver de Guinée.

Describe how Peace Corps's GWEP can fit into the global GWE effort.

3. Identifier les diverses manières dont le Corps de la Paix pourraitcoopérer avec d'autres agences internationales pour 1'eradication du verde Guinée.

Identify ways in which Peace Corps could cooperate with otherinternational agencies in guinea worm eradication.

4. Identifier comment les participants peuvent profiter des ressources desautres.

Identify how workshop participants can take advantage of each others'resources.

23

OBJECTIFS DE LA 4eme SEANCEOBJECTIVES OF THE 4th SESSION

LE PROGRAMME D'ERADICATION DE LA MALADIE DU VER DE GUINEE

PEACE CORPS'S GUINEA WORM ERADICATION PROGRAM

A la fin de la séance, les participants seront capable de:


1. Expliquer le but global et les objectifs du Programme d'Eradication du Verde Guinée (PEVG).

Explain the overall goal and objectives of the Guinea Worm EradicationProgram (GWEP).

2. Citer les activités clés du PEVG

Cite the key GWEP activities

3. Enumérer quelques indicateurs de performance pour la fin du PEVG.

List several end of GWEP performance indicators.


LE MANUEL DE PROGRAMMATION POUR L'ERADICATION DE LA MALADIEDU VER DE GUINEE

PEACE CORPS'S GUINEA WORM ERADICATION PROGRAMMING GUIDE


By the end of this session, the participants will have;

1. Expliquer pourquoi le Corps de la Paix devrait être impliqué dans1'eradication du ver de Guinée.

Explain why Peace Corps should be involved in guinea worm eradication.

2. Discuter la gamme des interventions possibles pour 1'eradication du ver deGuinée et expliquer pourquoi quatre parmi-elles sont appropriées pour lesvolontaires.

Discuss the potential range of GWE interventions and explain why four ofthem are appropriate interventions for PCVs.

3. Citer les activités possibles des volontaires du Corps de la Paix.

Cite the possible activities of Peace Corp Volunteers.

25

OBJECTIFS DE IA 6eme SEANCEOBJECTIVES OF THE 6th SESSION

PRESENTATIONS PAR LES PAYS CONCERNANT LES EFFORTSD'ERADICATION DU VER DE GUINEE

COUNTRY PRESENTATIONS ON GUINEA WORM ERADICATION EFFORTS

A la fin de la séance, les participants seront:

By the end of the session, the participants will be:

1. Au courant des efforts d'eradication du ver de Guinée dans chaque pays.

Familiar with the GWE efforts underway in each country.

2. Informés des ressources disponibles dans chaque pays.

Informed about the resources available in each country.

26


LES ACTIVITES POTENTIELLES DES VOLONTAIRESDU CORPS DE LA PAIX

A la fin de la séance, les participants seront capables de :


1. Décrire, pour une des quatres interventions primaires, quelles sont lestâches principales, et lesquelles sont appropriées pour les volontaires.

Describe, for one of the four primary interventions, what are theprincipal tasks, and which are appropriate for volunteers.

2. Enumerer les besoins divers en formation et en ressources matérielles pouraccomplir ces tâches.

List the training and other resources needed to do these tasks.

27

OBJECTIFS DES 8eme ET 9eme SEANCESOBJECTIVES OF THE 8th AND 9th SESSIONS

ELABORATION DES PLANS D'ACTIONS

DEVELOPMENT OF ACTION PLANS


By the end of this session, the participants will have:

1. Elaborer un plan d'action pour chaque intervention pour 1'eradication duver de Guinée dans leur pays où il y a la possibilité d'utiliser unvolontaire du Corps de la Paix.

Developed a plan for each guinea worm eradication intervention in theircountry that has the potential for Peace Corps Volunteer involvement.

2. Organisé ces interventions potentielles dans un plan d'action à long-termepour leur pays.

Organized these potential interventions into a long-term action plan fortheir country.

3. Développé un plan d'action a court-terme et une stratégie afin decommencer la mise en place du plan d'action à long-terme.

Developed a short-term action plan and strategy for beginning to implementthe long-term plan.

28

APPENDIX E

Country Work Plans

29

UNITED STATES PEACE CORPS' GUINEA WORM ERADICATION PROGRAMLOME, TOGO, JANUARY 22-26,1990

ACTION PLAN: 1990-19__

COUNTRY: Mauritania

PREPÁREOS/: Clssé Gustadlo and Brownie Lee

WHERE AR£ YOU GOING?

(Objectives)

By May 1990 Peace Corps w ibe abte to determine Its role Inthe national GWE ptan.

HOW ARE YOU GOING TOGET THERE?(ActMttes)

Regular communication withMOH/W/S national and localauthorities.Attendance at meetingsorganized by MOH and UNICEFSite visits to PCVsDrafting of preliminary PCproject plan

WHAT DO YOU NEED?

(Resources/Materials)

* UNICEF Consultant

PC Consultant (Travel, perdlem-#OTAPS; Iodglng-»PC>

* Transportation, per diem cashfor APCD, HCN authority

HOW WILL YOU KNOW WHENYOU HAVE ARRIVED?

(Evaluation Indicators)

PreHmhary National PlanChoice of potential PCV sitescompletedAgreement signed betweenPC and MOHPreimlnary Project Ptan (PC)completed (VAD, etc.)

u>By September 1990 all PCVs wHIbe able to describe GWEP andW/S Volunteers wM be abte toImplement GWEP activities.

* 1ST Omnibus June

PST June - September

OTAPS Funding for 1ST OmnibusPC consultant continuesthrough first week July (wHIplan/Implement 1ST sessionsand one week PST)PSC Technical Trainer for PSTTraining Materials (PC .WASH)HCN consultants for PST

' Evaluations of PST, BT

* GWEP activities Integrated Intoa l sectors of PCV activities

Trimester reports from W/SPCVs

By June 1990 surveys wfl havebeen completed h 27communities. Group I.

Training of PCVs and HCNcounterparts. (Threecounterparts/PCV,9 PCVs x 3 = 27)Data cotectton - cases, watersources, etc.

Training materials (PC, WASH,UNICEF)Funding for transportation, perdiem of HCN counterparts(UNICEF)Survey Materials (MOH)

National Survey Report

PCV Survey Results to APCD

APCD synihesfe of PC results toMOH

By December 1990 27communities will begin toorganize GWEP activities.

Local meetings, educationalacflvrtfes reinforced by nationalcampaign.

Didactic Materials (PC, WASH)Transportation, per diemUNICEFNational Campaign - Radio, TV(MOH, UNICEF)

PCV Trimester ReportsAPCD/MOH Site visitsSubmission of project proposals

By December 1990 27 differentcommunities wIN have beenresurveyed by PCVs and HCNcounterparts. Group II.

Training of PCVs and HCNcounterparts (3 counter-parts/PCV 3 x 9 PCVs = 27)Data cotfecHon - cases, watersources, etc.

Training materials (PC, WASH,UMCEF)Funding for transportation, perdiem of HCN counterpartsUMCEFLocai Survey materials (PC,UMCEF)

PCV Trimester ReportsRevision of original surveyResults In 27 vlages

By Aine 1991 27 communitiesIn Group H will begin toorganize GWEP activities.

Local meetings, educationalactivities reinforced by nationalcampaign.IST-February 1991

Didactic materials <PC, WASH)Transportation per dtem UMCEFNational Campaign-Radio, TV(MOH, UNICEF)1ST HCN consultant costs -OTAPS

PCV Trimester ReportsAPCD/MOH Site VisitsSubmission of project proposalsEvaluation of 1ST

By September 1991 there wllbe at least one source ofpotable water In each of the27 communities in Group I.

Construction of new wetsTreatment of old weHs andother sources of water

Funds for we* , etc., projectsUMCEF, USAtD-SPA, OXFAM

PCV Trimester ReportsAPCD/MOH Site visitsSubmission of project proposals

NJ

By September 1992 there winbe at least one source ofpotable water in each of the27 communities In Group II.

Construction of new weteTreatment of old welts andother sources of water

Funds for wells, etc., projectsUMCEF, USAIDSPA, OXFAM

PCV Trimester ReportsAPCD/MOH SJte VisitsSubmission of project proposals

NOTE:Group 3 to folow Group 1.Group 4 to folow Group 2.IF NECESSARY. PLEASE SEE TIME UNE NEXT PAGE.

By January 1994-0 affected villages in Group I (3)By January 199S - 0 affected villages In Group 2 (4)

1990

DRAFT - GWEP/PC = MAURITANIA

1991 ! 1992

10

GROUP 1 - (n = 9 x 3 = 27)

Mobilization

! I I

INationalSurvey

• !'íi:-.<u ; r-

GROUP II - (n = 9 x 3 * 27)

.11

PST

12

Local Survey

Water Supply

I I 1

Mobilization

1ST

9 10

Water Supply

GROUP 3?

IP.S.T. SURVEY ?

11 12 1 2 3 4 5 6 7 8 9 10 It 12

Water Supply

GROUP 4

i rP.S.T. SURVEY

9/93

9/94

JANUARY 1994

GROUP I - 27 VILLAGES = 0 AFFECTED

JANUARY 1995

GROUP II - 27 VILLAGES = 0 AFFECTED

WHERE ARE YOU GOING?

(Objectives)

Peace Corps/Ghana shoulddevelop and agree on a GWEprogram for Peace Corpsvolunteers by April 199a

UNITED STATES PEACE CORPS' GUINEA WORM ERADICATION PROGRAMLOME. TOGO. JANUARY 22-26, 1990

ACTION PLAN: 1990-19

COUNTRY: Ghana

PREPARED BY: Mary and Setti

Short Term Plan

WHAT DO YOU NEED?HOW ARE YOU GOING TOGET THERE?(Activities)

1.1 Closely study National ActionPlan.

1.2 Conduct meetings withAgencies involved In GWEseparately and as a group todiscuss draft pkm by March1990.

1.3 Review draft plan by mlcl-Aprll1990.

1.4 Conduct meeting to approvereviewed plan by end of April1990.

1.5 Obtain financing for programfor activities which fall outsidethe usual budgetary allocationof PC.


ManpowerCopies of draft piansCopies of National GWE planstationery

HOW WILL YOU KNOW WHEN YOUHAVE ARRIVED?


1.1 Approved P/C GWE plan byAprlf 1990.


(Objectives)

To Increase the number ofPCVs working (n GW endemicareas from 7 to 25 by the endof 1990.

HOW ARE YOU GONG TOGET THERE?(Activities)

2.1 Collect information onendemic areas by February1990.

2.2 Organize first on GW forVolunteers working In GWendemic areas In March 1990.

2.3 Provide orientation on GWEfor aH new volunteers duringJune-September 1990 duringPST.

2.4 Assign at least 20 PCVs to GWendemic areas In September1990.

2.5 Monitor Activities of newvolunteers working h GWendemic areas hi December1990.

WHAT DO YOU NEED?


TransportStationeryTraining GuidesStationeryRip ChartsManpowerFinance

Do

HOW WIL1 YOU KNOW WHEN YOUHAVE ARRIVED?


Presence of PCVs at GWendemic areas.

TransportationFinance

UNITED STATES PEACE CORPS'S GUINEA WORM ERADICATION PROGRAMLOME. TOGO. JANUARY 22-26, 1990

ACTSONPLAN: 1990-19_

COUNTRY: Ghana

PREPARED BY: Mary and Seth

WHERE ARE YOU GONG?

(Objectives)

1. Peace Corps/Ghana shoulddevelop and agree on a 3 yearGWE program far PCVs by April1990.


1.1 Closely study national action plan.

1.2 Conduct meetings wtth AgenciesInvolved In GWE separately andas a group to dtecuss draft planby March 1990.

1.3 Review draft plan by AprH 1990.

1.4 Conduct meeting to approvereviewed plan by April 1990.

WHAT DO YOU NEED?


1.1 Manpower

1.2 Copies of draft plans

1.3 Copies of National GWE Plan

1.4 Stationery



1.1 Approved PC GWE plan by April1990.

To Increase the number of PCVsworking in GW endemic areasfrom 7 to 75 In 3 years: 1990 -1993.

2.1 Collect Information on endemicareas by May 1990 andsubsequent years.

2.2 Assign PCVs by September 1990and subsequent years.

2.3 Provide PCVs wtth Informationabout their sites during PST.(September 1990/91/92/93)

2.1 Manpower

2.2 Transportation

2.3 Stationery

2.4 Housing

2.5 Handouts

2.1 Presence of 75 PCVs working InGW endemic areas by 1993.


(Objectives)

PCVs in G.W. endemic areas toassist fn survefllance activities inGWE from 1990-1993.


3.1 Tracing of PCVs Cxi(a) National GWE Plan(b) Surveillance Strategy beingpromoted and how to collectdata/tnformarton and forms used.

3.2 Assist In active search to confirmGW endemic areas (Jan. 1991-1993)

3.3 Assist counterparts In compilingmonthly reports.

WHAT DO YOU NEED?


3.1 Training Guides3.2 Rip Charts3.3 Reporting Forms3.4 Stationery3.5 Manpower3.6 Finance3.7 Logistics

e.g. Transportation


(Evaluation Indfcators)

3.1 Number of PVCs trained andassisting In Guinea WormSurveillance

00

4. To train and ensure that all PCVsposted to GW endemic areasassist with community educationand action In GW eradicationfrom 1990-1993.

4.1 Trahlng of PCVs In:* Health Education" Community Development• National GWE Program

4.2 Selection of appropriateeducation tools

4.3 Implement education (March1990 - first)

4.3.1 Identificationand training of local counterparts(Aprt/May 1990)

4.3.2 Assist In dUMbutton of fitters

4.3.3 Monitor use of filters, etc.

OTAPS4.1 Training Guides4.2 Rip Charts4.3 Reporting Forms4.4 Stationery4.5 Manpower4.6 Finance4.7 Logistics (transport)4.8 Visual Alas (e.g. posters, fUms4.9 Filters

TransportationMode: motorcycles

4.1 Number of PCVs trained andassisting In health and communityeducation.

4.2 Number of tocai people trainedto carry out education.

4.3 Number of people filtering theirwater


(Objectives)

HOW ARE YOU GOING TOGET THERE?(ActMtles)

WHAT DO YOU NEED?

(Resources/Materlab)

HOW Wi l l YOU KNOW WHEN YOUHAVE ARRIVED?


To train and ensure that all PCVsposted to GW endemic areasassist In Water and SanitationImprovements and expansionactivities In GWE from 1990 to1993,

1 0

5.1 Training of PCVs to improvecommunity water sources* Hand dug wels"Ponds•Springs•Rainwaterand encourage communities toobserve personal andenvironmental hygiene.

5.2 Assist communities take Inventoryof water sources

5.3 In conjunction with GWSC andUNICEF, assist communities toexpand their water supplies bybuilding wels, rainwaterharvesting, spring catchments.

5.4 Training communities to maintainand repair water sources.

5.1 Training Guides

5.2 Hip Charts

5.3 Reporting Forms

5.4 ' Stationery•Manpower* Finance•Logistics

(transport)visual Aids•Posters•Fftns•Cassettes•ProjectorsConstruction Equipment* dewaterlng pumps•wed formsConstruction tools•Pickaxes* shovels, spadesConstruction Materials'Cement•Stones* Btocte/Brlcte•Sand

PAMSCAD/WBFundngGlobal 2000

6.1 Number of PCVs trained andworking In GW waterImprovement and latrineconstruction.

5.2 Visual Aids avalabfe for use

5.3 Number of welis dug

5.4 Number of water sourcesprotected.

5.5 Number of handpumps repaired.

5.6 Number of latrines buNt.


(Objectives)

HOW ARE YOU GOING TOGET THERE?(Activities)

WHAT DO YOU NEED?




Establish Information sharingmechanism within and outside thecountry.

6.1 Share Information with othervolunteers and counterpartsduring informal social contacts.

Ó.2 Provide opportunity for sharingexperiences m GWE activitiesduring 1ST.

6.3 Volunteers should write articlesand also collect articles fromcounterparts on GWE activities forpublication In newsletters withinand outside the country.

6.3 1 ManpowerLogistics

1 Forms'Stationery

6.3 Regular/Quarterly appearance ofnewsletters during programperiod: 1990/1993.

UNITED STATES PEACE COUPS' GUINEA WORM ERADICATION PROGRAMLOME, TOGO, JANUARY 22-26,1990


COUNTRY: The Gambia

PREPARED BY: Dr. Abdou O. Jan and Burang Goree-Ndfaye

WHERE ARE YOU GOfNG?

(Objectives)

To carry out a national searchto determine the occurrenceand prevalence of guineaworm Infection by December31,1990.

To elaborate a plan of actiondepending on the outcome ofthe survey, by end of January,1991.


Consultations wHI be heldamong Medical and Healthservices officials, WHO andUNICEF personnel and PeaceCorps representative on thescope and modalities of anational survey by end ofMarch 1990.

Survey materials such as aquestionnaire, posters andvisual aids wW be designedand produced by end of April1990.

vilages to be covered In thenational search wtl beIdentified and Usted by end ofApril 1990.

Personnel to carry out theproposed national search w lbe determined and advised oftheir Involvement, and alllogistical plans wtK be finalizedby end of May 1990.

WHAT DO YOU NEED?


Finance {from WHO andUNICEF) to covertransportation and fuel costs,and per diem for surveypersonnel.

Personnel8 Reid Supervisors87 Interviewers which w lInclude 55 primary health careextenstonists, 12 Peace Corpvolunteers, and 20 teachers

SuppHes and StationeryPaper for questionnaires,posters and visual aids



Consultations held by datespecified.

Questionnaire designed andproduced; posters and visualaids developed.

Number of vHages Identifiedand feted by specified date.

Number of persons Identifiedand contacted forparticipation In survey byspecified date.


(Objectives)

ro


Questionnaire and posters willbe pre-tested and modified asappropriate by end of May1990.

Interviewers will be trained In aone-day training workshop byfirst week of June 1990.

Survey will be conducted asplanned from June 15 toSeptember 1990.

Cotation and analysis of datawill be done by end ofNovember 1990.

Dissemination of results will beeffected by end of December1990.

Fctow-up action wll bedetermined by January 31,1991.

WHAT DO YOU NEED?

(Resources/Matertab)



Conduct pre-testtng exercise

Conduct of one-day trainingexercise.

* Completion of survey exerciseas planned.

' Completion of data analystsexercise.

* Production and distribution ofsurvey report to appropriateInstitutions/agencies.

UNITED STATES PEACE CORPS' GUINEA WORM ERADICATION PROGRAMLOME, TOGO, JANUARY 2-26, 1990

ACTION PLAN: 199 -19

Count y: Guinea Prepared by: Da Moussa. Keita

OJ

Where are you going?(Objectives)

Report to the Ministryof Public Health andPopulation

Develop andimplement asystem of casereporting

Seeking intersectorialcollaboration betweenoperators in ruralareas

How are you going toget there?(Activities)

--written report--film projections

--D'oyole water- - Snake

--meeting with SNIS--revision andreadaptation ofdata reportingforms

--meeting with SNAPE--review forms forsocio-economicsurveys includingGuinea Worm

1

What do you need?(Resources/Materials)

How will you knowwhen you have arrived?(Evaluation Indicators]

--Decision made ornot?

--Collaborationobtained or not?

--No. of formsrevised orelaborated

--Collaborationobtained or not?

--No. of aidsrevised ordeveloped


Implement a populationinformation system

Request assistance forin-depth epidemiologicalresearch if thereis case reporting

Request Guiñeanparticipation ininter-countries meetingson Guinea Worm

Identify and createa system of collaborationbetween PC and MSPP inthe areas of informationand possible fieldactions


--meeting with EPS--meeting with RuralRadio

--develop audio-visual aids

--Submission ofgovernment requestto:

--UNICEF--WHO--WHAS--CDC--etc.

--Submission ofgovernment requestto:

--WHO--UNICEF--CDC--WHAS

--Mutual information--Periodical meetings


--Consultant--Assistance fortransportation

--per diem

--Invitation notice--ticket--per diem andtravel expenses

How will you knowwhen you have arrived?(Evaluation Indicators)

Consultant yesor no?Assistance obtainedor not?Per diem obtainedor not?

Invitation obtainedor not?Ticket obtainedor not?Travel expensesobtained or not?

UNITED STATES PEACE CORPS* GUINEA WORM ERADICATION PROGRAMLOME, TOGO. JANUARY 22-26.1990


COUNTRY: Guinea-Conakry

PREPARED BY: APCD S. Poland and Dr. M. Ketta

WHERE ARE YOU GONG?

(Objectives)

1. Peace Corps/Guinea remainsInformed on the GWE efforts ofthe GOG Ministry of PubicHealth and Population (MSPP),so that future coKaborcrtton isfadltoted.

MSPP-GWE Coordinator is keptInformed of a» PC activitiesInto which GWE activitiescould be Integrated.


la. Regular meetings (monthly)with the GWE Coordinator.

b. Official letter from GWECoordinator outlining theMSPP's decision regarding aNational GWE program

c. Recruit one PCV to act ascoordinator for newsletter

2a. Regular meetings (monthly)with the GWE Coordinator.

b. Invite GWE Coordinator to theFebruary meeting to discussand refine task analysis of theCommunity Development-Public Health & SanitationPCVs. (Other participants areMinistry of Decentrateatton,MSPP-Heatth EducationDepartment, SNAPE. UNICEF,MPIC and PC)

WHAT DO YOU NEED?


Regular secretarial servicesand time of APCD and GWECoordinator and PCV



la. Meetings take place andminutes are read

b. Letter ts received by March 15.announcing decision

c. Guinea contributes articles tonewsletter.

2a. Meetings take place andminutes are read

b. GWE Coordinator attends thetask analysis meeting and/orreceives the minutes of themeeting by end of February1990.

c. GWE. Malaria Vector Control,Hygiene Education, etc.,which are proposed areIncluded In task analysis asappropriate. 15PCTS.

WHERE ARE YOU SONG?

(Objectives)

3. Use the llalson-colaboratlonbegun through this workshopas a means to establsh alargw colotoorarlon with theMSPP-Olrectlon oí the Controlof Malaria and other parasitic

a\


3a. Meet with GWE Coordinator(Director of Matarla Control)and MSPP-Health Educationrepresentative to prepare PSTsessions on secondaryactivities possible In:

GWEawareness/Informationand survellanceMalaria Vector Control

* Hygiene Education, etc.

Meeting April, 1990.

b. Invtre GWE Coordlnator-Dlrector of Matarla Control topresent sessions at PST.

c. Send someone to TOT aspossible future PST trainer.

WHAT DO YOU NEED?


Technical Manuals andtraining materials from WASH-already exist

Slot for MSPP-Heatth Educationemployee In the June TOT orother candidate

HOW Wi l l YOU KNOW WHEN YOUHAVE ARRIVED?


3a. Meetings take place

b. Sessions planned by June 15,1990

c. Sessions are given duringAugust - October PST.

d. MSPP-sends someone to JuneTOT

e. 21 PCTs Informed of possfblWiesin GWE and other secondaryactivities

4. Inform dá PCVs In Guinea ofthe International Guinea WormEradication Effort and theGOG-MSPP national plan.

4a. Prepare an Information sheetwith the GWE coordinator,

b. Send to all PCVs with theregular quarterly APCDnewsletter In March.

Technical Manuals 4a. Sheet Is prepared

b. Newsletter received by PCVs(38 PCVs) by March 31, 1990.

Include dfrector of MalariaControl (aGWE Coord.) Incontinuing dbcusstons withSNAPE, UNICEF andDecentrattEOtton on IncludingPCVs In second phase ofSNAPE program -amenagemats des pointsd'eau, as part of theCommunity Developmentproject.

Foftow the IPS steps - continuenegotiating the projectagreement but also InviteGWE coorcflnator or providehim with minutes. Discussduring CMPB preparationFebruary-April, 1990.

Possible programmingconsultant from OTAPS/Waterand Sanitation In FY91.

Possible trainer for PST fromOTAPS

5. CMP8 FY 91 includes results ofthese programming discussions

WHERE ARE YOU GONG?

(Objectivos)

HOW ARE YOU ©OING TOGET THERE?(Activities)

WHAT DO YOU NEED?




Develop a more detailed planof action for Integration of©WE activities Into PCVactivities, as may beappropriate and consistentwith the National plan forGWE. by end of June, 199a

6a. Decide In April 1990 afterMSPP has made decision onNational Plan whether or notPCV Involvement (s desirableand appropriate, In the GWEeffort.

b. Use the Information anddiscussions from this workshopto complete a more detailedplan of action for PCVIntegration Into national plantor GWE- by June, 1990.

c Make contacts for anyresources necessary asfblfowup from dtecusslons atthis workshop.

* National Plan for GWE

* Materials from this Workshop

* Addresses, Telephone. Telex ofcontacts from CDC. WHO,UNICEF, OTAPS

Possible 1ST training assistance fromOTAPS for FY 91,

6a. Plan exists or not.

b. A revised, detailed plan ofoctton Is sent to GWEInternational contacts byJune, 1990.

c. MSPP and PC send proposalsfor assistance to theappropriate agencies byJune, 1990.


ACTION PLAN: 199 -19

Country : Benin Prepared by: Roger C. d'Almeida

Objective:

To reduce by 30% the incidence of Guinea Worm by December 1990

vo


Check the work of newhealth worker volunteersin the UNICEF projectfor the area

Find out how USAIDand UNICEF Projectsin the area aredeveloping

Investigate possibilitiesof new volunteers workingon the national programof Guinea Worm control


--Remind UNICEF ofschedule of activitiesfor volunteers in thefield

--Follow-up with UNICEF

--Check activities withUNICEF

--Attend quarterlycoordination andfollow-up meetings


Communication media

Transportation

-- USAID/UNICEF:National Coordin.

--transportation

--work documents


Contact UNICEF1/27/90

Contact UNICEF1/31/90

Tours completed2/7/90

between 2/20/90and 3/31/90

Ui

o


Promote activities toeliminate Guinea Wormin the field betweenFebruary-December 1990


--Visit volunteersin the field

--Provide data onpossibilities ofvolunteers workingin program

--Contact UNICEF andUSAID re need ofvolunteers

--Contact other partnerto explore possibleuse of volunteersin the program

--Plan activities andnumber of volunteersin the plan

Help volunteers to:--Identify boreholessites and makeinventory ofexisting boreholes

--Sensitize communitiesto mobilize them foractive participationin control program

--Install traditionalwater points


USAID reportsUNICEF reportNational Plan ofcontrol of GuineaWorm

--UNICEF, USAID

--Technical minis-tries involved inthe plan

- - transportation- - collaborators

--didactic andpedagogicalmaterials

--tools, builders,constructionmaterials

--reports, surveyi forms


No. of sitesidentified permonth

No. of peoplesensitized permonth

No. of water pointsinstalled per mo.

No. of Guinea Wormcases in the areabetween two periods.

No. of partnerstrained at peripherallevel after eachrefresher course.

No. of villagerstrained before nextrefresher coursefor operators atthese levelsrefresher coursefor operators atthese levels

m


Request from headquartersnew volunteers to workin the Guinea WormControl Program

Organize a P.S.T. forfuture volunteers

Install new volunteersat their posts

Plan in collaborationwith other partnersseminar on progress ofaction plan


--Collect, review andanalyze data on GuineaWorm and assurefeed-back

--Train partnersintervening atperipheral levels

--Create socio-sanitarydevelopment committees

--Develop documentsrequesting volunteers,specifying dutiesand functions ofvolunteers, numberof volunteers indifferent areas

! --Transfer of documentsto headquarters

| for 1991

1--Feedback data toheadquarters

| --Research on human,| material and financial| resources for course

organization

iWhat do you need?


--human resources--financial/materialresources

- - transportation--didactic materials

- - Collaborators,transportation

Reports, telegramsCMDB, QTRS, VACOTAPS: Trainer/consultant needed

Transportation

Trainers, Trainingsites, logisticalarrangements forcourse (materialand financialresources)

Transportation

Ministries andother partners atnational level

How will you knowwhen you have arrived(Evaluation Indicators)

Between 3/31/90and 4/30/90

Between April andMay 1990Between Septemberand December 1990

Between September1990 and December

! 1990

IO



--Attend course

--Visits beforehandto posts assigned

--Contacts with centraland local authorities

--Discussions andexplanations onduties andresponsibilitiesof future volunteersin the area.

--Installation ofvolunteers at theirposts.

--Consultation meeting--Preparation ofworkshop

--Identification ofparticipants, sitesand dates

--Identification ofendemic villagesto visit duringseminar


District Chiefs,physicians,Possible Chiefsand Collaborators

Transportation

All partners ofcontrol programs--material resourc.--finane, resources


December 1990

September-December1990

UNITED STATES PEACE CORPS' GUINEA WORM ERADICATION PROGRAMLOME, TOGO, JANUARY 22-26,1990

ACTION PIAN: 1990-19_

COUNTRY: Cameroon

PREPARED BY: Deborah Agbor-Tabf and Michael flnley

u>


(Objectives)

Census of all vllages inExtreme North and Northprovinces by PCVs and theircounterparts.

PCVs and counterpartsdelineate and confirm allInfected vllages In extremenorth and north provinces

Investigate passive casereports from other drvbtons byPO/MOH/Peace Corps


A. Modrfy GW Distributionquestionnaires

B. Initial contact for avalabllty(OTAPS)

C. Send In detated proposal andbudget plan for workshop toOTAPS

D. Workshop for aH PCVs In Northand extreme North provincesand selected counterparts tohetp with census

E. Census

A. Modify ©W confirmationquestionnaire

B. Workshop (see Obj/1)

A. MOH project officer goes toManyu, etc.

8. PO and APCD determineareas for PCVs Intervention

WHAT DO YOU NEED?


a) Questionnaire

b) Personnel:20 PCVs10 counterpartsNational P.OAPCU

c) OTAPS - Consultant forworkshop

d) Means of transport1) Motorcydes/fuet2) Allowance for PubHctransport

e) Data analyst materials: desktop publishing

SeeObj. I

Questionnaires

Questionnaires



1) Questionnaires modified byFebruary 15,1990

2) Contact mae by January 26,1990

3) Detailed proposal sent byFebruary 28.1990

4) Workshop In June, Î990

5) Data analysis materialreceived by July 31,1990

6) Census July 1990 to June 199130% of returns by 11/20/9070% of returns by 2/28/91100% of returns by 6/30/91

1) Questionnaires modified byFeb. 15, 1990

2) Workshop In June 1990

Date to be determined byFebruary 28,1990


(Objectivei)

IV. Peace Corps/MOH/otheragencies assist in theestablishment of an Integratedptan of water supply andsanitation


A. follow-up letter from MOH to:1)PC2) Mln of Mines/Water Energy3) Mln. Agria/CDS4) NGO and Int'l Org.

UNICEFUSAIDWorld BankWHOCAREetc.

B. Decide and agree uponIntegrated water supply plan.

WHAT DO YOU NEED?


a) POA

b) Ust of known endemic foci

c) Qualtattve Hst of personneland materials avaltable:I. local advisorsII. location; funds of existing

wellsM. water supply pians

HOW WIL1 YOU KNOW WHEN YOUHAVE ARRIVED?


1) March 15,1990 list of availableand needed personnel andmaterials

2) Letter sent to concernedparties by March 30,1990

d) quantitative list of neededpersonnel and materials

3) Water Plan actMttes written byMay 1990

e) Project Admin <=P.O.)


(Objectives)

V. PCVs and counterparts assist inImplementation of IntegratedWater Plan.


A. Community mobilization byPCVs counterparts In MayoSava1. Info dissemination2. Prtorfflzatkxi by

community3. Implementation of

community plan - PCVInks community to watersupply authorities

B. Water Supply and SanitationProjects1. Well construction

PCVs/counterpartCARE/MINMEN, etc.

2. Deep wells with pumpsMINMEN/MINAGRIC. FSAR

C. Water treatment with ABATE ofcontaminated sources

D. TOT workshop to developcommunity well maintenancecourse

E. Community level training Inwell maintenance

WHAT DO YOU NEED?


a) Rip charts on GWO• Design 1,000.000 CFA• Production 10 chart at

8.000/chart = 80,000 CFA

b) PCV/counterparts

c) Vltage developmentcommittee

d) See attached estímate for 20m well ... 1.653.000 CFA

e) See attached estimate for wellrepalr...259.000 CFA

f) Funding sources for materials,transport, and equipment• UNICEF• World Bank• USAID

PC Partnershlp/SPAFunolng

g) Spare parts for weDs

h) ABATE

I) OTAPS specialist water andsanitation

J) PCV water engineer andcounterpart

k) Fundng; OTAPS and others


(Evaluation indicators)

1) Rip charts designed by May15,1990 (to be used Inworkshop In June)

2) Creation of 3 villagesdevelopment committeeswhere feasible by 12/1990

3) Wei construction m 30% ofendemic villages byDecember 1991

4) 50% of welts In need of repairsor Improvement in endemicvidages by December 1991

5) Secure 50% of funding byNovember 1990

6) Secure 100% of funding byMay 1991

7) Estimate of parts needed6/1990; order 12/1990

8) ABATE Treatments7/1990 7/918/1990 8/919/1990 9/91

9) TOT Workshops(1ST) by August 1991(PCVS and counterparts)

10) Maintenance training of VHWIn a> new and repaired wedsby February 1992


(Objectives)


VI. PCVs and counterpartconduct health educationsession In endemic villages

A. see Objective V-A.

B. Training of VHW to doeducation and follawup In:1) water and sanitation2) GWD prevention

C. Monitoring of VHWs

Ln

WHAT DO YOU NEED?


HOW Will YOU KNOW WHEN YOUHAVE ARRIVED?


a) R^charts

b) Hrrerlng material

c) Transport and fuel

d) Training program andmaterials for VHW.

1) See Objective Il-A.

2) VHW trained by PCV and/orcounterparts (schedule to bedetermined.)

3) three supervisor/ vbfls ofVHW/year.

UNITED STATES PEACE CORPS' GUINEA WORM ERADICATION PROGRAMLOME, TOGO. JANUARY 22-26, 1990

ACTION PLAN: t990-19_

COUNTRY: MaN

PREPARED BY: APCD Uttal


(Objectives)

PHASE 1


WHAT DO YOU NEED?




2.

By the end of the PCGWE January 1990conference. Informationwit have been col lectedon planned and currentefforts by PC andInternational organizationson GWE.

By the end of theconference a draft of apHot GWE project wl l bewritten and submitted toOTAPS sector spedaflst forcomment andsuggestions (Bandlagara,Duru GWE project)

Conference exercises wW permitInformation gathering andexposure to program elements oftypical GWE efforts at bothnational and PC project levels.

Based on pre-conferenceprospection and discussions wtthGOM health ministry responsibilities,a draft w l be produced usinginformation gained at conference.

OTAPS sponsorship ofconference

WASH and otherguidelines and reports

Discussion rime with otherAPCDS, HCNS, andInternational experts

As Above

Needed written materiaisare gathered or ordered

Contacts ore estabSshed

Draft written and submitted forcomment

By February 10,1990 finalapproval wMI be given byMinistry of Hearth for DuruGWE Project.

Based on working group activitiesduring LOME conference, details ofPC and GOM rotes andresponslbitles wl l be agreed uponand protocol wIN be signed.

PC post programmingsupport Services

Agreement reachedprotocol signed

00

WHERE ARE YOU GONG?

(Objectives)

HOW ARE YOU GOING TOGET THERE?CActMHes)

WHAT DO YOU NEED?




4. By February 15 theAPCD/WRM will elaboratepilot project proposal andbudget to be cabled toOTAPS for approval.

Using required format and basedon previous discussions with OTAPSsector specialist, proposal wNI bewritten by APCD and passedIhrough PME and PCD to OTAPS.

PC post programmingsupport services

OTAPS funding supportfrom relevant PASA

Cable Is sent by February15

Approval Is received byFebruary 25

By February 15 theAPCD/WRM win provideGWE educationalorientation and trainingguides to APCD foreducation for posstoteInclusion In PST curriculumfor ruralteatlon project.

Conference report from APCD wSIInclude suggestion for Includingsome rurabatlon PCVs In GWEefforts. Personal Interview wllfollow.

Examples of GWEmaterials for educationPCVs and access toadditional materials asneeded from OTAPS

APCD Ed will agree toInclude GWE In training

Additional materiais wMbe ordered and receivedIn timer/ fashion

By February 25 Ministry ofHealth and PC wll agreeto place PCV wrlh Divisionof Health Education, withGWE Education materialsdevelopment Assistanceas part of Job description.

In responding to previous GOMrequest, a 3rd year PCV w i beassigned to Health EducationOffice to help wtrh materialsdevelopment.

Post support services

Access to examples ofplays, songs, radio spotson GWE from neighboringcountries

Letter of agreementsigned between GOMand PC

Some materials located

WHERE ARE YOU GONG?

(Objectives)

PHASE 2

1. From February 25 throughDecember 20.1990 the DURUpHot GWE project wlH beImplemented through a seriesof six events.


1. lhe chiefs of the 31 vHagesofDURU Arrondissement w i becalled to the Chef Ueu toInform them of the projectand to request the selection ofrepresentatives to attend aGWE training of three daysduration In May,

2. During March each village willbe visited by PCVs andcounterparts to meet villagefesponslbies and the selectedreprésentative. A water pointsurvey and preliminary GWIncidence survey wilt becarried out at this «me.

3. In late April a three-day GWEtraining w i be held InBandlagara and wll includethe 31 village representatives,5 PCVs. 4 GOM servicereprésentatives. There will bea PSC master trainer, an HCNcotralner and two assistanttrainers/translators.

WHAT DO YOU NEED?




Transportation costs for GOMagent and two PCVs

Official letters of request

Percentage of viagesrepresented

Favorable response to projectparticipation

Transportation costs for twoPCVs and two HCNs

Survey forms

Completed survey

Percentage of viagesparticipating

PSC lead trainer for 10 days

Transport and per dtem forparticipants for four days

Teaching materials

Rfter cloths

Refreshment budget

Participant evaluations oftraining

Percentage of villagesparticipating

Lead trainee's assessment ofsuccess In final report


(Objectives)

HOW ARE YOU GONG TOGET THERE?(Actlvmes)

Based on water point surveyand succeeding discussionswith villages, water pointimprovements wM begin InMay to improve major drinkingwater sources.

5. With the beginning of rainyseason and outbreaks of GW,interdisciplinary teams ofHealth Service personnel andPCVs wW visit the mostaffected vllages to treatactive cases and to traincommuntty members hpreventattve practices. At thistime active cases wlfl becounted and recorded.

6. In December village animatorswffl be recalled to a reviewand evaluation workshop todbcussposstote projectmodifications, recentexperiences, and futureactivities.

WHAT DO YOU NEED?


HOW WILL YOU KNOW WHEN YOUHAVE ARRIVES?

(Evaluation Incflcators)

Transportation costs for PCVsand homologues

Fundi for purchase of cement,steel, and tools

Funds for partial payment ofskHted labor

Training materiais on GWE andbasic hygiene

Number of water pointsimproved In rotation tonumber of Inhabitants

Willingness of villages toparticipate In the work

Transportation costs for heotthteam

Medical Supplies

Teaching materials

Positive reception by village

Preventatfve measures alreadyIn place

General awareness of viagersabout GW problem andappropriate solutions.

Posüby a PSC consultant for 5days

Transportation and per d e mfor participants

Training materials

Motorized transport for HCNservice foHowup (one a lterrain motorcycle)

Participant evaluations ofproject.

Percentage of vllagesattending

Prévention measuresundertaken by entire villages


(Objectives)


PHASE 3(Long Temí)

1. By December 1990, based onthe Duru pilot GWE projectexperience additionalarrondissements (Central,Kenje) wi l be retained asproject areas for the 1991local health ministry program.

PC Vs and GOM counterparts willmeet after the Duru evaluationconference to programImprovements In projectimplementation, and to decide onaction plan for 1991 campaign.

2. By December 1990 communityhealth education materiais willbe produced and distributedto the various GWE posts.

PCV with heatth education willcontinue to work with Nationalcoordination for GWE. Materialsused In neighboring countries. Ifappropriate, wl l be adapted toregional needs In Mall. Some newmaterials will be developedaccording to requests fromimplementation centers.

3. Through 1995 PC MaM willcontinue collaborative effortswith national GWE program,modifying Its level ofparticipation as required.

Regular contact wfl! be maintainedwith national GWE coorcfnator tomonitor national and PC specificactivities, and to negotiate futurePC participation.

WHAT DO YOU NEED?


HOW WILL YOU KNOW WHEN YOUHAVE ARRtVED?


If PSC consultant attends Duruevaluation workshop, s/heshould stay for 1991 programdevelopment meeting.

Office supplies and secretarialservices

1991 plan is developed andagreed upon by a l parties.

PCV support costs

materials from neighboringcountries

Supplies for reproduction ofposters, audio tapes, etc.

Production budget

Materials produced and sent toproject Implementation posts

Evaluation of effectiveness ofmateriais In community education

In country program supportcosts

OTAPS support as required

Other agency support asfeasible (motorcycle, fuel,e tc forHCNs.)

Periodic assessments by PC Mali ofprogram accomplishments andpotential future activities.


ACTION PLAN: 1990-19 Short term: January-December 1990

Count y: Prepared by: Toeolese participants


1. Adopt an action planfor 35 months (Jan 90 toDec 93) with thecollaboration oftechnical services ofMPHSA and those of theother interested ministrydepartments and agencies

How are you going toget there? |(Activities)

Contact interestedagencies andorganizations

Canvassing toursin endemic chieftowns

Organization ofconsultationmeetings with allconcerned parties

Financingnegotiations withinterested donors

When

3/9

1I

iWhat do you need?


Outline ofplan elaboratedduring workshopon GWC (1/22-261990)

Human resources

Supplies

Documents on GWC

Transportationmeans

Financing


Meetings reports

Reports on tours andcontacts

Financing contracts

Action plan of GWCapproved


How are you going to|get there? |(Activities) | When



CT*

2. Organize and conducta national workshopon the subject ofbasic epidemiologicalsurveys for ChiefPhysicians and theircollaboratorsinvolved in GuineaWorm control, includingAmerican Peace CorpsVolunteers and theircounterparts

3. Make a comprehensiveof endemic villagesin the country througha national epidemiologicalsurvey

Preparation ofworkshop consulta-tion meetings

Seek financing

Identification ofparticipants andfacilitators

Conduct workshop

Identification ofsite

Identification ofseveral endemicvillages to visit

Preparation ofsurvey forms/questionnaires

Selection andhiring ofresearchers

Test of questionn.

Train, of research.

Identification oftrainers

2/90 Funds

Supplies anddidactic materials

Transportationmeans

Human resources

Organiz. framework

Report on workshopNumber of participantsat the workshop

3 to5/90

Logistics

Training manuals

Questionnaires/survey forms

Human resources

Funds

Researchers

Trainers

List of endemic listvillages identifiedPrefectoral orregional maps ofendemic villages


4. Identify interventionareas for Peace Corpsvolunteers in agreementwith MPHSA authoritiesaccording to dwellingdistribution and numberof volunteers

5. Gather the first7 health educatorsvolunteers hiredspecifically for theGuinea Worm controlprogram


Seek funds

Implement survey

Elaborate prefect.and regional maps

Definition ofassignment criteriaof volunteers

Elaborate list ofareas affected byGW (delimitationof zones)

i Identification oftrainers

Seek resources

Conception andpreparation oftraining

Logistic• arrangements

¡ Preparation of| several training1 manuals

When

10/90

| 9 to12/90

What do you need? |(Resources/ jMaterials) 1

Supervisors

Local authorities/political,administrativeand traditional

Prefectoral andregional mapsindicating endemiczones

Funds required

Number ofvolunteers

Trainers

Volunteers

Training manual

Funds

Scope of workfor volunteers

| Supplies

Funds required


List of endemiczones

Prefectoral andregional maps

Number ofvolunteerstrained andassigned

Togolese counterparts


6. Supervise and evaluatethe Guinea Worm ControlProgram


Conduct andevaluate training

Identification ofTogolese counterp.

Supervision tours

Drafting of super-vision and inter-nal evaluationforms

Organization ofongoing evaluation

When

quart.b iann.annual

1991


Logisticarrangements

Office supplies

Human resources

Funds


Supervisionreports

Evaluationreports

a» Final evaluation 1993


ACTION PLAN: 1990-19 Long term

Country Togo Prepared by: Togolese participants


1. Undertake KAP surveysin endemic zones in orderto determine the perceptionand favorable or unfavor-able factors in affectedcommunities; this willallow development ofeducational messagesand of several requiredtraining materials.


--Training ofvolunteers andtheir counterparts

--Preparation oftraining

--Training ofinterviewers

--Preparation ofquestionnaires andsurvey forms

--Selection ofvillages to besurveyed

--Funds and logist.arrangements

--Identification oftrainers

--processing and

When

2 to3/91


--Supplies andmaterials

- - Funds

--Human resources

--Logistics

- -Survey manual

--Training manual

--Questionnaires

--Analysis forms

--Political,administrativeand traditionalleaders


Number of endemicvillages

Summary of KAP(survey results)

! analysis of results I

00


2. Promote awarenessand mobilization ofaffected communitiesfor GWC in order toobtain their willingparticipation in theeradication program.

3. Organize epidemiolo-gical surveillance inendemic zones

How are you going toget there?(Activities) (When

--creation or"redynamization"of CVD and HFR

--Training of CVD/HFR members

--Training of PCVand their counterp.

--Production of didac-tic and audiovisualmaterials

--Fund raising

--Development ofdata collectionsupports.

--Training of agents(APS, CVD, ASC, AI,PCV)

--Collection andanalysis of data

- - Feedback

--Meetings ofoperators atthe peripherallevel

4 to6/91

perm.surv.


--Human resources

--Logistics

--Didactic materialand supplies

--Training manuals

--Political/tradit.leaders

--Information andawareness buildingmaterial

--Logistics

--Office supplies

--Teaching materials

- -Funds

--Collect supports

--System ofcollect coordin.and feedback


Number of CVD createdredynamized/trained

Number of HFR involved

Awareness andinformation materialsproduced

Changes in KAP

Number of newcases

Number of endemicvillages

Number of reportssent at the centrallevel

Number of reportsreceived at theperipheral level

Number of meetingsat the peripherallevel

I I

vO


4. Have schools inintervention areasparticipate in theGWC program.

5. Supply communitieswith drinking waterand improve existingwater points.


--Train, of teachers

--Development of aschool program

--Production ofdidactic material

--Organization ofdemons trat ionsof water filteringin the schools

--Inventory taken ofexisting waterpoints

--Training ofcommunities forrepair andmaintenance ofpumps

--Training of, communities for

drilling andinstallation ofwells

When

Duringschoolyear,espec.duringout-breaksof GW

iWhat do you need?


--Teaching mater.

--Required funds

--Human resources

--Technical mater.

--Local materials

- -Local humanresources

--Chemical products

--Technical andadministrative

| training

How will you knowwhen you have arrived?(Evaluation Indicators}

Number of teacherstrained

Number of schoolsreached

Number of studentsreachedNumber ofsessions ofwater filteringdemons trat ion

Number of postersused

Number of pumpsdown

Number of waterpoints notinstalled

Number of wells,cisterns, springs

; capted

| Number of people| trained


How are you going toget there?(Activities) When



o

-Assistance to thecommunities forconstruction ofcistern andwater collectingsystems-Assistance andeducation ofpeople for protect.of water sources

-Chemical treatmentof ponds

APPENDIX F

Summary of Evaluation Results

71

SUMMARY OF PARTICIPANT EVALUATION RESULTS

UNITED STATES PEACE CORPSGUINEA WORM ERADICATION PROGRAM

START-UP WORKSHOP22-26 January 1990 in Lome, Togo

Note: 27 participants completed this final evaluation form. Number inparenthesis indicates respondents for that rating.

FINAL WORKSHOP EVALUATION FORM

I. Goal Attainment: Rate how well the goal and the overall objectives ofthe workshop were attained on a 1-5 scale as follows:

1 2 3 4 5Not at all little adequately mostly completely

(Please circle the appropriate number.)

1. To motivate and support Peace Corps involvement in the internationaleffort to eradicate guinea worm.

1 2 3 4 5(4) 14.8% (12) 44.4% (11) 40.8%

2. To review the GWEP Programming Guide and introduce the GWEP TrainingGuides

1 2 3 4 5(1) 3.7% (10) 37.1% (9) 33.3% (7) 25.9%

3. To review and comment on present Peace Corps GWE activities.

1 2 3 4 5(2) 7.4% (5) 18.5% (14) 51.9% (6) 22.2%

4. To identify ways agencies such as CDC, UNICEF, and Global 2000 supportcountry specific GWE activities.

1 2 3 4 5(1) 3.7X (5) 18.5% (16) 59.3% (5) 18.5%

5. To develop draft short-term and long-term country specific work plansfor proposed Peace Corps GWE activities.

1 2 3 4 5(1) 3.7% (7) 25.9% (9) 33.3% (10) 40.8%

6. To develop a plan for potential GWEP technical assistance.

1 2 3 4 5(5) 18.5% (13) 48.2% (5) 18.5% (4) 14.8%

73

II. participant Comments

A. What aspects of the workshop most meet your needs?

Contacts with other people working on GW and W/S projects.

Information on resources

Discussions on manuals

B. What aspects least met your needs?

Detailed Country Reports

It might have been better to have followed the advice of Dr.Théophile and done an exercise first--discussed together allpossible elements in a prototype plan--then we could have metseparately to adapt the prototype to our needs.

Having countries report twice was too much

Bear in mind that participants in a conference like this are notnecessarily gifted presenters. Maybe you need to make thequestions to be answered broader? (e.g. How many objectives?)List major resources. The plans could be detailed, but presentersneed better guidelines on how to summarize reports.

C. How was the facilitation of the workshop?

EXCELLENT

Relaxed but efficient

True facilitation

D. How could the design, organization, or delivery of the workshophave been improved?

If you have many non-PC participants, you need to begin with anexplanation of the orientation of the conference. Non-PCparticipants are often confused, and bothered by, the Volunteer-oriented nature of PC productions. In this case there would havebeen less adverse reaction to the GWEP programming guide if allparticipants had understood the givens from the beginning: e.g.

— PC always works with HC, and PC plans depend on HCinitiatives

— PC can only provide Volunteers, not financial assistance

74

PC/Washington's main concern is how to support Volunteers(ensure their training, etc.)

the kind of PCV (young generalists) PC usually has (This waswell-explained eventually, but should have been done at thebeginning.)

E. Other comments/suggestions:

Does a conference like this really have to be in the mostexpensive hotel in town where many of the participants do notappreciate the quality and quantity of food served? A smallerhotel nearer to the center of town might have been better.

Did the cost of the conference come out of the $400,000 allocatedfor the GWEP? I hope not!

Logistics

Excellent support from Rhonda and Etienne!

75

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