CFDA: 98.

001 – USAID Foreign Assistance for Programs Overseas

USAID NFO Number: 7200AA18RFA00010

/ /

Waleson Medical Limited/ African College of Health:

Program Title: Control and Elimination of Neglected Tropical Diseases (CEP-NTD)

Notice of Funding Opportunity Number: 7200AA18RFA00010

CFDA: 98.001 – USAID Foreign Assistance for Programs Overseas

Organization applying for the award: Waleson Medical Limited

Sub-Recipient: African College of Health

Contact person: Ridwan Olawale, +234 9052389099, Ikeja, Lagos. Nigeria,

walesonmd@gmail.com

Prepared by: Dr. Ridwan Olawale MBBS, MSc., PhD. Research Fellow in Tropical
Medicine @ African College of Health, Abuja. Nigeria

Application Class: Element Two (Sub-element A & Sub-element B)

olawaleR.A04/14/2018

Signature and Date

ABBREVIATIONS AND ACRONYMS
AO Agreement Officer
AOR Agreement Officer’s Representative
BMGF Bill and Melinda Gates Foundation
CDC U.S. Centers for Disease Control and Prevention
CDD Community Drug Distributors
CFR Code of Federal Regulations
COR-NTD Coalition for Operational Research on Neglected Tropical Diseases
DNDi Drugs for Neglected Diseases Initiative
DFID U.K. Department for International Development
E3 Bureau for Economic Growth, Education and Environment (E3)
END Ending Neglected Diseases
FAA Fixed Amount Award
FOG Fixed Obligation Grant
GDA Global Development Alliance
GH Global Health Bureau
IEC Information, Education, and Communication
LOE Level of Effort
LF Lymphatic Filariasis
MDA Mass Drug Administration
M&E Monitoring and Evaluation
MEL Monitoring, Evaluation and Learning
MOH Ministries of Health
NFO Notice of Funding Opportunity
NGO Non-Governmental Organization
NTDs Neglected Tropical Diseases
OEPA Onchocerciasis Elimination Program of the Americas
PCT Preventive Chemotherapy
PMI President’s Malaria Initiative
SC Selection Committee
SDG Sustainable Development Goal(s)
STH Soil-Transmitted Helminths
TA Technical Assistance
TEC Technical Evaluation Committee
USG United States Government
USAID U.S. Agency for International Development
WASH Water, Sanitation, and Hygiene
WHO World Health Organization
WML Waleson Medical Limited
TABLE OF CONTENTS
ABBREVIATIONS AND ACRONYMS ............................................. 2
Executive Summary ...............................................................................4
Technical Understanding and Approach...............................................6
Technical Understanding and Proposed Approach..............................8
Overview and milestones of the most prevalent NTDs.........................9
Other neglected tropical diseases....................................................... .15
Dealing with scenario............................................................................16
African College of Health......................................................................18
Personnel........................................................................................ …….18
Budget.................................................................................................... .19
Executive Summary:
Overview;
Integrating neglected tropical diseases into global health and development: fourth WHO report
on neglected tropical diseases evaluates the changing global public health landscape; assesses
progress towards the 2020 targets; and considers the possible core elements of a strategic vision
to integrating neglected tropical diseases into the 2030 Agenda of the Sustainable Development
Goals.

Advances have been made through expanded interventions delivered through five public health
approaches: innovative and intensified disease management; preventive chemotherapy; vector
ecology and management; veterinary public health services; and the provision of safe water,
sanitation and hygiene. In 2015 alone nearly one billion people were treated for at least one
disease and significant gains were achieved in relieving the symptoms and consequences of
diseases for which effective tools are scarce; important reductions were achieved in the number
of new cases of sleeping sickness, of visceral leishmaniasis in South-East Asia and also of Buruli
ulcer.

The report also considers vector control strategies and discusses the importance of the draft
WHO Global Vector Control Response 2017–2030. It argues that veterinary public health
requires a multifaceted approach across the human–animal interface as well as a multisectoral
programme of work to protect and improve the physical, mental and social well-being of
humans, including veterinary, water, sanitation and hygiene.

Integration of activities and interventions into broader health systems is crucial, and despite
challenges, has the potential to accelerate progress towards universal health coverage while
advancing the 2030 Agenda. In short, this report drives the message home that “no one must be
left behind”. (who.int)

We are highly honored at Waleson Medical Limited (African College of Health’s mother
company) for another opportunity to prepare a pattern of approach towards ‘Control and
Elimination of Neglected Tropical Diseases’.

We are registered in Nigeria (RC; 937009) for the purpose(s) of Medical Research, Training and
Consulting. Most of our past activities revolves around education (basic/advance) into core-
clinical issues as well as public awareness information dissemination in topics related to Tropical
Medicine (NTDS inclusive). We have, in the past 7 years, presented varieties of Tropical
Medicine related works to organizations both foreign and local. Basically presented in forms of
infection control strategies to FMOH (Nig), EBRAP (DoD), CDC and to name a few.
At this point in time, it is very clear that the USAID supported ‘WHO’s 2020’ initial plan of
approach to ‘Control and Elimination of Neglected Tropical Diseases’ has almost reached
Documentation/Elimination stage. We are definitely prepared more than any other firm to be
involved in the ongoing acceleration phase works. Putting in mind that our organization was also
partially a party to Proof of Concept and Expansion stages, that stands an assurance that we are
ready to take part in the delivery of expertise as at when required towards achieving complete
elimination or at least a reduction to the lowest level of Tropical Diseases surges.

Our driving force is motored by our online heath education platform; African College of Health,
a British Council Online Member School. Established in the year 2013 with the aim of educating
the world (displaced people mostly) in matters related to Tropical Diseases, NTDs and others.
We have presented works covering regions within Element one and Element two. The fact
remains that; although online information dissemination knows no boundary, we tend to
function better within Element two countries.

Our major challenge for years remains lack of funding from both local and foreign organizations
but that does not stand a chance in stopping our educational and research activities into diseases
within the scope of most prevalent NTDs (LF, trachoma, schistosomiasis, onchocerciasis, and
three soil-transmitted helminths: Ascaris, Trichuris, and Hookworm).

Our expenditures in the last five years are at the range of $500,000 to $1000,000 per annum.
Meaning that we are indebted to community-based organizations that they themselves have no
support from neither government agencies nor NGOs.

Link to our past and current activities: https://www.facebook.com/African-College-of-Health-

264529943698174/
Technical Understanding and Approach:
NTDs cause significant morbidity and mortality worldwide. More than one billion people, one
seventh of the world’s population, suffer from one or more NTDs. Often the source of deep
stigma, NTDs cause disability, severe disfigurement, and blindness. These diseases affect the
world’s most vulnerable populations with devastating, lifelong disabilities that contribute to
ensnaring individuals, families, and even entire communities in poverty.

Preventing and controlling NTDs is central to ending extreme poverty in the next two
decades. USAID’s NTD program supports the achievement of broader development goals, such
as USAID’s overarching goal of ending extreme poverty and the Sustainable Development Goals
(SDGs), including SDG1, to end poverty in all of its forms, and SDG3, to ensure healthy lives
and promote well-being for all, which includes ending NTDs by 2030.

Seven of the most prevalent NTDs (LF, trachoma, schistosomiasis, onchocerciasis, and three
soil-transmitted helminths: Ascaris, Trichuris, and Hookworm) can be targeted through a highly
effective integrated community treatment approach using drugs that have been proven safe and
effective, and which can be delivered by trained non-health personnel. This approach, known as
Mass Drug Administration (MDA), provides a single dose medication to all eligible individuals
in an affected community generally once or twice a year. When implemented without
interruption over three to seven years, MDA can significantly control the burden of NTDs, and,
in some cases, their elimination can be achieved.

Neglected Tropical Diseases (NTDs) are communicable diseases linked with poverty and
prevalent in areas with poor sanitation, inadequate safe water supply and substandard housing
conditions.

The NTDs are estimated to affect over one billion people in the world, majority of who are in the
developing countries. These diseases include:
Lymphatic Filariasis,
Onchocerciasis,
Schistosomiasis,
Soil Transmitted Helminths (STH),
Human African
Trypanosomaisis,
Guinea Worm Disease,
Trachoma,
Leishmaniasis,
Leprosy,
Buruli Ulcer,
Dengue fever &
Rabies among others.
These NTDs have been confirmed to be endemic in the USAID-supported countries: Benin,
Bangladesh, Burkina Faso, Cambodia, Cameroon, Cote d’Ivoire, Democratic Republic of Congo,
Ethiopia, Ghana, Guinea, Haiti, Indonesia, Mali, Mozambique, Nepal, Niger, Nigeria,
Philippines, Senegal, Sierra Leone, Tanzania, Togo, Uganda, Laos, and Vietnam.

For the purpose of this offer, our works are meant to represent Element two nations (both sub-
element 2A; Bangladesh, Haiti, Indonesia, Laos, Nepal, Philippines & Vietnam and sub-element
2B; DRC, Ethiopia, Mozambique, Nigeria, Tanzania & Uganda).

Our aim is to work hand in hand with USAID and all stakeholders towards achievement of the
USAID NTD eradication goals covering the next five years. In ways of:

-Efficiently and effectively completing the World Health Organization (WHO) treatment
requirements for all communities endemic for Lymphatic Filariasis (LF) and trachoma, and also
in verification and documentation of disease elimination as a public health problem via the WHO
dossier process;

-Assisting in select countries, among USAID-supported countries, to meet WHO requirements

for verifying the elimination of transmission of onchocerciasis (e.g., Tanzania, and Uganda),
including support for dossier development and submission;

-Working with the USAID in service delivery approaches through leveraging

domestic resources (funding, policy, existing service delivery platforms) and other
means, and in partying to technical and operational management of each individual NTD control
programs (e.g., schistosomiasis, onchocerciasis, soil-transmitted helminthiasis (STH)) as work
for elimination diseases is completed;

-Working with the USAID in supporting countries to “mainstream” NTD programs by

facilitating their eventual inclusion into the broader national health system and;

-Working for courses aimed at Maximizing efficiencies and program effectiveness to reach
greater numbers with NTD interventions through leveraging and complementing related sectors
and their platforms, including, Basic Education, Malaria, Water, Sanitation, and Hygiene
(WASH), Maternal and Child Health, and Nutrition. In collaboration with all stakeholders.
Technical Understanding and Proposed Approach:

For the purpose of this offer, our works are meant to represent Element two nations (both sub-
element 2A; Bangladesh, Haiti, Indonesia, Laos, Nepal, Philippines & Vietnam and sub-element
2B; DRC, Ethiopia, Mozambique, Nigeria, Tanzania & Uganda).

Our aim is to work hand in hand with USAID and all stakeholders towards achievement of the
USAID NTDs eradication goals covering the next five years and beyond by collaborating and;

-Efficiently and effectively completing the World Health Organization (WHO) treatment
requirements for all communities endemic for Lymphatic Filariasis (LF) and trachoma, and also
in verification and documentation of disease elimination as a public health problem via the WHO
dossier process;

-Assisting in select countries, among USAID-supported countries, to meet WHO requirements

for verifying the elimination of transmission of onchocerciasis (e.g., Tanzania, and Uganda),
including support for dossier development and submission;

-Working with the USAID in service delivery approaches through leveraging

domestic resources (funding, policy, existing service delivery platforms) and other
means, and in partying to technical and operational management of each individual NTD control
programs (e.g., schistosomiasis, onchocerciasis, soil-transmitted helminthiasis (STH)) as work
for elimination diseases is completed;

-Working with the USAID in supporting countries to “mainstream” NTD programs by

facilitating their eventual inclusion into the broader national health system and;

-Working for courses aimed at Maximizing efficiencies and program effectiveness to reach
greater numbers with NTD interventions through leveraging and complementing related sectors
and their platforms, including, Basic Education, Malaria, Water, Sanitation, and Hygiene
(WASH), Maternal and Child Health, and Nutrition. In collaboration with all stakeholders.
Overview and milestones of the most prevalent NTDs:
Lymphatic filariasis,
Trachoma,
Schistosomiasis,
Onchocerciasis,
And three soil-transmitted helminthes: Ascaris, Trichuris, and Hookworm.

Lymphatic filariasis: Infection transmitted by mosquitoes causing abnormal enlargement of

limbs and genitals from adult worms inhabiting and reproducing in the lymphatic
system.Lymphatic filariasis, or elephantiasis, remains silent for a long time after infection, which
is usually acquired in childhood. Once the outward signs of the disease are visible, patients
become gradually disfigured and disabled. Damage to the lymphatic systems, kidneys, arms, legs
or genitals, especially in men, causes a huge amount of pain and discrimination.

• lymphatic filariasis puts at risk 1.3 billion people in more than 80 countries;

• over 120 million have already been affected;

• over 40 million patients are seriously incapacitated and disfigured by the disease;
• one third of the people infected with the disease live in India, one third in Africa and the
remainder in South Asia, the Pacific and the Americas.

Global Programme to Eliminate Lymphatic Filariasis;

Launched in 2000, the Global Programme to Eliminate Lymphatic Filariasis (GPELF) aims to
eliminate the disease as a public health problem by 2020 by protecting the whole at-risk
population. The number of people exposed to infection is currently 1.3 billion.

The strategy to achieve this objective is twofold:

• primary prevention of new cases: delivery of once-yearly, single-dose, two-drug treatment
or diethylcarbamazine citrate (DEC) fortified salt to all individuals in at-risk populations;
• secondary and tertiary prevention of patients’ morbidity associated with the disease:
access to effective surgery for hydrocele and education of hygiene and self-care to
prevent attacks of acute inflammatory adenolymphangitis.

The strategy: preventive mass drug administration

Mass drug administration (MDA) involves treating the entire at-risk population once a year with
two drug combinations: diethylcarbamazine citrate (DEC) plus donated albendazole, or
albendazole plus donated ivermectin. This should keep the levels of microfilariae in the blood
below those necessary to sustain transmission. Alternatively, regular use of DEC fortified salt
has been made.

(Neglected tropical diseases, hidden successes, emerging opportunities.

«WHO/HTM/NTD/2009.2».)
 Trachoma: infection transmitted through direct contact with eye or nasal discharge. Causes
irreversible corneal opacities and blindness. Trachoma, one of the oldest infectious diseases
known to humankind, is caused by Chlamydia trachomatis. The disease is transmitted through
direct contact with infectious eye discharge (on towels, handkerchiefs, fingers, etc.) and by eye-
seeking flies. After years of repeated infection, the inside of the eyelid (conjunctiva) may get so
severely scarred that the eyelid turns inward and the lashes rub on the eyeball, scarring the
cornea (the front of the eye).

Left untreated, this condition leads to the formation of irreversible corneal opacities and
blindness. WHO (2009) estimates that 120 million people in 45 countries are at risk of the
disease and nearly 40 million are infected, compared with 1985 when approximately 360 million
people worldwide were infected. Trachoma is endemic in many of the poorest and most remote
rural areas of Africa, Asia, Central and South America, Australia and the Middle East.

Trachoma in Morocco:
The WHO SAFE strategy for elimination of trachoma involves a combination of interventions:
S – Surgery of the eyelids for those at immediate risk of blindness
A – Antibiotics to treat individual cases and to reduce infection in a community
F – Facial cleanliness and hygiene promotion to reduce transmission
E – Environmental improvements such as provision of water and household sanitation

Through SAFE, Morocco has implemented advocacy and awareness campaigns, particularly
among women and girls, because of their critical role in family and community health.

(Neglected tropical diseases, hidden successes, emerging opportunities.

«WHO/HTM/NTD/2009.2».)
Schistosomiasis: larval worm infection. Transmission occurs when larval forms released by
freshwater snails penetrate human skin during contact with infested water.

Schistosomiasis
• Trematodes or flukes are flatworms that live in blood vessels, biliary tract, intestines, and
lungs of humans and lower animals.
• Included are the schistosomes and the foodborne trematodes—liver flukes (Fasciola,
Clonorchis, Opisthorchis), intestinal flukes (various species), and lung fluke (Paragonimus).

EPIDEMIOLOGY
• Schistosomes are prevalent in tropical and subtropical Africa, the Middle East, Southeast
Asia, East Asia, the Philippines, and limited areas in the Caribbean and South America in
areas with inadequate sanitation or access to clean water.

• Foodborne trematodes are most prevalent in Southeast and East Asia but also in other parts
of the world where persons ingest raw or undercooked fish, crayfish, or plants produced in
fresh water contaminated with human or animal feces or (for Paragonimus) sputum.

MICROBIOLOGY
• Persons become infected with schistosomes when the larval parasites (cercariae) shed by
freshwater snails (intermediate hosts) penetrate bare skin.
• Persons become infected with foodborne trematodes by ingesting the larval parasites
(metacercariae) encysted in fish, aquatic vegetation, or crustaceans (second intermediate host)
that were infected with cercariae shed from snails (first intermediate host).

THERAPY
• Praziquantel is the drug of choice

PREVENTION
• For schistosomiasis, preventive methods include sanitation, provision of clean water, snail
control, and avoidance of contact with contaminated fresh water.
• For foodborne trematodes, prevention of infection includes maintaining freshwater bodies
free of contamination by humans and lower animals, snail control, and proper cooking of
aquatic fish, plants, and crustaceans.
• Periodic screening and treatment or mass drug administration for populations at risk for
infection are essential. (James H. Maguire; Infectious Disease ESSENTIALS)

Schistosomiasis control (WHO; 2009):

More than 1 million school-aged children were treated for schistosomiasis in Madagascar in
2008, compared with just over 110 000 who received treatment between 1999 and 2006.
The main reason for this scale-up is the shipment of more than 2.5 million donated praziquantel
tablets.
A total of 912 568 school-aged children (82% of the 1 074 000 eligible population) received
treatment in 21 districts between June and September 2008. The campaign resumed at the
beginning of October 2008 with the start of a new school year, this time aiming to provide
treatment to an additional 340 000 children in three districts with 844 000 additional tablets of
praziquantel.The drug is distributed by WHO in collaboration with the Malagasy Ministries of
Education and Health and other development partners.

In Nigeria, 846 696 out of 926 913 children of school age received schistosomiasis treatment by
the end of August 2008 in the states of Nasarawa and Plateau. More than 1.5 million donated
praziquantel tablets were shipped to Nigeria in April 2008. In 2007, only 136 000 children had
been treated in the two states. These activities are part of an integrated programme funded by
The Carter Center, working with the Nigerian Ministry of Health in Nasarawa and Plateau.

(Neglected tropical diseases, hidden successes, emerging opportunities.

«WHO/HTM/NTD/2009.2».)
Onchocerciasis (river blindness): parasitic eye and skin disease, transmitted by the bite of
infected blackflies. Causes severe itching and eye lesions, leading to visual impairment and
permanent blindness.

Onchocerciasis, or river blindness, is a parasitic disease caused by a worm that is transmitted to

humans through the bites of blackflies that breed in fast flowing rivers. The disease causes severe
visual impairment including permanent blindness, and can shorten the life expectancy of its
victims by up to 15 years. Another devastating effect of onchocerciasis is the skin lesions
(itching, nodules, dermatitis, depigmentation, etc.). Severe itching alone is estimated to account
for 60% of the disease burden.

Vector control activities against river blindness

In 1975, the Onchocerciasis Control Programme in West Africa (OCP) started largescale
vector control operations using helicopters for weekly spraying of larvicides over
the vector breeding sites in river rapids. In 1989, large-scale treatment with donated
ivermectin was introduced for eligible populations at risk.

At the closure of OCP in December 2002, onchocerciasis had been eliminated as a public health
problem and as a disease of socioeconomic importance from 10 out of the 11 countries covered,
although some residual and localized control activities continued in four countries by a restricted
team until December 2007. All 11 countries continue to administer yearly community-directed
treatment with ivermectin and maintain active surveillance of the disease themselves. (Neglected
tropical diseases, hidden successes, emerging opportunities. «WHO/HTM/NTD/2009.2».)
Soil-transmitted helminthiases: group of intestinal helminth infections transmitted through soil
contaminated by human faeces.

Soil-transmitted helminthes:
• Intestinal nematodes or roundworms are helminthic parasites of the human gastrointestinal tract
.
• Ascaris and Trichuris (whipworm) are acquired by ingestion of contaminated soil.
• Strongyloides and hookworms (Ancylostoma, Necator) are acquired by exposure to larvae in
soil.
• Only Enterobius (pinworm) is transmitted from person to person by ingestion of eggs or by
contact with fomites.
EPIDEMIOLOGY
• Soil-transmitted helminths called Strongyloides are prevalent in tropics and subtropics. They
infect more than 1 billion persons, primarily those with limited access to clean water and
sanitation.
• In temperate areas and industrialized countries, Strongyloides are found primarily among
immigrants and travelers returning from the tropics and subtropics.

MICROBIOLOGY
• Ascaris nematodes, hookworms, and Trichuris whipworms cannot replicate in a human host;
hence, there is no person-to-person transmission. The duration of infection is the lifespan of adult
worms, usually less than a few years.
• Strongyloides can replicate in human hosts; hence, infection is acquired via person-to-person
contact and contact with larvae on soil. Infection persists for decades, and numbers of worms can
increase without exogenous reinfection, especially in persons receiving corticosteroids or with
human T-cell lymphotropic virus-1 infection.
• Pinworms are common in all parts of the world, particularly in children.
• Pinworms spread readily by person-to-person contact and ingestion of eggs shed in the
environment, and infected persons frequently reinfect themselves and others in family.
• Hookworms, Ascaris, and Strongyloides migrate through the lung, but whipworms and
pinworms do not.

THERAPY
• Soil-transmitted helminths and pinworms; albendazole, mebendazole, or pyrantel

PREVENTION
• Sanitation, provision of clean water, wearing shoes, hand washing
• Periodic mass drug administration for soil-transmitted helminths
• Strongyloides: suspect, diagnose, and treat before immunosuppressive therapy

(James H. Maguire; Infectious Disease ESSENTIALS)

Other neglected tropical diseases:

Dengue: mosquito-borne viral disease causing flu-like illness. Occasionally develops into a
lethal complication called severe dengue.

Rabies: viral disease transmitted to humans through the bites of infected dogs. Invariably fatal
once symptoms develop.

Buruli ulcer: debilitating skin infection causing severe destruction of the skin, bone and soft
tissue.

Yaws: chronic bacterial infection affecting mainly the skin and bone.

Leprosy: caused by infection mainly of the skin, peripheral nerves, mucosa of the upper
respiratory tract and eyes.

Chagas disease: infection transmitted through contact with vector insects, ingestion of
contaminated food, infected blood transfusion, congenital transmission, organ transplantation or
laboratory accidents.

Human African trypanosomiasis (sleeping sickness): parasitic infection spread by bites of

tsetse flies. Almost 100% fatal without prompt diagnosis and treatment.

Leishmaniases: transmitted through the bites of infected female sandflies. In its most severe
(visceral) form, it attacks the internal organs. The most prevalent (cutaneous) form causes face
ulcers, disfiguring scars and disability.

Taeniasis and neurocysticercosis: infection by adult tapeworms in human intestines;

cysticercosis occurs when humans ingest tapeworm eggs that develop as larvae in tissues.

Dracunculiasis (guinea-worm disease): nematode infection transmitted by drinking-water

contaminated with parasite-infected water fleas.

Echinococcosis: infection caused by larval stages of tapeworms forming pathogenic cysts.

Transmitted to humans through ingestion of eggs, shed in faeces of dogs and wild animals.

Foodborne trematodiases: infection acquired by consuming fish, vegetables and crustaceans

contaminated with larval parasites.

Mycetoma: debilitating, disabling bacterial/fungal skin infection thought to be caused by the

inoculation of fungi or bacteria into the subcutaneous tissue.
Proposed Approach (Dealing with scenario) :
Along those pledges (aforesaid).The following disease-specific activities will be carried out
through co-implementation / collaboration / integration with full involvement of communities
(The USAID NTDs Team, Federal Governments NTDs secretariat, zonal NTDs offices and the
NTDs Steering Committee standing as driving forces that provides oversights for effective
programme implementations), once we are funded as a partner in the efforts;
;

*Lymphatic Filariasis elimination: annual Ivermectin and Albendazole administration to all at

risk, vector control, personal hygiene and exercises of affected limbs and hydrocelectomies.

*Onchocerciasis control: annual treatment with Ivermectin to the population at risk and focal
ground larviciding in established isolated vector breeding sites.

*Schistosomiasis control: MDA in the school-aged children and high risk communities, health
education, improvement in water supply and sanitation and Focal control of snail intermediate
hosts in selected foci.

*Soil transmitted helminths control: MDA with Albendazole/Mebendazole in the school-age

children and high risk communities,Health education and improvement in water supply and
sanitation.

*Trachoma control: Surgery of trichiasis cases, MDA with Azithromycin of entire at risk
identified communities, improved water supply for personal hygiene, personal hygiene
reinforcing face washing, and. environmental management.

*Leprosy elimination: Early case detection, adequate treatment with MDT, provision of
comprehensive patient care (access to free MDT, POD and rehabilitation services), integration of
leprosy services into the general health services, re-organization of existing leprosy services,
community involvement in leprosy control activities, Self Care (including self care groups),
strengthening the referral system and strengthening referral centre.

*Human African Trypanosomiasis Elimination: Surveillance and case reporting, case detection/
management protocols and integration of HAT surveillance and notification into IDSR.

*Buruli Ulcer control: Early and community based case detection, confirmation of cases, case
management (antibiotics, surgery and prevention of disabilities) and strengthening health
structures.

*Guinea worm Eradication: Active surveillance activities in all endemic and recently freed
villages, Community Participatory Surveillance Strategy (CPSS), cash reward scheme, rumour
investigation, documentation / reporting, use of Monofilament filters (Pipe and cloth) to filter
water before consumption and for domestic purposes, provision of safe water supply and
rehabilitation of broken down sources in target and at risk villages, case management /
containment strategy and vector control with.

Progress towards meeting the objectives will be measured against disease specific indicators.
The USAID’s NTD Teams, Federal Governments NTDs secretariat, zonal NTDs offices and the
NTDs Steering Committee will provide oversight for effective programme implementation. All
these mechanisms properly put in place should help towards actualization of the eradication and
control goals in the long run. We are totally committed to Gender equality procedures as
mandated by the USAID Gender Equality and Female Empowerment Policy as at when
circumstances allows.

Priorities;
Towards achieving USAID’s goals for NTD elimination and control, we will employ our
educational facility (African College of Health) in spreading out educative points as regards
NTDs to the communities involved putting gender gaps (on whatever ground) on top of our
priority list.

Challenges;
Upsurge in terror activities and funding problems. Our online education facility is a purposely
organized institution for the displaced and has contributed to WHO’s disease elimination
straregies for control and elimination of NTDs for years. We are looking forward to partnering
with stakeholders, thereby maximizing opportunities and addressing key challenges that debar
operations as integrated into the NTD programs.

We will be involved in exhibiting technical expertise, risk management acumen, and data
handling methods as required and according to the rules set by the host Nation (s) towards :

● Achieving elimination of LF, trachoma, and onchocerciasis, where feasible;

● A strengthened country programs at national, district, sub-district, and community levels;
● An improved capacity to access and manage drug donations; and
● Increasing country ownership, self-reliance, and political will for the sustainable control
and elimination of NTDs.
African College of Health
‘British Council Schools Online Member School’
Equal Opportunity Statement: At African College of Health, we are committed to a policy
of equal opportunity for all and shall adhere strictly to such policy at all times.

We are currently working ( we currently offer 2 weeks free road show per year on each) on the
following programs towards attainment of NTDs elimination status for the entire world via our
online education platform @ https://www.facebook.com/groups/africancollegeofht/ :

-MSc. Tropical Medicine

-Medicine and Surgery
-Nursing and Midwifery
-Pharmacy
-Psychiatric Nursing
-Cardiopulmonary Resuscitation/Trauma life support
-Health and Safety in Health Care
-Health Care Support Work
-Venipuncture and I.V Cannulation18-Paramedic
-CPD /CME.

Aims and Objectives:

● Achieving elimination of LF, trachoma, and onchocerciasis, where feasible;

● Improving capacity to access and manage drug donations…..

Key Personnel: Director;

Dr. Ridwan Olawale
MBBS, MSc.,
PhD. Research Fellow in Tropical Medicine @ African College of Health, Abuja. Nigeria

Other Personnel: To be recruited upon NOA. We are short of financial means to accrue
specialists.
 BUDGET NARRATIVE

Budget: Element two (Covering sub-element 2A and 2B nations)

Anticipated Project budget items; totaling $21 million USD for a period of 5 years:

• Recruitment of international and national staff

• Emergency kits and medical supplies
• Communications
• IT equipment
• Meetings and workshops
• International airfares
• In-country travel
• Establishment of a sub-office
• Purchase of vehicles
• Running costs of a sub-office (rent, rates, electricity, phone bills, water, cleaning,
maintenance);
• Maintenance/repair of office equipment;
• Office stationery and supplies;
• Car maintenance and spare parts;
• Fuel for generator and vehicles;
• Mobile and satellite phone bills;
• Computer and Internet connections;
• Miscellaneous contracts for the provision of local services;
• Security expenses (local guards and watchmen).
Cost YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTALS
Category (USD) (USD) (USD) (USD) (USD) (USD)
Personnel 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 7,500,000
Fringe 75.000 75.000 75.000 75.000 75.000 375,000
benefits
Travels 50.000 50.000 50.000 50.000 50.000 250,000
Equipment 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 6,000,000
Supplies 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 6,000,000
Contractual 125,000 125,000 125,000 125,000 125,000 625,000
/Program
Activities
Construction - - - - - -
Other direct 50.000 50.000 50.000 50.000 50.000 250.000
costs
Total Direct - - - - - -
Charges
Indirect - - - - - -
charges
TOTALS 4,200,000 4,200,000 4,200,000 4,200,000 4,200,000 21,000,000