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4. Resource Mobilization S/N OBJECTIVE STRATEGY INDICATORS 1. Mobilize Community Partners for a) Meeting witha) Number of meetingshealths and community resource community leaders held. for the integrated malaria control b) Collaboration with b) Amount and type ofprogram other interests resources accessed groups or stake- c) Number of financial holders including members of the Cobusiness community operative scheme c) Collaboration with c) Number of linkages or government supports from Govt. authorities and other NGOs andd) Meeting with stake funding Agencies. holders e) Participate in Cooperative and microcredit Schemes f) Collaboration with Govt., NGOs and funding agencies g) Development of Rolling Plan spanning between 2 5 years. 2. Mobilize external resources for a) Identification ofa) Amount of grantsintegrated environmental health funding sources. acquired and malaria control b) Development of b) Number of proposals proposals for written and sent out. funding c) Number of projectsc) Execution of funded executed projects Part II-152

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3. Community Mobilization S/N OBJECTIVE STRATEGY INDICATOR 1. Increase community awareness of malaria and complicating concurrent infections a) Health Education of the community on the importance of malaria and the concurrent infections b) Regular meetings with the information sharing at the grassroots. a) Number of mass Health Education campaigns undertaken. b) Frequency of meetings c) Percentage of community members who have the knowledge, attitude and practice of the project. 2. To increase networking capability. a) Advocacy Workshop b) Visits to L.A. c) Seminars d) Meetings e) Dialogue f) Information sharing. a) Number of network established with other Agencies. 3. To strengthen relationship between the community a) Committees comprising Health Workers anda) Number of community representation of theand health providers community members - Planning, implementing, committees monitoring and evaluating by partners 4. To strengthen capacity for self-management -Involve community members in planninga) Number of community representation on the -Involve community members in generating planning committees b) Number of community activities. members who fulfil their financial obligations. Part II-151
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2. Treatment and management of malaria and concurrent infections S/N OBJECTIVE STRATEGY INDICATOR 1. To promote home a) Recognize the basica) Proportion of care takersmanagement of fever signs and manage fever appropriate knowledge of promptly home management of fever b) Return Child to Hospital c) Health Education on home management e.g. Tepid sponge, fanning or exposure 2. Promotion of High quality and a) Bulk purchasing ofa) Percentage of peopleaffordable drugs and Drugs patronizing Hospitalspartnership HFS b) Drug Revolving against PMV and Agbo Scheme 3. To reduce the incidence of a) Health Educationa) Proportion of people usingdiarrhoea -ORS usage ORS and drinking portable -Personal hygiene water. b) Public Campaign c) Provision of portable water 4. To reduce incidence of a) Health Education a) Proportion of people withAnaemia Well Baby clinic, pre knowledge on the natal Clinic etc prevention of anaemia b) Blood Test b) Percentage of peoplec) Deworming Exercise engaging in dewormingd) Treatment & Follow exercise up c) Number of anaemic cases at Partners Health facilities. 5. To Reduce the prevalence of a) Health Education a) Proportion of patientsARI b) Environmental response to treatment Sanitation c) Treatment and followup Part II-150
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S/N OBJECTIVE STRATEGY INDICATOR 3. To strengthen relationship between the community and health providers a) Identification of funding sources and external collaborators b) Development of proposals for funding and collaboration c) Execution of funded projects d) Establish committees comprising Health Workers and community members. - Planning, implementing, monitoring and evaluation by partners. - planning, implementing, monitoring and evaluation by partners. b) Assigning responsibilities to community members a) Number of community representation on committees. 4. a) Mobilize external resources for integrated environmental health and malaria program b) To strengthen capacity for self- management a) Identification of funding sources and external collaborators b) Development of proposals for funding and collaboration c) Execution of funded projects. d) Involve community members in planning. e) Involve community members in resource generating activities. a) Amount of grants and collaborators acquired. b) Number of proposals written and sent out. c) Number of projects executed. d) Proportion of representation on the planning committees e) Number of community members who fulfil their financial obligations. Part II-149

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3. Community Mobilization S/N OBJECTIVE STRATEGY INDICATOR 1. Increase community awareness of illness associated with their environment, especially vector borne diseases a) Health education of the community on the importance of their environment and vectors malaria and the concurrent infections. b) Regular meetings with the information sharing at the grassroots. a) Follow-up on uptake of education campaign topics b) Frequency of meetings held b) Percentage of community members who have the knowledge, attitude and practice of the project 2. a) To increase networking capacity b) Mobilize Community Partners for Health and community resources for the integrated environmental health and malaria program a) Meeting with community leaders b) Collaboration with other interests groups or stakeholders including business communities. c) Collaboration with government authorities d) Promote neighborhood environmental health activities e) Advocacy workshops f) Visits to Local Authorities g) Seminars h) Meetings i) Dialogues at regular basis h) Information sharing. a) Number of activities that take place, both with regard to environmental sanitation and mosquito source reduction and management of malaria, ARI, anaemia and related illnesses. b) Number of network established with other agencies Part II-148
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2. Management of Febrile Illness S/N OBJECTIVE STRATEGY INDICATOR 1. To improve home recognition and management of febrile illness. Improve Rational use of Medications purchased through the private drug sellers and private practitioners as well as those dispensed at government clinics and hospitals a) Health education on Home management. e.g. Tepid sponge, fanning or exposure. a) Proportion of care-takers with appropriate knowledge of home management of fever 2. To improve clinical and laboratory diagnosis of malaria in both public and private health care facilities a) Provide malaria risk information to clinicians and drug sellers making the diagnosis. b) Provide training for improved clinical diagnosis of malaria (possibly through IMCI). Review laboratory services. a) Proportion of health facilities (both public and private) providing appropriate fever diagnosis and treatment 3. To Manage and treat concurrent infections (Anaemia and acute respiratory tract infections). a) Health Education at - Well Baby Clinics - Prenatal Clinics and other her clinics b) Investigate anaemia in the communities c) Conduct Dewoming exercise. d) Treat and follow-up children. a) Proportion of people with knowledge on the prevention of anaemia b) Percentage of people engaging in deworming exercise c) Number of anaemia cases at partners health facilities Part II-147

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I. PROGRAMME COMPONENTS 1. Control of Human Contact with mosquitoes (including potential disease vectors and nuisance mosquitoes) OBJECTIVE STRATEGY INDICATORS 1. To reduce mosquito bites a) Use of mosquito nets of Screen Door and windows. b) Promote window screening promote use of mosquito nets, and where possible the use of pyrethoid treatment d) Spray room with safe insecticide aerosol before bed time. a) Proportion of houses with Mosquito screens on windows b) Proportion of houses with mosquito nets c) Proportion of nets appropriately treated with insecticide. d) Proportion of people spraying rooms every night. 2. To reduce overall mosquito population through environmental sanitation a) Fill in or drain off stagnant water in pools and puddles b) Regularly clear blocked stagnant drains c) Bury, eliminate or prevent from getting filled with rain water non-essential water containers such as old tires, tins cans and barrels, and broken pottery d) Cut overgrown weeds e) Properly disposal of domestic refuse. a) Frequency of environmental sanitation b) Number of people participating in environmental sanitation exercise c) Proportion of CBOs with appropriate knowledge, attitude and practice of people toward environmental sanitation d) Proportion of community members pouring oil on stagnant water e) Reduction in breeding sites as judged through monthly mosquito larval surveys. Part II-146

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ACTIVITY RESPONSIBLE GROUP/PERSON(S) LOCATION OF ACTIVITY TIME FRAME COST INDICATOR 9. Follow-up on progress Secretary CPH Secretariat 1 month N100.00 The various Donor Agencies seen 10. Inaugurate Committee on Project Execution Project Co-ordination Community Hall 2 hours N2,500.00 The Committee is inaugurated 11. Rentage of Hall P.R.O. Community 4 Hours N3,000.00 The rentage of the Hall 12. Refreshment PRO/Secretary Community 4 hours N150.00 per head Refreshment given to invitee 13 Rentage of Public Address System PRO Community Hall 2 Hours N2,000.00 The Rentage of the Hall has been done 14. Gifts to invitee PRO Community Hall 2 Hours N200.00 per head All invitee given the gifts Part II-145
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Programme Component: COMMUNITY MOBILIZATION ACTIVITY RESPONSIBLE LOCATION OF TIME COST INDICATOR GROUP/PERSON(S) ACTIVITY FRAME 1. Printing of letter Secretary and Printer Community 6 hours N1,000.00 The letterhead headed papers per ream paper has been printed 2. Procurement of Secretary/PRO Community 2 Hours N1,500.00 Materials have been Stationeries and bought Consumables 3. Processing of invitation letters Typist Community 3 hours N500.00 Letter has been typed 4. Rentage of Hall P.R.O. Community 6 Hours N2,000.00 The Rentage has been undertaken 5. Rentage of Public Address System P.R.O. Community 2 Hours N2,000.00 The Rentage has been done 6. Refreshment & Allowances Secretary/PRO Community 6 Hours N150.00 per head Refreshment have been bought and allowances given to participants 7. Visits to Leaders of the Community, Interest Groups, Government and CPH Chair-person and Representatives Community 3 Hours N3,500.00 per visit The various leaders and group are met Business Community 8. Send proposal to Donor Agencies Committee on proposal Writing CPH Secretariat Two Weeks N5,000.00 All proposals have been received Part II-144
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Programme Component: TREATMENT & MANAGEMENT OF MALARIA AND CONCURRENT INFECTIONS ACTIVITY RESPONSIBLE LOCATION OF TIME FRAME COST INDICATOR GROUP/PERSON(S) ACTIVITY 1. Invite household Doctors and Health Hospital 1 Hour N10.00 The household members to the Hospital Workers per head member has for health education been educated 2. Procurement of materials Caretakers Home 24 Hours N20.00 per Patient has been for ORS treatment bottle adminis- tered ORS 3. Clinical diagnosis Doctors Hospital 24 Hours N50.00 Doctors has attended to the patient 4. Laboratory diagnosis for Lab. Technician or Laboratory 3 Days N500.00 Patient has been MP/HP/Sputum Scientist attended to 5. Nursing Nurses Hospital 24 hours N20.00 The Patient has per head been treated 6. Medication Doctor/Nurses and Hospital 24 Hours N150.00 Patient has been Pharmacist treated 7. Chest X-Ray Radiographer X-Ray Center 30 Minutes N600.00 Patient has been per case x-rayed 8. Stool Culture Lab. Technician Laboratory 3 Days N250.00 Patient has been Per case treated 9. Follow-up Doctors/Nurses hospital 1 Hour N25.00 per Patient has been head treated Part II-143

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