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Grant Operations in 2001 Technical Assistance
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Onchocerciasis, or river blindness, is spread through the bite of a small, black fly that breeds in fast moving rivers and streams. When the fly bites its victim, microscopic larvae are released into the bloodstream and, in many cases, their migration to the eye region can cause irreversible blindness. Of the 120 million people worldwide who are at risk of contracting onchocerciasis, 96% are in Africa. This grant will support Phase II of the African Program for Onchocerciasis Control in Africa (APOC), an initiative established in 1995 to build on the success of an earlier, highly successful, control program. APOC covers 19 African countries, representing some 60 million people, and its primary aim is to establish a system known as Community-Directed Treatment (ComDT). ComDT involves providing high-risk populations, at least once a year, with the drug Mectizan® to kill the larvae before damage can begin. The program also supports a number of prevention and protection schemes. Phase I ended in 2001, with Phase II being brought into effect in 2002. Objectives will remain the same, with the addition of goals to work at a district level to raise awareness of the entire program and build support for future activities. These efforts will enable APOC to eventually integrate ComDT into the national health system and expand its coverage to similarly treatable diseases such as elephantiasis.
The grants will help finance agricultural research at five research centers sponsored by CGIAR whose common objective is to increase food production in developing countries through research, training and technical assistance to national and regional programs. Specifically, the grants will support important research at CIMMYT (the International Center for the Improvement of Maize and Germplasm), ICARDA (International Center for Agricultural Research in the Dry Areas), ICRISAT (International Crops Research Institute for Semi-Arid Tropics), ILRI (International Livestock Research Institute) and CIP (International Potato Center). The grants will finance research in strengthening resistance to the maize streak virus in East Africa (CIMMYT), maximizing barley yields in North Africa (ICARDA), expanding groundnut production in Asia (ICRISAT), increasing ruminant livestock production in the tropics (ILRI), and developing late blight-resistant potatoes and beta carotene-rich sweet potatoes (CIP).
In Zambia, more than 80% of the population lives below the poverty line and over 600,000 children are currently threatened by homelessness, chronic illness and malnutrition. At the same time, the spread of HIV/AIDS has significantly increased the number of school-aged orphans, who struggle to make a living through casual labor, street vending or petty theft. In 1990, DAPP, a non-governmental, charity organization, established The Children's Town, a center for education and development, in the marginalized rural district of Chibombo. Comprising six children's houses, primary and vocational schools and a community center, the facility is home to 120 former street children. In addition to educating resident children, the primary school offers tuition to 140 other orphans and disadvantaged local children. The youngsters also receive practical skills training and are encouraged to participate in the town's enterprises, which include vegetable growing, livestock raising, artistic pursuits and carpentry. The vocational school is used as a training center for some 50 vulnerable youths from all over Zambia and focuses on agriculture and business skills. These students are selected from rural communities and later return there to practice and disseminate their knowledge and establish small enterprises. This grant will help cover the operating expenses of The Children's Town over the next two years, including educational and household materials and equipment, clothing and food.
This grant was extended to support the establishment of training facilities and programs at ICBA, a non-profit resource center founded in 1998 to address the challenges facing arid and semi-arid regions over the scarcity of water resources for drinking and agricultural purposes. Upgraded in February 2001, its objectives are to develop sustainable management systems for the irrigation of forage and food crops with saline water, and to identify salt-tolerant plant species. To improve its training capacity, ICBA plans to establish an on-site training facility offering a wide range of courses for scientists, technicians, engineers and small farmers. Topics to be covered include: the design and management of irrigation systems for bio- saline agriculture; the production and management of salt-tolerant forages and tree species; agro-ecological surveys and germplasm collection; and, the reclamation of salt-affected soils for sustainable agriculture. Alongside these activities, ICBA also intends to further develop its newly established Electronic Global Biosaline Network, a tool designed to enhance technology exchange on biosalinity research among member countries, in order to avoid duplication of efforts.
Organization of African Unity This grant helped finance a top-level summit on HIV/AIDS that was held in Abuja, Nigeria, from April 26-27, 2001. Bringing together heads of state and government, ministers and experts, the aims of the African Summit on HIV/AIDS, Tuberculosis and Other Related Infectious Diseases were to work out a sustainable solution to the suffering caused by HIV/AIDS on the continent. The Summit, which was hosted by the Federal Government of Nigeria and co-financed by member states of the OAU, along with UNAIDS, WHO, UNICEF and others, served as a major launching pad for a new level of collective action against HIV/AIDS. A critical appraisal was made of current HIV/AIDS prevention strategies and other disease control methods and a new set of goals drafted at a preparatory meeting of ministers and experts. In addition, a unified plan of action was formed, embracing a legislative framework for national, regional and continental initiatives on containment of HIV/AIDS, tuberculosis and other infectious diseases. At a wider level, the Summit helped sensitize the international community to the problems associated with HIV/AIDS, leading to increased political commitment and greater resource mobilization.
This grant supports a project to complete the Amal Center
for the Rehabilitation of the Handicapped in Nablus, Palestine. The initiative
is being spearheaded by the UHCC, a non-profit, non-governmental organization,
in cooperation with the Spanish charity Fundación del Valle. The
Center has been operating at limited capacity since opening in July 2000
because of a lack of certain essential facilities. Without these services,
the center is unable to accommodate the growing number of patients suffering
from injuries and disabilities. Outstanding works include the installation
of a central heating system and a switchboard, as well as two electric
ceiling lifts in the hydrotherapy unit. Two workshops will be constructed
for manufacturing prosthetics, artificial joints and corrective shoes.
An ambulance will be purchased that will double up as a mobile medical
unit to provide the handicapped living in rural areas with regular medical
care. Two vocational workshops will offer rehabilitative training programs
in wood and copper works. Once completed, the Amal Center will be prepared
to receive patients from the cities of Nablus, Jenin, Tulkarem, Qalqilia,
Ramallah, eight refugee camps, and some 259 small villages, serving at
least 430,000 people. 2. Since the onset of the Al-Aqsa Intifada in late September 2000, the Palestinians' medical needs have burgeoned, severely overtaxing the region's health care sector. NGOs have been at the forefront in providing medical supplies, emergency services and health care to the victims of the clashes, as well as psychological counseling. In addition, they have absorbed the rehabilitation and hospitalization costs of patients experiencing economic hardship. However, as a result of shouldering these extra expenses, the organizations have been forced to draw from their annual budgets and are in urgent need of additional funds. The Fund grant will be divided among the following: The Zakat Fund Committee in Jenin, West Bank will receive $120,000 towards the purchase of medical equipment for the Al-Razi Hospital; The Palestinian Red Crescent Society in Qalqilia will procure a fully-equipped ambulance with a $90,000 grant; and, the Patient's Friends Society, which runs the Al-Ahli Hospital in Hebron, will use their $140,000 grant to help finance the purchase of an oxygen concentrator.
Peru
This grant supports a UNICEF-led special emergency project that will bring medical services to the most vulnerable populations living in the Darfur, Kordofan, Upper Nile, White Nile, Gezira and Gedaref regions. Using a community-based approach, disease prevention strategies include purchasing syringes, needles and "cold chain" equipment, holding national immunization days for polio, training lab technicians in the proper storage and maintenance of serum supplies, and vaccinating babies and women of childbearing age against tetanus. Around 120 health workers will receive instruction in the integrated management of childhood illnesses. Nutritional campaigns will take place in the form of iron supplement distribution to pregnant women and Vitamin A doses to all children under five years of age, as well as the promotion of salt iodization. Additionally, feeding centers will be set up to help prevent protein energy malnutrition. A safe motherhood program will also be implemented, with rural hospitals and maternity clinics being supplied with emergency obstetrical equipment, as well as offering pre- and postnatal care. In addition, 60 village midwives will receive an intensive training course. Other health care centers will receive stocks of essential drugs. Anti-malarial measures include providing high-incidence areas with insecticides, treated bed nets and medications.
This grant was given in support of a multi-partner initiative to arrest and reverse desertification in the dry areas of West Asia. Coordinated by the GM-UNCCD, aims of this undertaking are to establish a number of representative pilot projects in ten countries aimed at the integrated management of natural resources. Since the schemes involved are complex and require long-term development, the pilot projects will be implemented in three stages over a five-year period. A multidisciplinary approach that addresses issues from a biophysical, technical, socio-economic and cultural standpoint will be used. The participating countries are Bahrain, Jordan, Lebanon, Kuwait, Oman, Palestine, Saudi Arabia, Syria, United Arab Emirates and Yemen. The sub-projects will target: Mountainous areas: improved management of available water sources; rehabilitating and conserving natural vegetative cover; introduction of various water and soil conservation technologies; Rangeland improvement: establishing guidelines for better range management based on grazing capacity; implementing micro- and macro water harvesting techniques, replanting native vegetation; Coping with salinity: reclaiming salt affected soils; introducing salt tolerant plant species, developing guidelines for irrigating with treated wastewater, drainage and brackish water.
Yemen This grant will help finance a multi-faceted scheme sponsored
by the ICD, a UK-based, charitable institution, which has identified six
districts in Yemen as having exceptionally unfavorable health profiles,
especially among women and children: Al Jabin, Kussmah and bilaad Al Ta'am
within the Sana'a governate and Beit Al Faquih, Mansorriyah and Sukhan
in the Hodeidah governate. Lying adjacent to one another, these districts
share a number of problems such as an underdeveloped health care infrastructure,
shortage of medical staff and high incidence of poverty-related illnesses.
This initiative will provide support at a district level towards implementing
new organizational and policy-making procedures as well as devising strategies
to control main endemic diseases. Development workers will act as on-the-job
trainers to health care employees, and special midwifery courses will
be provided to birth attendants and nurses, with a distinct emphasis placed
on hiring additional female health care staff. Recommendations will be
made relating to water and sanitation issues, and core health problems
such as diarrhoea and childhood malnutrition will be addressed through
the distribution of oral re-hydration salts and high-protein cereal mix,
while the incidence of malaria will be curbed through the provision of
mosquito nets. The project is expected to benefit some 600,000 people,
of whom 120,000 are women of child-bearing age and 85,000 children under
five.
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