FY2015 ANNUAL PROJECT REPORT: PROJECT CODE 3006JANUARY TO DECEMBER 2015

Project Title Elimination of Blinding Trachoma Project-Gamo Gofa Zone, Konso, Derashe and Alle Woredas.

Project number 3006Reporting period January to December 2015.

SECTION 1: Project Objectives:

Primary eye health care service including Trachomatous Trichiasis (TT) surgery will be

available to 100 %o of Gamo Gofa and three woredas (Konso, Derashe and Alle) of Segen

Area People zones

Accessibility of primary eye health care service including TT surgery will have improved

from an average of 6 hours travel time to two hours Gamo Gofa and three woredas of

Segen Area People zones.

80% of patients with refractive errors will receive low cost spectacles

The prevalence of TT and active trachoma will be reduced to less than 0.1% and 10 % in

a total population respectively

Progress for the past 12 months against the annual implementation plan

1.1. Partner capacity building training.

Training is the key project strategy to build the capacity of local partners to be able to provide preventive and curative eye health care services. In 2015, almost all the major planned trainings were completed successfully with achievements ranging from 82-100%. Fifteen nurses were trained for one month on primary eye care including trichiasis surgery. The training has both theoretical and practical demonstration part. The practical demonstration has been held in eight health centres and the trainees were assigned in these health centres for practical attachment for TT surgery. The selection of health centres for practical training was based on the woredas burden of trachoma to easily mobilize Trachomatous Trichiasis (TT) cases. Some of the woredas where the practical demonstration of the training carried out were, Konso, Bonke and Basketo special woreda. Before the training, the selection of trainees was jointly done with partner woredas so as to identify the active long time serving Integrated Eye Care Workers (IECWs).

To ensure the quality of the training pre and post-tests were employed and during the practical demonstration of the training it was expected that each IECW should do minimum of 30 TT lid surgery before graduation/certification as an IECWs. Accordingly, during this year training the minimum pre-test score was 23 and the maximum was 65 out of hundred. The post test that was given at the end of the theoretical part, the minimum score was 58% and the maximum was 94%. If IECW could not get the expected number of cases, he/she, will be assigned under the senior IECW to complete the minimum number of TT surgery expected under supervision. To check the quality of surgery, a follow up supervision visit was conducted. Up on completion of the training, all the necessary supplies and ophthalmic equipment were provided to health facilities in order to establish a primary eye care unit and able to provide regular eye care services. As a result of this training some of them were assigned in health facilities where IECW left and the others at the new health centres where there is no trained nurse in the health centres before.

3, 242 people were trained for different categories in the year. Throughout the year,, 956 community health agents (health development army-HDAs) and 943 health extension workers were trained on primary eye care, cataract case identification and referral system. One thousand two hundred seventeen school teachers were trained on primary eye care and school children visual acuity testing and referral. Of the planned to train 3,903 different groups of community volunteers and health cadres of different categories of health workers and community volunteers, HDAs 956 (85%), HEWs 943 (86%) teachers 1217 (87), new IECW training 15 (100%) and refractive error training for 10 (100) IECWs), a total of 3242 trainees were trained to support the community to improve and promote good eye health Particular emphasis was given on the F and E components of the SAFE strategy through the training of teachers, health extension workers and community health agents. Health extension workers (HEWs) are responsible to make house to house visits and educate mothers and community members on personal and environmental sanitations. Community health agents (HDAs) were trained to identify and refer cataract and trichiasis patients to health facilities so as to be re-checked and confirmed and managed by integrated eye care worker or further referral to SECUs for special treatment based on the findings.

Trained teachers were able to test vision of students and identify those with refractive errors and refer to selected health facilities for re-screening and better refractive error management. In addition, the trained teachers are expected to establish/strengthen school eye care clubs through which the importance of face and hand washing and use of pit latrines is disseminated to communities through students to prevent trachoma infection.

Moreover, more than 4,208(95%) Zithromax distribution team members, supervisors, zonal and woredas higher officials who participated in Zithromax distribution campaign in the 15 woredas were trained on Primary Eye Care (PEC) and the importance of taking Zithromax drug for prevention and control of trachoma.In addition to these trainings to build the capacity of partners, women group leaders 10 in number trained on local soap production in Dita woreda.To strengthen the Arbaminch optical workshop, an in agreement with the Arbaminch hospital two optical technicians were trained on eye glasses making; cutting, edging, glazing of ordered coorective eye glasses. Moreover, these trainees were trained on optical workshop management

where they will be able to plan, restock, the required inputs, and on timely report at the Arbamich hospital and in Addis Ababa for hands on training.

1.2 Provision of primary eye health care service During this year, the plan was to screen a total of 40,000 adult people, and the project managed to screen 41559 (104%) people for various eye health problems, these were largely for trachoma and cataract by health professionals at both health facilities and outreach programs. The overachievement was due to the increased number of primary eye care units established, increased awareness of the community to seek medical care for eye health problems cataract outreach service organized at hard to reach areas, eye glass distribution at different rural schools of project area, and the improved access to service providing units. Trained religious leaders and community influential elders who have been participating in rising the community awareness towards trachoma prevention and control was also a contributing factor for the increased number of people examined. Moreover, the opportunities like comprehensive outreach program held at remote woredas in the fiscal year has also allowed health workers to screen increased number of people at their respective vicinities. .

Additionally, there was a plan to screen about 10,000 students by trained teachers for refractive error of which 11302(113%) students were screened. Those students suspected to have refractive error problem were referred to PECUs and SECUs where trained IECWs on basic refraction available and optometrist for re-screening and management with eye glasses.

With regard to medical/optical treatments, a total of 21,199 adults were treated medically with 1% Tetracycline Eye Ointment (TEO) and other medications for different eye infections and eye glass to correct refractive error at regular opd and on an outreach program. Medical treatment also includes treatment with zithromax. Woreda based mass antibiotic distribution of Zithromax for prevention and treatment of trachoma infection and transmission. In 2015, fifteen woredas were covered with mass antibiotic distribution based on the trachoma baseline findings that signifies public health importance (Arbaminch Zuria, Bonke, Kemba, Dita, , Boreda, Konso, Derashe, Alle, Kucha, Zala, Ubadebretsehay, Geze Gofa, Mirab Abaya, Oyda and Mellokoza).The adjusted target plan for zithromax distribution for both adult and children in this year was 1,893,384. Out of the mentioned adjusted plan for the year, the program has managed to treat 1,775,663 with the achievement of 94%.

1.3. Establish and strengthening of PECUs to provide regular trichiasis surgical services.

Reducing the prevalence of Trachomatous trichiasis to below the WHO cut off point by the end of the project life in all woredas is the key objective of the project. Attaining this objective needs a very efficient communication and advocacy within the different stakeholders (Zone and woreda health officials, community volunteers, IECWs, HEWs, HDAs etc.), well established referral system, well equipped health facilities with the necessary equipment and supplies and committed

TT surgeons. Hence much attention has been given to disseminate information about the prevention and treatment of trachoma, to mobilize community to increase for TT surgical uptake, identify and refer patients with TT to have the lid surgery. All possible efforts have been made to bring about a change in increasing TT surgical service uptake at health facilities and their corresponding outreach sites. The overall achievement for total surgeries (both trichiasis and cataract performed was 4,894 (90%). Of this, 4140 (83%) patients were operated for TT and 754 189%) patients for cataract. This indicates that the service has increasingly becoming regular and service utilization by the community steadily progressing particularly cataract surgery service utilization due to accessed by outreach service at remote areas.

. The reasons for improved service uptake were due to well-coordinated mobilization of cataract patients by trained community leaders, HEW, and HDAs. The involvement of religious leaders, IECWs and woredas higher officials, in the mobilization of patients to the screening sites had its own contribution. Beneficiaries that have undergone cataract surgical service themselves also played their role in propagating the service and the good outcome of the cataract and TT surgery has contributed a lot as a word of mouth. Above all the transport support provided by Orbis for those identified cataract patients at outreach level and to and from Sawula SECU Has contributed well in achieving the success for cataract surgery.

The involvement of the community leaders, particularly the chief administrates of the woredas were resulted in increased number of the cataract service up take. The screening of cataract patients primarily made by IECWs in each woreda of Gofa area and then rescreening (confirming) made by cataract surgeon at field level and the surgery was done at 4 health facilities selected as outreach surgery site before outreach service for their technical capability.. Such decision (logistic support including transport) was reached based on last years’ experience to solve the problem of service utilization and human resource fulfilled by the government at Sawula SECU.

In 2015, there was a plan to enhance the service utilization of cataract surgery from country office and joint plan was developed with cataract surgeon to increase the uptake of service organizing the outreach service. Hence Sawula SECU planned to achieve the new initiation and tried to facilitate enhanced outreach program which was a focus of the year at least to double the performance of past years that helped to provide the service in wide range.

More over during annual and biannual review meeting with partners, the service up take issue and its short comings were discussed in detail and the new strategy was designed to motivate IECWs per number of cataract cases referred .This has improved service utilization believed to be continued in the coming years as well and agreed during the annual review meeting.

1.4. Advocacy on primary eye care services

Public awareness and education activities is a key part in changing the health seeking behaviour of the community, improve the demand and utilization for eye health care services. In this regard, in 2015 different advocacy activities were conducted to increase the community awareness towards trachoma prevention and control methods.

Regular trachoma prevention and control messages were disseminated through local radio using four local languages of the area.

Three dramas on trachoma prevention and control were conducted in three woreda schools by school eye health care club members and world sight day celebration was organized in Arbaminch which was an opportunity to transmit message to community. .

School eye health club members at Konso, Dita and Bonke districts organized an advocacy event in their respective school yard where different activities were carried out. Besides, trachoma message including song and interesting drama presented.

1.5. Construction of school VIP Latrines and water supply

To implement the “SAFE” strategy in its full scale for 2015, the project has planned to implement WASH activities in partnership with local NGO currently working on WASH in the project area. Ethiopian Evangelical Church Mekane Yesus- Development and Social Services Commission -South west Synod (EECMY-DASSC-SWS) were selected among different WASH organizations. Initially, the selected intervention site were Gerra kebele in Konso district. However, due to conflict of interest with the neighboring kebele, the site was changed to Baayde kebele in the same district. The total amount of budget allotted for this joint project was 1,500,000.00 ETB.

After discussion with EECMY-DASSC, TOR & project proposal were prepared and signed between the two organizationsand , budget was transferred to the organization and project was launched in the third quarter of the year.

The objectives of this joint WASH project were:

- To improve access to adequate and safe water for 4,080 community and 430 school community of Baayide Kebele in Konso District by December 2015,

- To improve access to Improved & affordable sanitation facilities for 3,876 community and 430 school community in Baayide Kebele of Konso District by December 2015

- To improve access for appropriate hygiene promotion using proxy indicators of latrine utilization, household water management, and hand washing facilities for 3,060 community and 430 school community of Baayide Kebele in Konso District to by December 2015

- To Improve managerial, operational and maintenance Capacity & skills of WASH facilities to sustain WASH of Baayide Kebele in Konso District by December 2015.

At the end of the project, the outputs were:

1. Sanitation and Hygiene activities:

o One block of children friendly school VIP latrine for female students with menstrual Hygiene facility and hand washing basin were constructed to couple the existing block so that both gender have their own. this new block will benefit a total of 179 & 03 female students & teachers respectively.

o As a result of the WASH intervention of this joint project --(training for HDAs on CLTSH) , 308 Improved and 214 unimproved house hold latrines were constructed by the community themselves with locally available material which benefited a total of 1,179 male and 853 female house hold members.

o Three villages were triggered to be open defecation free villages ODF using the community led total sanitation and hygiene CLTSH approach and will be verified in the near future.

o One school WASH club was established, trained and capacitated in Baayide primary school of Konso district.

Figure 1 school VIP latrine at Baayde primary school, Konso dstrict

2. Water supply activities:o The water supply system used environmental friendly renewable solar energy to extract the water

from an existing shallow well and has different advantages like little operational cost, appropriate and sustainable for such locality. The pump has different components like solar panel, power house

and power controlling grid. The water well was drilled by the Konso Dev’t Association ( KDA) with wind wheel to draw water from the well but the wind wheel were broken and the water were not functional for more than a year;

o One water reservoir with a 25m3 volume were constructed with stone masonry, solar pump house and three water points ( two for the community & one for the school) were also constructed,4900 meter HDPE pipe were installed.

o 4080 community members (male 1999 and female 2081) & 460 students (male 251 and female 179) were benefitted from this project.

o capacity building activities like System management, operation and maintenance trainings were given to 10 WASHCo members and provided with maintenance hand tools to sustain WASH facilities/services in the community

Figure 2 Solar pannel, water reservior and power house Baayde Kebele, Konso districWe are

delighted, no more walk in

search of water for 2 hrs. God Bless our

supporters!

Community Participation and contribution

The majority of Baayde kebele community participated on this project all the way from planning to implementation phase. Initially, a meeting was conducted with the community to identify their health problem and prioritization and reached on consensus to construct house hold latrine and to participate on excavation of pipe trench, loading & un loading of construction materials and pipes, pit excavation for the

The first clean water ever I

washed my face with

I will never be late

to school

Water point constructed in Baayde Kebele, Konso district

Water point constructed in Baayde Kebele, Konso district25 m3Water reservoir constructed in Baayde Kebele, Konso district

school VIP latrine and fix regular meeting time to evaluate how the activity is going on and devise different strategies.

The water scarcity problem of the Kebele made the community to highly collaborate for the effective implementation of the project. This was the remarkable point where the collaborative support of the user community and other stakeholders being observed so that the above mentioned water supply scheme was constructed properly.

The participation and collaboration of the community was so enormous that the project implementation was completed only in six months from the commencement. The community contribution translated in terms of money was estimated to be 3% (47,500.00ETB) of the total project budget.

Figure 3 community participation in problem identification and planning

1.6. Procurement and distribution of ophthalmic equipment and supplies for PECUs and SECUAll the necessary ophthalmic equipment and supplies for the secondary and primary eye care units were procured from local and international markets. All supplies were purchased in sufficient quantities and were distributed to all functional PECUs and SECU.

1.7. Other project related activities Annual review meeting on the 2014 achievements and 2015 planning was conducted with

implementing partners from all woredas (involving IECWs, head of health centers, woredas health department heads and focal persons, ) including Gamo Gofa and Segen Area People zones health, finance and education departments was conducted successfully. Based on the review on the achievements of 2014, participatory planning for 2015 activities was made.

Biannual review meeting was conducted with IECWs, health center heads, and woreda health PEC focal persons where 6 months activities achievements presented and discussed by partner woredas. Strength and limitations during the implementation of activities identified and follow up action points developed. Here during this biannual review meeting the target plan was revised per woredas and each IECW was planned his/her own plan for the rest months of the year. This joint planning created good platform to share responsibility and accountability. In this bi-annual review meeting with IECWs, Success stories, best practices and other encouraging achievements were presented by IECWs. Challenges were also discussed in detail particularly on how to increase TT uptake and increase the cataract surgery service utilization in line with the annual plan.

Joint supportive supervision of PECUs was carried out by field coordinators, project manager in collaboration with Gamo Gofa zone health and education departments and respective woredas health and education offices. Such supervision has brought a change in conducting and providing eye health care services regularly in the outreach and static sites. The joint supportive supervision and monitoring also conducted with zonal finance and economic development sector to monitor the finance management and grant settlement. The support of zonal education sector to communicate respective woredas of Gamo Gofa zone can be taken as good lesson to work with partners.

.

The annual achievement against plan of year 2015

Activities Annual target Achievements Coverage

(%)

Justification for under/over

HDAs training 1120 956 85HEWs training 1100 943 86Teachers training 1400 1217 87New IECWs 15 15 100IECWs refresher training 90 91 101RE for IECWs 10 10 100

Training of Religious and community influential mass media people on trachoma prevention and control

100 101 100

Training of WGL on soap production 10 10 100

Screening for different eye problems 40,000 41,559 104

Students screened for RE 15,000 15,559 103

No of people treated by TTC eye ointment 60,000 51,679 86

Dispensed spectacles for children and adults with RE 1500 2275 150

TT surgery 5000 4140 82

turnover of IECWs and other overlapping or government priority

Cataract surgery 400 752 189MDA -zithromax distribution adult and children 1893384 1775663 94

Project management’s assessment of the past 12 month’s project progress in relation to the multi-year objectives, if relevant.

a. Major cumulative achievements (results) Successful Zithromax distribution campaigns were conducted in fifteen woredas of the project

with an average coverage of 94%. The progressive experiences in the past consecutive MDA years and increased level of awareness of the community about trachoma and designed different strategies as shown great improvement in the implementation and reduced the challenges faced and contributed for a good coverage of MDA.

The trichiasis surgery performance in 2015 was less than the previous year due to turn over of IECWs and other overlapping or government priority areas diverted the attention of the IECWs.. This was a key project activity to lower the prevalence of trichiasis in adults to below 1% and we have been focused more on quality than quantity of the TT surgery in this year through data verification and TT surgery quality auditing.

b. Quality of clinical outcomes measure: VA measurement, what percentage of total patient restored sight (revert blindness), improved sight by the project? Provide a table of VA after treatment/surgery following WHO standard criteria of outcome measures.

c. In regard to cataract surgery this year, data quality assessment was not carried out due to overlapping commitments. However, we tried to maintain good cataract surgical outcome through the use of keratometer and A-Scan measurements to determine the need for a particular strength of IOL to an individual patient and the Sawula SECU was supplied with the necessary pre and post operation drugs, supplies that improve the quality of surgery. Moreover, patients were refracted by trained optometrist to correct residual refractive error induce by the surgery.

d. Follow up of training program: Provide a table with list of all training (fellowship and HBP) during last 12 months (doctors, nurses, technicians, managers, only). Give a follow-up note on each fellow about their performance after training. Include any Cyber-Sight activity by trainee surgeons.

Activities Annual target Achievements follow up of training

CHAs/HDA training 1120 956 Their role in MDA, outreach program support and patient referral was so important

HEWs training 1100 943

Teachers training 1400 1217

the role of teachers was shown in school screening programs and raising the awareness of children in sanitation and hygiene

New IECWs 15 15

PECU expansion was possible and PEC service improved including TT surgery

IECWs refresher training 90 91 Same as above

RE for IECWs 10 10

the comprehensiveness of the PEC service improve a lot as trained and equipped IECWs with the knowledge joined the works force

Trainiong of WGLs 10 10 The role of WGL in increasing community

awareness to wards sanitation and hygiene is magnificent

Training of Religious and community influential mass media people on trachoma prevention and control

120 101

it was not possible without these groups input to have an MDA coverage to 94%

In this project, there are various types of trainings. Most of them are focused on primary eye care and SAFE Strategy that could lead to the elimination of trachoma in the long run with different emphasis based on the trainee types and the increase community awareness and demand for eye care service. These included IECWs, CHAs/HDA, and HEWs, Teachers and woreda and zonal officials. The training periods also varies from 5 days to one month.

Constraints encountered to project implementation, if any Delay in the provision of Zithromax for 2015 distribution Partner engagement in the current drought situation of the rgion that drained the focus

and attension of the stakeholder that had influenced the implementation of certain activities

Attritions of IECWs and trained teachers, particularly of IECWs were the major concern.

Delay in reporting by partner due to overlap of the government and the Orbis reporting time Overlapping government assignments which consume much of partner’s time.

Solutions proposed to constraints encountered, if any Rescheduling of the MDA quarter as per the advice and convince of partners

Use of senior IECWs to monitor junior IECWs. This is found to be the appropriate and effective way of involving the partners in the major activities like training, MDA and supervisions. Again data quality and TT surgery quality was assessed by senior IECWs and project staff at different woredas and immediate feedback on findings given to respective professionals and woreda leaders to take corrective measures.

Joint supportive supervision with partners in monitoring eye care services, finance management and grant settlement.

Recruiting and training nurse as an IECW from government health facilities and reaching with them in to agreement to serve the community for at least one year.

Discussion was made with partners at zonal and woreda level to schedule activities like MDA and others to fix time and jointly monitor as per scheduled time.

Visit by any senior staff, donor, media representative, etc . Provide summary of relevant findings, if available.

From donors’ sides like Orbis Ireland board and members made visit to the project area in the month of November this year. All visitors had seen the effort and the work of the project at the project area and observed SAFE strategy components- Surgery,, Face washing and Environmental sanitation patients being operated for TT at different health facilities, constructed and rehabilitated water scheme and constructed public and house hold latrines and interviewed beneficiaries and implementers of the project.

Staff from Orbis country office (Ethiopia) and many guests from different stake holders come to celebrate World Sight Day in Arbaminch and observed how information about eye health care disseminated to the community.

A senior Staff from Orbis International ( Newyork office visited the partner woreda (Bonke) in this year and supervised and observed the way how resources are managed. Finally, he gave feedback as all going well and appreciated the Orbis staff and partners communication and partnership.

Need for adjustment/project amendment and new opportunities , if any Target plan for TT and others has to be revised based on the current situation when compared to this year.

Key lesson learned and other relevant aspects The accelerated expansion of health centers and hospitals at remote areas has contributed a lot in improve the general health condition of the community including eye health. This has created strong opportunity to expand SECU and PECUsThe ever-growing commitment of the FMOH and Regional health bureau has brough some positive changes in the ownership and commitment of the zone and the woreda health authorities. The assignment of two health extension workers per Kebele by the MOH (government) was a

very good opportunity as the main function of these government health cadres is to visit each household to address the issue of sanitation and hygiene, which is the major component of the SAFE strategy. These cadres have been effectively utilized in addressing the F and E components of the SAFE Strategy. Besides, the health extension workers are working at the first level primary health care unit (health post), they are nearest to the community who have been used as bridge to join the community members and the health facilities like health center; These all can be taken as opportunity and/or good lesson.

The major rate limiting factor for outreach services of IECWs has been transport. Partial coverage of transport cost/ fuel coverage was agreed among project and was applied to selected area based on evidences. This has been practiced since 2010 and motivated the partners to work hard and allowed them to access hard to reach areas.

The engagement of religious and community influential (political) leaders and media people has contributed a lot in raising the awareness of the community on trachoma prevention and control and their involvement in mobilizing the community during the MDA in particular was significant.

The involvement of zone and woreda (district) higher officials in joint supportive suppression, MDA and grant management was significant in improving the regular provision of eye health care service utilization.

Advocacy events conducted in collaboration with education sector in particular with school community (Bonke, Dita Arbaminch town and Konso) was taken as a best lesson in mobilizing the community to complement the effort against to avoidable blindness.

Implementation plan for next 12 months 2016.

Activity Annual plan RemarkTrainings

New IECW-PEC/TT surgery 15 Refresher training for IECWs on basic refraction 23 Refresher training of IECWs 120 Refresher training of HEWs on PEC 550 Training of IECWs on refraction new 10Refresher and new training of CHAs on PEC 500 Refresher training of teacher on PEC 300 Training of new teachers 200

Other trained during Zithromax distribution 4184 Screening

Adult People screened for eye disease 22,000 Students screened for RE 27,000

Medical Treatments TTC eye ointment 26,299 Dispensing eye glasses 2000 Zithromax distribution. 2,021,560 15 woredas

Surgical treatmentTT surgery 4420 Cataract surgery 400

IEC/BCC and AdvocacyIEC/BCC material distribution Advocacy events once Communal latrines constructions at different

woredas 2

Trachoma impact survey in six districts 11Community based research(RAAB)Awareness creation via local mass media with 4 local

languages2 times per year (240 hours air time)

Other activities Regular joint supportive supervision to health, education and finance and economic

development offices, health centers where IECWs are working, and visit beneficiaries Annual review and planning meeting with partners Biannual review meeting with IECWs and district focal persons. Training the store keepers of partner woredas on drug management. Training of MDA coordinators on quality of MDA

SECTION 3.Attach an Excel summary of key project results for all past years. Note: This needs to include more than the summary core indicators already in PDMS year by year and total, ie- include results – outputs, outcomes that are related to this particular project. A brief narrative to comment on achievements over life of project to end of 2013

GGDKA Elimination of blinding trachoma project annual activity report of 2013, 2014 & 2015.

(

Annual plan

Performance in #

Performance in %

Annual plan

Performance in #

Performance in %

Annual plan

Performance in #

Performance in %

CHAs training 560 560 100 560 517 92 1120 956 85HEWs training 1100 989 90 1150 966 84 1100 943 86Teachers training new

700 685 98 700 663 95 400 347 87

New IECWs 20 20 100 20 20 100 15 15 100Teachers training refresher

1000 870 87

IECWs refresher training

90 92 100 90 91 100

RE for IECWs 23 22 96 23 17 83 10 10 100Training of Religious and community influential leaders and media people

100 92 92 100 86 86 120 101 84

Activities 2013 performance 2014 performance 2015 performance

trachoma prevention and control Screening for different eye problems adult

32,000 35,517 111 32,000 35,543 111 30,000 30257 101

Students screened for RE

15,000 14,691 98 15,000 15,293 101 10,000 11,302 113

No of people treated by TTC eye ointment

66,000 73,184 110 66,000 54,252 82 85992 39357 46

Dispensed spectacles for children with RE and adults

1500 1375 91 1,550 1,462 94 1350 1648 122

TT surgery 6000 5,966 99 6,000 5,508 94 5000 4140 83Cataract surgery 300 263 88 400 378 95 400 754 189MDA in Sixteen woredas in 2013 and 15 woredas in 2014 and 2015

2,014,835

1,968,436

98 1,811,766 1,784,572 98 1893384

1775663 94

Prepared by Tadesse DataDate submitted January 27, 2015