REGIONAL AFRICA · 2019-02-08 · farming in vast areas of sub-Saharan Africa, and it is a major...
Transcript of REGIONAL AFRICA · 2019-02-08 · farming in vast areas of sub-Saharan Africa, and it is a major...
RAF:GCP/RAF/502/ITA Terminal Report
FAO/GOVERNMENT COOPERATIVE PROGRAMME
IMPROVING FOOD SECURITY IN SUB-SAHARAN AFRICA BY SUPPORTING THE PROGRESSIVE
REDUCTION OF TSETSE-TRANSMITTED TRYPANOSOMOSIS IN THE FRAMEWORK
OF NEPAD (PHASE 2)
REGIONAL AFRICA: BURKINA FASO, ETHIOPIA, GHANA,
KENYA, MALI AND UGANDA
PROJECT FINDINGS AND RECOMMENDATIONS
FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS
ROME, 2019
RAF:GCP/RAF/502/ITA Terminal Report
FAO/GOVERNMENT COOPERATIVE PROGRAMME
IMPROVING FOOD SECURITY IN SUB-SAHARAN AFRICA BY SUPPORTING THE PROGRESSIVE REDUCTION OF TSETSE-
TRANSMITTED TRYPANOSOMOSIS IN THE FRAMEWORK OF NEPAD (PHASE 2)
REGIONAL AFRICA: BURKINA FASO, ETHIOPIA, GHANA,
KENYA, MALI AND UGANDA
PROJECT FINDINGS AND RECOMMENDATIONS
Report prepared for the participating governments
by the Food and Agriculture Organization of the United Nations
FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS
Rome, 2019
The designations employed and the presentation of the material in this document do not imply the expression of any opinion whatsoever on the part of the Food and Agriculture Organization of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
iii
The Food and Agriculture Organization is greatly indebted to all those who assisted in
the implementation of the project by providing information, advice and facilities.
v
TABLE OF CONTENTS Page LIST OF ABBREVIATIONS vi A OVERVIEW 1 A.1 Project profile 1 A.2 Financial data in USD 2 A.3 Executive summary 2 B RELEVANCE 3 C ACHIEVEMENT OF RESULTS 6 D IMPLEMENTATION OF WORK PLAN AND BUDGET 12 E SUSTAINABILITY 14 F LESSONS LEARNED 17 G FOLLOW-UP ACTIONS 18 H GOVERNMENT ATTENTION 18 Appendix 1 LOGFRAME MATRIX - ACHIEVEMENT OF INDICATORS 19 Appendix 2 PROJECT STAFF 23 Appendix 3 TRAINING AND STUDY TOURS 24 Appendix 4 MAJOR ITEMS OF EQUIPMENT PROVIDED 30 Appendix 5 DOCUMENTS PRODUCED DURING THE PROJECT AND PRESENTATIONS AT INTERNATIONAL CONFERENCES AND MEETINGS 31 Figure 1 Trypanosomosis-affected countries assisted by the project 6 Figure 2 LPF against tsetse flies and other biting and nuisance flies 8 Figure 3 Atlases of tsetse and African animal trypanosomosis 10 Figure 4 The Atlas of human African trypanosomosis (HAT, or sleeping sickness) 11
vi
LIST OF ABBREVIATIONS AAT - African animal trypanosomosis AfDB - African Development Bank AU-IBAR - African Union/Interafrican Bureau for Animal Resources AU-ISCTRC - African Union - International Scientific Council for Trypanosomiasis Research and Control AU-PATTEC - African Union - Pan African Tsetse and Trypanosomosis Eradication Campaign CIRAD - Centre de Coopération Internationale en Recherche Agronomique pour le Développement CIRDES - Centre International de Recherche-Développement sur l'Elevage en zone Subhumide CAADP - Comprehensive Africa Agriculture Development Programme DBMS - Database management system ECOWAS - Economic Community of West African States g-HAT - Gambiense Human African Trypanosomosis GIS - Geographic Information System GPS - Global Positioning System HAT - Human African trypanosomosis IAEA - International Atomic Energy Agency IBD-CETT - Insectarium de Bobo-Dioulasso – Campagne d'Eradication des mouches tsé-tsé et de la Trypanosomose (Burkina Faso) ISCTRC - International Scientific Council for Trypanosomiasis Research and Control ITM - Institute of Tropical Medicine Antwerp LoA - Letter of Agreement LPF - Livestock Protective Fences LTO - Lead Technical Officer
vii
LTU - Lead Technical Unit KENTTEC - Kenya Tsetse and Trypanosomiasis Eradication Council NEPAD - New Partnership for Africa's Development NICETT - National Institute for the Control and Eradication of Tsetse and Trypanosomosis (Ethiopia) NTDs - Neglected Tropical Diseases OIE - World Organisation for Animal Health PAAT - Programme Against African Trypanosomosis PCP - Progressive Control Pathway PLoS - Public Library of Science RAF - FAO Regional Office for Africa SFE - FAO Subregional Office for Eastern Africa SNNPR - Southern Nations, Nationalities, and Peoples’ Region (Ethiopia) T. b. - Trypanosoma brucei TCP - Technical Cooperation Programme TSS - Technical support services WHO - World Health Organization
A. OVERVIEW
A.1 PROJECT PROFILE
Country
Burkina Faso, Ethiopia, Ghana, Kenya, Mali and Uganda
Project Symbol
GCP/RAF/502/ITA
Project Title
Improving food security in sub-Saharan Africa by supporting the progressive reduction of tsetse-transmitted trypanosomosis in the framework of NEPAD (Phase 2)
Resource Partner
Government of Italy
Actual EOD
1 January 2016
Actual NTE
30 June 2018
Participating Organizations (e.g. Ministry of Agriculture, etc.)
Ministry of Livestock and Fisheries (Ethiopia), Ministère de l'Elevage et de la Pêche (Mali), Ministry of Agriculture, Livestock and Fisheries (Kenya), Ministère des Ressources animales et halieutiques (Burkina Faso), Ministry of Agriculture, Animal industry and Fisheries (Uganda), Ministry of Food and Agriculture (Ghana), African Union - Pan African Tsetse and Trypanosomosis Eradication Campaign (AU-PATTEC), World Health Organization (WHO), International Atomic Energy Agency (IAEA)
Implementing Partners (List):
Name Type (NGO/Community Based Organization/Gov.)
Total Funds Transferred
National Institute for the Control and Eradication of Tsetse and Trypanosomosis (NICETT)
Governmental organization (Ethiopia): Ministry of Livestock and Fisheries
USD 35 664.62
Kenya Tsetse and Trypanosomiasis Eradication Council (KENTTEC)
Governmental organization (Kenya): Ministry of Agriculture, Livestock and Fisheries
USD 47 775.18
Insectarium de Bobo-Dioulasso – Campagne d'Eradication des mouches tsé-tsé et de la Trypanosomose (IBD-CETT)
Governmental organization (Burkina Faso): Ministère des Ressources animales et halieutiques
USD 38 559.94
Contribution to FAO’s Strategic Framework Indicate the title of each higher level result to which the project contributes
Organizational Outcome(s)
201 - Producers and natural resource managers adopt practices that increase and improve agricultural sector production in a sustainable manner.
2
204 - Stakeholders make evidence-based decisions in the planning and management of the agricultural sectors and natural resources to support the transition to sustainable agricultural sector production systems through monitoring, statistics, assessment and analyses
Regional Priority Area/Initiative Regional Initiative 2 - Sustainable production intensification and commercialization through integrated management of agricultural landscapes
Country Programming Framework
Outcome(s)
Burkina Faso: The growth market agro-forest-pastoral, fishery and wildlife sectors are identified and supported (Priority Area 2 of CPF 2017-2020). Ethiopia: Livestock and fisheries production, productivity and commercialization improved (Priority 2, CPF 2016-2020). Kenya: i) Productivity of medium and small-scale agricultural producers increased, diversified and aligned to markets (CPF Outcome 2: 2014-2017); and ii) Improved management of land, water and other natural resources for enhanced food security and socio-economic development at national, county and community level (CPF Outcome 3: 2014-2017)
UNDAF Outcome(s) Not directly applicable, in that it is a regional project
A.2 FINANCIAL DATA in USD1 (as at: 10 January 2019)
Budget USD 1 000 000
A.3 EXECUTIVE SUMMARY
Tsetse-transmitted trypanosomosis is a parasitic disease affecting both humans and
animals. Because of its severe impact on livestock, it also hinders crop-livestock mixed
farming in vast areas of sub-Saharan Africa, and it is a major constraint to food security.
The project benefited smallholder livestock keepers and veterinary authorities in
28 African countries affected by the disease, with a focus on Burkina Faso, Ethiopia, Ghana,
Kenya, Mali and Uganda. Project activities comprised: i) the piloting of an innovative tool for
disease control in the field (i.e. Livestock Protective Fences [LPF]); and ii) disease risk
mapping and information management for improved, evidence-based decision-making.
Field activities were implemented in Burkina Faso, Ethiopia, and Kenya.
Approximately 20 000 m2 of protective nets (i.e. LPF) were deployed in
1 Data source: FPMIS/ Data Warehouse
3
555 livestock-keeping households to protect animals against tsetse flies and other biting and
nuisance flies. The impact of the interventions included reduced fly infestation and disease
incidence, and increased meat and milk production. In addition, as a result of its capacity to
kill mosquitoes, the LPF had an impact on the occurrence of malaria. All field activities were
implemented by the national authorities in charge of trypanosomosis control, so they also
contributed to institutional capacity development.
Disease risk mapping and information management for evidence-based decision-making
were enhanced through a wide range of activities. National Atlases/Information Systems were
developed, focusing on the geographic distribution of tsetse and African animal
trypanosomosis (AAT). The Atlases were completed in Burkina Faso, Ghana, Kenya, Mali
and Zimbabwe, and initiated in Ethiopia and Uganda. The FAO Continental Atlas of tsetse
and AAT was enhanced, with 18 AAT-affected countries mapped.
The project was strongly focused on capacity development, with an emphasis on disease
risk mapping and data management. Four national training courses were held, as well as
13 national training workshops. Seven regional training courses and workshops were also
organized in collaboration with key partners (i.e. African Union - Pan African Tsetse and
Trypanosomosis Eradication Campaign [AU-PATTEC], International Atomic Energy Agency
[IAEA], World Health Organization [WHO], and other FAO offices and units). See
Appendix 3 for all details on capacity development activities.
Collaboration with, and support to key international stakeholders enabled the project to
extend its reach. The FAO Project Officer was based at the AU headquarters in Addis Ababa
(Ethiopia) to enhance synergies with PATTEC. The latter also received some project support
for its coordinating role at the African level. The longstanding collaboration with the WHO
was also strengthened, with a focus on the continuous improvement and regular updating of
the Atlas of human African trypanosomosis (HAT). During the project, the Atlas of HAT was
updated to the years 2015 and 2016. Support to the WHO was also provided by the project in
the fields of capacity building for HAT-affected countries (three regional/national training
courses), and epidemiological analysis for monitoring the HAT elimination process.
B. RELEVANCE
The problem
Livestock contributes to the livelihoods of approximately 70 percent of the world’s
poor, and there is an increasing demand for livestock products for the growing and more
affluent populations of many developing countries, particularly in Africa. In this context,
4
livestock diseases in general, and tsetse-transmitted trypanosomosis in particular, pose major
constraints to increased, sustained animal productivity in vast and fertile areas of sub-Saharan
Africa. African trypanosomosis affects 39 countries, many of which are among the poorest in
the world. It is estimated that trypanosomosis causes losses that can be measured in billions of
dollars every year, including both direct losses in livestock production and productivity, and
indirect losses in the crop sector, owing to reduced animal traction.
The magnitude of the trypanosomosis problem is recognized by the New Partnership for
Africa’s Development (NEPAD) programme for agriculture, the Comprehensive Africa
Agriculture Development Programme (CAADP), and it is also demonstrated by the
establishment of the AU-PATTEC.
The human form of the disease (i.e. HAT, or sleeping sickness) is a rare disease today,
but one that still holds the potential for devastating epidemics. Substantial efforts in the past
twenty years have drastically reduced the prevalence of HAT, and it is now targeted for
elimination as a public health problem by the WHO, as stated in its Neglected Tropical
Diseases (NTDs) road map for 2020.
Despite the high-level political commitment and sizable investment, and against the
backdrop of great progress towards HAT elimination, success in controlling AAT has been
limited over the past 15 years. In particular, in early 2000, the African Development Bank
(AfDB) provided funding to Burkina Faso, Ethiopia, Ghana, Kenya, Mali and Uganda
(approximately USD 70 million) with the objective of creating sustainable tsetse and
trypanosomosis-free areas. Although progress was made in certain countries, the objective
was not achieved.
Key reasons for the lack of progress in AAT control include the following:
i) suboptimal capacities within the veterinary services; ii) the lack of epidemiological
information systems at the national level for sound, evidence-based decision-making; and
iii) the limited availability of quality, adapted and affordable control tools.
The response
In an effort to address the identified problems, FAO implemented the first phase of the
project between November 2012 and December 2015 (GTFS/RAF/474/ITA, “Improving food
security in sub-Saharan Africa by supporting the progressive reduction of tsetse-transmitted
trypanosomosis in the framework of the NEPAD”). This project (GCP/RAF/502/ITA,
January 2016 – June 2018) represented the second phase, and aimed to: i) strengthen the
capacity of beneficiary countries (Burkina Faso, Ethiopia, Ghana, Kenya, Mali and Uganda),
other trypanosomosis-affected countries, and FAO partners (AU-PATTEC, WHO and IAEA)
5
to enable them to better address the problems posed by, and reduce the burden of
tsetse-transmitted trypanosomosis; ii) implement field interventions in selected areas of
Burkina Faso, Ethiopia and Kenya to promote livestock production and productivity;
iii) enhance management, analysis and dissemination of tsetse, AAT and HAT data at the
continental and national level for improved decision-making; and iv) provide technical
assistance to AAT-affected countries for the development of analytical studies and plans for
field interventions. An additional, cross-sectional objective was implemented in order to
provide gender-balanced opportunities, both in field activities and in capacity development.
The strategy for capacity development (Output 1: In-country capacity for
trypanosomosis risk assessment and evidence-based planning, implementation, monitoring
and evaluation of field interventions against African trypanosomosis strengthened, with focus
on data management and analysis for decision-making) focused on a combination of training
courses, technical workshops and remote assistance (e-mail, skype, etc.). Field interventions
(Output 2: Field interventions to promote livestock production and productivity through
integrated animal production and health packages in Ethiopia, Kenya and Burkina Faso
implemented) focused on the piloting of the innovative LPF for the control of
trypanosomosis-transmitting tsetse flies and other nuisance flies. The field interventions were
implemented by the national governmental counterparts from the mandated ministries,
through Letters of Agreement (LoA). Data management and analysis for decision-making
(Output 3: Management, analysis and dissemination of tsetse, AAT and HAT data at the
continental and national level for improved decision-making strengthened) were enhanced
through the development of national and continental Atlases of tsetse and AAT, and the
continuous updating and upgrading of the Atlas of HAT (a WHO/FAO initiative). A new
PAAT website was also developed (www.fao.org/paat). A range of analytical studies were
developed through technical assistance missions and remote assistance (Output 4: Technical
assistance to trypanosomosis-affected countries and other stakeholders for the development of
analytical studies and plans/project proposals for field interventions provided); and a balanced
gender participation was promoted in all project activities (Output 5: Gender gap in response
to the burden caused by the tsetse-trypanosomosis problem to animal health and production is
narrowed through increased and balanced gender equality opportunity). All project activities
were implemented in close collaboration with the national governmental authorities and
international stakeholders, most notably WHO, IAEA and AU-PATTEC, as well international
research institutes (e.g. Institute of Tropical Medicine Antwerp [ITM], Centre de Coopération
Internationale en Recherche Agronomique pour le Développement [French Agricultural
Research Centre for International Development - CIRAD]).
6
C. ACHIEVEMENT OF RESULTS
Results achieved
Outcome
In addition to the six project countries (Burkina Faso, Ethiopia, Ghana, Kenya, Mali,
and Uganda), 24 countries (Angola, Benin, Burundi, Cameroon, Central African Republic,
Côte d’Ivoire, Chad, Congo, Democratic Republic of the Congo, Equatorial Guinea, Gabon,
Liberia, Malawi, Mozambique, Niger, Nigeria, Rwanda, Senegal, South Sudan, Sudan,
United Republic of Tanzania, Togo, Zambia and Zimbabwe) were assisted through the
implementation of regional activities, such as regional training courses/workshops, the
continental Atlas of tsetse and AAT and the continental Atlas of HAT. Project countries and
other assisted countries are mapped in Figure 1 below.
In addition, three key international stakeholders were assisted (AU-PATTEC, WHO and
IAEA), as well as two international research institutes (CIRAD and ITM).
Figure 1: Trypanosomosis-affected countries assisted by the project
Output 1: In-country capacity for trypanosomosis risk assessment and evidence-based planning, implementation, monitoring and evaluation of field interventions against African trypanosomosis strengthened, with focus on data management and analysis for decision-making
Capacity development was fully delivered (see Appendix 3). Through eight national
training courses and national stakeholders’ workshops (Activity 1.1: One country-level
training course [or workshop] conducted in each of the six project countries), 237 people from
7
the six project countries were trained on various aspects of data management for
evidence-based decision-making in trypanosomosis control. Emphasis was placed on the
development of national Atlases of tsetse and AAT, Geographic Information Systems (GIS),
Global Positioning Systems (GPS), and database management systems (DBMS). The key role
these tools played in the Progressive Control Pathway (PCP) for AAT2 was also stressed.
Seven regional training courses or workshops organized by partners and stakeholders
were also supported (Activity 1.2: Support provided to training activities organized and/or led
by AU-PATTEC, WHO, IAEA or national authorities in affected countries). These enabled
the project to contribute to the training of an additional 137 members of staff from both the
six project countries and an additional 22 affected countries3. These regional events supported
by the project were organized by FAO partners (WHO, AU-PATTEC, IAEA), as well as by
other FAO offices and units involved in trypanosomosis control (the Rome-based FAO
Secretariat of PAAT and the FAO Subregional Office for Eastern Africa [SFE]). The training
activities organized in collaboration with the WHO focused on the use of the Atlas of HAT to
better plan disease elimination activities, while the workshops jointly organized by the FAO
Secretariat of PAAT, FAO-SFE, IAEA and AU-PATTEC focused on the PCP for AAT.
Capacity was further developed during technical assistance missions (described in detail
in Output 4), and through regular remote assistance (e-mail, skype, etc.).
Output 2: Field interventions to promote livestock production and productivity through integrated animal production and health packages in Ethiopia, Kenya and Burkina Faso implemented
Overall, Output 2 was delivered beyond expectations, with a higher-than-planned
number of livestock owners/households benefiting from the LPF (i.e. 555, instead of the
planned 270). The impacts of the interventions included a reduction in the number of biting
and nuisance flies (including tsetse), an increase in the meat and milk production of livestock,
and a reduction in malaria and its vectors.
In Ethiopia (Activity 2.1: Field interventions to promote livestock production and
productivity through integrated animal production and health packages in Ethiopia),
335 livestock owners/households benefited from the LPF technology in four districts (Zala,
Demba Gofa and Humbo) of the Southern Nations, Nationalities, and Peoples’ Region
(SNNPR). To this end, 5 000 m2 of LPF were procured by FAO. Key activities included a
2 Diall, Cecchi et al. Developing a Progressive Control Pathway for African Animal Trypanosomosis. Trends in parasitology, 2017, 33(7). p. 499–509. http://dx.doi.org/10.1016/j.pt.2017.02.005. 3 Angola, Benin, Burundi, Cameroon, Central African Republic, Chad, Congo Côte d’Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Gabon, Malawi, Niger, Nigeria, Rwanda, Senegal, South Sudan, Sudan, United Republic of Tanzania, Togo, Zambia, Zimbabwe.
8
sensitization workshop for governmental officials, training of beneficiaries and animal health
professionals, the construction of fences and deployment of LPF, the collection of baseline
and monitoring data, and an assessment of LPF impact.
In Kenya (Activity 2.2: Field interventions to promote livestock production and
productivity through integrated animal production and health packages in Kenya),
140 livestock owners/households benefited from the LPF technology in six counties’ districts
(Kilifi, Kwale, Homabay, Siaya, Bungoma and Narok). A total of 10 000 m2 of LPF were
procured by KENTTEC with their own financial resources. Key activities included three
sensitization workshops, the training of 150 farmers, the construction of fences and
deployment of LPF, and the monitoring of their impact. The intervention was successful in
reducing the densities of biting flies and in increasing the weight of the animals and the
production of milk. A general reduction in mosquito-borne malaria was also observed.
In Burkina Faso (Activity 2.3: Field interventions to promote livestock production and
productivity through integrated animal production and health packages in Burkina Faso),
80 livestock owners/households benefited from the LPF technology in the area of Bama, in
the southwest of the country. To this end, 4 000 m2 of LPF were procured by FAO. Key
activities included the deployment of LPF and monitoring of their impact, including the
impact on mosquito populations. A clear reduction in the number of biting flies was observed
in the intervention sites, and livestock production in the LPF-protected units was significantly
higher than in the control (i.e. non-protected) units. Farmers indicated their appreciation for
the LPF technology, and requested that the LPF be made more readily available for possible
upscale.
Ethiopia Kenya Burkina Faso
Figure 2: LPF against tsetse flies and other biting and nuisance flies
9
Output 3: Management, analysis and dissemination of tsetse, AAT and HAT data at the continental and national level for improved decision-making strengthened
The continental Atlas of tsetse and AAT (Activity 3.1: The continental Atlas of tsetse
and AAT completed) was substantially advanced, but not fully completed. The Atlas was
based on epidemiological and entomological information from scientific publications from
1990 onwards4-5. During the project, tsetse and AAT were mapped for a total of 18 countries
(Angola, Benin, Cameroon, Central African Republic, Chad, Congo, Democratic Republic of
the Congo, Equatorial Guinea, Gabon, Ghana, Liberia, Malawi, Mali, Mozambique, Namibia,
Senegal and Togo), by using data from over 150 scientific publications.
The development of national Atlases of tsetse and AAT (Activity 3.2: Development of
national Atlases of tsetse and AAT assisted) was assisted in the six project countries through
training sessions, workshops, technical assistance missions and provision of equipment
(i.e. GPS as well as desktop and laptop computers, see Appendix 4). Remote assistance was
particularly relevant, with extensive e-mail and skype communications. Four of six project
countries completed the development of national Atlases (i.e. Burkina Faso, Ghana, Kenya
and Mali), while in both Ethiopia and Uganda activities are still in progress. Through the
collaboration with IAEA, Zimbabwe was also assisted, and the country is on its way to
completing its national Atlas. Nine publications were developed, in collaboration with
partners, to disseminate information on tsetse and AAT risk (see Appendix 5). Examples of
maps generated through the national Atlases of tsetse and AAT are shown in Figure on the
following page.
4 Cecchi et al., Assembling a geospatial database of tsetse-transmitted animal trypanosomosis for Africa. Parasites & Vectors, 2014. 7: p. 39. http://dx.doi.org/10.1186/1756-3305-7-39 5 Cecchi et al., Developing a continental atlas of the distribution and trypanosomal infection of tsetse flies (Glossina species). Parasites & Vectors, 2015. 8: p. 284. http://dx.doi.org/10.1186/s13071-015-0898-y
10
Mali
Kenya
Burkina Faso
Zimbabwe
Figure 3: Atlases of tsetse and African animal trypanosomosis
The regular updating and upgrading of the WHO-led Atlas of HAT was supported
(Activity 3.3: Regular update and upgrade of the WHO-led Atlas of HAT supported).
Epidemiological data for the years 2015 and 2016 were processed and included in the
database. Comprehensive HAT data were processed for the 19 endemic countries regularly
reporting on HAT (Angola, Burkina Faso, Cameroon, Central African Republic, Chad,
Congo, Côte d'Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Gabon, Guinea,
Guinea-Bissau, Malawi, Nigeria, South Sudan, Uganda, United Republic of Tanzania, Zambia
and Zimbabwe). Support was provided to the WHO for data analysis and the development and
calculation of indicators of HAT elimination (i.e. HAT risk assessment, estimation of
coverage of HAT surveillance and treatment activities, modelling of HAT prevalence and
underreporting, exploration of animal reservoir of gambiense HAT [g-HAT]). Four scientific
publications were developed to disseminate the results of the analyses on HAT epidemiology
and elimination (see Appendix 5).
11
Figure 4: The Atlas of human African trypanosomosis (HAT, or sleeping sickness). Period 2012-2016.
Source: Franco et al., 2018.
In addition to publications, project results, achievements and lessons learned were
disseminated through presentations and participation in 15 international conferences and
meetings (Activity 3.4: Dissemination of information through publications, meetings and
conferences ensured [see the full list in Appendix 5]). It is noteworthy that in the vast majority
of cases the cost for FAO participation was covered by the conference organizers, thus
demonstrating the high priority attached to FAO participation and to the relevance of FAO
work and expertise. Finally, the new website of PAAT was also developed
(www.fao.org/paat).
Output 4: Technical assistance to trypanosomosis-affected countries and other stakeholders for the development of analytical studies and plans/project proposals for field interventions provided
A total of 12 technical assistance missions were carried out in project countries
(Activity 4.1: Technical assistance missions to trypanosomosis-affected countries to support
the development of analytical studies and plans/project proposals for field interventions
conducted); and four national and regional workshops were supported (Activity 4.2: Support
to national and/or regional workshops on the development of analytical studies and
plans/project proposals for field interventions provided), to improve various aspects of tsetse
12
and AAT control, from planning to execution and monitoring. Eight analytical studies related
to AAT were supported. The revision of two national strategies against tsetse and AAT (in
Kenya and Mali) was assisted, with a view towards streamlining the principles of the PCP for
AAT. The development of a full project document was supported for a FAO Technical
Cooperation Programme (TCP) project in Ethiopia (budget: USD 237 000), to promote the
PCP for AAT at the national level. The TCP was approved for FAO funding on 13 June 2018,
and will be implemented for a period of two years (until 30 June 2020).
Output 5: Gender gap in response to the burden caused by the tsetse-trypanosomosis problem to animal health and production is narrowed through increased and balanced gender equality opportunity
The project met the needs of both men and women. In field activities for increased
livestock production, attention was given to the selection and the needs of beneficiaries of
both genders, and in the capacity-building/technical assistance activities efforts were made to
promote a balanced participation.
The results of the project interventions benefited women and men equitably. In
particular, at the level of institutional decision-making, high-level training and technical
support was given in equal measure to both genders, while efforts were made to promote a
balanced participation at the basic levels of capacity building (despite a general gender
imbalance in the entomological and veterinary technical areas). Through the field activities
aimed at increasing livestock production, both men and women farmers benefited in
substantially equal measure.
D. IMPLEMENTATION OF WORK PLAN AND BUDGET
Work plan and budget
Regarding the work plan, all activities were implemented in a timely manner and within
the available budget of USD 1 000 000 provided by the resource partner, the Government of
Italy. In addition, the number and scope of project activities were increased, as a result of
extensive cost-sharing with beneficiaries and partner institutions. The additional external
contributions in cash and in kind were estimated at USD 150 000.
One six-month no-cost extension was implemented to make up for a short delay in the
full availability of financial resources at project inception, and a small budget revision was
carried out to reflect minor implementation adjustments. The no-cost extension and budget
13
revision were approved by the resource partner. Procurement (both of IT material and LPF for
field interventions) was carried out without challenges or delays.
Regarding the main project outcome (i.e. number of countries and stakeholders
assisted), 35 were reached (as compared with the 20 planned). Collaborative activities with
stakeholders at the regional level enabled this higher number of beneficiary countries and
stakeholders to be reached. Regarding the project outputs, the target for all indicators were
achieved or overachieved (for details see Appendix 1).
With regard to field activities against AAT, these were implemented by partners
through LoAs in Burkina Faso, Kenya and Ethiopia. In the first two countries, the LoAs were
completed by 31 December 2017, as planned. In Ethiopia, some delays were encountered;
thus the activities were completed during the six-month project extension period.
Direct support to AU-PATTEC was provided by contributing financially to the
participation of selected national coordinators to the PATTEC Coordinators’ meeting held in
2016 in Addis Ababa, Ethiopia, and in 2017 in Livingstone, Zambia.
Technical support services (TSS) were provided by both the FAO Regional Office for
Africa (RAF)-based Lead Technical Officer ([LTO] Accra, Ghana) and by the
headquarters-based Lead Technical Unit (LTU) Officer (Rome, Italy). For the former, TSS
focused on a five-day mission on the occasion of the 34th General Conference of the AU
International Scientific Council for Trypanosomiasis Research and Control (ISCTRC) and the
16th PATTEC coordinators meeting (10-15 September 2017, Livingstone, Zambia). For the
latter, TSS focused on a five-day mission to Addis Ababa, Ethiopia (25 March-1 April 2018).
Risk management
Project risks were effectively managed (e.g. possible impact of a changing security
context and other external events on the timeliness of implementation, etc.), resulting in all
activities being implemented as planned. The expected environmental and social risks caused
by the project were minimal, and no unexpected risks occurred during the project
14
E. SUSTAINABILITY
a. Capacity development
Relevant policies and legal frameworks supporting the sustainability of the project outcome
In all project countries, as well as at the international United Nations (UN)/AU level,
policies are in place to promote sustainability in AAT control (and therefore, in project
achievements). In particular, the project-assisted development of the PCP for AAT has
recently provided a more robust framework to ensure sustainability. Some countries have
already started to embed the PCP principles in their national policies, but more proactive
actions will be needed to attain this goal.
Project embedding in organizational structures that are likely to survive beyond the project, and that are committed to sustainability of results
The project was embedded in a range of organizational structures that would survive
beyond the project, and that were committed to sustainability of results. First and foremost, all
project activities at the national level contributed to strengthening national authorities in
charge of trypanosomosis control, which are firmly embedded in national
structures/competent ministries.
In addition, the project was carried out in the framework of PAAT, an international
alliance that has collaborated with FAO, WHO, IAEA and African Union/Interafrican Bureau
for Animal Resources (AU-IBAR) since 1997, and many other stakeholders in the fight
against tsetse-transmitted trypanosomosis. The project also assisted the efforts of the
AU-PATTEC, which has brought together African states since 2000 to eliminate tsetse and
trypanosomosis from the continent. Concerning the project’s contribution to the elimination
of sleeping sickness, especially through the development, regular updating and dissemination
of the Atlas of HAT, the WHO and a broad network, it aimed to achieve the goal of
eliminating HAT as a public health problem by 2020, and to eliminate altogether the
transmission of g-HAT by 2030.
Partnerships and alliances created or strengthened that will contribute to the project’s sustainability
The project strengthened a number of partnerships and alliances, most of which have
been forged over many decades of FAO activities against AAT, and especially over the past
20 years in the framework of PAAT. In particular, the project strengthened the partnerships
with AU-PATTEC, WHO, IAEA, CIRAD, the Centre International de
15
Recherche-Développement sur l'Elevage en zone Subhumide (CIRDES, Burkina Faso), ITM,
and the International Livestock Research Institute, Kenya.
Project exit strategy and follow-up actions
All project activities contributed to promoting various components of the PCP for AAT.
A broader and deeper inclusion of the PCP principles and practices in the national strategies
and activities against AAT is the main envisaged follow-up action. To this end, capacity was
built, and pilot activities were carried out. FAO will continue supporting project countries and
other AAT-affected countries in this endeavour, in the framework of its statutory activities
within PAAT and through new possible projects.
b. Gender equality
See Output 5 above.
c. Environmental sustainability
By supporting the progressive reduction of tsetse-transmitted trypanosomosis, the
project contributed to a more balanced utilization of natural resources. In particular, by
freeing access to fertile tsetse-infested areas, trypanosomosis control reduces the pressure
from overgrazing, which is common in many tsetse-free areas, and it promotes a more
sustainable livestock-crop agriculture. In addition, the project tool of choice for the reduction
of the AAT burden was the innovative and user and environmentally friendly LPF
technology.
d. Technological sustainability
Appropriate and flexible technologies used or introduced by the project
The project promoted the use of low-cost, high-impact technologies that greatly
contribute to sustainability. In the field of data management and GIS for decision-making,
strong emphasis was put on freeware, open source software (namely Quantum GIS -
http://www.qgis.org), as well as on public domain datasets. Through this strategy, GIS can be
installed on all computers and laptops as needed, without any cost for software or licences.
Regarding field interventions to improve livestock production and productivity, the low-cost,
innovative LPF technology met the needs of farmers, who also demonstrated their capability
to use it and requested that the tool be made more easily available for upscaling.
16
Project contribution to the development of local knowledge/capacity/resources/ good practices
The development of local capacity was the main project pillar, and it was extensively
pursued through a variety of approaches, including i) formal training courses, ii) on-the-job
training workshops; and iii) collaborative activities with a training component. Through
national and regional training courses, participants from over 20 African countries were
trained on data management and GIS for improved decision-making in field interventions
against trypanosomosis. On-the-job training was provided through technical workshops.
Collaborative activities with a training component involved several countries, which also
resulted in a number of peer-reviewed scientific publications, most of which were led by
national counterparts. Support was also provided for advanced training courses (M.Sc. and
Ph.D. level) for selected beneficiaries.
Capacity of stakeholders and beneficiaries to pursue project activities without further technical assistance
Extensive training and capacity building greatly enhanced the capacities of beneficiaries
and stakeholders to pursue project activities without further technical assistance. However, it
is recommended that donor funding be actively sought to provide further assistance, to ensure
that the full potential of the project activities is reaped.
e. Economic sustainability
Additional financial resources allocated/mobilized to the sector or subsector programme, as a result of the project
The main indicator of economic sustainability was the direct contribution to project
activities by beneficiaries and stakeholders. The in-cash contribution was estimated at
approximately USD 150 000, and it included inputs for training courses, workshops and
meetings, as well as data management, analysis and dissemination. This contribution can be
considered as equally provided by WHO, IAEA and AU, and trypanosomosis-affected
African countries. The in-kind contribution also included the human resources from
beneficiaries and stakeholders involved in the implementation of the project.
In addition, farmers involved in the LPF trials directly invested in the piloting of the
technology, for example by building fences to support LPF, reportedly investing far in excess
the value of the donated netting material. Finally, farmers’ willingness to pay for the
technology was widely reported as an additional indicator of potential economic
sustainability.
17
F. LESSONS LEARNED
LESSONS LEARNED – elements of success
Three good practices contributed to the success of the project: i) partnerships;
ii) emphasis on innovative, affordable and user and environmentally friendly technologies;
and iii) capillary dissemination of project results.
1. Strong and strategic partnerships underpinned all project activities. At the
international level, the project closely coordinated and directly collaborated with the
AU-PATTEC, WHO, IAEA, and with a number of research institutes involved in
tsetse and trypanosomosis control and elimination. The partnerships were facilitated
by the PAAT framework, and they enabled cost-sharing, promoted technical
synergies and coherence and harmonization of efforts, ensured political backing, and
avoided redundancies.
2. Innovative, user-friendly and affordable technologies were readily taken up by
beneficiaries and partners, including freeware, open source GIS software for
decision-making and LPF technology for field interventions, aimed at poverty
reduction and increased food security.
3. The extensive dissemination of project results was ensured through open access
scientific publications, presentations in conferences, participation in technical
meetings, and the new PAAT website. This strategy ensured capillary dissemination
and unrestricted access to the innovative project achievements (multiplier effect).
Further information can be found in
Fact Sheet “Progressive Control Pathway (PCP) for African Animal Trypanosomosis
(AAT)” FAO Resilience Good Practices - Food Chain Threats.
http://www.fao.org/3/a-i7587e.pdf
The list of project publications and dissemination activities in Appendix 5.
New PAAT website (www.fao.org/paat).
LESSONS LEARNED – impediments/constraints
No major impediments or constraints to project implementation were encountered. As
mentioned above, it was necessary to extend the project from 24 to 30 months (through a
six-month no-cost extension) to complete all the project activities, partly because of the
delayed availability of financial resources, and partly because of minor delays in
implementation.
18
G. FOLLOW-UP ACTIONS
The project achieved important results, but the problem of tsetse-transmitted
trypanosomosis is far from being solved, both in the six project countries and in sub-Saharan
Africa at large. Therefore, there is still a strong need to improve food security and reduce
poverty by supporting affected countries in progressively reducing the burden of AAT, and in
reducing its impact on poor farmers. To achieve this goal, actions at various levels are needed,
from the field (i.e. poor livestock keepers) to the national and international level (i.e. capacity
and policy development).
In the field, interventions to reduce poverty and increase livestock production in
trypanosomosis-affected areas need to be supported by promoting farmers and
community-based approaches. In-country capacity for the progressive control of
trypanosomosis should be strengthened, from the central level (veterinary services) to the
peripheral level (smallholders, public and private veterinarians, etc.). An assessment of the
PCP status needs to be carried out for all AAT-affected countries, and PCP-smart road maps,
strategies and projects should be developed. It is also recommended that awareness of the
neglected problem of AAT be raised with decision-makers. In addition, it is advised that
synergies be exploited, and mutual support and collaboration strengthened, with a focus on
the key international stakeholders (WHO, IAEA, AU-PATTEC).
FAO developed the PCP for AAT (http://dx.doi.org/10.1016/j.pt.2017.02.005) to
provide strategic guidance in these endeavours, and the main follow-up action at FAO level
will be the roll-out of the PCP. Efforts are being made to mobilize extrabudgetary resources to
this end, while regular FAO funding will enable core activities to be maintained in all events.
H. GOVERNMENT ATTENTION
Specific Findings and Recommendations for Government Attention
The governments of the six project countries, as well as those of a range of other
sub-Saharan countries, should maintain, and if possible increase their commitment to the
progressive control of trypanosomosis, including financial and human resources. It is
recommended that the PCP for AAT be promoted and rolled out in all countries, with a view
to providing strategic guidance to present and future efforts against AAT.
19
Appendix 1
LOGFRAME MATRIX - ACHIEVEMENT OF INDICATORS
Results chain
Indicators
If not achieved, explain why
If applicable/ follow-up
action to be taken
Indicators Baseline
End target (expected value at project
completion)
Achieved
Impact1 Contribution to FAO Strategic Objective 2 (i.e. Increase and improve provision of goods and services from agriculture, forestry and fisheries in a sustainable manner)
Project Outcome The capacity of beneficiary countries (Ethiopia, Mali, Kenya, Burkina Faso, Uganda and Ghana), other trypanosomosis-affected countries, and FAO partners (AU-PATTEC, WHO and IAEA) is strengthened, enabling them to better address the problems posed by, and reduce the burden of, tsetse-transmitted trypanosomosis
Number of countries and stakeholders assisted
N/A 20 352
1 The impact level should always reflect the higher programmatic outcome to which the project contributes. For example, at the country level, this is expressed as the CPF outcome to which the project contributes and can also reflect other elements of impact that are defined at a higher programmatic level (UNDAF/national goal/FAO Strategic Framework). 2 Eight countries were assisted directly (Burkina Faso, Ethiopia, Ghana, Kenya, Mali, Uganda, Sudan, Zimbabwe), 22 were assisted indirectly through regional activities such as regional training courses/workshops, the continental Atlas of tsetse and AAT and the continental Atlas of HAT (Angola, Benin, Burundi, Cameroon, Côte d’Ivoire, Central African Republic, Chad, Congo, Democratic Republic of the Congo, Equatorial Guinea, Gabon, Liberia, Malawi, Mozambique, Niger, Nigeria, Rwanda, Senegal, South Sudan, United Republic of Tanzania, Togo and Zambia). Three key international stakeholders were assisted (AU-PATTEC, WHO and IAEA), as well as two international research institutes (CIRAD and ITM).
20
Results chain
Indicators
If not achieved, explain why
If applicable/ follow-up
action to be taken
Indicators Baseline
End target (expected value at project
completion)
Achieved
Output (1) In-country capacity for trypanosomosis risk assessment and evidence-based planning, implementation, monitoring and evaluation of field interventions against African trypanosomosis strengthened, with focus on data management and analysis for decision-making
1.1 Number of national and/or regional training courses/workshops on geospatial analysis and GIS for decision-making organized and/or conducted
N/A 6 83
1.2 Number of national and/or regional training courses organized by partners and stakeholders supported
N/A 4 74
Output (2) Field interventions to promote livestock production and productivity through integrated animal production and health packages in Ethiopia, Kenya and Burkina Faso implemented
2.1 Number of livestock owning households benefiting from innovative animal production and health packages in Burkina Faso, Ethiopia and Kenya
N/A 270 5555
Output (3) Management, analysis and
3.1 Number and type of analytical studies developed
N/A 4 86
3 Burkina Faso (1), Ethiopia (1), Ghana (1), Kenya (2), Mali (2) and Uganda (2). See also Appendix 3: National Training Courses and National Stakeholders Workshops. 4 See Appendix 3: Regional training courses and workshops (in collaboration with partners). 5 Ethiopia (335), Kenya (140) and Burkina Faso (80). The difference in the number of beneficiaries is mainly related to the physical size of the livestock-keeping structure to be protected, and to the availability of LPF (10 000 m2 in Kenya, 5 000 in Ethiopia, and 4 000 in Burkina Faso) 6 See Appendix 5: Documents produced during the project – ‘Animal Trypanosomosis’.
21
Results chain
Indicators
If not achieved, explain why
If applicable/ follow-up
action to be taken
Indicators Baseline
End target (expected value at project
completion)
Achieved
dissemination of tsetse, AAT and HAT data at the continental and national level for improved decision-making strengthened
and disseminated in the context of the Atlas of tsetse and AAT 3.2 Number and type of analytical studies developed and disseminated in the context of the Atlas of HAT
N/A 4 47
Output (4) Technical assistance to trypanosomosis-affected countries and other stakeholders for the development of analytical studies and plans/project proposals for field interventions provided
4.1 Number of technical assistance missions carried out to support improved planning, execution, monitoring and evaluation of field interventions
N/A 3 138
4.2 Number of national and/or regional workshops on the development plans/project proposals for field interventions organized or supported
N/A 4 49
4.3 Number of analytical studies promoted and/or supported for improved
N/A 6 910
7 See Appendix 5: Documents produced during the project - ‘Human Trypanosomosis’. 8 Burkina Faso (2), Ghana (2), Kenya (2), Mali (3), Uganda (2), Zimbabwe (2). In Ethiopia no mission was required, as it was the duty station of the Project Officer, and several meetings for technical assistance were held. 9 Mali (1), Eastern Africa (2), Western Africa (1). See also Appendix 4: Regional training courses and workshops (in collaboration with partners) and National Stakeholders Workshops. These workshops also contributed to Indicators 1.1 and 1.2. 10 See Appendix 2: Documents produced during the project – ‘Animal Trypanosomosis’. These studies also contributed to Indicator 3.1.
22
Results chain
Indicators
If not achieved, explain why
If applicable/ follow-up
action to be taken
Indicators Baseline
End target (expected value at project
completion)
Achieved
planning, execution and monitoring of field interventions
Output (5) Gender gap in response to the burden caused by the tsetse-trypanosomosis problem to animal health and production is narrowed through increased and balanced gender equality opportunity
5.1 Number of men and women participating in capacity-building activities and in field application of the LPF technology
N/A N/A Capacity building (focal point for the Atlases of tsetse and AAT: 45% women. Training courses: 30% women. Field activities: Kenya 50% women (in Ethiopia and Burkina Faso disaggregation was not possible)
23
Appendix 2
PROJECT STAFF Name Function Dates of Service Starting Date Concluding Date
International staff Giuliano Cecchi Project Officer 1 Jan. 2016 30 June 2018 International Consultant Massimo Paone* Data management and analysis 2 May 2016 28 April 2017 1 March 2018 30 June 2018 National staff Yemesrach Kebede Programme Assistant 13 July 2016 30 June 2018 Personal Service Agreements Zakaria Bocoum Tsetse and trypanosomosis specialist 5 Sept. 2016 30 Sept. 2016 Enrico Masci Web-based document management 1 Feb. 2018 30 June 2018 Ginevra Virgili Web design 1 Feb. 2018 31 May 2018 *The cost and time of the International Consultant (Massimo Paone) were shared between the present project (GCP/RAF/502/ITA) and FAO Regular Budget for PAAT.
24
Appendix 3
TRAINING AND STUDY TOURS
National training courses Trainees Title Place Date
24 Data collection and management to support the development of an Atlas of tsetse and AAT in Uganda
Mukono, Uganda
27-30 March 2017
25 Development of a national Atlas of tsetse and AAT
Nairobi, Kenya
30 November – 1 December 2017
20 GPS Applications and GIS Data Management systems for Tsetse Control Programmes
Pong-Tamale, Ghana
18-20 April 2018
25 Tsetse and animal trypanosomosis data management and geospatial analysis
Addis Ababa, Ethiopia
23-27 April 2018
Mukono, Uganda, 27-30 March 2017 Nairobi, Kenya, 30 November – 1 December 2017
Pong-Tamale, Ghana, 18 – 20 April 2018 Addis Ababa, Ethiopia, 23-27 April 2018
25
National stakeholders’ workshops Participants Title Place Date 44 Validation workshop for the national strategy
and five-year work plan for the control of tsetse and AAT
Bamako, Mali 26-28 October 2016
55 Development of a national Atlas of tsetse and AAT
Nairobi, Kenya 23 February 2017
25 Development of a national Atlas of tsetse and AAT
Bobo Dioulasso, Burkina Faso
6-8 February 2018
19 Development of a national Atlas of tsetse and AAT
Bamako, Mali 9 March 2018
Nairobi, Kenya, 23 February 2017 Bobo Dioulasso, Burkina Faso, 6-8 February 2018
Bamako, Mali, 9 March 2018
26
National training workshops Trainees Title Place Date 2 Development of a national Atlas of tsetse and AAT
in Zimbabwe Harare, Zimbabwe 11-15 April 2016
2 Development of a national Atlas of tsetse and AAT in Ghana
Accra, Ghana 12-16 September 2016
1 Development of a national Atlas of tsetse and AAT in Uganda
Kampala, Uganda 7-11 November 2016
2 Development of a national Atlas of tsetse and AAT in Kenya
Nairobi, Kenya 20-24 February 2017
3 Development of a national Atlas of tsetse and AAT in Mali
Bamako, Mali 20-24 February 2017
2 Development of a national Atlas of tsetse and AAT in Burkina Faso
Bobo Dioulasso, Burkina Faso
17-21 April 2017
3 Development of a national Atlas of tsetse and AAT in Ghana
Accra, Ghana 17-21 July 2017
3 Development of a national Atlas of tsetse and AAT in Uganda
Kampala, Uganda 17-18 August 2017
3 Development of a national Atlas of tsetse and AAT in Mali
Bamako, Mali 25-29 September 2017
2 Development of a national Atlas of tsetse and AAT in Zimbabwe
Harare, Zimbabwe 9-13 October 2017
1 Development of a national Atlas of tsetse and AAT in Burkina Faso
Bobo Dioulasso, Burkina Faso
5 February 2018
3 Development of a national Atlas of tsetse and AAT in Mali
Bamako, Mali 5-8 March 2018
1 Development of a national Atlas of tsetse and AAT in Kenya
Rome, Italy 18-22 June 2018
Accra, Ghana, 12-16 September 2016 Bamako, Mali, 20-24 February 2017
27
Bamako, Mali, 25-29 September 2017 Bamako, Mali, 25-29 September 2017
Bamako, Mali, 5-8 March 2018 Rome, Italy, 18-22 June 2018
Regional training courses and workshops (in collaboration with partners)
Participants Countries Title Place Collaboration/ Partner
Date
23 8 i Towards a common framework for a long-term effective action against AAT in Eastern Africa
Addis Ababa, Ethiopia
FAO Subregional Officer for Eastern Africa/AU PATTEC
30 November - 2 December 2016
18 9 ii Utilization of the Atlas of HAT
Brazzaville, Congo
WHO 5-9 December 2016
20 9 iii Strengthening National Planning in the Formulation and Implementation of Tsetse and Trypanosomosis Intervention Programmes in Member States of the Economic Community of West African States (ECOWAS)
Bobo Dioulasso, Burkina Faso
AU-PATTEC/IAEA/IBD-CETT
24-28 April 2017
28
Participants Countries Title Place Collaboration/ Partner
Date
19 9 iv
HAT control Kampala, Uganda
WHO 7-25 August 2017
23 8 v Assessing Progress made in Eastern Africa on Animal African Trypanomosis in relation with the Progressive Control Pathway (PCP) and Regional Roadmap approach
Addis Ababa, Ethiopia
FAO Subregional Officer for Eastern Africa/AU-PATTEC
21-23 November 2017
24 6 vi Ad hoc Meeting on the Progressive Control Pathway (PCP) for African animal trypanosomosis (AAT)
Rome, Italy FAO-PAAT 11-13 December 2017
10 5 vii Utilization of the Atlas of HAT
Addis Ababa, Ethiopia
WHO 11-14 June 2018
i. Ethiopia, Burkina Faso, Uganda, Rwanda, Kenya, United Republic of Tanzania, Sudan, South Sudan, Mali ii. Angola, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon and Guinea
iii. Burkina Faso, Benin, Côte D’Ivoire, Ghana, Mali, Niger, Nigeria, Senegal, Togo iv. Angola, Chad, Congo, Côte d’Ivoire, Democratic Republic of the Congo, Guinea, Malawi, South Sudan, and Uganda v. Ethiopia, Uganda, Rwanda, Burundi, Kenya, United Republic of Tanzania, Sudan, South Sudan
vi. Burkina Faso, Kenya, Ethiopia, Cameroon, Zambia, Zimbabwe vii. Uganda, South Sudan, United Republic of Tanzania, Zambia, Malawi
Addis Ababa, Ethiopia, 30 November-2 December 2016
Brazzaville, Congo, 5-9 December 2016
29
Bobo Dioulasso, Burkina Faso, 24-28 April 2017 Kampala, Uganda, 7-25 August 2017
Rome, Italy, 11-13 December 2017
Addis Ababa, Ethiopia, 11-14 June 2018
30
Appendix 4
MAJOR ITEMS OF EQUIPMENT PROVIDED Quantity Unit Item Beneficiary countries Cost
(USD)
8 unit Desktop Computer Burkina Faso, Mali, Ghana, Kenya, Ethiopia
13 600
41 unit GPS Burkina Faso, Mali, Ghana, Kenya, Ethiopia, Uganda
11 480
5 unit Laptop Computer Mali, Ghana, Ethiopia 7 750
5 000 m2 Livestock Protective Fences
Ethiopia 6 510
4 000 m2 Livestock Protective Fences
Burkina Faso 6 200
31
Appendix 5
DOCUMENTS PRODUCED DURING THE PROJECT AND PRESENTATIONS AT INTERNATIONAL CONFERENCES AND MEETINGS
Documents produced Animal trypanosomosis (9) Peer-reviewed scientific journals 2018 Drug quality analysis of isometamidium chloride hydrochloride and diminazene diaceturate used for the treatment of African animal trypanosomosis in West Africa. Bengaly et al., BMC veterinary research, 2018, 14(1):361. https://doi.org/10.1186/s12917-018-1633-7. 2018 Assessing the greenhouse gas mitigation effect of removing bovine trypanosomiasis in Eastern Africa. MacLeod et al. Sustainability, 2018, 10(5):1633. https://doi.org/10.3390/su10051633. 2018 Resistance to trypanocidal drugs in cattle populations of Zambezia Province, Mozambique. Mulandane et al. Parasitology Research, 2018, 117(2):429–436 https://link.springer.com/article/10.1007/s00436-017-5718-1. 2018 Aberrant use and poor quality of trypanocides: a risk for drug resistance in Gurage zone, south western Ethiopia. Tekle et al., BMC Veterinary Research, 2018, 14:4. http://dx.doi.org/10.1186/s12917-017-1327-6. 2017 Developing a Progressive Control Pathway for African Animal Trypanosomosis. Diall, Cecchi et al. Trends in parasitology, 2017, 33(7):499–509. http://dx.doi.org/10.1016/j.pt.2017.02.005. 2017 Cattle breeding, trypanosomosis prevalence and drug resistance in Northern Togo. Tchamdja et al. Veterinary Parasitology, 2017, 236:86–92. http://dx.doi.org/10.1016/j.vetpar.2017.02.008. 2016 Spatial distribution and trypanosome infection of tsetse flies in the sleeping sickness focus of Zimbabwe in Hurungwe District. Shereni et al. Parasites & Vectors, 2016, 9:605. http://dx.doi.org/10.1186/s13071-016-1879-5. 2016 An Atlas of tsetse and bovine trypanosomosis in Sudan. Ahmed et al. Parasites & Vectors, 2016, 9:194. http://dx.doi.org/10.1186/s13071-016-1485-6. Technical publications 2017 Intervening against bovine trypanosomosis in eastern Africa: mapping the costs and benefits. Shaw et al. Programme Against African Trypanosomiasis Technical and Scientific Series 11. FAO, Rome, Italy. ISSN 1020-7163. http://www.fao.org/3/a-i7342e.pdf.
32
Human trypanosomosis (4) Peer-reviewed scientific journals 2018 Monitoring the elimination of human African trypanosomiasis: update to 2016. Franco, Cecchi et al. Public Library of Science (PLoS) Neglected Tropical Diseases, 2018, s12(12):e0006890. https://doi.org/10.1371/journal.pntd.0006890. 2018 Do cryptic reservoirs threaten gambiense-sleeping sickness elimination? Informal expert group on gambiense HAT reservoirs. Trends in Parasitology, 2018, 34(3):197-207. https://doi.org/10.1016/j.pt.2017.11.008. 2018 Monitoring the elimination of human African trypanosomiasis: update to 2014 Franco, Cecchi et al. PLoS Neglected Tropical Diseases, 2017, 11(5):e0005585. https://doi.org/10.1371/journal.pntd.0005585. 2017 Human African trypanosomiasis. Büscher et al. The Lancet, 2017, 390(10110):2397 2409. http://dx.doi.org/10.1016/S0140-6736(17)31510-6. Presentations at international conferences and meetings 2018 3rd WHO stakeholders meeting on gambiense human African trypanosomiasis elimination. 18-20 April 2018, Geneva, Switzerland. 2018 1st meeting of the World Organisation for Animal Health (OIE) ad hoc group on African animal trypanosomosis (AAT) to develop a Terrestrial Animal Health Code chapter on AAT, 6-8 March 2018, Paris, France. 2018 3rd VectorNet Annual General Meeting. 27 February-1 March 2018. Antwerp, Belgium. The Progressive Control Pathway for African Animal Trypanosomosis. 2018 Symposium on African Livestock Trypanosomes. 10-11 February 2018, Edinburgh, United Kingdom. The Progressive Control Pathway for African Animal Trypanosomosis. 2018 Livestock Trypanosomiasis Conference, 26-27 February 2018, Bristol, United Kingdom. The Progressive Control Pathway for African Animal Trypanosomosis. 2017 2nd Meeting of the WHO Human African Trypanosomiasis Elimination Technical Advisory Group (HAT-e-TAG). 15-17 November 2017, Geneva, Switzerland. 2017 34th General Conference of the African Union (AU) International Scientific Council for Trypanosomiasis Research and Control (ISCTRC) and 16th PATTEC coordinators meeting, 10-15 September 2017, Livingstone, Zambia. The Progressive Control Pathway (PCP) for African animal trypanosomosis (AAT). 2017 3rd FAO–IAEA International Conference on Area-wide Management of Insect Pests: Integrating the Sterile Insect and Related Nuclear and Other Techniques. 22-26 May 2017, Vienna, Austria. A Staged, Progressive Pathway for the Control and Elimination of Tsetse-transmitted African Animal Trypanosomosis.
33
2017 Technical Meeting on the Epidemiology and Modelling of Gambian Human African Trypanosomiasis (HAT) Control. 27-29 March 2017, Warwick University, United Kingdom. Challenges in geospatial modelling of gambiense-HAT under-detection. 2017 2nd Expert Meeting on Trypanosoma brucei (T. b.) gambiense human trypanotolerance and animal reservoir. 8-10 February 2017, Antwerp, Belgium. 2016 Workshop on the Progressive Control Pathway (PCP) and Regional Roadmap approach: Towards a common framework for a long-term effective action against Animal African Trypanosomosis in Eastern Africa. 30 November-2 December 2016, Addis Ababa, Ethiopia. Developing a Progressive Control Pathway for African Animal Trypanosomosis. 2016 15th Meeting of Pan African Tsetse and Trypanosomosis Eradication Campaign (PATTEC) National Coordinators. 28-29 November 2016, Addis Ababa, Ethiopia. Developing a Progressive Control Pathway for African Animal Trypanosomosis. 2016 1st Meeting of the WHO Human African Trypanosomiasis Elimination Technical Advisory Group (HAT-e-TAG). 23-25 November 2016, Geneva, Switzerland. 2016 1st Expert Meeting on T. b. gambiense human trypanotolerance and animal reservoir. 29 September-1 October 2016, Ile des Embiez, France. The animal reservoir of gambiense HAT: the role of FAO and the Programme Against African Trypanosomosis (PAAT). 2016 2nd WHO stakeholders meeting on gambiense human African trypanosomiasis. 21-23 March 2016, Geneva, Switzerland. http://www.afro.who.int/sites/default/files/2017-06/9789241511520-eng.pdf.
1. The role of the Food and Agriculture Organization of the United Nations (FAO) and the Programme Against African Trypanosomosis (PAAT) in tsetse and trypanosomosis control.
2. Modelling the spatial distribution of undetected HAT cases.