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Program Component: TO PREVENT MOSQUITO BITE S/N ACTIVITY RESPONSIBLE LOCATION OF TIME FRAME COST INDICATOR GROUP/PERSON(S) ACTIVITY 1a Health Education Health Workers from Community June 98 to N10,000 No. of Community Based Hall/Space provided May 99 Participants Organization and by the CBO Health Facilities Members 1b Procurement of Sanitation Committee CPH Secretariat On going N15,000 No of Insecticide (Bulk process Registered Purchasing) Members 1c Bulk Purchase of WEC Planning CPH & DYAD levy On going N30,000 No of mosquito Nets Committee all CBO Process (Expensive) Members that Members buy 1d Environmental CBO Members Within the Monthly Length of Area Sanitation Community covered Part II-131
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DRAFT LAGOS URBAN COMMUNITY INTEGRATED HEALTH SECTOR PROJECT INTEGRATED MALARIA ACTION PLAN FOR AJEGUNLE COMMUNITY PARTNERS FOR HEALTH BASIC SUPPORT FOR INSTITUTIONALIZING CHILD SURVIVAL (BASICS) MAY 1998
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4. Resource mobilization S/N OBJECTIVE STRATEGY INDICATORS 1. Mobilize Community Partners for health and community resources for the integrated environmental health and malaria control program a) Meeting with Community Leaders b) Collaboration with other interest groups or stakeholder including business community c) Collaboration with government authorities a) Proportion of meetings held b) Amount and type of resources accessed 2. To know the numbers of Doctors and other health Workers, Nurses and knowledgeable medical health personnel in the CBOs/Community (Human Resources) Mobilize external resources for integrated environmental health and malaria control a) Identification of funding sources b) Development of proposals for funding c) Execution of funded projects d) Accessing the numbers by creating awareness. a) Amount of grants acquired b) Amount and type of resources accessed. c) Proportion of positive response received (i.e. Number of positive response from the human resource available) 3. To have the knowledge of CBO spaces available, number of Health Facilities (Material Resources) a) Workers from CBOs/Community are to access these facilities a) Readiness of the community to make available these material resources. 4. To generate fund (Financial Resources) a) Monthly dues from CBOs b) Raffle draws c) Donation from international organizations and other agencies d) Donation from other NGOs a) Number of positive response Part II-126
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3. Community Mobilization S/N OBJECTIVE STRATEGY INDICATOR 1. Increase community a) Health Education of thea) Proportion of Healthawareness of illness community on the Education campaignsassociated with their importance of their undertaken environment, especially environment and b) Follow-up on uptake ofvector borne diseases. vectors malaria and the education campaign topics concurrent infections 2. a) To promote community a) Meeting witha) Number of activities thathealth by screening for community leaders take place, both withmalaria. b) Collaboration with regard to environmentalb) Mobilize Community other interests groups or sanitation and mosquitoPartners for health and stakeholders including source reduction and tocommunity resources for the business communities improve recognition andintegrated environmental c) Collaboration with management of malaria, health and malaria program government authorities ARI, anemia and relatedd) Promote neighborhood illnesses. environmental health activities e) Screening method will be affordable, accessible and suitable -Bringing the .. To their door steps. 3. a) Mobilize external a) Identification ofa) Amount of grants andresources for integrated funding sources and collaborators acquired environmental health and external collaborators b) Number of proposalsmalaria program b) Development of written and sent out b) Access the community proposals for funding c) Number of projectbeliefs and perception and collaboration executed c) Execution of funded d) Proportion of CPHs projects participating in thed) Conduct Focal Group exercise Discussion and Observational Studies 4. To promote increase a) Via incentives like T-a) Proportion of CBOsparticipation in commercial Shirts, Face-caps etc participating activities Part II-125
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S/N OBJECTIVE STRATEGY INDICATOR 2. To Manage and treat a) Recognize the basic signsa) No. of children presentingconcurrent infections and symptoms of anaemia with fever, acute respiratory(Anaemia and acute and acute respiratory tract tract infections and anaemia atrespiratory tract infections and manage the health facilities monthlyinfections). promptly. who are correctly treated. b) Recognize danger signs and bring to health facility; continue breast feeding. c) As with malaria, both public and private health facilities should prescribe and administer appropriate and anaemia and acute respiratory tract infections drugs and therapies. 3. To reduce the a) Health Education at:a) Proportion of people withincidence of Anaemia -Well Baby Clinic knowledge on the prevention -Prenatal Clinic, etc of anaemia b) Conduct deworming b) Percentage of people engaging exercises. in deworming exercise d) Treatment and follow-up c) Proportion of anaemic cases at CPH health facilities 4. To Reduce the a) Environmental Sanitationa) Proportion of people withprevalence of ARI conducted monthly appropriate knowledge on thec) Treatment and follow-up prevention of ARI Part II-124

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2. Management of Febrile Illness S/N OBJECTIVE STRATEGY INDICATOR 1. To improve home recognition and management of Febrile illness To improve clinical and laboratory diagnosis of malaria in both public and private health care facilities 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) Recognize the basic signs and symptoms of malaria and manage fever promptly b) Inform caretakers to recognize the basic signs and symptoms of febrile illness, including malaria, and manage fever promptly. To recognize danger signs and to seek care at the nearest health facility. c) Provide malaria risk information to clinicians and drug sellers making the diagnosis. d) Provide training for improved clinical diagnosis of malaria (possibly through IMCI) Review laboratory services. e) Health facility (both public and private should prescribe and administer appropriate and malaria drugs. Information should be provided to the consumer on appropriate and in appropriate medication. f) Ensure appropriate use and compliance with a full course of prescribed drugs. a) Proportion of care-takers with appropriate knowledge of home management of fever b) Proportion of health facilities (both public and private) providing appropriate fever diagnosis and treatment Part II-123

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PROGRAMME COMPONENTS 1. Control of human contact with mosquitoes (malaria transmitting and non-malaria transmitting) S/N OBJECTIVE STRATEGY INDICATOR 1. Reduce mosquito bites a) Spray room with safe insecticide aerosol before bed time. b) Promote window screening c) Promote use of mosquito nets and where possible the use of pyrethoid treatment a) Proportion of houses with mosquito screen on windows d) Proportion of people spraying rooms every night c) Proportion of houses with mosquito nets d) Proportion of nets appropriately treated with insecticide 2. To reduce overall mosquito populations through environmental sanitation a) i.Fill in or drain off stagnant water in pools and puddles ii.regularly clear blocked stagnant drains iii.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 c) Drainage of canals and stagnant water d) Disposal of refuse and solid water a) Reduction of pupa and larva which eventually leads to reduction in the number of mosquito (Adult) b) Reduction in breeding sites as judged through monthly mosquito surveys. Part II-122

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Program Component: RESOURCE MOBILIZATION ACTIVITY RESPONSIBLE GROUP/PERSON(S) LOCATION OF ACTIVITY TIME FRAME COST INDICATOR 4a Monthly Awareness CBO Members CPH/Dyad Secretarial Monthly Basis Amount of money realized 4b Seeking Financial Assistance from other NGO Finance Committee and Governing Board CPH/Dyad Secretariat When Need arises N1,000N2,000 (Range) Amount realize and positive response 4c Launching of the Action Plan Fund Raising Committee Community Hall When Necessary N20,000 to N30,000 Amount realized and positive response 4d Raffle Draw and Drama Presentation Youth From the CBO Community hall, School, Market Annual Events N5,000 No. of response and the amount realized Part II-121

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Program Component: MALARIA AND CONCURRENT ILLNESSES 3a 3b 3c 3d ACTIVITY Curative activities Proper diagnosis by health facilities Prompt treatment of fever cases and other disease symptoms e.g. ARI, Diarhoea, anaemia, Otittis, Media, pneumonia, . Encourage revisits for follow up. community Early referals for complicated cases of e.g. cerebral malaria with coma which cannot be handled with your facility RESPONSIBLE GROUP/PERSON(S) - Health facilities - Laboratory scientist - Trainied health assistants e.g. social welfare workers. - Nurses , Social Workers - TBA LOCATION OF ACTIVITY Hospital - Clinics - Health centres - Dispensaries Town hall, Palace, Kings SquareTIME FRAME 24 - 72 Hours COST INDICATOR N10,000 - less incidence of report to health facility - less complication from fever - Low IMR - Less spending - healthy children in the community N25,500 GRAND TOTAL = N301,250 Part II-120

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Program Component: MALARIA AND CONCURENT ILLNESSES ACTIVITY RESPONSIBLE GROUP/PERSON(S) LOCATION OF ACTIVITY TIME FRAME COST INDICATOR 2a 2b 2c 2d Preventive activities - cleaning of bushes and surrounding. - mosquito nets on doors and windows Use of bed Nets. Destruction of breeding sites e.g. pouring oilon stagnatn pools drining of stagnant pool of water. Health Facilites ALL CBOs - women in the Community Health Workers -At homes - in the community - and village All year round N2,200 N60.000 Community members now practice preventive method learned during activity period - More people use nets, coils 2e Burning of broken bottle and cans. Iiason with LAWMA on site N3,450 2g Use of aerosol insecticides noted to cause increased incidence of ARI 2h Use of repellants e.g. cream, coils Part II-119
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