Lake Chad Basin Initiative (LCBI)

Training of 30 Officers from MSI  in monitoring and  management of  projects and programmes

Short description

COUNTRY : Multinational

TITLE OF THE PROJECT: Support Project to Lake Chad Basin Initiative for the reduction of vulnerability and risks related to STIs/HIV/AIDS.

LOCATION : Conventional Basin of the Lake Chad, member States of the Lake Chad Basin Commission: (Chad, Cameroon, Niger, Nigeria, the Central African Republic)

RECIPIENT: Lake Chad Basin Commission (LCBC)

IMPLEMENTATION AGENCY: LCBC/Regional Coordination of the Project.
B.P. 727 N’Djamena (Chad)
Tel.: (235) 52 41 45
Fax : (235) 52 41 37
Web site : www.cblt.org

TOTAL COST: 11.11 million UC Foreign currency: 8.18 million UC Local currency : 2.93 million UC

PROPOSED FUNDING: Donation FAD Donation: 10.00 million UC

OTHER SOURCES OF FUNDING :Lake Chad Basin Commission: 1.11 million UC

PROBABLE APPROVAL DATE : September 2005

PROBABLE START DATE: January 2006

Initial situation

In the Lake Chad Basin, seroprevalence rates increase but are variable from one country to another. In Niger, the seroprevalence rate is estimated at 1.2% for adults. In Chad, this rate is 3.3 in the adult group while it is between 5.4 % and 13.5% with an average of 6.7% in the other 3 countries (Nigeria, Cameroun, and the CAR). Several sociocultural, political and economic influencing factors explain such a situation: the intense mobility of populations and migratory movements for economic or political reasons. These factors increase the vulnerability of people and transmission risks of STIs /HIV/AIDS.

In a bid to find solutions to this problem, LCBC member States will set up the Lake Chad Basin Initiative on STIs/HIV/AIDS. Such an initiative falls in line with the UNAIDS resolution, which aims to establish an international partnership against AIDS in Africa (IPAA). Its mission consists in ‘’ ensuring the development of a consensual and complementary approach to address issues related to STIs/HIV/AIDS in connection with movements of populations based in the Lake Chad Basin in order to reduce the spread of the STIs//HIV/AIDS impact ‘’ .

On the 12th April 2001, UNAIDS and LCBC member States signed that initiative in Douguia (Chad), also known as Douguia declaration. Three years later in 2004, The African Development Bank assessed the initiative and agreed to fund it. In this respect, the AfDB group and the Lake Chad Basin Commission entered into an agreement for the funding of the support project to the Lake Chad Basin Initiative.

The National office of the LCBI Coordination at Bol in Chad

Objectives

The sector goal of the project is related to the Millennium Development Goal (MDG) N° 6 of the fight against malaria, HIV/AIDS and other diseases. This MDG N° 6 specifies in the HIV/AIDS part ‘’stop by 2015, and start reducing the spread of HIV/AIDS’’.

The specific goal is to reduce the vulnerability and risks related to HIV/AIDS in people living in the Lake Chad Basin as part of the movement of populations
This objective will be met through activities carried out in the following domains:

  1. Capacity building of health care system for the management of STIs/   HIV/AIDS ;
  2. Reduction of risky sexual behavior in migrant people and those who are connected with them in the 5 countries of the Lake Chad Basin;
  3. Capacity building of communities concerned ahead of their participation in prevention and management activities of STIs/HIV/AIDS.

The project which activities  started since 2007 and will end December 2013. The activities are structured in  fours i components:
Component I  : Capacity building of health care system for the management of STIs/HIV/AIDS
Component II : Capacity building of communities, leadership and partnership
Component III: Monitoring and evaluation
Component IV : Management of the project

Strategies and activities of the Project

Specific activities of the project revolve around:

  • Treatment of STIs;
  • Public Information and Education;
  • Communication for the change of behavior;
  • Prevention of transmission from mother-to-child;
  • Counseling, voluntary screening of the HIV;
  • Prevention of opportunistic infections.

Achievements

Since 2007 the project has made the following  achievements:

  • Establishment and Equipment of National Coordination of Member States of the Initiative (MSI) with computer equipment and  office furniture, generators, motorized canoes etc...;
  • Acquisition and allocation of national Coordination of 5 vehicles equipped laboratories  for HIV screening (1 per country) ;
  • Acquisition and distribution of 8 supervision vehicles including 5 National Coordinations of MSI and 3 for the Regional Project Coordination;
  • Supplying of 50 Health Centers for Center for Voluntary Test-Prevention of Transmission from Mother to Child (10 per country) and five regional laboratories for CVT and STI surveillance (1 per country)
  • Procurement and distribution of drugs and reagents in health of  project areas  in each  of MSI;
  • Training of  1500 health workers in Members States  of the Initiative (300 per country);
  • Training of 100 of laboratory scientists (20 per country);
  • Training of  1250  Members  of  NGOs  and BCOs on IEC/CCC;
  • Training of 500 pairs and community distributors of condoms;
  • Support the organization of awareness campaigns coupled with HIV in SMI (Niger, Nigeria, Chad, CAR, Cameroon);
  • Training 12 Accountants of the LCBI   in TOMPRO software used for project accounting;
  • Construction of 4 Offices National Coordinating Bodies (Chad, Niger, Cameroon and CAR), 40 incinerators and 5 health huts on the Island of Lake Chad boarder Niger;
  • Training of 30 Officers from MSI  in monitoring and  management of  projects and programmes;

Perspective

  1. Realization of cross-border campaigns against STI / HIV / AIDS in the main nodes:
  • Ngueli (Chad) - Kousseri (Cameroon)
  • Garamboulaye (CAR) - Garamboulaye (Cameroon)
  • Gore (Chad) - Bernal (RCA)
  • Banki (Cameroon) - Banki (Nigeria).

 2. Completion of the mapping of interventions of the Support Project to the Lake Chad Basin Initiative;

 3. Training of Ten (10) clinicians from Member States Initiative Supports overall STI / HIV / AIDS;

 4. Training and implementation of mainstreaming HIV and Guides gender in projects and programs of the LCBC.

Partner

Financial partners:

  • African Development Bank (ADB);
  • Commission of the Lake Chad Basin (LCBC).

Technical partners:

  • UNAIDS;
  • UNFPA;
  • United Nations Joint Group on HIV / AIDS;
  • Ministries of Public Health of Member States;
  • National Committee to Fight against AIDS;
  • OCEAC (Organisation for the Coordination for the fight against Endemic Diseases in Central Africa);
  • ECCAS (Economic Community of Central African States).

Partners in the field:

  • Delegations regional sanitary EMI;
  • Socio-sanitary districts of the project area;
  • Health Centres (1st Echelon) of the project area;
  • Non-Governmental Organizations (NGOs);
  • Associations community-based organizations (CBOs);
  • Leaders and community opinions.