NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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NTD PROGRAMME

“An African Region free of Neglected Tropical Diseases”

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Country Presentation Session 1.3 – LF TAS and Scaling

down MDA

Cotonou , 28-30 September 2015

Ghana

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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• Area 233,721sq.km • Population: 27,971,255(2015 Projected)• Number of districts (IUs/LGAs): 216• List of endemic PC NTDs

(suspected or confirmed)Lymphatic Filariasis (LF)- 98Onchocerciasis (Oncho)- 85 Schistosomiasis (SCH)- 216Soil Transmitted Helminthiasis (STH)-216Trachoma- 37

Introduction

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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LF-TAS and Stopping MDA

Year # LF endemic districts treated

(PC)

# districts with 5 MDA

rounds

# districts eligible for

TAS

# IUs with TAS

1

# IUs having stopped MDA after passing

TAS1

201074

74 55 5

2011

6969 -

--

201293

93 -- -

201393

93 -- -

201493

93 6464 64

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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LF-TAS and Stopping MDAYear TAS 1 TAS 2 TAS3

# planned IUs

# IUs having passed

# planned IUs

# IUs having passed

# planned IUs

# IUs having passed

20105

5 -- - -

2011-

- -- - -

2012 - - 5 5 - -2013

-- -

- - -2014

6464 -

- - -2015

77 -

- - -

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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LF-TAS and Stopping MDAYears # IUs Planned

for TAS 1# IUs Planned

for TAS 2# IUs

Planned for TAS 3

20165

64-

2017 77

-2018

105

-2019 -

764

2020-

107

Forecast for Stopping LF DMA in the country (# of Ius)2015 2016 2017 2018 2019 2020

64 7 5 7 10 -

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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• MDA will cont. in the hot spots- 22• TAS planned in the other 76 IUs that have

passed• ?Ongoing Surveillance in districts that have

passed TAS (Pilot ongoing in GAR and parts of Ashanti Region)

• ICT cards are available• ?Filaria Test Strips• USAID/FHI-END IN AFRICA• TAS methodology and results approved by RPRG

LF-TAS and Stopping MDA

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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Community Inertia CDD apathy LF Hot spots – 22 (9 by the borders) Lack of cross border meetings Lack of funders for morbidity management,

operational research, some M&E activities etc.

Poorly defined guidelines on ongoing surveillance

Challenges

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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• Geographic coverage -100%• Therapeutic coverage – 80%• Resource Mobilization

Good Practices

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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• Operational research into some of the challenges eg community inertia, CDD apathy and hot spots

• Cross border meetings and synchronization of MDAs

• Motivation of CDDs• Engage more funders/partners

Next Steps

NTD PROGRAMME - National Programme Managers Meeting, Cotonou, 28-30 September 2015

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End of presentation