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Programme Component: REDUCE HUMAN CONTACT WITH MOSQUITOES 1. 2. 3. ACTIVITY Procurement of insecticides & Spraying Procurement of bed and door nets Procurement of nets, woods and nails and labour RESPONSIBLE GROUP/PERSON(S) Housewife Breadwinner Breadwinner/Carpenter LOCATION OF ACTIVITY Home Home Home TIME FRAME Ongoing/MonthlyOngoing/Daily 8 Hours/Day COST N300.00 N400.00 N850.00 per window and door INDICATOR 2 cans bought and delivered No. of people seen with the nets The visible nets on windows and doors 4. 5. 6. 7. Cutting and disposal of grasses Drain off stagnant water in pools, puddles and drainage Procurement of fuel oil Application of the fuel oil on drains stagnant water Household members Community members Community members Community member Home Environment, Market Community Environment Community Environment Community environment Monthly Ongoing/WeeklyOngoing/Weekly Ongoing/Weekly N200.00 per head. N250.00 per head N150.00 per gallon N50.00 per head The grasses have been cut. The drainage has been cleared The drainage has been oiled The drainage has been oiled Part II-142
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DRAFT LAGOS URBAN COMMUNITY INTEGRATED HEALTH SECTOR PROJECT INTEGRATED MALARIA ACTION PLAN FOR LAWANSON 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 a) Meeting witha) Proportion of meetings held for health and community Community Leaders resources for the integrated b) Collaboration with environmental health and other interest groups malaria control program or stakeholder including business community c) Collaboration with government authorities 2. Mobilize external resources a) Identification ofa) Amount of grants acquired for integrated environmental funding sources b) Amount and type ofhealth and malaria control b) Development of resources accessed. proposals for funding c) Execution of funded projects Part II-139
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3. Community mobilization S/N OBJECTIVE STRATEGY INDICATOR 1. Increase community a) Health education of thea) Follow-up on uptake ofawareness of illness community on the importance education campaignassociated with their of their environment and topics environment, especially vectors malaria and the b) Frequency of meetingsvector borne diseases concurrent infections. held b) Regular meetings with the b) Percentage of community information sharing at the members who have the grassroots level knowledge, attitude and practice of the project 2. a)To increase networking a) Advocacy workshops a) Number of networkcapacity b) Visits to L.A. on a constant established with other basis agencies Mobilize Community c) Seminars, meetings and Partners for Health dialogues at regular basis d) Information sharing. 3. To strengthen relationship a) Inaugurating committeesa) Number of communitybetween the community comprising health workers representation onand health providers and community members: committees -planning, implementing, monitoring and evaluation by partners. b) Assigning responsibilities to community members 4. To strengthen Capacity for a) Involve community membersa) Proportion of communityself-management in planning representation onb) Involve community members planning committee. in resource generating b) Proportion of community activities. members who fulfil their financial obligation. Part II-138
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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 exercises. engaging in dewormingd) Treatment and follow-up exercise c) Proportion of anaemic cases at Partners 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-137
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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 inappropriate 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-136
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I.. PROGRAM COMPONENTS 1. Reduce Human Contact with mosquitoes OBJECTIVE STRATEGY INDICATORS 1. Reduce mosquito bites a) Promote window screening b) Promote use of mosquito nets, and where possible, the use of pyrethoid treatment. c) Spray room with safe insecticide aerosol before bed time. d) Use of mosquito nets such as bed net, windows & door nets. d) Use of repellents like Coil, Petroleum jelly 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 CBOs spraying rooms every night. e) Proportion of CBOs using different types of repellents 2. To reduce overall mosquito populations through environmental sanitation a) Cutting of overgrown weeds; b) Refuse disposal c) Clearing of drainage, ponds etc. a) Frequency of environmental sanitation b) Proportion of CBOs 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. Part II-135
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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 realized 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 responses and amount realized Part II-134
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Program Component: COMMUNITY MOBILIZATION ACTIVITY RESPONSIBLE LOCATION OF TIME FRAME COST INDICATOR GROUP/PERSON(S) ACTIVITY 3a Public Awareness All CBO, Youth and Door to Door and 3 Months N20,000 to No. of people Campaign others Market Square, Intervals N25,000 who responded Community Hall (Range) to the campaign 3b Mobilization of the All CBO, Youth Town hall, Palace, 6 Months N10,000t No. of people Community Leaders, Kings Square Intervals that attended Market Women the meeting 3c Communicating to other CPH, Governing Board CPH 2 Weeks N5,000 No. of people Resource people outside who responded of the community Part II-133

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Program Component: TREATMENT AND MANAGEMENT OF MALARIA ACTIVITY RESPONSIBLE GROUP/PERSON(S) LOCATION OF ACTIVITY 2a Health Education on Home Management and concurrent invention Health Workers and Community Health Workers CPH, Dyad and Community Hall TIME FRAME COST INDICATOR On going Process N10,000 No. of Participants 2b Proper examination and investigation Medical Practitioner/health Workers Hospital and Laboratories On going process N150. Per parent No. of Patients 2c Bulk Purchase of essential anti-Malarial drugs Health Committee Health Facilities 2d Treatment of Concurrent infections Health Workers Health Facilities On going Process N200,000 No. of Patients treated On-going process Ranges from N2,000 N3,000 No. of Patients treated Part II-132

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