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NATIONALACTIONPLANFORHEALTHSECURITY(2018-2022)


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NationalActionPlanforHealthSecurityFederalRepublicofNigeria

(2018-2022)

RELEVANCETheWestAfricaEbolaepidemicdemonstratedtheeconomicdamagethatlargescaleepidemicscancreateandhighlightedcritical capacities thatNigeriamust continue todevelop toprotectNigeriancitizens.Nigeriahasbeen confrontedwithnumerousoutbreaks since2017, including yellow fever,monkeypox, Lassa fever, cholera, and cerebrospinal meningitis; Nigeria has responded to andcontainedtheseoutbreaks,butfurtherstepsmustbetakentodetectthemearliertopreventillnessand death. Preparedness for pandemics and health emergencies has a high return on investment,estimatedat$2‒7forevery$1committed.

STRATEGYTheNationalActionPlanforHealthSecurity(NAPHS)isacomprehensivemulti-sectoralplanthatintegrates multiple workplans including REDISSE, NCDC Strategy Plan, AMR Action Plan, andimmunizationsplans,addressingthemajorgapsidentifiedbytheJointExternalEvaluation(2017)and Performance of Veterinary Services (2010) assessments, and prioritizing them by nationalstrategiesandrisks.Assuch,theNAPHSisan“overarching”planandcanbeusedtocreatelinkagesandmonitorprogressofmajorhealthsecurityinitiatives.TheNAPHSisintendedtoprovide:a)aclearroadmapforimplementationovera1‒2-yearperiod,allowingforannualrevisionstotheplanbasedoncapacitiesgainedandactivities implemented;andb)amenuofcostedactivitiesforfutureyears,whichcaneasilybeincorporatedintoannualimplementation plans and integrated into partner activities. As such, this document iscomplemented by internal products including individual workplans developed by the individualtechnical areas and an overarching NAPHS tracking platform that will be used for mutualaccountability.Criticalfinancinggapsremain;advocacy,resourcemobilization,andcoordinationbetweenrelevantstakeholderswillbecriticaltoimplementactivitiestokeepNigerianssafe.


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ContentsAcronymsandAbbreviations.......................................................................................................................5

PrefacefromtheMinisterofHealth...........................................................................................................6

AcknowledgementsbytheNCDCDirectorGeneral.....................................................................................7

ExecutiveSummary......................................................................................................................................8

BackgroundandContext............................................................................................................................12

PreparednessforProsperity..................................................................................................................12

PublicHealthRisks.................................................................................................................................13

FromCrisistoOpportunity:AlignmentofPlanningProcesses............................................................16

DevelopmentoftheNationalActionPlanforHealthSecurity(NAPHS).............................................16

PrioritizationforImplementation.........................................................................................................17

StructureoftheNAPHS.........................................................................................................................17

NextSteps..................................................................................................................................................18

IHRCoordinationandGovernanceforImplementation......................................................................18

Linkages.................................................................................................................................................18

Implementation.....................................................................................................................................18

MonitoringandEvaluation....................................................................................................................19

BiannualReviewandAnnualPlanRevision..........................................................................................19

ImplementationPlansfor2018-2019,byTechnicalArea........................................................................20

NationalLegislation,Policy,andFinancing...........................................................................................20

IHRCoordination...................................................................................................................................23

AntimicrobialResistance.......................................................................................................................25

ZoonoticDiseases..................................................................................................................................29

FoodSafety............................................................................................................................................32

BiosafetyandBiosecurity......................................................................................................................35

Immunizations.......................................................................................................................................38

NationalLaboratorySystem..................................................................................................................41

SurveillanceandReporting(CombinedTechnicalAreas).....................................................................44

WorkforceDevelopment.......................................................................................................................47

Preparedness.........................................................................................................................................50

EmergencyResponseOperations..........................................................................................................53

LinkingPublicHealthandSecurityAuthorities.....................................................................................56


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MedicalCountermeasuresandPersonnelDeployment.......................................................................59

RiskCommunication..................................................................................................................................63

PointsofEntry.......................................................................................................................................66

ChemicalEvents.....................................................................................................................................69

RadiationEmergencies..........................................................................................................................72

Annex1:CostedNAPHS(2018‒2022).......................................................................................................75

Annex2:JEEResultsandPriorityActions.................................................................................................76

Annex3:PerformanceofVeterinaryServices(PVS)AssessmentandRecommendations-2010..........84

Annex4:ParticipantList............................................................................................................................88

Annex5:InventoryofCostedActivities,2018‒2022................................................................................91

References...............................................................................................................................................161


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AcronymsandAbbreviations

AFP AcuteFlaccidParalysisAMR AntimicrobialResistanceCSO CivilSocietyOrganizationsEOC EmergencyOperationsCentreFEC FederalExecutiveCouncilGavi TheVaccineAllianceGNI GrossNationalIncomeGPEI GlobalPolioEradicationInitiativeIEC Information,EducationandCommunicationIHR(2005) InternationalHealthRegulations(2005)IHRMEF InternationalHealthRegulations(2005)MonitoringandEvaluationFrameworkIHRNFP InternationalHealthRegulationsNationalFocalPointINFOSANFP InternationalFoodSafetyAuthoritiesNetworkFocalPointIPC InfectionPreventionandControlITSON IntegratedTrainingforSurveillanceOfficersinNigeriaJEE JointExternalEvaluationLGA LocalGovernmentAreaMDA Ministries,DepartmentsandAgenciesNAPHS NationalActionPlanforHealthSecurityNCDC NigeriaCentreforDiseaseControlNFELTP NigeriaFieldEpidemiologyandLaboratoryTrainingProgrammeNHSDPII NationalHealthSectorDevelopmentPlanIINPHCDA NationalPrimaryHealthCareDevelopmentAgencyNSIPSS NationalStrategyonImmunizationandPrimaryHealthCareSystemsStrengtheningONSA OfficeoftheNationalSecurityAdviserPHE PublicHealthEmergency;PublicHealthEnglandPVS PerformanceofVeterinarySystemsREDISSE RegionalDiseaseSurveillanceSystemsEnhancementProjectSDG SustainableDevelopmentGoalsSPAR StatePartyAnnualReportingToolVRAM VulnerabilityRiskAssessmentMappingWPV WildPolioVirus


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Preface

TheEbolaoutbreakin2014raisedawarenessoftheneedtohavestrongcoordinationmechanismsatalllevelstopreventthediseasefromspreadingwithinandoutsidethecountry.Wewerefortunatetohavecontainedtheoutbreakatthetime,althoughthoseeventshighlightedthechaosandpotentialeconomicdamageand lossof life thatcanoccur ifwewerenotprepared.Sincethen,wehavebeenfacedwithseveraloutbreaksandpublichealthemergenciesincludingmonkeypox,yellowfever,Lassafever,measles,cholera, cerebrospinalmeningitis, floods,and insurgency.Theseeventshavehighlighted thatefficientgovernmentcollaborationiscriticalforeffectivepreparednessandresponsetotheseemergencieswhentheyarise.

TheJointExternalEvaluation(JEE),conductedin2017,demonstratedmanycriticalgapsthatneedtobefilledtoprotectusfromthenextmajorevent.TheseresultshavehelpedtoguidetheNAPHSplanningprocessandtodeveloparoadmapforhealthsecuritystrengtheninginNigeria.

Preparedness for health security is like an insurance policy for our national health and prosperity.AlthoughwehopethatweneverfaceadeadlyepidemicliketheWestAfricaEbolaepidemicof2014‒2016,weneedtoensurethatwearereadyatalltimes.Inthemeantime,capacitybuildingisneededtoensure that we can continue our effective legacy of a strong immunization system and workforcedevelopmentprogram,keepourfoodandwatersuppliessafe,keepourhealthworkersprotectedfrominfection,andensurethatwehavesystemsinplaceforearlywarningandresponseforroutineoutbreaksandepidemics.

The activities presented in this document represent the minimum needed investments, and costapproximately130Nairapercapitaperyear,whichincludesimportanteffortstostrengthenournationalimmunizationprogramme.TheEbolaepidemicandglobalpandemicslikeSARScostedbillionsofdollarstocontainandhavehadlargeeffectsoneconomicgrowth.Smallinvestmentsinourpublichealthsystemsnowcanpreventmajoreconomicdamagefromthenextepidemic.

Weencourageallstakeholdersfrompublicandprivatesectors,tocarefullyreviewthisdocumentanduseitasacountry-ownedroadmapforhealthsecurity.Wehavecarefullycometoconsensusaboutmajorprioritiesforaction,basedontheJEE,PerformanceofVeterinaryServicesassessment,riskassessments,andinstitutionalpriorities.WehopethattheNAPHScanserveasaguidingframeworkforallpartnerstoworktogetherforhealthsecurity.

ProfessorIsaacF.Adewole,FAS,FSPSP,FRCOG,DSc(Hons)HonourableMinister,FederalMinistryofHealth


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Acknowledgements

TheNigeriaCentre forDiseaseControl (NCDC), as the InternationalHealthRegulationsNational FocalPoint,wouldliketorecognizetheGovernmentofNigeriaforitscommitmenttoprotectingthehealthandsafetyofNigeriansasdemonstratedbythewhole-of-governmentapproachtothedevelopmentoftheNationalActionPlanforHealthSecurity(NAPHS),2018‒2022.

Thejourneytowardsthedevelopmentofthisplanhasbeenlongandrewarding,beginningwiththefirstpreparatory workshop conducted in Abuja in February 2018. Since then, participants from 40organizationshavecometogethertoprepare,validate,cost,andfinalizethisplan.

WeexpressoursincereappreciationtoallthestakeholdersfromacrossNigeria’sMinistries,Departments,and Agencieswho contributed tirelessly to the successful development of this plan. I reserve specialmentiontothe leadsof the19technicalareas fromtheFederalMinistryofHealth,NigeriaCentreforDiseaseControl,FederalMinistryofAgricultureandRuralDevelopment,NationalPrimaryHealthCareDevelopment Agency, Ministry of Defence, Office of the National Security Adviser, NationalEnvironmentalStandardandRegulationEnforcementAgency,theNigerianNuclearRegulatoryAuthority,amongothers.

Externalpartners,includingtheWorldHealthOrganization,UnitedStatesCentersforDiseaseControlandPrevention,PublicHealthEngland,theFoodandAgricultureOrganization,andResolvetoSaveLiveshaveprovidedcrucialtechnicalassistancetothedevelopmentoftheplan,andwehopetheywillcontinuetodothisaswetransitiontosustainablecapacitybuildingtokeepallNigerianssafe.

Dr.ChikweIhekweazuDirectorGeneral,NigeriaCentreforDiseaseControl(NCDC)


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ExecutiveSummary

Nigeriahasbeenexposed tomanydiseaseepidemicsandotherpublichealth threats.Recentnotablepublichealthemergencies (PHEs)ofnationaland internationalconcerntoNigeria includeLassaFever,Cholera,Meningitis,YellowFeverandMonkeypox.

The InternationalHealthRegulations (2005),havebeenakey instrument inbenchmarkingemergencypreparedness forNigeria. The JointExternal Evaluation (JEE)of IHRcore capacities conducted in June2017,highlightedsomestrengthsanddeficienciesthatcurrentlyexistinpreparednessandresponsetopublichealthemergencies.

This National Action Plan for Health Security (NAPHS) seeks to strengthen the IHR core capacities byadoptingstrategies,establishingpriorities,andimplementingactivities intendedtoclosetheidentifiedgapswiththegoalofpreventing,detecting,andrespondingtopublichealththreats.TheNAPHSisa5-yearstrategicplandevelopedcollaborativelywithrelevantMinistries,DepartmentsandAgencies(MDAs)oftheFederalGovernmentofNigeria.Thestrategicplanincludesagreed-uponobjectivesbasedongapsidentifiedbyhealthsecurityassessmentsincludingtheJEEandPerformanceofVeterinaryServices(PVS)assessments, public health risks in the country context, and strategic priorities of the involvedstakeholders.

Thecountryadoptedamulti-sectoralapproachedhingedontheprinciplesof‘OneHealth’withsignificantparticipation in the process from stakeholders from relevant government ministries and agencies,includingsecurityauthorities.TheseincludedtheOfficeoftheNationalSecurityAdviserandtheFederalMinistriesofHealth,AgricultureandRuralDevelopment,Environment,MinesandSteelDevelopment,Finance, Budget and National Planning, Defence, Transport, Science and Technology, Justice, andInformation.

Therehasbeenaconsciousattempttoensurethatproposedactivitiesareinter-sectoralandlinkedwithon-going national strategies, plans, policies and guidelines, including the National Health SectorDevelopment Plan II (NHSDP II), NCDC Strategy and Implementation Plan 2017‒2021, The Policy onAntimicrobial Use and Resistance, Nigeria National Action Plan on Antimicrobial Resistance (AMR),Infection,PreventionandControl(IPC)ActionPlan,NigeriaStrategyonImmunizationandPrimaryHealthCareSystemsStrengthening,amongothers.

TheNAPHScoversallthe19technicalareasrequiredtoeffectivelyprevent,detect,andrespondtopublichealththreats.Detailedplansforeachtechnicalareaweredevelopedbymulti-sectoralworkinggroups,tocovertheperiod2018‒2022.Theestimatedcosttoimplementallplannedactivitiesduring2018‒2022is134billionNaira($439millionUSD;Annex1).ThemajorcostdriverintheplanistheimmunizationsplanundertheNigeriaStrategyonImmunizationandPrimaryHealthCareSystemsStrengthening(NSIPSS)is81billionNaira($265millionUSD;60%oftotalcost).TheNSIPSSwasdevelopedinparallelwiththeNAPHSandhasitsownfundingsource,obviatingtheneedtocreateaseparateimmunizationsstrategicplanforhealthsecurity.

Theremaining18NAPHStechnicalareascostduring2018–2022isapproximately53billionNaira($174millionUSD),orapproximately18centspercapita(56Naira)peryear(Figure1).Themajorcostdriversof the NAPHS come from the laboratory, emergency preparedness, surveillance, and workforce


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developmenttechnicalareas,reflectingmajorinitiativestoimprovehealthsecurityinthesethreeareas(Box1).

Figure1:CostinNairaofNAPHSActivitiesbyTechnicalArea(excludingimmunizations),2018–2022

Box1:MajorCostDriversandInitiatives,2018–2022


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Becausethefive-yearNAPHSplanrequiresfinancingbytheNigeriangovernmentandbypartners,leadsfromeachofthe19technicalareasprioritizedactivitiesin2018–2019thatcouldbeimplementedwitheitheridentifiedorfewresources:

• NationalLegislation,PolicyandFinancingseeksimmediatelytopasstheNCDCBill,providingtheNCDCwithitslegalmandatefordiseasecontrolandpreventionandIHRfocalpoint,withitsownbudgetline.Withadditionalfunds,guidelinescanbeestablishedforstateandlocalgovernmentparticipationinpublichealthactivitiesthroughtheBasicHealthProvisionFund.

• IHR Coordination, Communication and Advocacy plans to establish an information exchangesystemforallpartiesinvolvedinIHRimplementation,usingmodernelectroniccommunicationsroutinely for the first time. They will also organize a biannual stakeholders meeting. Withadditionalfunds,furtheractivitiestointegratehuman,animal,andfoodsectorswillbeinitiated.

• AntimicrobialResistance (AMR)will establish amultisector steering committee to coordinateactivitiesandsetupanelectronicdataexchangesystem.Withadditionalfunds,theywilltrainandoperationalizebiosafetycommitteesintertiaryhospitalsandinveterinarypractices.

• ZoonoticDiseaseswill focusonestablishingasurveillancesystemforpriorityconditions.Withadditional funds, theywill train additional animal healthworkforce and develop a system forcoordinatedresponsetooutbreaks.

• FoodSafetywill focusonimprovingsurveillanceoffoodbornediseases.Withadditionalfunds,theywillalsobuildhumancapacitytoconductandleadoutbreakinvestigations.

• Biosafety and Biosecurity will draft legislation and establish a multi-sectoral nationalcoordination, oversight and enforcement mechanism for response and control of dangerouspathogens.Theywillbeginanauditof institutionswithdangerouspathogensandtoxins.Withadditional funds, they will complete the audit, and develop guidelines for handling thesesubstances.

• Immunizationisalreadyamatureandfundedprograminhumanhealth;itsinformationsystemsneedtobeintegratedintothoseforotherhumanandanimalhealthconditions.

• NationalLaboratorySystemneedsextensivedevelopment,someofwhichisalreadyfunded,toexpandlabcapacityofanationalreferencelabnetworkabletoconduct6of10WHOcoretests.Asystemfortransportofspecimensisnowunderdevelopment.Furtherfundswillfacilitatethedevelopmentofonecommonlabinformationsystem.

• RealTimeSurveillancewill integratepriorityzoonoticdiseasesintoroutinehumanandanimalsurveillance and roll-out a digital surveillance platform for immediate reporting, taskmanagement,andintegrationofsurveillanceandlaboratorydataforallLGAs.

• Reportingintendstoexpanditsreportingsystemto80%ofpublicandprivatehealthfacilitiesby2021inhumanandanimalsectors.Withadditionalfunds,theywill involvethesepersonnelintable-topexercises.

• Workforce Development will develop a new Integrated Training for Surveillance Officers inNigeria (ITSON) curriculum and roll-out the training to Disease Surveillance and NotificationOfficers (DSNOs) inall LGAs.Theplanwill sustain theadvancedFELTPprogramanddevelopanationalpublichealthworkforcestrategy.Withadditionalfunds,anintermediateFETPprogramtosupportstateandlocalactivitieswillbeestablished,with72traineesperyear.

• Preparednesswillestablishanall-hazardspublichealthemergencypreparednessandresponseplanandconductanationalpublichealthriskassessmentandresourcemapping.


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• EmergencyResponseOperationsplanstoestablishstandardresponseproceduresfornationaland state level EOCs, including electronic information systems. State-level EOCs will beestablished to increase subnational capacity for emergency response. With additional fundsfurthertraining,equipping,andcoordinationofEOCswillbecomepossible.

• LinkingPublicHealthwithSecurityAuthoritiesplanstoestablishaninteragencysecretariatandcollect statutory documents from each agency. With additional funds, joint training andsimulationswillbecarriedout.

• Medical Countermeasures and Personnel Deployment will establish a One Health strategicnationalstockpilingsystemofmedicalcommoditiesforuseinpublichealthemergenciesby2021.Withadditionalfunds,furthertrainingandexerciseswillbecomepossible.

• RiskCommunication intendstocreateamultisectorworkinggroupandproduceIECmaterials.Theythenwillcascadetrainingtostatestopreparecommunicationofficers.Withfurtherfunds,itwillbepossibletoengage774LGAsocialmobilizers.

• PointsofEntrywilldesignatefourentrypointsandbegintoequipandtrainpersonnelatthesesites. With further funds, they will develop contingency plans in coordination with MedicalCountermeasuresandreviewandreviselegislation.

• ChemicalEventswillestablishanationalchemicalsurveillanceandresponsesystemandworkonimproving legal instruments forenforcement.Withadditional funds itwillbecomepossible tomaptoxicologylabsandassesstheirabilities.TheyintendtorespondtofiveeventsinthecountryeachyearincoordinationwiththeEOCs.

• RadiationEmergencieswillbuildnationaldetectionandresponsecapabilitiesforradiationandnuclear emergencies by 2021. With further funds, they will procure personal protectionequipment,andimprovemonitoringbytheimplementationofsystematicinformationexchangesbetween stakeholders including health by improving coordinationwith the IHR national focalpoint.

Thisdocumentprovidesa summaryof implementationactivitiesduring2018‒2019 foreach technicalarea. However, all technical areas contributed to the completion of a costed, 5-year strategic plan.DomesticMDAsanddevelopmentpartners canuse thecosted5-yearactivitiesas thebasis to informfutureefforts,reviseworkplans,andidentifypossiblepartnershipsorinvestments.

When implementation begins, leads from all 19 technical areas, regardless of MDA, will trackimplementationprogressusinganelectronicplatform.Themulti-sectoralIHRworkinggroup,composedofallrelevantMDAs,willmeettwiceayeartoreviewimplementationprogressandsharelessonslearned.TheNigeriaNAPHS represents an integrationofmultipleplans anda truemulti-sectoral collaborativeeffort. The plan represents a joint platform for strategic planning, implementation, advocacy, andfinancingtoprotectNigeriansfromhealthemergencies.


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BackgroundandContextPreparednessforProsperityNigeria is themost populous nation in Africa with a 2018 projected population of 195,875,0001 andaccounts for47%ofWestAfrica’spopulation.Nigeria isAfrica’sbiggestoil exporteranddrivenbyanexpansioninoiloutputandcontinuedsteadygrowthinagriculture,emergedfromrecessionin2017.2TheNationalHealthActwas signed into law in2014,however, theact is yet tobe implementedwith theestablishmentofabasichealthcareprovisionfund(BHCPF).In2016,Nigeriaspent0.6%onhealthasashareofGDP(orUSD$11percapita)—lessthannearlyeverycountryintheworld.3

Infectiousdiseaseoutbreakshavebeenincreasingovertime,4andhavethepotentialtothreatenglobalGDPandeconomicgains indevelopingcountries.Pandemicshavethepotential todestroyover1%ofglobalGDP.Forinstance,the2003SARSepidemicwasestimatedtohavecostbetween$40‒80bn.5Thereisalargereturnoninvestinginhealthsecurity.Onedollarisestimatedtoreturn$2‒7USDineconomicbenefits, an economic gain among the same order of magnitude as other “best buy” public healthinterventionslikemalariacontrol.6Financingpreparednessmightcostlessthan$1perpersonperyear.7Meanwhile, the International Working Group on Financing Preparedness estimated that, based onNigeria’s2015GDPof$487bn,theexpectedannuallossduetoa“full-blown”influenzapandemiccouldbe$9.6bn,or~2%ofannualGDP.7

TheWestAfricanEbolaoutbreakisahigh-impactexampleofthehumanandeconomicdevastationthatcanresultfromaninfectiousdiseaseoutbreak.TheWorldBankestimatesthattheoverallimpactoftheEbolacrisisonGuinea,Liberia,andSierraLeonewas$2.8billionUSD,whichwasworsenedbythelargedeclineintheworldpriceofironoreandothercommodities,andspecificallyforSierraLeone,corporategovernanceissuesinmining.RealGDPgrowthinall3countriesaffectedslowedsubstantially,from8.7%in2013to0.7%inLiberiaandfrom20.7%inSierraLeonein2013to4.6%in2014.8

NigeriaisnotonlyagiantofAfrica,butalsoagateway.InasingleweekinAugust2018,therewere177globaldestinationsoriginatingfromeitherLagosorAbujainternationalairports(LOSandABV).On20July2014,asicktravelerflewfromLiberiaandlandedinLagos.ThepassengerwasultimatelydiagnosedwithEbolaandexpired,afterpotentiallyexposing72personsattheairportandthehospital.TheEbolaclusterresulted in 20 confirmedorprobable Ebola cases, ofwhich12wereexposed inhealth facilities.9 ThesuccessfulcontainmentofEbolainNigeriaiscreditedtoseveralfactors:theNigeriaCenterforDiseaseControl’s (NCDC) experience with surveillance and outbreak investigation, the repurposing of polioeradication emergency operations to establish a national emergency operations center (EOC) whichcoordinated the efforts of all partner organizations, donors, and response teams, virologic laboratorytesting capacity at Lagos University Teaching Hospital (LUTH), and a trained epidemiology workforcecomprised of graduates fromNigeria’s Field Epidemiology and Laboratory Training Program (FELTP).9These“core4”publichealthfunctionsaresummarizedinFigure2.


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Figure2:Core4HealthSecurityCapacitiesandtheirApplicationtothe2014EbolaResponseinLagos

ThearrivalofEbola inLagoscreatedseriousconcernstotheglobalhealthcommunityand itwasthusconsidered a pivotal event during the 2014West African Ebola epidemic preventing a global crisis.10Nigeriaspentapproximately$13mUSDrespondingtothe2014Ebolaresponseandpreventinga largeoutbreak;a2%reductioninNigeria’s2014GDPwouldhavetranslatedtoaneconomiclossofnearly$12bUSD.

PublicHealthRisksOverthepast2years,Nigeriahasbeenconfrontedwithseveraloutbreaksofepidemic-pronediseases,includingmeasles,yellowfever,cerebrospinalmeningitis,cholera,Lassafever,andmonkeypox(Figure3).In response to some of these disease outbreaks, public health workers have conducted vaccinationcampaigns,whilealsoprovidedinfectionpreventionandcontroltrainingtohealthworkers,establishednew laboratory testing capacity, and conducted communication and engagement activities tocommunities.NCDC,whichservesas theNationalFocalPoint for the InternationalHealthRegulations(2005)(IHRNFP),isresponsibleforsurveillanceandresponsetotheseoutbreaks,andworkscloselywiththeNationalPrimaryHealthcareDevelopmentAgency(NPHCDA)whenavaccinationresponseisneeded.


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Figure3:TimelineofEmergencyActivationforEpidemic-ProneDiseases—Nigeria,2017‒2018

Unfortunately,thenumberofzoonoticandepidemic-pronediseaseoutbreaks isunlikelytosubside.ArecentmodelingstudyofriskforviralhemorrhagicfeversidentifiedLGAsinNigeriahaveahighriskforhaving an index case for Ebola virus disease, Crimean-Congo hemorrhagic fever, and Lassa fever.Furthermore,modelsofepidemicandpandemicpotentialbasedonlocalandinternationalconnectivityshowed that LGAs inNigeria are someof thehighestpotential inAfrica for the global spreadof viralhemorrhagicfevers.11ArecentstrategicriskassessmentconductedbyNigeriaandfacilitatedbytheWHOidentifiedtheriskofmeningitis,cholera,yellowfever,Lassafever,andterrorismasboth“almostcertain”inlikelihoodwithacriticalimpact.

AnassessmentofNigeria’scapacitytoprevent,detect,andrespondtothesepublichealththreats,calledtheJointExternalEvaluation(JEE),wasconductedinJune2017(Annex2),inadditiontorecommendationsfromthe2010PerformanceofVeterinaryServices(PVS)assessment(Annex3).TheJEE identifiedthatNigeriahassubstantialroomtodevelopitshealthsecuritycapacities(Figure4).PrioritiesidentifiedintheJEEExecutiveSummaryincluded:

• PassageandimplementationoftheNCDCBill;• Establishmentofamulti-sectoralOneHealthcoordinationmechanismatFederal,State,andLGA

levels;• Strengtheningoflaboratorycapacity;• Scaleupimplementationoftheintegrateddiseasesurveillanceandresponse(IDSR)program;• Developmentandimplementationofacomprehensivepublichealthworkforcestrategy• EnhancingtheEOC/incidentmanagementsystematthefederallevelandstrengtheningsub-national

rapidresponseteams• Designationofpointsofentry


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Figure4:OverviewofNigeria’sCapacities—JointExternalEvaluation,2017


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FromCrisistoOpportunity:AlignmentofPlanningProcessesTheexternalevaluationteamlaudedNigeria’sprogressinsurveillanceforverticaldiseasessuchaspolio,TB,andHIV/AIDS,buthighlightedthatfurthereffortsmustbedevelopedtostrengthenhorizontaldiseasesurveillanceprograms, improve transportationof laboratory specimens, and implement a clear publichealthworkforcestrategy.

Afinancedmulti-sectoralplanforhealthsecuritycanhelptodevelopcriticalcapacitiestoprevent,detect,andrespondtopublichealththreats,utilizingresourcesandcapacitiesthatNigeriahasalreadydeveloped.Forinstance,Nigeriaisoneofonlythreecountriesintheworld,includingPakistanandAfghanistan,withendemicwildpoliovirus (WPV).Securitychallenges in theNorthEasthavecompromised theability toimmunizechildrenandconductroutineacuteflaccidparalysis(AFP)surveillance.12However,therehavebeennodocumentedWPVcasessinceSeptember2016,andplanningforthetransitionofpolioresourceshas begun. The role of polio resources (human and otherwise) in surveillance capacity and outbreakresponseinNigeriacannotbeunderstated.Thepolioprogramalonefundsapproximately23,000publichealthpersonnelinNigeriaatanestimatedannualcostof$90mUSD.13

Diseasesurveillanceandnotificationofficerswho investigatediseaseoutbreaksandcollect specimensutilizefundsfrompolioeradicationeffortstoensurethatotherepidemic-pronediseasespecimensaretransportedtothecorrectfacilities.Inadditiontothescalingdownofpolioactivities,theNigerianpublichealthsystemfacesadoublethreat,asNigeriahasbeguntheGavigraduationprocess(cutoff:percapitagrossnationalincome[GNI]>$1,850).GaviwilltransitionresourcesawayfromNigeriaanditsco-financingrequirementswillincreaseoverthenext5-7years.ItiscriticalthatthepolioandGavitransitionstrategiesare planned and leveraged to ensure sustainable capacity is developed for communicable diseases ingeneral.

DevelopmentoftheNationalActionPlanforHealthSecurity(NAPHS)With crisis comes opportunity. In 2018, Nigeria developed a National Action Plan for Health Security(NAPHS).TheNAPHSdescribesobjectives,strategicactivities,costs,andfocalpointsforfillinginthegapsidentifiedbytheJEE.Theactivitieswereprioritizedbasedonthecountry-specificrisks,thepotentialorexistingresourcesavailable,andthestrategicplansoftheparticipatingMDAs.

The NAPHS was developed by linking existing national plans, including the National Health SectorDevelopmentPlan II (NHSDP II),NCDCStrategyand ImplementationPlan2017‒2021,NigeriaNationalActionPlanonAntimicrobialResistance(AMR),Infection,Prevention,andControl(IPC)ActionPlan,andNSIPSSastheypertainedtohealthsecurity.

TheplanningprocesswascoordinatedbyNCDCas the IHRNFPand includedstakeholders frommanyrelevantsectors.ThefulllistofparticipantsisavailableinAnnex4:

• FederalMinistryofAgricultureandRuralDevelopment• FederalMinistryoftheEnvironment• FederalMinistryofFinance• FederalMinistryofHealth• FederalMinistryofMinesandSteelDevelopment• MinistryofDefence• FederalMinistryofTransport


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• FederalMinistryofScienceandTechnology• FederalMinistryofJustice• FederalMinistryofInformation• MinistryofInterior• OfficeoftheNationalSecurityAdviser• NationalEmergencyManagementAgency

PrioritizationforImplementationRatherthanprioritizeonetechnicalareaoveranother,thetechnicalworkinggroupsprioritizedstrategicactionsduringtheNAPHSpreparatoryworkshop(February2018),NAPHSvalidationandcostingworkshop(July2018),andtheNAPHSfinalizationmeeting(September2018).

• Duringthepreparatoryworkshop,thetechnicalareagroupsidentifiedactivitiesthatwerealreadyongoing,areasthatwerecriticalforcapacitydevelopment,whichactivitieshadknownadvocates,andwhichwere“lowhangingfruits”

• During theNAPHSvalidationandcostingworkshop,witha senseof the resourcesneeded forimplementing thoseactivities, the technical areagroupswereasked to identify activities theycouldrealisticallyimplementduring2018‒2019withexistingorfewadditionalresources

• DuringtheNAPHSfinalizationworkshop,thetechnicalareagroupspulledoutspecificactivitiesfor implementation in 2018‒2019, identified individual focal points for those activities, targetstartandenddates,andspecificmonitoringandevaluationindicatorsforeachactivity

StructureoftheNAPHSTomaximizethebenefitoftheNAPHSdocumentforimplementingactivitiesbymulti-sectoralactors,thisdocumentprovidesanoverviewofimplementationplansforactivitiesprioritizedfor2018‒2019.

Toguideplanningandanticipatoryresourcemobilization,andforusebydevelopmentpartnerstoselectkeyactivitiestosupport,acomprehensivelistofalldesiredactivitiesduring2018‒2022wasgenerated(Annex5).TheNAPHSisintendedtoprovide:

a) aclearroadmapforimplementationovera1‒2-yearperiod,allowingforannualrevisionstotheplanbasedoncapacitiesgainedandactivitiesimplemented,and

b) a menu of costed activities for future years, which can easily be incorporated into annualimplementationplansandintegratedintopartneractivities

Someactivities in the2018‒2019require immediate resourcemobilization,andmanyof theactivitiesduring2020‒2022requireresourcestosupportimplementation.


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NextSteps

TheNigeriaNAPHSprovidesaboldroadmaptoincreaseNigeria’scapacitytoprotectitscitizensthroughawholeofgovernmentapproach.Thenextstepsinclude:

IHRCoordinationandGovernanceforImplementationConsidering that the leads of the technical areas are primarily staff of the various MDAs whoseinvolvementisessentialinimplementationoftheNAPHS,andusuallyholdthebudgetlineforactivitiesinthe technical areas, their involvement, oversight and leadership in the planning, implementation,monitoring,andevaluationisessentialforsuccessfulimplementation.

TheIHRNFP(NCDC)willprovidestewardshipandcoordinationforNAPHSimplementationusingaOneHealthapproachthroughinvolvementoftheleadershipandmembersofthe19technicalareagroups.TheNCDCwillserveastheSecretariatfortheIHRtechnicalworkinggroup,whichconsistsofleadsofalltechnicalareasrepresentingthevariousMDAsrelevant forhealthsecurityefforts.TheSecretariatwillprovidelogisticalandtechnicalsupportforimplementationreviewsandmonitoring.

The implementationandmonitoringof theNAPHSwill useaOneHealthapproach, toensure that allrelevantstakeholdersarerepresentedandcoordinated.Fiduciarycontrolswillbeguidedbythepublicserviceguidelinesinadditiontoanyspecificrequirementsfromdevelopmentpartners.ThecommitmentofstategovernmentswillbesoughttosustainallinvestmentsmadethroughtheimplementationoftheNAPHS,whichwillrequireadvocacybystakeholders.SimilarstructureswillbeutilizedatthestateandLGAlevelswhereappropriatetoengagethestatesintheplanningandimplementationoftheNAPHS.

The NAPHS plan should be endorsed and approved by the Federal Executive Committee (FEC) andpresentedtobilateralandmultilateralpartnerstoalignworkplansandobtainfundingcommitmentstofill gaps that are not financed by REDISSE and existing commitments. State-level collaboration andcommitmentstosustainthefrontlinepublichealthworkforcewillbecritical.Partnershipsbetweenstatesandsynergisticprograms,particularlywithregardstostate-levelEOCsandspecimentransportationandreferralsystems,willimproveNigeria’sabilitytoprevent,detect,andrespondtothenextpublichealththreatbeforeitbecomesanepidemic.

LinkagesSpecific linkages at policy and operational levels to connect NAPHS with sectoral plans, such as theNationalHealthSectorStrategicDevelopmentPlanand theMidTermExpenditureFramework (MTEF)should be identified and strengthened to align theNAPHSwith the national budgeting, planning andimplementationcycle.Theseactivitiesarecriticaltoensuringthatdomesticfinancingismadeavailableforhealthsecurity.

ImplementationTheNAPHSisuniqueinitscomprehensivescopeandmulti-sectoralnature.Anoverallapproachtotrack,monitorandevaluatethestatusofNAPHSimplementationusingprojectmanagementstaff,software,andquarterly/monthlyreviewbythetechnicalareasandbiannualreviewoftheplantoenableappraisaland


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definition of better approaches to implementation. A robust project management structure will beestablishedtofast-trackeffectiveimplementation.

MonitoringandEvaluationTechnicalworkinggroupsforeachofthe19technicalareascoveredbytheNAPHSdevelopedtheirownoutputandprocessindicatorsforeachactivity.AttheNAPHSfinalizationmeeting,conductedattheNCDCadministrativeheadquartersinSeptember2018,thetechnicalleadsagreedontheneedtohaveasharedplatformtomonitorprogressonimplementationofactivitiesformutualaccountability.Asaresult,theNCDCSecretariatisworkingwithpartnerstoestablishsuchamonitoringplatform.

The outcomes and impacts of theNAPHSwill bemeasured using the IHRMonitoring and EvaluationFramework(IHRMEF).TherevisedJEEtool(JEE2.0)willbeusedasaninstrumenttoperiodicallyreviewcapacities with external evaluators, whereas the State Party Annual Reporting (SPAR) tool will becompletedannually.Simulationexerciseswillbeusedbothtodevelopcapacities,assessperformance,andidentifyadditionalpriorityactions.Afteractionreviews(AARs)willbeconductedaftermajoreventsto identify existing country capacity, areas in need of strengthening, and revise the NAPHSimplementationplans.

BiannualReviewandAnnualPlanRevisionInadditiontoreal-timeimplementationtracking,thetechnicalleadsalsoidentifiedaneedforaformalbiannualreviewprocess,toassessimplementationprogressandaddressbottlenecks.Amid-yearreviewofimplementationofplannedactivities,withanticipatoryre-assessmentandredirectionofactivitiesandresourceswillbecarriedoutinFebruaryofeachyear.

Theannualreviewmeeting,tobeconductedinAugustofeachyear,willallowtechnicalleadstorevisecostedworkplansandestablishanimplementationplanforthefollowingyear.Thisannualreviewcanbealigned with similar requirements under the conditions of REDISSE. The NAPHS will be reviewedperiodicallytoensurealignmentwiththeNigeria’sHealthSystemDevelopmentPlan(NHSDP)aswellastheNCDCandotheragencies’strategicplans.


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ImplementationPlansfor2018-2019,byTechnicalAreaThissectiondescribeshigh-level“strategicactions”selectedbytechnicalareagroupsforimplementationduring2018‒2019,basedontheprioritizationprocessdescribedearlier.Theactivitiesincludedinthissectionincludethosewithfundingidentifiedandthosewithoutstandingresourceneeds.Eachofthesehigh-levelactionsconsistsofmoredetailedactivities,whichareprovidedinfullinAnnex5.TheAnnexalsoindicateswhichdetailedactivitieshaveexistingresources.TheleadMDAisindicatedforhigh-levelactions,althoughmultipleMDAsmightcooperateonagivenactivity.

NationalLegislation,Policy,andFinancingBackgroundandObjective:WorkingtowardsensuringthatadequatestatutoryandadministrativeprovisionsfortheimplementationofIHRareinplacebyDecember2019,includingcompletingpendinglegislativeactionsforNCDCBill.

JEEIndicators

P.1.1Legislation,laws,regulations,administrativerequirements,policiesorothergovernmentinstrumentsinplacearesufficientforimplementationofIHR(2005)

JEE2017CapacityLevel:1

P.1.2TheStatecandemonstratethatithasadjustedandaligneditsdomesticlegislation,policiesandadministrativearrangementstoenablecompliancewithIHR(2005)


JEEPriorityActions

1. ComprehensiveassessmentofexistinglegislativeandpolicyframeworkstoidentifygapsthatimpedecompliancewiththeInternationalHealthRegulations

2. Advocate for revision of legal instruments and policies to address existing gaps and challenges within the national administrativeenvironment

3. Completionofpending legislativeactions (NCDCBill,2017;PublicHealthBill,2013) togivekeypublichealth institutions (e.g.NigeriaCentersforDiseaseControl)thelegalmandateneededtoaccomplishnationalgoals

4. National government should articulate specific policies, guidance, and guidelines to States and Local Governorate Areas regardingobligations,rolesandresponsibilitiestoincreasetheirrespectiveownershipandimplementationoftheprovisionsoftheNationalHealthAct,andforaccountabilityinallocationandapplicationofresourcesforpublichealthinlinewiththeBasicHealthProvisionFund(2014)

5. StreamlinerolesandresponsibilitiesinthevariousMinistriesandAgenciesthathaveresponsibilitiesinIHRimplementationtominimizeduplicationwithintheirrespectivemandates


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ShortTermGoals(2018–2019):

• Expandpublicawarenessonhealthaccountability• IncreaseCSOsinvolvementintheNCDCBillandReviewofNationalHealthAct(2014)• ExpandStatesfundingofHealth• Implementprotocols,processes,regulationsandlegislationgoverningHealthFinancingandFunds

Strengths Limitations•Presentthroughoutstatehealthinstitutions•Legalprecedent•Expertise,especiallyinidentifyinganddevelopingrelevantpoliciesframeworkforhealthsectorgapsthatimpendcompliancewithIHR

•Budgetlineexistsinseveralkeyagencies,butnotsufficientfundingforhealth,andnotsufficienthealthfundingparticipationbyalltheStatesandLGAs,duetoweakpoliticalwill

• LowcoverageoflegislativeandfinancinggapsimplementationattheStatesandLGAs

• PoorhealthfundingmostlyattheStatelevels• LackofIHRFocalPersonsandDeskOfficersinMDAsduetoMDAs

poolingsystem• Poor inter-sectoral coordination in information sharing on new

policies

KeyActivitiesforImplementation MDA2018 2019

Q3 Q4 Q1 Q2 Q3 Q4Completependinglegislativeactionsfor“NigeriaCentreforDiseaseControlBill”togivekeypublichealthinstitutionsthelegalmandateneededtoaccomplishnationalgoals.

NCDC

Reviewofthe“NationalHealthActof2014”todefineroles/responsibilitiesofkeypublichealthinstitutionsacrossthethreetiersofgovernment.

NCDC

DevelopaninventoryoftheadministrativeandstatutoryprovisionsrelevanttoIHRinrelevantMinistries,DepartmentsandAgencies(MDAs)

NCDC

ConductcomprehensiveassessmentofexistinglegislativeandpolicyframeworkstoidentifygapsthatimpedecompliancewiththeInternationalHealthRegulations

NCDC

Developspecificpolicies,guidance,andguidelinestoStatesandLocalGovernmentAreasregardingobligations,rolesandresponsibilitiestoincreasetheirrespectiveownershipandimplementationoftheprovisionsoftheNationalHealthAct,andforaccountabilityinallocationandapplicationofresourcesforpublichealthinlinewiththeBasicHealthProvisionFund(2014)

NCDC

Reviewtheexistinganimalhealthlaws,regulations,andpolicies FMARD ConductsensitizationworkshopfortheupdatedPVSwiththeanimalhealthofficersinDVPCSandstateDVS

FMARD


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ImportantConsiderations:

• ToavoiddelayoftheNCDCBill,increasepublicrelationsandCSOspressureonSenateCommitteeonhealth• RewardStatesthatparticipantinIHRtoincreasecommitmentofstategovernment,andStatesparticipationwillbesoughttosustainall

investmentsmadethroughtheimplementationoftheNAPHS• SupportkeymeetingsasstatedintheCostingBudgettofacilitatetheLP&Fprocess

KeyParticipatingAgencies:

• NigeriaCenterforDiseaseControl(Lead)• FederalMinistryofFinance• FederalMinistryofJustice• NationalAssembly• FederalMinistryofAgricultureandRuralDevelopment


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IHRCoordinationBackgroundandObjective:StrengthenIHRNFPforeffectivecoordination,communicationandadvocacyforIHRimplementation.Therewillbeestablishmentof informationexchangesystemfortheparties involvedinIHR,usingmodernelectroniccommunications,aswellasabiannualstakeholdersmeeting.Withadditionalfunds,furtheractivitiestointegratehuman,animal,andfoodsectorswillbeinitiated.

JEEIndicators

P.2.1A functionalmechanism is established for the coordination and integrationof relevant sectors in theimplementationofIHR


JEEPriorityActions

1. EstablishlegislativefoundationforNCDCasNationalFocalPoint2. EstablishmentofanationalOneHealthplatformfor intersectoralcollaborationofoutbreakresponsesthat involvethehumanhealth,

animalhealthandenvironmentalsectors3. DevelopallhazardstandardoperationalproceduresforIHRcoordinationbetweenIHRNFPandstakeholders


• Establishmultisectoral/multidisciplinaryapproachesthroughnationalpartnershipsthatallowefficient,alertandresponsivesystemsforeffectiveimplementationoftheIHR(2005)

• EstablishanationalOneHealthplatform• Coordinate nationwide resources, including sustainable functioning of a national IHR focal point – a National Centre for IHR (2005)

communicationswhichisakeyrequisiteforIHR(2005)implementation–thatisaccessibleatalltimesNigeriaStrengthsandLimitations

Strengths Limitations• NationalIHRfocalpointsresponsibledesignatedand

accessible24/7• Multisectoralstakeholdersidentifiedacrossallhazards• SOPexiststoguidecoordinationbetweentheIHRNFPand

relevantsectors• SubmissionofannualreportonthestatusoftheIHR

implementation

• DelayinpresidentialassenttothebillestablishingNCDC• Informationexchangesystemforcommunicationbetween

therelevantstakeholdershasnotbeendeveloped• Thereisaninteractionbeenhumanandanimalsectorsbut

notoptimal.Therefore,thereisaneedtoestablishoneHealthmulti-sectoralgroupforIHR.


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• NigeriaNFPisarecognizedleaderinWestAfrica


Q3 Q4 Q1 Q2 Q3 Q4Completependinglegislativeactionsfor“NigeriaCentreforDiseaseControlBill”togivekeypublichealthinstitutionsthelegalmandateneededtoaccomplishnationalgoals.(SeeNationalLegislation)

NCDC

EstablishOneHealthplatformatthenationallevel,statelevel,andLGAs NCDC DevelopAll-hazardsStandardOperatingProcedures(SOPs)andguidelinesforIHRcoordinationbetweenIHRNFPandstakeholders

NCDC

ConductbiannualandannualIHRreviewmeetings NCDC ConductPerformanceofVeterinaryServices(PVS)gapanalysisassessment FMARD


• DevelopmentofaconceptnotethatprovidesamodelforcommunicationbetweenvariousMDAsunderIHRcoordination,andidentifiesstakeholders

• IHRNFPtowritethestakeholderagenciesandaskthemtoidentifyfocalpersonsforIHRcoordination• ConvenethetechnicalworkinggrouponOneHealthandmeetbi-annually• IHR-relatedstakeholderstoidentifyexistingSOPspertinenttoIHRcoordinationandcommunication(IHRNFPalreadyhasSOPsavailable

forcoordination,communicationbetweenIHRNFPandotherstakeholders,andnotification);SOPsonthesideoftheotherstakeholdersneedtobedeveloped


• NigeriaCenterforDiseaseControl(Lead)• FederalMinistryofHealth• FederalMinistryofAgricultureandRuralDevelopment• FederalMinistryofFinance• FederalMinistryofEnvironment


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AntimicrobialResistanceBackgroundandObjective:AntimicrobialResistance(AMR)hasrecentlygainedworldwiderecognitionastheWorldhealthassemblyendorsedglobalactionplantotackleAMR.TheAMRCoordinatingBodywasestablishedatNigeriaCentreforDiseaseControlbyHonourableMinisterofHealth.TheOneHealthAMRTechnicalWorkingGroupwasformallyinauguratedatNCDCtoconductsituationanalysisanddevelopaNationalActionPlanforAMR.TheTWGcomprisesofkeymembersrepresentinganimalhealth,foodandanimalproduction,humanhealthandenvironmentsector.

JEEIndicators

P.3.1Antimicrobialresistancedetection JEE2017CapacityLevel:2P.3.2Surveillanceofinfectionscausedbyantimicrobial-resistantpathogens JEE2017CapacityLevel:2P.3.3Healthcare-associatedinfection(HCAI)preventionandcontrolprogrammes JEE2017CapacityLevel:2P.3.4Antimicrobialstewardshipactivities JEE2017CapacityLevel:2

JEEPriorityActions

1. ImplementtheNigeriaNAPonAMR2. Strengthenthe"OneHealth"componentsintheNigeriaNAPonAMR3. Strengthenstewardshiponantimicrobialuseinhumansandfoodanimals


• ReporthumanhealthAMRdatatoGLASSbefore2019• Identifypriorityorganisms,setupanationalsurveillancesystemforAMRandcommencesurveillanceinanimals• StandardizeASTguidelinesforAMRsurveillanceinNigeria• Implementprotocols,processes,regulationsandlegislationgoverningAMRandAMUdatareporting• ConductanationwidebaselinebehaviouralstudyonAMRawarenessandusefindingstodevelopanddisseminateanAMR

communicationamongOne-healthstakeholders• Trainhumanandanimalhealthworkersonhowtodetectantibioticresistantpathogens,useantibioticsrationallyandimprove

biosecurityinanimalproduction


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Strengths Limitations• ConductedSituationAnalysisanddevelopedNationalAction

Plan• DesignationofUCH,IbadanasAMRNationalReference

LaboratoryforHumanHealth• EnrollmentoftheAMRNationalReferenceLaboratoryfor

HumanHealthand2humanhealthsurveillancesitestoGLASSandreportingofdatanationallytoNCDCandGLASS

• ProcurementofEQAforAMRNationalReferenceLaboratoryand2humanhealthAMRsurveillancesites

• DevelopmentofAMRsurveillanceguidelinesforhumanhealth

• RevisedStandardTreatmentGuidelinesandDrugPolicyforhumanhealthtoincludeAMR

• NCDCcoordinatedthequarterlymeetingoftheNationalOne-healthAMRTWGmeetingandcommencedprocessforinauguratingtheNationalAMRSteeringCommittee

• NVRIdesignatedasAMRNationalReferenceLabandhasanantimicrobialworkinggroupconstitutedtocoordinateAMRwork

• ReportingAMUtotheOIEGlobaldatabaseusingoptionone• AMRissueshavebeencapturedintheamendedAnimal

DiseaseControlActintheNationalAssembly• RecentlyrevisedVeterinaryFormularynowavailableforuse

inthecountry• NationalAnimalDiseaseInformationandSurveillancesystem

inplaceandcanreporttoAU-IBARontheARIS2platform• NationalResidueMonitoringProgramforaquaculturein

NigeriaanddiagnosisiscarriedoutatDepartmentofVeterinaryPublicHealthandPreventiveMedicine,UniversityofIbadan

• Non-availabilityofdedicatedfundingforAMRimplementationandcontrolactivitiesinone-healthsector

• PaucityofpersonnelforAMU/AMRSurveillanceinOne-healthsectorandavailablepersonnelrequiresretrainingonAMR/AMUSurveillance

• AbsenceofAMR/AMUSurveillanceprotocolsandguidelinesintheOne-healthsector

• PoorpublicawarenessandweakcoordinationofAMRawarenessactivitiesinOne-healthsector

• LackofNationaldataonAMRthatcanbeeasilyaccessed• Noexistingchannelforinformationsharingamong

stakeholders• Lackofappropriatedatacapture,equipmentandaudit• AbsenceofstudiesoneconomicimpactofAMRinNigeria

andpoorcoordinationofresearchonantibioticuse• PaucityofinfrastructureforAMRtrackingandaudit


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Q3 Q4 Q1 Q2 Q3 Q4EstablishanationalsteeringcommitteetoadvisetheHonourableMinisters NCDC ConveneregularmeetingwithallDepartments/parastatalstodiscussthereport,thequarterlyAMRactivitymappingmeetingandareasofintegrationbetweenpartnersandagencies

NCDC

Strengthenthe“OneHealth”componentsintheNigeriaNationalActionPlanonAMR. FMARD EstablishandimplementaMonitoring&EvaluationframeworkforAMRsurveillance NCDC CreateadatabaseforAMRandAMUSurveillancefromhumanhealthfacilities,farms,feedmills,vetclinicsandenvironment

FMARDNCDC

EstablishandintegratenationalsurveillancesystemonAMRacrosshuman,animalandenvironment

NCDC

ConductAMRdiagnosticcapacityassessmentoflaboratoriestoselectedsentinelsitesforreportingintoGLASSacrosshuman,animalandenvironmentalhealthinstitutionsanddesignateAMRNationalReferenceLaboratoryforhumanandanimalhealth

NCDC

EstablishanAMRReferenceLaboratoryandnetworksystemforanimalandenvironmentalhealthlaboratories

FMARD

StrengthenHCAIsurveillanceandpreventionprograms NCDC AssessinfectionpreventionandcontrolfacilitiesandadvocateforresourcestosupportIPCnationallyandinallhealthcarefacilities

NCDC

IntroduceIPCprogrammeinveterinarypracticeattheveterinaryhospitals/clinicsandbiosecurityatfarmlevelinaquaticandterrestrialanimalhusbandry.

FMARD

Improvehandhygiene,foodhygieneandwastedisposalacrossallsectors MoEnv DevelopandImplementantimicrobialstewardshipprogramsacrosshuman,animalandenvironmentalhealth

NCDC

PromoteoptimalprescribinganddispensingofantimicrobialsinhumansandanimalsandsupportparticipationoftertiaryhealthfacilitiesinNigeriainAMSpointprevalencesurvey

FMARD

ConductAssessment(Survey)ofcurrentpracticesofAMUinhumansandanimals NCDC One-dayadvocacyvisittopolicymakerswithtwostakeholderseachfromPCN,VCNandNAFDACtoensurecompleteenforcementofrestrictiononoverthecountersaleofantibiotics.(Thisincludescostforadvocacykitsandtransportation)

NCDC

ConductanationwidebaselinebehaviouralstudyonAMRawareness,KAPP.UsebaselinefindingstodevelopanddisseminateAMRSBCCmaterialsinEnglish,PidginHausa,IgboandYoruba

NCDC

DevelopandprintriskcommunicationtoolsforAMRawarenessinHumansandanimals NCDC Organiseseminarsandtrainingsforrelevantstakeholderssuchasmedia,PPMV,animalhealthinspectors,clinicalveterinarians,livestockproducers,aquaculturefarmers,tollmilers,feedmanufacturers,etc.

NCDC


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IncorporateAMRactivitiesintoexistingWASHprogramswithinNPHCDAandFamilyhealthandotheragencies

NCDC

ConductnationwideactivesurveillanceforAMRinfarms,abattoirs,feedmills,veterinaryteachinghospitals,fishfarms,fishmarketsandmeatshops

FMARD


• NigeriaCenterforDiseaseControl(Lead)• FederalMinistryofHealth• FederalMinistryofAgricultureandRuraldevelopment• FederalMinistryofEnvironment• Professionalsocieties• Regulatorybodies


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ZoonoticDiseasesBackgroundandObjective:Theincreaseandexpansioninthehumanpopulationgloballyhassignificantlyimpactedontheinterconnectionofpeople,animals,andtheenvironmentbyincreasingthecontactbetweenhumansandwildanimalhabitats.Thisultimatelyincreasestheriskofexposuretonewpathogens.Mostofemergingdiseasesinhumanarezoonotic.Itislikelythatzoonoticdiseaseswillcontinuetobethreatstopublichealthespeciallyinareaswherehumanpopulationisdense,andbio-diversityishigh,asinmanypartsofNigeria.Todetect,preventandresponsetimely,improvementinanimaldiseasesurveillancesystemwillrequiredevelopingthelistofnationalpriorityzoonoticdiseases,buildingthe technical capacitiesofanimalhealthworkforce in surveillanceand laboratorydiagnosiswithamulti-sectoral approach to coordinate theresponseofoutbreaksofzoonoticdiseases.

JEEIndicators

P.4.1Surveillancesystemsinplaceforpriorityzoonoticdiseases/pathogens JEE2017CapacityLevel:2P.4.2Veterinaryoranimalhealthworkforce JEE2017CapacityLevel:3P.4.3Mechanismsforrespondingtoinfectiousandpotentialzoonoticdiseasesareestablishedandfunctional JEE2017CapacityLevel:1

JEEPriorityActions

1. EnhancecollaborationbetweenMinistryofHealthandMinistryofAgricultureatthenational,stateanddistrictlevels2. Strengthenlinkagebetweenpublichealthandanimalhealthlaboratories3. Enhancesurveillanceofzoonoticdiseases(includingconsensusbuildingmeetingsofappropriatestakeholderstoidentifythetoppriority

zoonoticdiseasestoincludeinzoonoticdiseasesurveillancesystem)


• Surveillancesysteminplaceforpriorityzoonoticdiseases/pathogens• Increaseanimalhealthworkforcecapacityatnationallevelandatleast50%ofstates• Establishamulti-sectorialmechanismforcoordinatedresponsetooutbreaksofzoonoticdiseasesbyhuman,andanimalsectorsatnational

andstatelevels


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NigeriaStrengthsandLimitations

Strengths Limitations• Thewillingnessofmajorstakeholderstocollaborateinline

withthe‘OneHealth’approach• Existingcollaborationbetweenhumanandanimalsectorson

controlofcertainzoonoticdiseases• Skilledprofessionals• PublichealthtrainingofveterinariansbyFELTP,McArthur

FoundationandVeterinaryCouncilofNigeria• Apolicydocumentandguidelinesforresponsetosomekey

zoonosisexist

• Poorintersectoralmechanisminplaceforcoordinatedresponsetozoonoticdiseasesbyhumanandanimalhealthsectorsinthenationalandstates

• Undevelopednationalsurveillanceplanforpriorityzoonoticdiseases

• ArobustsurveillancesystemforthehighestpriorityzoonoticdiseasesinanimalsislackingintheMinistryofAgriculture

• Inadequatetechnicalcapacityamongstakeholders• LackofadedicatedbudgetlineforOneHealthactivities• Lowlevelofpublicawareness,resultinginreluctanceto

acceptnecessarybehaviouralorculturalchangesthatwillimprovehealth


Q3 Q4 Q1 Q2 Q3 Q4Developintegratedzoonoticdiseasesurveillancesystem FMARD Developriskmappingforfourpriorityzoonoticdiseasesusingonehealthapproach FMARD AdvocatefortherecruitmentanddeploymentofanimalhealthepidemiologistsintothePublicHealthsectorattheStateandnationallevels

FMARD

Strengthenoflaboratorycapacityfordetectionforpriorityzoonoticdiseases/pathogens FMARD

Strengtheningoftechnicalcapacityofanimalhealthworkforce(zoonoticdiseasecontrol,communications,RDTs,etc)

FMARD

BuildtechnicalcapacityforzoonoticdiseaseofDiseaseSurveillanceandNotificationOfficersandAnimalSurveillanceOfficersatLGAlevel

FMARD

Updatelistoftoppriorityzoonoticdiseasesthrougha"OneHealth"deliberationprocess(lastreviewed2017)

FMARD


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Whatwillittaketodothis:

• Increasedcollaborationandcooperationbetweenkeystakeholdersthroughhighleveladvocacyandpoliticalcommitment• TheestablishmentofaOneHealthTechnicalworkinggroup• Creationofabudgetlineforcontrolofpriorityzoonoticdiseases• Incorporating or harmonising the funding and implementation of activities into the on-going efforts of the various ministries and

parastatal.• Improvedinformationsharingbetweenhumanandanimalhealth


• NigeriaCentreforDiseaseControl(Co-Lead)• FederalMinistryofAgricultureandRuralDevelopment(Co-Lead)• FederalMinistryofHealth• FederalMinistryofEnvironment


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FoodSafetyBackgroundandObjective:TheNationalPolicyonFoodSafety&itsImplementationStrategy(NPFSIS)wasdevelopedin2014tomodernisethefoodsafetysystemandstructureinthecountry,reducetheincidenceoffoodbornediseases,andimproveeconomicproductivity.TheNationalFood Safety Management Committee (NFSMC) was inaugurated to coordinate all food safety related programs in the country. Furtherstrengtheningthesemechanismswillenhancefoodsafety,detection,andresponseefforts.

JEEIndicators

P.5.1Mechanisms for multisectoral collaboration are established to ensure rapid response to food safetyemergenciesandoutbreaksoffoodbornediseases


JEEPriorityActions

1. Strengtheninter-sectoralandinterdisciplinarycollaboration,coordinationandinformation-sharingonfoodsafetyandfoodbornedisease2. Strengthensurveillanceoffoodbornediseaseandmonitoringofcontaminationinthefoodchainandenhancefoodborneoutbreakand

emergencyinvestigationsandresponse3. Strengthenfoodsafetycapacity includingrelevantlaboratorycapacity inthepublichealth,foodsafety,andagricultureandveterinary

sectorsatcentral,stateanddistrictlevels


• EstablishafunctionalFoodborneIllnessDetectionandResponseCollaborativeteambyMarch2019• DevelopmentandvalidationofNationalDrugResidueMonitoringPlanbyendofJune2020• EnhancetheNADISthroughthedevelopmentandvalidationofchecklists,SOPsandguidelinestoensurepropersurveillanceoffoodborne

diseasesofanimaloriginby2020• DevelopmentofafullyfunctionalinteractivefoodsafetywebsitebyDecember2019• BeginanationwideassessmentofLaboratorycapacityindetectionoffoodbornediseasesbySeptember2019

Strengths Limitations• PresenceofacoordinatingNationalFoodSafetyManagement

Committee• PresenceofaNationalFoodSafety&QualityBillatthe

NationalAssembly

• Poor/weakcoordination,collaborationandcommunicationbetweenMDAsinvolvedwithfoodsafety


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• PresenceofINFOSANEmergencyContactPointandFocalPointsacrossMDAs

• Investigationofoutbreaksareusuallytimely• Presenceofaregionaldiagnosticvetlaboratory(NVRI)

• Inadequatetechnicalcapacityamongfoodsafetyregulators,foodhandlers,andlaboratorytechniciansonfoodborneinvestigations

• Ineffectiveriskmanagementcapacityforfoodsafety• Lackofamultisectoralinvestigationandresponsetofood

safetyemergencies• Non-allocationorpoorallocationoffundstoexisting

budgetlinesinkeyMDAs

KeyActivitiesforImplementationMDA

2018 2019Q3 Q4 Q1 Q2 Q3 Q4

Strengtheninter-sectoralandinterdisciplinarycollaboration,coordinationandinformation-sharingonfoodsafetyandfoodbornedisease

FMARDFMOH

Developafoodsafetywebsite FMOH Conductanationalassessmentoffoodsafetylaboratorycapacity FMOH Strengthensurveillanceoffoodbornediseaseandmonitoringofcontaminationinthefoodchainandenhancefoodborneoutbreakandemergencyinvestigationsandresponse

FMOHFMARD


• RegularmeetingsofNFSMCtobettercoordinatefoodsafetysystemandstructureeffectivelyandadequately• ImprovingtheeffectivenessofNationalAnimalDiseaseInformationSystem(NADIS)aswellasafullyestablishedandfunctionalFoodborne

IllnessDetectionandResponseCollaborativeteam• ImprovedcapacityoffoodbornediseasedetectionthroughthedevelopmentofrelevantSOPsforsamplecollectionandanalysis• SupportoflineMDAsandinhavingaharmonised,effectiveandefficientfoodsafetysystemandstructure• SupportfordevelopmentpartnersandtheOrganisedPrivateSector(OPS)willbeessentialtoimprovingtheFoodSafetySystem• ThecommitmentofStateGovernmentswillbesoughttosustainallinvestmentsmadethroughtheimplementationoftheNAPHS


1. FederalMinistryofHealth(Lead)


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2. FederalMinistryofAgricultureandRuraldevelopment3. FederalMinistryofEnvironment4. FederalMinistryofScience&Technology5. NationalAgencyforFoodandDrugAdministrationandControl–(INFOSANFP)6. NigeriaCentreforDiseaseControl7. StandardsOrganisationofNigeria


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BiosafetyandBiosecurityBackgroundandObjective:Withthefrequentoccurrenceofinsurgencyandterrorismallaroundwhichmightprompttheuseofbiologicalagentsputpublichealthsystemsinchecktodeveloprobustsurveillancesystemsanddiseasenotificationsystemsforearlydetectionreducingmortalityandmorbidity.Biosafetyreferstotheimplementationoflaboratorypracticesandprocedures;specificconstructionfeaturesoflaboratoryfacilities,safety equipment, and appropriate occupational health programs when working with potentially infectious microorganisms and has otherbiologicalhazards.Effectivebiosecuritymeasuresrequirethecooperationofawiderangeofexpertssuchasscientists,policymakers,securityengineersandlawenforcement.

JEEIndicators

P.6.1Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculturefacilities


P.6.2Biosafetyandbiosecuritytrainingandpractices JEE2017CapacityLevel:1

JEEPriorityActions

1. BiosecurityLegislationneedstobeenacted2. Developmentofamulti-sectoral,nationalcoordination,oversightandenforcementmechanismforresponsetoandcontrolofdangerous

pathogens3. AdequatefundingandtrainingbeprovidedforBiosafetyandBiosecurityprograms4. Performanauditofinstitutionsandlocationswithdangerouspathogens;andtoxincontrolinordertodevelopaplanforconsolidation


• Transmitadraftlegislativebillonlaboratorybiosafetyandbiosecurity,includingsustainablefundingmechanismsbeforetheendof2019• Initiateamulti-sectoralnationalcoordination,oversightandenforcementmechanismforresponseandcontrolofdangerouspathogens• Performanauditofinstitutionsandlocationswithdangerouspathogensandtoxincontrolinordertodevelopaplanforconsolidationas

wellasgapsincurrentbiosafetyandbiosecuritytraining



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Strengths Limitations• Availabilityofbiosafetyregulationandregulatoryauthority• Establishedbiosafetypoliciesforthehumanandagricultural

sectors• Institutionalbiosafetyofficersandmanualsinsomeofthe

facilities• AvailabilityofBiosafetyLevel-2laboratoriesinthecountry

• Lackofbiosecuritypoliciesandprogrammeswithdedicatedfunding

• Absenceofemergencyresponseplanandmonitoringsystemforbiosafetyandbiosecurityinvolvingdangerouspathogens

• Consolidationofinstitutionsandlocationswithdangerouspathogensandtoxincontrolwithtrainingsupporttoreducetheriskoftheftorreleaseofdangerouspathogens.

• Sub-optimalinstitutionalbiosecurityprogrammesandnationalcoordinationofbiosecurityactivities

• Depletedstorageandinadequatelogisticmechanismsforbiosafetyandbiosecurity


Q3 Q4 Q1 Q2 Q3 Q4Developmultisectorallegislationandregulationsonbiosafetyandbiosecurity,includingsustainablefundingmechanisms

ONSA

Establishamulti-sectoralnationalcoordination,oversightandenforcementmechanismforresponseandcontrolofdangerouspathogens

ONSA


• Relevantagencies should synergize their activities toavoidoverlapping functions; responsibilitiesof collaboratingagencies shouldbeclarified

• Relevantagenciesshouldinputfundingcomponentofactivitiesintotheiragenciesannualbudgettofundtheaboveactivitiesaswellascapacitydevelopmentoftheirworkforceinordertoattainglobalstandardfordiseasemonitoringandsafety


• MinistryofDefence(Lead)• FederalMinistryofScienceandTechnology• NationalBiotechnologyDevelopmentAgency(Co-Lead)• FederalMinistryofHealth


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• NigeriaCentreforDiseaseControl• OfficeoftheNationalSecurityAdviser• NationalBiosafetyandManagementAgency


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ImmunizationsBackground:TheExpandedProgrammeonImmunisation(EPI)hasbeenoperationalinNigeriasince1979andhasincrementallyincreasedthenumberofvaccinesontheroutineschedule.Theprogrammeisresponsibleforthepurchase,distributionandretrievalofvaccinesacrossthecountry, in addition tooversightof the routine immunizationprogrammeand supplemental immunizationactivities and reactive vaccinationcampaigns.Immunizations,includingoutbreakresponseimmunizations,areoverseenbytheNationalPrimaryHealthCareDevelopmentAgency(NPHCDA),whereassurveillanceforvaccine-preventablediseasesisoverseenbytheNigeriaCentreforDiseaseControl(NCDC).

TheimmunizationsprogrammedifferssomewhatinimplementationwhencomparedtootherIHRtechnicalareas.Afullycostedstrategicplan,the Nigeria Strategy on Immunization and Primary Health Care Systems Strengthening (NSIPSS) has been developed, and its activities andobjectiveshavebeencarriedforwarddirectlyintheNAPHS.Effortstostrengthensurveillanceandlaboratoryconfirmationofvaccine-preventablediseasesincludingmeasles,rubella,andyellowfeverarecapturedunderthesurveillanceandlaboratoryplans.

NSIPPS2018‒2019Objectives:

1. ReduceMeaslesincidenceto5casespermillionbyreachingatleast82%RIand95%SIANationalCoverageby20232. ReduceMeaslesincidencetolessthan1casepermillionbyreachingatleast91%RIand95%SIANationalCoverageby20283. Ensurevaccines/commoditiesaretransportedingoodqualitytozonalstores,states,andultimatelyhealthcarefacilitiesnationwideon

timetherightquantity4. Distributionandtransportmanagement(nationaltostates)5. Putinplacemechanismfortheprocurementofthevaccines6. ImprovetheavailabilityandfunctionalityofcoldchainatLGAandwardlevels

JEEIndicators

P.7.1Vaccinecoverage(measles)aspartofnationalprogramme JEE2017CapacityLevel:3P.7.2Nationalvaccineaccessanddelivery JEE2017CapacityLevel:4

JEEPriorityActions

1. Dedicate resources to informationmanagement system for vaccinedata, inorder, toultimately improvedataquality (completeness,timelinessandreliabilityofadministrativedata)

2. Developstrategiestoimprovenationalcoverage,especiallyfocusingonhistoricallylowcoverageareas3. Includevaccinesforzoonoticdisease,particularlyinspecialpopulationssuchashealthcareworkersandveterinarians


39


Strengths Limitations• Useoftheprimaryhealthcarestructuretodelivervaccinesto

everypartofthecountryincludingoutreachservices,mass/nationwidevaccinationcampaignsandoutbreakresponse

• AlaiddownstructurethroughtheInteragencyCoordinatingCommittee(ICC)andtherespectivetechnicalworkinggroupstocoordinatetheactivitiesoffallstakeholdersworkingintheImmunizationspace

• DedicatedRI(NERRIC)andSIAs(NMTCC)technicalcommitteestoaddressimmunizationcoveragesandgaps

• BudgetlinepresentinkeyagenciesandNationalHealthAct• Expertise,especiallyinpolioeradicationsystem

• Lowimmunizationcoverageespeciallyinhardtoreachandsecuritycompromisedareas

• Vaccinehesitancy/non-compliance.• Poorattitudeandinadequatecapacityofhealthcareworkers• PoorimplementationofPrimaryHealthCareUnderOneRoof

(PHCUOR)strategy• Inadequatecoldchaincapacityatall(national,zonal,state

LGAandward)levels

NSIPSSStrategicActionsfor2018‒2028

1. StrengthenimmunizationdatasystemsandbuildcapacityofhealthcareworkersatalllevelstouseandinterpretanalyticsfromNAVISIONsoftwareplatformtoaddressstockchallenges

2. Increasedemandforimmunizationusingdemandcreationstrategies3. ImproveservicedeliveryatPHCandoutreachsites4. Conductfollow-upMeaslesVaccinationcampaigntargetingchildren9‒59monthsinaccordancewiththeNationalMeaslesElimination

strategy(2019‒2028)5. Dedicateresourcestoinformationmanagementsystemforvaccinedatatoultimatelyimprovedataquality(completeness,timelinessand

reliability)6. Distributequarterlyallocationofvaccinesanddevicestozonesandstates(forroutineimmunization)7. Improveforecastinganddemandplanningforvaccines8. ImproveColdchainmanagementandtemperaturemonitoringandcontrol, includingcurativemaintenanceofcoldroomsinNCSCand

zonalstores9. Developaharmonized,multi-sectoral,interconnected,surveillancesystem.



40

• Improvecollaborationbetweengovernment,partners,andprivatesectoractorstoharmonizeeffortsandreduceduplicationofactivities• Increaseadvocacyandresourcemobilizationeffortstogetsustainablefundingforactivities• EstablishandImplementastrongmonitoring,evaluationandaccountabilityframeworktotrackprogressofactivities• EncouragetheuseofPHCUORguidelinestoimproveplanninganddeliveryforhealthservices

KeyParticipatingMinistries,DepartmentandAgencies:

• FederalMinistryofHealth• NigeriaCenterforDiseaseControl• NationalPrimaryHealthCareDevelopmentAgency(Lead)


41

NationalLaboratorySystemBackground:ThelaboratorywasintroducedintotheNigeria’sIntegratedDiseaseSurveillanceandResponse(IDSR)Strategyin2001asaveritablecomponenttosupportcareandmanagementofcasesaswellasmitigateimpactthroughappropriatescreening,identificationandconfirmationof agents of diseases of public health importance as well asmonitor disease trends, changes in pathogen profile and evaluate progress ofinterventionamongothers.Thereisincreasingneedofthepublichealthlaboratoriestofulfilitsotherresponsibilitiesofprotectingthehealthofthenationthroughensuringfoodandenvironmentalsafetyaswellascollaboratingandcommunicatingwiththeanimalhealthcomponenttoprevent/reducezoonotictransmissionthroughappropriatediagnosis.

Expandinglaboratorycapacityisimportantforaneffectiveresponsenetworkwhich,inturn,enhancestheefficiencyofoperationandgeopoliticalzonecoverage.Promptdiagnosisofspecimensispredicatednotonlyonmeetingupwiththeturn-around-time(TAT)butalsoensuringthatqualityspecimensarecollected,promptlytransportedunderbiosafetyandbiosecurityconditionsandtestedusingcompetenthandsandappropriateproceduresthatguaranteeaccuracyandreproducibility.ThesequalitiesformthebasisoftheoperationoftheNationalReferenceLaboratoryundertheNCDCwhilealsostrivingtointegrateothercomponents(animalhealth,environmenthealthandfoodsafety)thatmakeuponehealthresponsetoachievetotalhealthandwell-beingofthepopulation.

JEEIndicators

D.1.1Laboratorytestingfordetectionofprioritydiseases JEE2017CapacityLevel:3D.1.2Specimenreferralandtransportsystem JEE2017CapacityLevel:1D.1.3Effectivemodernpoint-of-careandlaboratory-baseddiagnostics JEE2017CapacityLevel:2D.1.4Laboratoryqualitysystem JEE2017CapacityLevel:2

JEEPriorityActions

1. Enhancethelaboratoryinfrastructureandresourcesavailabletosustainanintegratednationallaboratorynetwork2. ImplementStrengtheningLaboratoryManagementTowardAccreditation(SLMTA)Programforthenational laboratorynetworkwitha

focusonbiosafety,biosecurityandqualityassurance3. Developarobustsampleandspecimentransportationsystemwhichensuresaneffectivecoldchain4. Toadoptbasiclaboratoryinformationsharingsystemamongtherelevantstakeholders



42

• Expand/maintainlabcapacityatthenationalreferencelabnetworktobeabletoconduct6of10WHOcoretests,activatetestingonfoodsafetyandstrengthendiagnosticcapacityofveterinarylaboratory

• Instituteaneffectivesystemforcollection,packagingandtransportofbiologicalspecimens• AdoptandimplementoneLaboratoryInformationsharingsystembyalllaboratories

Strengths Limitations• Existenceofthree-tieredlaboratorystructure• Availabilityofspecializedlaboratoriesacrossthecountrywith

capabilitytorenderpublichealthcareservices• ExistenceofaNationalReferenceLaboratorypositionedto

coordinateNationalPublicHealthLaboratoryresponse• Existenceofanationalnetworkoflaboratoriesandcollaborating

centerswithcapacityforhorizontalandverticalexpansion• Existenceoflaboratoriesfordiagnosisofanimalspecimens(e.g.

NationalVeterinaryResearchInstitute,Vom)withcapacityandreadinessforcollaboration

• Readyavailabilityofhumanresourcesforlaboratorywithbasiclaboratoryknowledgeandimprovableskill

• Collaborationandsupportfromnationalandinternationalpartnerstopromotegoodlaboratorypractices,accreditation,qualitymanagementandtraining

• Inadequatelaboratoryparticipationinthereferralsystemembodiedinthecurrentlaboratorynetwork

• Anomaloussupplyoflaboratoryreagentsandconsumablesoftenleadingtostock-outs

• Weaknationalpublichealthlaboratoryinformationmanagementsystem

• Ineffectivesystemforcollection,packagingandtransportofbiologicalspecimens

• Lackofskillinmoderndiagnostictechniqueamonglaboratoryspecialistsinsomefacilities

• FewlaboratoryfacilitiesparticipatinginExternalQualityAssuranceprogrammes

• Weakcollaborationonfoodsafetyissuesandonzoonoticdiseasediagnosisandinformationsharingwiththeanimalsector

• Thenon-accreditationofexistingpublichealthlaboratories

KeyActivitiesforImplementation MDA2018 2019Q3 Q4 Q1 Q2 Q3 Q4

IdentifypublichealthLaboratoriesthatconstitutethenetworkandcreatedatabase NCDC DevelopplanwithFMOH,FMARD,andotherstakeholdersfordevelopingthecapacityneededtomeetdiagnosticandconfirmatoryrequirementsforprioritydiseasesinhumanandanimalhealthlaboratories

NCDC

DevelopstrategytosetupacentralRepositoryandcoordinateddissemination/distributionofcorereagentsandconsumablesoftheprioritydiseasestothelaboratorynetworktoimproveexistingsupplychain

NCDC

AdoptandimplementoneLaboratoryInformationsharingsystembyalllaboratories NCDC


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Establishacomprehensive,integratedNationalpolicy,guidelines,andSOPsonsamplemanagementforhuman,animal,food,andenvironmental

NCDC

Establishaspecimentransportationsystematalllevels NCDC Buildsamplemanagementcapacityforpublichealthnetworklaboratoriesforprioritydiseases NCDC Establishmonitoringandevaluationmechanismforcollection,packaging,andtransportofspecimens NCDC Providerefreshertrainingfornetworklabstodeveloptechnicalcompetency NCDC ImplementSLMTAinalllabsinthepublichealthlaboratorynetwork NCDC RegisterNCDC&VTHlabsintheMLSCNEQAprogram. FMARD Laboratoryinfrastructureupgradesandprocurement FMARD EstablishamechanismforbiologicalspecimentransportationanddisposalforVTHandNVRI FMARD


• TherecognitionoftheNationalReferenceLaboratoryasthecoordinatingarmofallnationalpublichealthlaboratoriesandcollaboratingcentersbythelaboratorystakeholders

• Astrongunderstandingandcollaborationbetweenhuman,animalandenvironmentallaboratories• PoolingofresourcesofNCDCandpartnerstogethertoachieveholisticstrategyatspecimentransportation• Workwithregulatoryagenciestoprovideframeworkfortheaccreditationoflaboratorieswithinthenetwork• CollaborationwithEQA-providinginstitutionstolaunchEQAinthenetwork


• NigeriaCentreforDiseaseControl(Lead)• FederalMinistryofHealth(Co-Lead)• FederalMinistryofAgricultureandRuralDevelopment• FederalMinistryofEnvironment• MedicalLaboratoryScienceCouncilofNigeria• NigerianInstituteforMedicalResearch• NationalVeterinaryResearchInstitute• NationalInstituteforPharmaceuticalResearch• StateMinistriesofHealth• AllLocalGovernmentAreas


44

SurveillanceandReporting(CombinedTechnicalAreas)BackgroundandObjective:TheIntegratedDiseaseSurveillanceandResponse(IDSR)strategywasadoptedin2006inNigeria.ThesystemwaskeyinNigeria’scontrolofthe2014EbolaoutbreakwhileAnimalDiseaseInformationandSurveillance(NADIS)isastrategyadoptedin2006forthe surveillance/reporting of major trans-boundary animal diseases and zoonosis through the Animal Resources Information System-ARISplatform.ItwasthemainsystemusedintheeradicationofRinderpest2005andthecontrolofhighlypathogenicavianinfluenzaoutbreakin2010.TheNAPHSprovidesanopportunitytoplanforsurveillancesystemstrengthening,includingintegrationandexpansionofanimalandhumanhealthsurveillancesystemsandstrengtheningIDSRimplementation.

JEEIndicators

D.1.1Indicator-andevent-basedsurveillancesystems JEE2017CapacityLevel:3D.2.2Interoperable,interconnected,electronicreal-timereportingsystem JEE2017CapacityLevel:2D.2.3Integrationandanalysisofsurveillancedata JEE2017CapacityLevel:3D.2.4Syndromicsurveillancesystems JEE2017CapacityLevel:3D.3.1SystemforefficientreportingtoFAO,OIEandWHO JEE2017CapacityLevel:3D.3.2Reportingnetworkandprotocolsincountry JEE2017CapacityLevel:2

JEEPriorityActions

1. Systematically build capacity for surveillance at all levels (HF, LGA, state and national), expanding surveillance to all health facilitiesincludingprivatefacilitiesforbothhumanandanimalhealth

2. Developreal-timesurveillancecapabilityforanimalhealthandpromoteaONE-Healthapproach.3. Establishlinkagebetweenthesurveillanceandpublichealthlaboratorysystems4. Establishanelectronicreportingsystemthatisinter-operableandintegratedtoothersystemsandalsolinkedtoDHIS25. EnhancemonitoringandevaluationcapacityforIDSR,includingsupportivesupervisionanddataqualityassessment6. Strengthenandimproveconsistency,completeness(includingfromprivatesector)andtimelinessinreportingfromthelocalandstate

levels7. Establishaframeworkformultisectoralcoordinationinreportingandcommunicationthatwillenableinformationsharing8. Establishmentofcentraldatabasethatintegratesdatafromallsectorsforall41prioritydiseasesunderIDSR9. InstitutingmonitoringandevaluationofreportingagainstsetIDSRandIHRindicators



45

• Expandexistinghumanandanimalhealthsurveillancesystemsto80%ofprivatehealthfacilities/privateVet.Clinicsand80%ofpublichealthfacilities/Vet.Tech.Hospitalsby2021(100%States,80%LGAs,80%healthfacilities)

• Implementhumanandanimalhealthsurveillancesystemathealthfacilitylevelin100%ofstates,80%ofLGAs,and80%ofpublichealthfacilitiesby2021

• LinkhumanhealthandanimalhealthsurveillancesystemstoDHIS2byDecember2020• EnhancetheperformanceoftheIDSR/ARISandtechnicalcapacityoftheworkforceby2021• Implementprotocols,processes,regulationsandlegislationgoverningreporting

Strengths Limitations• IDSRispresentthroughoutstatehealthinstitutionswhile

NADIShas37StateFieldEpidemiologyofficersandmorethan600surveillancepointsnationwide

• Legalprecedent• Reportsarereceivedelectronicallyonweeklyandmonthly• Expertise,especiallyinPolioeradicationsystem• Budgetlineexistsinseveralkeyagencies• Centraldiagnosticlabforthekeyagencies

• Lowcoverageforsurveillanceespeciallyinprivatehealthcarefacilities,privateVeterinaryclinics/VeterinaryTeachingHospitals

• Inadequatetechnicalcapacityamonghealthcareworkers,• Lackofinteroperabilityofsurveillancesystems• Poorinter-sectoralcoordinationusingonehealthapproach• LackofintegrationofthewildlifesurveillanceintoARIS


• Toavoidduplicationandensuresynergyofefforts,thefundingandimplementationoftheseactivitieswillbeharmonizedwithon-goingefforts

• Support fromallpartnerswillbeharmonizedtoprovidesynergyandwherenecessary,aspectsoftheplanwillbe implementedusingprivateandnon-governmentalorganizationwithexpertiseintheareas

• Wheredataisunavailable,well-designedassessmentswillbeconductedtogeneratedatatoestablishabase-linetoguideimplementation• Toenableexpansionofthesurveillancesystemtoprivatefacilities,linkageswithotheragenciesandrelatedorganizationswillbeusedto

ensurethatreportingisaconditiontogovernmentsupportforinfectionpreventionandcontrol,andhealthinsurancefunding,amongothers

• ThecommitmentofstategovernmentwillbesoughttosustainallinvestmentsmadethroughtheimplementationoftheNAPHS


46


Q3 Q4 Q1 Q2 Q3 Q4Assessthebaselineproportionofreportingpublicandprivatehealthfacilitiesinallstates NCDC Expandthenumberofreportinghealthfacilities NCDC

FMARDFMoH

Buildcapacityforsurveillanceamonghumanandanimalhealthworkersinbothpublicandprivatesectors

NCDCFMARD

Integratepriorityzoonoticdiseasesintoroutinehumanandanimalsurveillance FMARD AdapttheWHOAFROIDSRguidelinesassoonasconcluded NCDC EnhancemonitoringandevaluationcapacityforIDSR NCDC Developasystemforroutinesimulationexercise(3)annuallyforrarediseasestobuildcapacityforcasedetectionandreporting

NCDC

EnhanceutilizationofARISPlatforminallstates FMARD CapacitybuildingofnotificationofficersfromtherelevantsectoronIHR FMARD ScaleupandtrainingofAnimalDiseaseSurveillanceAgents(DSA)from591to1,000 FMARD Rehabilitatethestateveterinarypublichealth/epidemiologyoffices FMARD ConductgapanalysisoftheexistingsurveillancesystemforTransboundaryAnimalDiseasesandzoonoticdiseases

FMARD

Procurementoflogistics,includingvehicles,forhumanandanimalsurveillance FMARDNCDC

Conductstep-downtrainingondiseasereportingforprivateveterinaryclinicsanddevelopadatabaseofallpublicandprivateveterinaryclinics

FMARD

Reviewanddevelopanimaldiseasereportingtoolsforanimalhealthclinics FMARD


• NigeriaCentreforDiseaseControl(Lead)• FederalMinistryofAgricultureandRuralDevelopment(Co-Lead)• StateMinistriesofAgricultureandRuralDevelopment• FederalMinistryofHealth• StateMinistriesofHealth


47

WorkforceDevelopmentBackgroundandObjective:TheNigeriaFieldEpidemiologyandLaboratoryTrainingProgrammeisatwo-yearadvancedtrainingestablishedin2008.Ithastrainedmorethan400fieldepidemiologistsspreadacrossthecountry.Theyprovidearobustworkforceforvariouspublichealthprogramsinthecountryandwereausefulresourceutilizedtocontrolthe2014Ebolaoutbreak.Ashortertrainingforfrontlinehealthworkershavebeenestablishedformorethantwoyearstrainingfrontlineworkersat localgovernment levels.ThefrontlinetraininghasrecentlybeenreviewedtocaptureasmanyaspectsofthehealthworkerstrainingrequirementsaspossibleandwasharmonizedintotheIntegratedTrainingforSurveillanceOfficersinNigeria(ITSON).Theneedforacomprehensiveworkforcestrategythatensurecontinuoustrainingandevendistributionofhealthcareworkersaswellasestablishinganincentivisedcareerpathforpublichealthworkforceisanurgentneedidentifiedbytherecentlyconcludedjointexternalevaluation(JEE).

JEEIndicators

D.4.1HumanresourcesavailabletoimplementIHRcorecapacityrequirements JEE2017CapacityLevel:3D.4.2FETPorotherappliedepidemiologytrainingprogrammeinplace JEE2017CapacityLevel:4D.4.3Workforcestrategy JEE2017CapacityLevel:2JEEPriorityActions

1. Developacomprehensivenationalpublichealthworkforcestrategyforexpansion,diversification,financialsustainment,andretentionoftheexistingpublichealthworkforceinordertoreachthegoalofonetrainedfieldepidemiologist(orequivalent)per200,000population

2. LaunchtheIntermediateFETPandfullyimplementFrontlineFETPsothatthereisan‘appropriately’trainedfieldepidemiologistineveryLocalGovernmentArea

3. DefinecareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure


• Sustainon-goingAdvancedandFrontlineFETPs• Commencethedevelopmentofworkforcestrategy• Commencethedevelopmentofcareerpathforspecializedpublichealthworkforce


48

Strengths Limitations• StrongNFELTPprogrammewithabilitytocontributetorapid

controlofoutbreaks• FrontlineFETPprovidingtrainedpersonnelattheLocal

GovernmentArea(LGA)level• StrongNFELTPalumnitosupporttrainingatvariouslevels

withinandoutsidethecountry• Strongadvancedpublichealthfellowshipprogrammeforsenior

physicians• NFETLPresidentsworkinginall36StatesandtheFederal

CapitalTerritory• Nationalworkforcestrategyexistsformosthealthcarecadres,

includinglaboratoryscientists,technicians,physicians,andnurses

• Limitedworkerincentivetoretaintrainedpersonnel• Limitedlong-termcareerdevelopmentpathwaysforpublic

healthprofessionals• Geographicdistributionofworkerswithinthecountrymay

notbeadequatetoaddressworkforceshortages• Lackofanintermediate-levelFETPtoaddressothercadre

ofhealthcareworkers


Q3 Q4 Q1 Q2 Q3 Q4DevelopcareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure NCDC IncreasenationalworkforceofepidemiologiststhroughsustainmentoftheAdvancedFETP NCDC DevelopIntegratedTrainingforSurveillanceOfficersinNigeria(ITSON)curriculumforfrontlinepublichealthworkforce

NCDC

RolloutITSONtrainingpackageforLGADSNOsinallstates NCDC EstablishIntermediateFETPinNigeriaorthroughanagreementwithanothercountry NCDC Developandimplementacomprehensivenationalpublichealthworkforcestrategyforexpansion,diversification,financialsustainment,andretentionoftheexistingpublichealthworkforce

NCDC

Definepublichealthworkforceroles,andmaphumanresourcesatstateandLGAlevels NCDC Conductadvocacytoemployadditionalveterinariansatthestatelevel FMARD Developanin-servicetrainingprogramforstaffofDepartmentofVeterinaryandPestControlServices(DVPCS)andleadershiptrainingofveterinaryofficersinmanagerialcadre

FMARD

SupportadhocAnimalHealthOfficerinstateswithinadequatehumanresources FMARD Supportanimalhealthsectorcoordination FMARD


49


• Establishinstitutionalizationandsustainabilityofthetrainingprogrammesforepidemiologists,specificallybytransitioningthetrainingprogramstotheNCDCbasedonglobalstandardandestablishingabudgetlineforthetrainingandestablishingatrainingunitwithintheNCDC

• EstablishmentofanintermediateprogramwillcaterforotherhealthcareprofessionalsineligibleforadvancedFETP,thiswilladdresstheirtrainingneeds,ensurewidercoverageandbetterdistributionoftheworkforce,andenablethecountrytoachievethesettargetofanepidemiologistper200,000population

• Harmonizeallfrontlineepidemiologytrainingstoaddresstheprimarycompetenciesrequiredofthevariouslevelsofthetrainingsthroughcurriculumreviewandemergingglobaltrends

• Developacomprehensiveworkforcestrategyandcareerpathforspecializedpublichealthworkforcebyengagingstakeholdersbyuseofseasonedcareerpathtechnocratstoensurebuy-infordevelopedpolicies


• NigeriaCenterforDiseaseControl(Lead)• NigeriaFieldEpidemiologyandLaboratoryTrainingProgramme• FederalMinistryofAgricultureandRuraldevelopment• FederalMinistryofHealth• AhmaduBelloUniversity,Zaria• UniversityofIbadan• StateandLocalGovernments


50

PreparednessBackgroundandObjective:Preparednessinvolvesthedevelopmentandmaintenanceofnational,intermediateandcommunity/primaryresponselevel public health emergency response plans for relevant biological, chemical, radiological and nuclear hazards. Other components ofpreparednessincludemappingofpotentialhazards,theidentificationandmaintenancesofavailableresources,includingnationalstockpilesandthecapacitytosupportoperationsattheintermediateandcommunity/primaryresponselevelsduringapublichealthemergency.Theplanwillensurethat resourcedeployment isbasedonthoroughriskassessmentandhazardmappingso thatsurgepersonnelaredrawnfromdiversesectors,adequatelytrained,andworktowardsasharedevidence-basedall-hazardspreparednessplan.Itwillhelpinensuringtheavailabilityofhealthcommodities.

JEEIndicators

R.1.1 National multi-hazard public health emergency preparedness and response plan is developed andimplemented


R.1.2Prioritypublichealthrisksandresourcesaremappedandutilized JEE2017CapacityLevel:1

JEEPriorityActions

1. Developanall-hazardsmulti-sectoralPHemergencypreparednessplan,linkingexistingagency-specificanddisease-specificplans2. WhereindicatedNCDCshouldleadinpreparationofmemorandaofunderstandingbetweenresponseagenciesindifferentsectors3. Strengthen the technical and administrative capabilities of NCDC and Nigeria Emergency Management Agency to develop national

vulnerabilitymapsthatinvolvemilitary,media,wildlifeandanimalhealthsectorstoaddresszoonoticandemerginginfections4. Pre-positionequipmentandotherresourcestostrategiclocationsconsistentwithvulnerabilitymaps(e.g.remotehard-to-accessareas)


• Conduct national multi-sectoral all-hazards public health risk assessment and resource mapping to inform national public healthemergencypreparednessplanNovember2018

• Developanall-hazardsmulti-sectoralpublichealthemergencypreparednessplan(PHEPPP)byFebruary2019• Pre-positionHealthcommodities,equipmentandMedicinestostrategiclocationsconsistentwithvulnerabilitymaps(e.g.remotehard-to

accessareas)meetingannuallyneedby70%.


51

Strengths Limitations• Surgecapacity(NigeriaFieldEpidemiologyandLaboratory

TrainingProgramresidents)hasbeenidentifiedandeffectivelyutilizedduringrecentpublichealthcrises

• Strategicstockpileshavebeenidentifiedanddisseminatedtotheintermediatehealthtiers

• InformationgatheredfromIDSR–basedsurveillancehasbeenusedtodetermineprioritiesforresourcestockpilinganddistribution

• Expertise,especiallyinStateSMOH• BudgetlineexistsinseveralkeyagencieslikeNEMA,SEMA,

SMOHandNCDC

• Fragmentedplanning-severaldraftdocumentsandplans(eitherevent-basedoradministrative),withoutclearcoordinationorlinkagebetweensectors

• Publichealthconcernsarenotadequatelyaddressedinexistingnationalemergencyanddisasterresponseplans

• Therearenomemorandaoragreementsbetweenagenciesforcoordinationandcollaborationinresponsetopublichealthemergencies

• Inadequatetechnicalcapacityamonghealthcareworkers• Poorinter-sectoralcoordinationusingonehealthapproach


Q3 Q4 Q1 Q2 Q3 Q4Developanall-hazardsmulti-sectoralpublichealthemergencypreparednessplan(PHEPPP),linkingexistingagency-specificanddisease-specificplans.

NCDC

DevelopmemorandaofunderstandingwithrelevantMDAs(Preparednessandresponse) NCDC Conductnationalmulti-sectoralall-hazardspublichealthriskassessmentandresourcemappingtoinformnationalpublichealthemergencypreparednessplan

NCDC

Pre-positionHealthcommodities,equipmentandMedicinestostrategiclocationsconsistentwithvulnerabilitymaps(e.g.remotehard-toaccessareas)

NCDC

Developplansforsurgecapacitytorespondtopublichealthemergenciesofnationalandinternationalconcern

NCDC

CapacitydevelopmentfortechnicalandadministrativestaffofNigeriaCDCandrelevantMDAs NCDC DevelopandmaintaindatabaseofSubjectMatterExpertsforpreparednessandresponse NCDC


• NigeriaCentreforDiseaseControl(Lead)• NationalEmergencyManagementAgency• FederalMinistryofHealth• FederalMinistryofAgricultureandRuralDevelopment


52

• FederalMinistryofEnvironment• MinistryofWaterResources• MinistryofInformation• MinistryofEducation• StateEmergencyManagementAgency• NationalMedicalStores• NigeriaCivilAviationAuthority• OfficeoftheNationalSecurityAdviser• SecurityAgencies-NigerianArmy,NigerianAirforce,NigerianNavy,NigerianPolice,NSCDC• NationalSupplyChainIntegrationProgramme• NationalAnimalDiseaseInformationService


53

EmergencyResponseOperationsBackground and Objective:A public health emergency operations centre is a central location for coordinating operational information andresources for strategic management of public health emergencies and emergency exercises. Emergency operations centres providecommunicationandinformationtoolsandservices,andamanagementsystemduringaresponsetoanemergencyoremergencyexercise.Theyalsoprovideotheressentialfunctionstosupportdecision-makingandimplementation,coordinationandcollaboration.Theemergencyresponseoperationsplanintendstostrengtheninter-sectoralcollaborationforemergencyresponse,establishSOPsforactivationandoperations,andtrainpersonnel.

JEEIndicators

R.2.1Capacitytoactivateemergencyoperations JEE2017CapacityLevel:2R.2.2EOCoperatingproceduresandplans JEE2017CapacityLevel:2R.2.3Emergencyoperationsprogramme JEE2017CapacityLevel:3R.2.4CasemanagementproceduresimplementedforIHRrelevanthazards JEE2017CapacityLevel:2

JEEPriorityActions

1. Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenNCDCandtheanimalhealthandenvironment(allhazardsapproach)

2. EstablishstandardoperativeproceduresforEOCactivationandoperation3. EstablishstandardtrainingprotocolsforEOCoperationandforemergencyresponse4. EnhancetheNCDCEOCphysicalspace,equipment,andlogisticsupport


• Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenNCDCandtheanimalhealthandenvironment(allhazardsapproach)by2019

• EstablishstandardoperativeproceduresforEOCactivationandoperationby2018‒2019• EstablishstandardtrainingforEOCoperationandforemergencyresponseby2018‒2019• EnhancetheNCDCEOCphysicalspace,equipment,andlogisticsupportby2019


54

Strengths Limitations• NCDCEOChasactivatedseveraltimesandhasbeenan

importantcontributortothesuccessfulcontroloftheseveralpublichealthemergencies

• NCDCconductsroutinepublichealthsurveillanceandsituationalanalysisandispreparedtorespondtopublichealthemergencies,includingactivatingtheEOC,24-hoursaday,7-daysaweek

• ThepolioEOChasbeencriticallyimportantinthesuccessfulprogresstowardspolioeliminationandhasprovidedimportantlessonslearnedtotheNCDCEOC

• EOCplansandproceduresaredraftedandhavebeenutilizedduringEOCactivations

• EOCtraininghasbeenconducted,althoughitwasconductedduringEOCactivations

• Table-topexerciseforemergencyresponseandEOCactivationhavebeenconducted

• NCDCEOChascoordinatedseveralsuccessfulresponsestopublichealthemergencies

• Procedureshavebeendeveloped,andwerefollowedduringtheEbolaresponse,tosafetytransportinfectioussubstancestopublichealthlaboratories

• Casemanagementguidelinesareavailableforpatientmanagementofpriorityinfectiousdiseases

• NCDCEOCislimitedbyphysicalspaceandequipment• Standardoperatingproceduresforemergencyresponse

andEOCactivationhavenotbeenfullydeveloped.• Responsetopublichealthemergenciesthatrequireaone-

healthresponseislimited• EOCproceduresneedtobemorefullydeveloped• OperatingtheEOCislimitedbyavailableresources• EmergencyresponsesresultinginactivationoftheNCDC

EOChavenotinvolvedcoordinatedresponseswithagricultureoranimalsectors

• Proceduresneedtobestandardizedtoenablemorerapidactivation

• Casemanagementguidelinesareneededfortransportofpatientswithinfectiousdiseases


Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenNCDCandtheanimalhealthandenvironment(allhazardsapproach)

NCDC

EnhancetheNCDCEOCphysicalspace,equipment,andlogisticsupport NCDC Purchaseofhardwarehealthinformaticsinputandoutputdevices NCDC StrengthenproceduresandplansforEOCemergencyoperationsfunction NCDC DevelopmentofMOUbetweenNationalandStatelevels NCDC


55

Developmissions,mandates,capabilities,andcapacitiesofparticipatingagenciesforPHEOCfunctioningandresponse

NCDC

StrengthencapacityforemergencyresponseamongEOCstaffandsurgepersonnelbydevelopingstandardtraining,simulationexercises,andafter-actionreviews

NCDC

Jointoutbreakresponsetostrengthenonehealth NCDC Hirecorepublichealthemergencymanagementstaff NCDC Developnationalcasemanagementguidelinesforprioritydiseases,SOPsforthemanagementandtransportofpotentiallyinfectedpersonsandimproveinfectionpreventionandcontrolatthenationalandstatelevels

NCDC

Improveinfectionpreventionandcontrolatthenationalandstatelevels NCDC Supportforemergencyresponseactivities,stockpiles,andequippingananimalcrisismanagementcenter

FMARD


• NigeriaCentreforDiseaseControl(Lead)• NationalEmergencyManagementAgency• FederalMinistryofHealth• FederalMinistryofAgricultureandRuralDevelopment• FederalMinistryofEnvironment• MinistryofWaterResources• MinistryofInformation• MinistryofEducation• StateEmergencyManagementAgency• NationalMedicalStores• NigeriaCivilAviationAuthority• OfficeoftheNationalSecurityAdviser• SecurityAgencies-NigerianArmy,NigerianAirforce,NigerianNavy,NigerianPolice,NSCDC• NationalSupplyChainIntegrationProgramme• NationalAnimalDiseaseInformationService


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LinkingPublicHealthandSecurityAuthoritiesBackground:LinkingpublicHealthwithsecurityauthoritiesisconsideredvitalintheoverallglobalhealthsecurityagenda.Beforenow,publichealthemergenciesappear limitedtopurecivilagenciesandauthorities inNigeriawithexclusionofacorecomponent fromthemilitaryandsecurityagencies.However,publichealthemergenciesposespecialchallengeswhethermanmadeornaturallyoccurring.Theinvolvementofthemilitaryinthe2014Ebolacrisisbringtoforetheneedforsynergybetweencivilandsecurityagenciesauthoritiesduringpublichealthemergencies.Therefore,ithasbecomeimperativeforacoordinatedapproachbylinkingpublichealthpracticewithsecurityauthorities.

JEEIndicators

R.3.1Publichealthandsecurityauthorities(e.g.lawenforcement,bordercontrol,customs)arelinkedduringasuspectorconfirmedbiologicalevent


JEEPriorityActions

1. Review,reviseandseekassenttooldorexistinglaws(orbills)relatingtohealthsecurity2. DevelopuniqueprotocolsandMoUsforsecurityagenciesandpublichealthdepartmentstoelaborateonthespecificrolesinclearterms3. Integratedandcontinuouscapacitydevelopmenton integrationand jointworking involvingrelevantsecurityauthoritiesandthose in

publichealthtomitigatethenormalturnoverinpositionsandretirements.4. Developmentandharmonizationofappropriatelegal,policyinstrumentsandoperationalpackage(MOU,SOPs)toensuremultisectoral

healthpreparednessandresponse.5. Reportingandinformationsharingmechanismsincludingcrossbordercollaboration


• EstablishanationalTWGforlinkingpublichealthandsecurityauthorities• Engagewiderstakeholdersforsimulationexercises• Carryouttabletopandgroundsimulationexercises


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Strengths Limitations• Awakenedinterestincollaborationbetweenpublichealth

institutionsandsecurityagencies• ExperienceofsecurityagenciesintheEbolaoutbreakof2014• Themilitaryisactivelyengagedinprovidingassistanceto

ensurethatallchildrenareimmunizedagainstthepoliovirusinordertoeradicatepolioinNigeria

• TheongoingcrisesintheNortheastNigeriahaveseenInvolvementofvariousmilitaryformationsinrespondingtooutbreaks

• Conservativenatureofmilitarycommandandinternalcontrolmechanisms

• Absenceofcommonoperationplansacrossthearmedforcesandparamilitaryservices

• Shortageofskillmanpoweracrosstheagenciesandservices• Constantandrapidchangesinleadershipsacrosstheservices

inpoliticaldispensation• Highcostofsimulationexercisesacrossservices• GettingendorsementofALLheadsofagencies


Q3 Q4 Q1 Q2 Q3 Q4EstablishanationalTWGforlinkingpublichealthandsecurityauthorities ONSA UpdateoldstatutoryinstrumentstomakethemcompliantwithIHR. ONSA DevelopuniqueprotocolsandMoUsforsecurityagenciesandpublichealthdepartmentstoelaborateonthespecificrolesinclearterms

ONSA

Integrateandcontinuouslydevelopcapacityonintegrationandjointworkinginvolvingrelevantsecurityauthoritiesandthoseinpublichealthtomitigatethenormalturnoverinpositionsandretirements

ONSA

Implementappropriatelegal,policyinstrumentsandoperationalpackage(MOU,SOPs)toensuremultisectoralhealthpreparednessandresponse.

ONSA

Improvereportingandinformationsharingmechanismsincludingcrossbordercollaboration ONSA


• TheTWGtobesetupwillworkwithallstakeholdersforearlybuy-in• Tabletopandrealtimesimulationexerciseswouldbecarriedouttobuildonskillsanddeveloprelationshipsamongagencies• Conductadvocacytohavehealthissuesdiscussedatnationalsecuritymeetings,FECandECOWASlevels


• OfficeoftheNationalSecurityAdviser(Lead)


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• NigeriaCentreforDiseaseControl• FederalMinistryofHealth• States’MinistryofHealth• MinistryofDefense• IntelligenceAgencies• ParamilitaryServices• NigerianPoliceForce• FederalMinistryofAgricultureandRuralDevelopment• NationalEmergencyManagementAgency


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MedicalCountermeasuresandPersonnelDeploymentBackgroundandObjective:Medicalcountermeasuresarevitaltonationalsecurityandprotectnationsfrompotentiallycatastrophicpublichealththreats. Investments inmedicalcountermeasurescreateopportunitiesto improveoverallpublichealth.Ontheotherhand,recentpandemicshaveshowntheimportanceoftrainedpersonnelwhocanbedeployedincaseofapublichealthemergencyforresponse.Countriesneedtohavea process in place to receive/send both medical countermeasure assets and health care personnel in the event of public health events ofinternationalconcern.

JEEIndicators

R.4.1Systeminplaceforsendingandreceivingmedicalcountermeasuresduringapublichealthemergency JEE2017CapacityLevel:1R.4.2Systeminplaceforsendingandreceivinghealthpersonnelduringapublichealthemergency JEE2017CapacityLevel:1

JEEPriorityActions

1. DevelopmentofanationalframeworkfordeploymentandreceiptofmedicalcountermeasuresandHWsduringemergencies2. Updatingthenationalplanforprocurement,stockpilingandmanaginglogisticsforMedicalCountermeasures3. IncludingMOUswithregionalandinternationalplayers(countries,manufacturers)4. Developmentofthenationalcapacityforproductionofvaccinesandantibiotics


• DevelopmentofanationalframeworkfordeploymentandreceiptofmedicalcountermeasuresandHWsduringpublichealthemergenciesby2018

• Updatingthenationalplanforprocurement,stockpilingandmanaginglogisticsforMedicalCountermeasures2018‒2019• Identifykeyregionalandinternationalpartners(countries,manufacturers)toestablishpartnershipsfortheprocurementandsupplyof

medicalcountermeasuresby2019

Strengths Limitations• NEMA,adedicatedagencysolelycreatedforresponseto

emergencieshassuccessfullycoordinatedresponsetoman-madeandnaturaldisastersinNigeria;moststatesalsohaveStateEmergencyManagementAuthority(NEMA).

• Thecountryneedstodevelopacomprehensivemedicalcountermeasuresandpersonneldeploymentplan

• Establishingpre-negotiatedagreementsandotherefficientprocurementmechanismswithmanufacturersor


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• TheFederalMinistryofHealth,throughtheNigeriaCentreforDiseaseControlhasimprovedthecoordinationofnationalandstatepublichealthresponsetoinfectiousdiseaseoutbreaks.

• Thecountryhasaregulatorybody(NAFDAC)thatprovidesguidelinestoimportationofdrugs,consumablesandothermedicalcountermeasuresinthecountry.

• Thereisanationalsupplychainsystemwhichhasbeendevelopedtosupporthealthcommodities(primarilyforreproductivehealth,AIDS,TBandmalaria)whichcanbeleveragedforstockpilingMCMsforPHEICs.

• Therearenationallydevelopedguidelinesthatareusedbythecentralmedicalstorestomanagemedicalcommoditiesthataredonatedtothecountry.

• Aninfluenzapandemicpreparednessplaninitiallypreparedforresponsetopandemicinfluenzacanbeadaptedforotherpandemicdiseases

• Thereisanationalplanbeingdevelopedtomanagethelogisticsformanagingmedicalcountermeasuresimportedintothecountry.

• NigeriahashadrichexperiencewithdeployinghertechnicalexpertstosupportoutbreaksinothercountriessuchastheEVDresponseinLiberiaandSierraLeone

• Thecountryhasapoolofhumanresourcesexiststhatmaybemobilizedduringlocalandinternationalemergencies

• Thehealthprofessionalregulatorybodiesthatregulatemultiprofessionalpracticehaveproceduresinplaceforhealthprofessionalswhowishtoworkinthecountry,theseneedtobestreamlinedforreceivingexternalexpertsduringemergencies.

distributorsforprocuringmedicalcountermeasuresduringpublicemergencieswillbetterpreparethecountry

• Engagementinregionalandinternationalmechanismsformedicalcountermeasureprocurement,sharinganddistributionsagreementsbythecountry

• Acriticallistofessentialdrugsandcommoditiesareneededtostockpilemedicalcommoditiesforpublichealthemergencies

• Agreementsforlogisticsandsecurityformedicalcountermeasuresshouldbeestablishedbasedontheneedsandpeculiaritiesofconflictproneareasacrossthecountry

• Thedevelopmentofapersonneldeploymentplan,incollaborationwiththeprofessionalregulatoryauthoritiestoguidefuturereceivingorsendingoftechnicalpersonnel

• MinimumcompetenciesforDevelopmentofatrainingcurriculumforuseinemergenciesbydeployedpersonnel

• Aninventoryoftechnicalpersonnelshouldbedeveloped.Theidentifiedpersonnelshouldbeappropriatelytrained,accreditedandinsuredforfuturedeploymenttoothercountries


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Q3 Q4 Q1 Q2 Q3 Q4ConductasmalltabletopsimulationexercisetoclarifyrolesandresponsibilitiesofstakeholdersandfinalizetheMCMplan

NCDC

Developanationalframeworkforprocurement,deploymentandreceiptofmedicalcountermeasuresduringpublichealthemergencies

NCDC

SupportthedevelopmentofMOUswithinternationalsuppliersofmedicalcountermeasuresforpublichealthemergencies

NCDCNAFDAC

Conducttabletopsimulationexercisetotestthemedicalcountermeasuresplan NCDC PromotetheadherencetothenationalpharmaceuticalassurancepolicybylocalmanufacturersforitemsrequiredforMCMthatcanbeprocuredincountry

NCDC

Developapersonneldeploymentplanandlegalandregulatoryframeworkforpersonneldeployment,includingsectorrolesandresponsibilitiestoidentifybarrierstoreceivinghealthpersonnelduringpublichealthemergencies

NCDC

Reviewandestablishstandardsofcareincludingthecompetenciesrequired-includingSOPs,domesticateguidelinesetc.

NCDC


• NigeriaCentreforDiseaseControl(Lead)• FederalMinistryofHealth• FederalMinistryofAgriculturalandRuralDevelopment• NationalAgencyforFoodandDrugAdministrationandControl• NigeriaCustomsService• NigeriaEmergencyManagementAgency• NationalPrimaryHealthcareDevelopmentAgency• OfficeofNationalSecurityAdviser• MinistryofInterior• NationalSupplyChainIntegrationProgramme(NSCIP)• NationalAnimalDiseaseInformationService• MedicalandDentalCouncilofNigeria• NursingandMidwiferyCouncilofNigeria• MedicalLaboratoryCouncilofNigeria


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• VeterinaryCouncilofNigeria• PharmaceuticalCouncilofNigeria


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RiskCommunicationBackgroundandObjective: Willdevelopamulti-sectoralandall-hazardsriskcommunicationstrategyandplanwithabuilt-inmonitoringandevaluation process. Thus, it will create a multisector working group, develop capacity of communication officers, carry out communityengagement/socialmobilization, andproduce IECmaterials. The trainingwill be cascaded to states toprepare communicationofficers.Withfurtherfunds,itwillbepossibletoengage774LGAsocialmobilizers,developvideoclipsandIECmaterialsondiseasereportingforhealthcareworkers,andpublicizevideoclipsandIECmaterialsviatraditionalandsocialmedia.

JEEIndicators

R.5.1Riskcommunicationsystems(plans,mechanisms,etc.) JEE2017CapacityLevel:1R.5.2Internalandpartnercommunicationandcoordination JEE2017CapacityLevel:3R.5.3Publiccommunication JEE2017CapacityLevel:2R.5.4Communicationengagementwithaffectedcommunities JEE2017CapacityLevel:3R.5.5Dynamiclisteningandrumourmanagement JEE2017CapacityLevel:3

JEEPriorityActions

1. Coordination: Develop amulti-sector andmulti-hazard risk communication and emergency plan and implement the communicationstrategy

2. CapacityBuilding:Conducttrainingonmulti-sectorandmulti-hazardriskcommunicationwhichshouldincludesocialscience.3. Establishcontinuousmonitoringandevaluationofriskcommunicationactivities


• Strengthencapacityofriskcommunicationsystemsatthenationallevel• Implementandsustaincoordinatedeventmonitoringsystems• BuildcapacityforpubliccommunicationatthenationalandStatelevel• Strengthenhealthcarereportingsystemusingboththetraditionalandsocialmedia


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Strengths Limitations• CommunicationofficersintheMinistry,DepartmentandAgency• PublicCommunicationofficersatthestatesandLGAs• Legalframeworkforpubliccommunication• BudgetlineforcommunicationinthedifferentMDAs

• NoholisticapproachforriskcommunicationinNigeria• InadequatecommunicationofficersattheNational,states

andLGAs,• LackofcollaborationbetweenMDA• Poorinter-sectoralcoordinationusingonehealth

approach• Ineffectiveresourcemobilization• Poorreportingsystematfacilitylevel


Q3 Q4 Q1 Q2 Q3 Q4Developamulti-sectoralandall-hazardsriskcommunicationstrategyandemergencyplan NCDC DevelopaMonitoringandEvaluationprocesstoprovidefeedbackintotheprogrammeforimprovement NCDC

Buildcapacityforriskcommunicationamonghuman,environmental,andanimalhealthworkers NCDC BuildcapacityforcoordinatedpubliccommunicationattheNationalandStatelevel NCDC Establishcommunityoutreachprogramsandregularlyconductinformationeducationcommunication(IEC)materialstestingwithmembersofthetargetaudience

NCDC

Developstrategicframeworktointegratefragmentedeventmonitoringatthecommunitylevel NCDC Develop/strengthenNationalandStatesystemstoconsidercommunicationfeedback—includingrumorsandmisinformationfromthepublic—indecisionmakingprocessestoimprovecommunicationresponse

NCDC


• Effective risk communication and early warning system needs collaborative and participatory approacheswithin the different levels(especiallylocallevel)andactorsinoutbreakresponseandcontrolduringplanninganddecisionmaking,andtheseplannedactivitiesaregearedtowardsensuringthis


• NigeriaCenterforDiseaseControl(Lead)• FederalMinistryofHealth


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• FederalMinistryofAgricultureandRuralDevelopment• NationalOrientationAgency• FederalMinistryofEnvironment• NationalPrimaryHealthcareDevelopmentAgency• FederalMinistryofInformation• NigeriaPoliceForce• NigeriaSecurityandcivilDefenseCommission• StateMinistryofHealth/socialmobilizationcommittees• LocalGovernmentAuthoritiesandLGAmobilizationcommittees


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PointsofEntryBackground:ThePortHealthServicesDivisioninthePublicHealthDepartment,FederalMinistryofHealth,wasestablishedin1925inresponsetotheoutbreakofPlaguewhichbeganinEurope,andlaterspreadtoWestAfricatothethenGoldCoast(nowGhana)andthenLagos.PortHealthServices is chargedwith the responsibility toprevent the cross-border/ international spreadofdisease in compliancewith theWorldHealthOrganization(WHO)InternationalHealthRegulations(IHR2005)throughtheimplementationandapplicationofhealthmeasuresundertheIHR(2005).

JEEIndicators

PoE.1Routinecapacitiesestablishedatpointsofentry JEE2017CapacityLevel:1PoE.2Effectivepublichealthresponseatpointsofentry JEE2017CapacityLevel:1

JEEPriorityActions

1. DesignationofPoEswithintheprescriptionoftheIHR(2005)2. ReviewthelegislationandpoliciesonPoEsandadvocateforrevisionofappropriatelegislatione.g.Quarantinelaw3. Build/sustainIHRcapacitiesassetforthinAnnex1aand1boftheIHR(2005)4. Buildtechnicalcapacityforporthealthservice5. DevelopthenationalpublichealthemergencyContingencyplanforPoEs


• DesignatepointsofentrybyendofDecember2018• Implementprotocols,processes,regulationsandlegislationgoverningIHRimplementationatPOEforimprovedpublichealth

preparedness&response• Improveinter-sectoralcoordinationusingOneHealthapproach• ConveneStakeholderreviewmeetingtoreviewNationalPHECPforPOE• Finalizelegislation;finalizedraftpolicy&nationalPHECP


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Strengths Limitations• Nationwidepresence• DerivecoremandatefromtheIHR(2005)• Otherrelevantlegislationinplace,includingICAOSARPS,

CAPSCA,IMO,publichealthlaws,QuarantineAct• AvailabilityofDraftNationalPortHealthPolicy• AvailabilityofDraftNationalPHECPforPOE

• Inadequateresources(humanresources,materials,andfunds)

• Lowcoverageforsurveillance• Inadequatetechnicalcapacityamongstaff• Inadequatenumberofqualifiedstaff• Weakinteroperabilityofsurveillancesystems(notallPoE

haveIDSRinplace)• Poorinter-sectoralcollaborationandcoordinationusingOne

Healthapproach• Outdatednationallegislationi.e.QuarantineAct(1926)and

NigeriaPublicHealthLaw(1986)• Nationalpolicynotfinalized


Q3 Q4 Q1 Q2 Q3 Q4DesignatePoEsasguidedbyIHR(2005)Articles20and21 FMoH ConductIHRassessmentforcorecapacityrequirementsatdesignatedairportsandports(40-50persons/site)-Sitevisits

FMoH

Build/sustaininfrastructureforroutineservicesatidentifiedtargetports/airports/groundcrossings FMoH ReviewthelegislationandpoliciesonPoEsandadvocateforrevisionofappropriatelegislationtodevelopPoEcapacitiesspecifiedinAnnex1oftheIHRe.g.Quarantinelaw

FMoH

DevelopaNationalpublichealthemergencycontingencyplanforPoEswhichincludescoordinated,multisectoralresponseactionsforaccesstotreatment,isolation,anddiagnosticsfacilities,quarantineofsuspecttravelersandanimals,infectionpreventionandcontrol,andinternationalalertandresponseforillorsuspecttravelersonboard.

FMoH

Buildtechnicalcapacityforporthealthservice FMoH Integratepublichealthemergencycontingencyplanwithotherpublichealthresponseplansatthelocal/intermediate/nationallevelsandotheremergencyoperationalplansatPoE,anddisseminatedtoIHRNFP,relevantsectors,andkeystakeholders.

PHS

Developtriggersandformalcommunicationsprocessestocommunicateinformationonpublichealththreatsorotherincidentsofconcern(e.g.,chemical,radiological)toIHRNFP,PoEauthorities,relevantmultisectoralagencies,andstakeholders.

PHS


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• Engender&sustainmulti-stakeholdercollaboration&participation• Advocacytogovernments&partnersforrequisitesupport&funding• StrengthenexistinglinkageswithIDSR• AdvocacytoHumanresource,Budgetoffice,MinistryofFinanceforincreasehumancapacityatPoE• Harnessexistingresourcesandpartnershipsforeffectivecoordination&collaboration• Plan&implementstakeholderreviewmeeting&workshop• Initiatelegislationreviewprocess


• FederalMinistryofHealth(Lead)• FederalMinistryofAgricultureandRuraldevelopment• NigeriaCenterforDiseaseControl• NationalAnimalDiseaseInformationService• NigeriaImmigrationService• NationalAssembly• NigeriaAgricultureQuarantineServices• NigeriaCustomsService• NigeriaCivilAviationAuthority• FederalAirportAuthorityofNigeria• FederalMinistryofJustice• NigeriaAirspaceManagementAgency• NationalEmergencyManagementAgency


69

ChemicalEventsBackgroundandObjective:Thechemicaleventprogrammewasputinplacetoaddresshealthissuesrelatedtochemicalriskandpoisoninair,water,wastewater,soilsediment,human,plantandanimalspecimensandproducts.Thisplanseekstofurtherstrengtheninter-agencycapacitytomonitorandrespondtochemicalevents.

JEEIndicators

CE.1Mechanismsestablishedandfunctioningfordetectingandrespondingtochemicaleventsoremergencies JEE2017CapacityLevel:1CE.2Enablingenvironmentinplaceformanagementofchemicalevents JEE2017CapacityLevel:2

JEEPriorityActions

1. EstablishmentofPoisonInformationControlandManagementCentres(PICMC)intheCountry2. CollaborativelymapriskandimplementroutinesurveillanceforChemicalevents3. DevelopguidelinesandprotocolsforChemicalsurveillancewithrelevantstakeholders4. Establishrequiredmulti-sectorcapacityforChemicalresponse5. PerformaninventoryofchemicalswiththeToxicologyLaboratoryofNigeriaincollaborationwithINTOX


• Strengtheninginter-agencychemicalemergencyresponseteamincollaborationwithEOCofNigeriaCentreforDiseaseControl.• Strengthenthecapacitytomonitorchemicals inair,water,wastewater,soil,sediments,humanandPlantspecimenandproductsfor

purposesofcompliancepromotion,research,andenforcement• Developriskassessmentandmanagementframeworkforpollutionandchemicalhazard• Establishrequiredmulti-sectorcapacityforresponsetochemicalevents• PerformaninventoryofChemicalToxicologyLaboratoryinNigeriaandtheircollaborationwithINTOX


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Strengths Limitations• TheCountryhasNationalGuidelinesforestablishmentof

poisonInformationcontrolandmanagementcentresinthecountry.

• TheNationalPolicyonChemicalsManagementdeterminestherolesandresponsibilitiesofministries,departmentsandagenciesduringchemicalemergencies.

• ThereisaChemicalLegislationdomiciledinrelevantagenciessuchasNAFDACandNationalEnvironmentalStandardsandRegulationsEnforcementAgency.

• ThereisaNationalChemicalProfileforchemicalmanagementintheCountry

• Non-existenceofPoisonInformationControlandManagementCentreintheCountry

• LowcoverageofdatacollectiononPoisonIncidences/ChemicalPoisoninginventoryofChemicaleventsinthePrimary,SecondaryandTertiaryHealthCareFacilities.

• Chemicalemergencyguidelinesandmanualsforcontrolofchemicalemergenciesshouldbedevelopedandimplemented.

• Poorinter-sectoralcoordinationusingOneHealthapproach• Aweakmultisectoralcoordinationmechanisminrelationto

chemicaleventsandresponse.• Lackofuptodatechemicalemergencyguidelinesand

manualsforsurveillance,assessmentandmanagementofchemicalevents,intoxicationandpoisoning.

• InsufficientfundallocationtoaddresschemicalriskmitigationandresponseforNigeria.

• Nointer-agencyemergencyresponsesquad/teamonchemicalevent

• NoChemicalInformationExchangeNetwork(CIEN)andchemicaldatabase

• Legislativeandpolicymechanismsrelatingtochemicalissuesneedtobeestablishedandupdated.

• Nationalchemicalandsurveillanceandresponsesystemispoor

• Nobudgetlineforchemicalmanagementactivities


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Strengtheninter-agencychemicalemergencyresponseteamincollaborationwithEOCofNigeriaCentreforDiseaseControl

FMoH

Strengthenthecapacitytomonitorchemicalsinair,water,wastewater,soil,sediments,human,animalandPlantspecimenandproductsforpurposesofcompliancepromotion,research,andenforcementby2020

FMoH

Developriskassessmentandmanagementframeworkforpollutionandchemicalhazard FMoH Establishrequiredmulti-sectorcapacityforresponsetochemicalevents FMoH

MinistryofMinesandSteelDev.

PerformaninventoryofChemicalToxicologyLaboratoryinNigeriaandtheircollaborationwithINTOX FMoH Conductastudytourofchemicaltoxicologylaboratoryinadevelopedcountry FMoH


• Allocationofbudgetlineforchemicaleventsactivities• SynergyamongtheMDAsimplementingChemicalManagementactivities• TechnicalandfinancialsupportfromWHOanddevelopmentpartnerstoimplementchemicalmanagementactivities• EngagementofNationalconsultantstodraftchemicaleventsManualsEstablishmentofDatabaseforchemicalevents.• PutinplaceeffectiveintersectoralsurveillancesystemonChemicalEventstobeputinplace


• NationalEnvironmentalStandardandRegulationEnforcementAgency(Lead)• FederalMinistryofEnvironment• FederalMinistryofHealth• MinistryofMinesandSteelDevelopment• FederalMinistryofEnvironment• NationalCentreforDiseaseControl• FederalMinistryofAgriculture• NationalAgencyforFoodandDrugAdministrationandControl


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RadiationEmergenciesBackgroundandObjective:Torespondtonuclearandradiologicalemergencies,timelydetectionandaneffectiveresponsetowardspotentialradiologicalandnuclearhazards/events/emergenciesrequirescollaborationwithsectorsresponsibleforradiationemergenciesmanagementinNigeria.Nigeriahasawell-developed legislative framework for thecontrolof radiationsourcesandemergencies.ThedesignatedresponsibleauthorityforimplementationoftheseregulationsinNigeriaistheNigerianNuclearRegulatoryAuthority(NNRA).NNRAworksinpartnershipwiththeNationalEmergencyManagementAgency (NEMA)tocoordinatetheresponsetoradiationemergencies.A largenumberofmulti-sectoralstakeholderswithresponsibilitiesinthepreparednessandresponsetoradiationeventshavebeenidentifiedandresponseiscoordinatedthroughaNational Nuclear and Radiological Emergency Plan (NNREP). The Planwas developed by theNationalNuclear and Radiological EmergencyCommitteeset-upbytheNNRAin2004anditwascompletedin2005andcirculatedtoStakeholdersforcommentsandinputs.ThePlanassignstoNEMAoverallco-ordinationandtoNNRAtechnicalsupportfunctions,whichbeginattheinitialnotificationofanuclearandorradiologicalemergencyandendwhenallgovernmentagencieshaveterminatedtheirresponseactivities.Althoughthisplanisregularlyreviewedandupdated,testinghasbeenlimitedtointernaldrillswithinlicensedpremisesandtheplanhasneverbeentestedthroughplannedmulti-agencyexercisesorinresponsetoanactualradiationincident.

JEEIndicators

RE.1 Mechanisms established and functioning for detecting and responding to radiological and nuclearemergencies


RE.2Enablingenvironmentinplaceformanagementofradiationemergencies JEE2017CapacityLevel:3

JEEPriorityActions

1. TesttheNationalNuclearandRadiologicalEmergencyPlan(NNREP)2. Improvedetectionandresponsecapabilitybytrainingstaff,equipping&trainingdesignatedhospitalsandenhancingdetectioncapabilities

withradiationmonitorsandotherdetectionequipment3. DevelopcoordinatedsystematicinformationexchangesbetweenstakeholdersincludinghealthbyimprovingcoordinationwiththeIHR

focalpoint


• Establishandtestdrills/exercisesEPRframework• Establishmentofahigh-levelpolicyframework• DraftingofNationalRadiationEmergencyPlanandimplementingprocedures(NREP)and/orotherplans


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• ImplementingofEPREVmissionrecommendations

Strengths Limitations• Partytovariousinternationallegalinstrumentsfornuclearand

radiologicalemergencypreparednessandresponse(EPR)• Nigeriahasregistereditscapabilitiesandfunctionalareas

undertheIAEAResponseAssistanceNetwork(RANET)• Awell-developedLegislativeFrameworkforthecontrolof

radiationsources,preventionanddetectionofradiationandnuclearemergenciesandotherrelatedmatterswithclearlegislationcoveringlicensedapplications,transport,

• disposalanduseinspecificindustries• TheNuclearSafetyandRadiationProtectionAct19of1995• NigerianNuclearandRadiologicalEmergencyPreparednessand

Response• Regulations(draft)• NationalNuclearandRadiologicalEmergencyPlan(NNREP).• Institutionalframeworkandstakeholderbaseintermsof

nuclearandradiation• emergencypreparednessandresponse.• Establishmentofacompetentauthority(TheNNRA)withthe

primeresponsibilityfornuclearsafetyandradiologicalprotectionregulationsinNigeria

• ResearchCentres• NationalEmergencyManagementAgency• EnforcementofEmergencyDrills/ExerciseatFacilitylevels• NationalPolicies,Strategies,GuidelinesandSOPsare

developedandregularly• updatedforthemanagementofemergencies

• Financialresources(EmergencyFund)tomeettheneedsfornuclearsafetyandradiationprotection

• Lackofequippedlaboratoriesfordetectionandsystematicanalysisofradiationemergencysituations.

• Inadequatepublicawareness,educationandinformationonionizingradiation

• Lackofmotivationandcommitmentfromdecisionmakers/participatingorganizationstoattendmeetingsforeffectivecoordinationandcollaborationmechanism.

• Lackofsystematicprogrammesfornationaltrainingcourseforfirstrespondersandfortheconduct,evaluationofdrillsandexercises

• Humanresourcecapabilitiesofrelevantstakeholdersinemergencyresponse.

• Emergencydrills/exercisesatnationallevel• Upgradingoflaboratoriesfortreating/conditioningofwaste

radioactivesources• Lackofreferencehealthcarefacilitiesorcenterswithfull

capacitytoaddressortreatradiationinjuries• Inclusionofradiationbasicsinmedicalschool’scurriculum• EffectiveNationalRadiationEmergencyResponseSystem• Equipmentandcapabilitiesfordecontamination• InvolvementofthenationalIHRfocalpointasastakeholder

inradiationemergencies.


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TesttheNationalNuclearandRadiologicalEmergencyPlan NNRA Buildcapacityforradiationandnucleardetectionandresponseamonghumanhealthworkers FMOH

NNRA

DevelopcoordinatedsystematicinformationexchangesbetweenstakeholdersincludinghealthbyimprovingcoordinationwiththeIHRfocalpoint.

NNRA


• NigerianNuclearRegulatoryAuthority(Lead)• FederalMinistryofScienceandTechnology• NationalEmergencyManagementAgency(NEMA)• NigeriaAtomicEnergyCommission(NAEC)• MDAs• MilitaryandparamilitaryServices• SecurityAgencies• ResearchCentresinZaria,Gwagwalada-Sheda,Ile-IfeandIbadan• DesignatedTeachingHospitals


Annex1:CostedNAPHS(2018‒2022)

TECHNICALAREA 2018 2019 2020 2021 2022 TOTAL(NAIRA) TOTAL(USD)

NationalLegislationandFinancing 23,466,000 254,974,050 47,648,000 47,648,000 47,648,000 406,134,050 1,332,898IHRCoordinationandNationalIHRFocalPointFunctions

61,461,410 300,717,534 120,422,970 120,422,970 120,422,970 723,447,854 2,374,296

AntimicrobialResistance(AMR) 140,225,500 343,203,400 287,999,000 253,291,800 183,432,800 1,208,152,500 3,965,056Zoonoticeventsandthehuman–animalinterface

40,598,284 584,256,400 27,183,000 6,725,000 6,725,000 665,487,684 2,184,075

Foodsafety 15,356,000 255,343,450 122,085,200 372,648,400 33,740,000 799,173,050 2,622,819

Biosafetyandbiosecurity - 172,687,728 1,710,682,228 40,067,428 59,415,228 1,982,852,612 6,507,557

Immunization 13,100,796,656 34,941,010,214 12,001,822,276 10,700,605,629 9,866,215,056 80,610,449,830 264,556,777

NationalLaboratorySystem 1,229,120,090 3,846,410,232 1,707,648,454 1,935,568,050 1,859,048,850 10,758,995,676 35,310,127

Surveillance 184,696,400 3,074,573,240 2,173,540,800 640,702,000 590,702,000 6,664,214,440 21,871,396

Reporting 154,691,200 1,784,058,028 157,343,000 102,847,000 102,847,000 2,249,936,228 7,384,103HumanResources/WorkforceDevelopment

1,009,135,607 5,717,063,801 1,535,827,307 1,556,144,807 1,535,827,307 11,353,998,829 37,262,878

Preparedness 11,873,800 3,245,888,206 3,002,384,000 3,002,884,000 2,002,384,000 11,265,414,006 36,972,150LinkingPublicHealthandSecurityAuthorities

33,845,200 45,985,200 31,446,000 31,446,000 31,446,000 174,168,400 571,606

EmergencyResponseOperations 365,810,990 1,317,717,300 201,202,400 201,202,400 16,800,000 2,102,733,090 6,900,995MedicalCountermeasuresandPersonnelDeployment

5,665,000 82,811,600 23,543,050 57,632,000 15,784,000 184,715,650 606,221

RiskCommunication 14,832,000 263,355,561 148,371,100 80,830,400 14,019,200 521,408,261 1,711,218

PointsofEntry(PoE) 21,617,600 742,177,100 274,872,400 264,582,400 - 1,303,249,500 4,277,156

Chemicalevents - 320,870,800 98,877,700 108,526,600 96,346,800 624,621,900 2,049,957

Radiationemergencies - 58,973,200 105,783,000 18,486,000 18,486,000 201,728,200 662,055

TOTAL 16,413,191,737 57,352,077,043 23,778,681,885 19,542,260,884 16,601,290,211 133,800,881,760 439,123,340


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NCDC


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NCDC









25


JEEIndicators


JEEPriorityActions







26























27



NCDC


FMARDNCDC


NCDC


NCDC


FMARD


NCDC


FMARD


NCDC


FMARD


NCDC


NCDC


NCDC


28


NCDC


FMARD




29


JEEIndicators


JEEPriorityActions





andstatelevels


30






zoonosisexist








FMARD



FMARD


FMARD


FMARD


31







32


JEEIndicators



JEEPriorityActions









NationalAssembly



33








2018 2019Q3 Q4 Q1 Q2 Q3 Q4


FMARDFMOH


FMOHFMARD







34



35


JEEIndicators




JEEPriorityActions








36











ONSA


ONSA







37



38






JEEIndicators


JEEPriorityActions




39










LGAandward)levels









40





41



JEEIndicators


JEEPriorityActions





42




















NCDC


NCDC



43


NCDC








44


JEEIndicators


JEEPriorityActions






45
















46



FMARDFMoH


NCDCFMARD


NCDC


FMARD



FMARD





47


JEEIndicators








48











ofhealthcareworkers



NCDC


NCDC


FMARD



49









50


JEEIndicators




JEEPriorityActions








51






SMOHandNCDC







NCDC


NCDC


NCDC


NCDC





52



53


JEEIndicators


JEEPriorityActions







54



















NCDC



55


NCDC


NCDC


NCDC


FMARD




56


JEEIndicators



JEEPriorityActions







57











ONSA


ONSA


ONSA







58



59


JEEIndicators


JEEPriorityActions











60


















61



NCDC


NCDC


NCDCNAFDAC


NCDC


NCDC


NCDC




62



63


JEEIndicators


JEEPriorityActions






64








NCDC


NCDC






65



66


JEEIndicators


JEEPriorityActions






67










FMoH


FMoH


FMoH


PHS


PHS


68






69


JEEIndicators


JEEPriorityActions






70



















71



FMoH


FMoH









72


JEEIndicators




JEEPriorityActions



focalpoint




73























74



NNRA


NNRA







61,461,410 300,717,534 120,422,970 120,422,970 120,422,970 723,447,854 2,374,296


40,598,284 584,256,400 27,183,000 6,725,000 6,725,000 665,487,684 2,184,075

Foodsafety 15,356,000 255,343,450 122,085,200 372,648,400 33,740,000 799,173,050 2,622,819


Immunization 13,100,796,656 34,941,010,214 12,001,822,276 10,700,605,629 9,866,215,056 80,610,449,830 264,556,777


Surveillance 184,696,400 3,074,573,240 2,173,540,800 640,702,000 590,702,000 6,664,214,440 21,871,396


1,009,135,607 5,717,063,801 1,535,827,307 1,556,144,807 1,535,827,307 11,353,998,829 37,262,878


33,845,200 45,985,200 31,446,000 31,446,000 31,446,000 174,168,400 571,606


5,665,000 82,811,600 23,543,050 57,632,000 15,784,000 184,715,650 606,221



Chemicalevents - 320,870,800 98,877,700 108,526,600 96,346,800 624,621,900 2,049,957


TOTAL 16,413,191,737 57,352,077,043 23,778,681,885 19,542,260,884 16,601,290,211 133,800,881,760 439,123,340


76

Annex2:JEEResultsandPriorityActionsNigeria has made commendable progress in the broad area of prevent but will need additionalinvestmentstomovetoahigherlevel:

• A toppriority is to fast track the legislation, regulatoryandpolicy frameworks to support IHRimplementationattheFederal,State,andLocalGovernmentlevels

• AcriticalpieceoflegislationisthefinalizationofthelegislativeapprovalfortheNigeriaCentreforDiseaseControl(NCDC)

• Tosupport implementationof“theOnehealthapproach”there isaneedtoestablishamulti-sectoral,multi-disciplinarycoordinationmechanism(politicalandtechnical)atFG,StateandLGAlevels

Nigeriahasmadetremendousprogressinbio-surveillanceforverticaldiseasessuchaspolio,TB,HIV/AIDs,butwillneedadditionaleffortsto:

• Strengthenlaboratorycapacity,especiallyspecimenshipping,transportationandreferral• Scaleup,enhanceandsustainthe IDSRprogramnation-wideatall levels (FG,State,LGA,PHC

facilities),capitalizingonthepolioinvestments• Developandimplementacomprehensivepublichealthworkforcestrategy

NigeriahasmadetremendousprogressinresponsetoPHEs-Ebola,LassaFever,Meningitis,Choleraetc.butwillneedadditionaleffortsto:

• Formulate,cost,implement,monitorandevaluateanationalactionplanforhealthsecuritythatis alignedwith sector strategies, addresses all hazards and is based on a comprehensive riskassessmentandmapping

• EnhancetheEOC/IMSsystematfederallevelandstrengthensub-nationalRRTssupportedbyanallhazardriskcommunicationstrategy/plan

• Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenhumanandanimalhealth, theenvironmentalsectorsandsecurityagenciesunderpinnedonanallhazardsapproach

NigeriahasseveralPoEsthatarealreadydoingcommendableroutine(screening,haveholdingareas)&emergencyactions,etc.MajorsetbackisnotofficiallydesignatingthePoE:

• Designate,beforetheendof2017,afewPoEs-Airports,Portsandsomegroundcrossingso Airports

§ AbujaInternationalAirport§ LagosInternationalAirport§ KanoInternationalAirport

o LagosSeaPorto Highvolumegroundcrossings

§ Beninborder§ Camerounborder§ Nigerborder

• FinalisePHcontingencyplanforPoEsthatislinkedtothenationalplanforhealthsecurity• Establishandsustaincapacitiesforroutineandemergencypreparednessandresponseforthe

designatedPoEs


77

Technicalarea Indicators IndicatorDescription Score

Nationallegislation,policyandfinancing

P.1.1

Legislation,laws,regulations,administrativerequirements,policiesorothergovernmentinstrumentsinplacearesufficientforimplementationofIHR(2005)

1

P.1.2

TheStatecandemonstratethatithasadjustedandaligneditsdomesticlegislation,policiesandadministrativearrangementstoenablecompliancewithIHR(2005)

1

PriorityAreasforaction

• ComprehensiveassessmentofexistinglegislativeandpolicyframeworkstoidentifygapsthatimpedecompliancewiththeInternationalHealthRegulations

• Advocateforrevisionoflegalinstrumentsandpoliciestoaddressexistinggapsandchallengeswithinthenationaladministrativeenvironment

• Completionofpendinglegislativeactions(NCDCBill,2017;PublicHealthBill,2013)inordertogivekeypublichealthinstitutions(e.g.NigeriaCentersforDiseaseControl)thelegalmandateneededtoaccomplishnationalgoals

• Nationalgovernmentshouldarticulatespecificpolicies,guidance,andguidelinestoStatesandLocalGovernorateAreasregardingobligations,rolesandresponsibilitiestoincreasetheirrespectiveownershipandimplementationoftheprovisionsoftheNationalHealthAct,andforaccountabilityinallocationandapplicationofresourcesforpublichealthinlinewiththeBasicHealthProvisionFund(2014)

• StreamlinerolesandresponsibilitiesinthevariousMinistriesandAgenciesthathaveresponsibilitiesinIHRimplementationtominimizeduplicationwithintheirrespectivemandates

IHRcoordination,communicationandadvocacy

P.2.1AfunctionalmechanismisestablishedforthecoordinationandintegrationofrelevantsectorsintheimplementationofIHR

2


• EstablishlegislativefoundationforNCDCasNationalFocalPoint• EstablishmentofanationalOneHealthplatformforintersectoral

collaborationofoutbreakresponsesthatinvolvethehumanhealth,animalhealthandenvironmentalsectors

• DevelopallhazardstandardoperationalproceduresforIHRcoordinationbetweenIHRNFPandstakeholders

Antimicrobialresistance

P.3.1 Antimicrobialresistancedetection 2

P.3.2 Surveillanceofinfectionscausedbyantimicrobial-resistantpathogens 2

P.3.3 Healthcare-associatedinfection(HCAI)preventionandcontrolprogrammes 2

P.3.4 Antimicrobialstewardshipactivities 2


78



• ImplementtheNigeriaNAPonAMR• Strengthenthe"OneHealth"componentsintheNigeriaNAPonAMR.• Strengthenstewardshiponantimicrobialuseinhumansandfood

animals.

Zoonoticdiseases

P.4.1 Surveillancesystemsinplaceforpriorityzoonoticdiseases/pathogens 2

P.4.2 Veterinaryoranimalhealthworkforce 3

P.4.3 Mechanismsforrespondingtoinfectiousandpotentialzoonoticdiseasesareestablishedandfunctional 1


• EnhancecollaborationbetweenMinistryofHealthandMinistryofAgricultureatthenational,stateanddistrictlevels

• Strengthenlinkagebetweenpublichealthandanimalhealthlaboratories

• Enhancesurveillanceofzoonoticdiseases(includingconsensusbuildingmeetingsofappropriatestakeholderstoidentifythetoppriorityzoonoticdiseasestoincludeinzoonoticdiseasesurveillancesystem)

Foodsafety P.5.1Mechanismsformultisectoralcollaborationareestablishedtoensurerapidresponsetofoodsafetyemergenciesandoutbreaksoffoodbornediseases

2


• Strengtheninter-sectoralandinterdisciplinarycollaboration,coordinationandinformation-sharingonfoodsafetyandfoodbornedisease

• Strengthensurveillanceoffoodbornediseaseandmonitoringofcontaminationinthefoodchainandenhancefoodborneoutbreakandemergencyinvestigationsandresponse

• Strengthenfoodsafetycapacityincludingrelevantlaboratorycapacityinthepublichealth,foodsafety,andagricultureandveterinarysectorsatcentral,stateanddistrictlevels.

Biosafetyandbiosecurity

P.6.1 Whole-of-governmentbiosafetyandbiosecuritysystemisinplaceforhuman,animalandagriculturefacilities 1

P.6.2 Biosafetyandbiosecuritytrainingandpractices 1


• BiosecurityLegislationneedstobeenacted• Developmentofamulti-sectoral,nationalcoordination,oversightand

enforcementmechanismforresponsetoandcontrolofdangerouspathogens

• AdequatefundingandtrainingbeprovidedforBiosafetyandBiosecurityprograms

• Performanauditofinstitutionsandlocationswithdangerouspathogens;andtoxincontrolinordertodevelopaplanforconsolidation

ImmunizationP.7.1 Vaccinecoverage(measles)aspartofnational

programme 3

P.7.2 Nationalvaccineaccessanddelivery 4


79



• Dedicateresourcestoinformationmanagementsystemforvaccinedata,inorder,toultimatelyimprovedataquality(completeness,timelinessandreliabilityofadministrativedata)

• Developstrategiestoimprovenationalcoverage,especiallyfocusingonhistoricallylowcoverageareas

• Includevaccinesforzoonoticdisease,particularlyinspecialpopulationssuchashealthcareworkersandveterinarians

Nationallaboratorysystem

D.1.1 Laboratorytestingfordetectionofprioritydiseases 3

D.1.2 Specimenreferralandtransportsystem 1

D.1.3 Effectivemodernpoint-of-careandlaboratory-baseddiagnostics 2

D.1.4 Laboratoryqualitysystem 2


• Enhancethelaboratoryinfrastructureandresourcesavailabletosustainanintegratednationallaboratorynetwork

• ImplementStrengtheningLaboratoryManagementTowardAccreditation(SLMTA)Programforthenationallaboratorynetworkwithafocusonbiosafety,biosecurityandqualityassurance

• Developarobustsampleandspecimentransportationsystemwhichensuresaneffectivecoldchain

• Toadoptbasiclaboratoryinformationsharingsystemamongtherelevantstakeholders

Real-timesurveillance

D.2.1 Indicator-andevent-basedsurveillancesystems 3

D.2.2 Interoperable,interconnected,electronicreal-timereportingsystem 2

D.2.3 Integrationandanalysisofsurveillancedata 3

D.2.4 Syndromicsurveillancesystems 3


• Systematicallybuildcapacityforsurveillanceatalllevels(HF,LGA,stateandnational),expandingsurveillancetoallhealthfacilitiesincludingprivatefacilitiesforbothhumanandanimalhealth

• Developreal-timesurveillancecapabilityforanimalhealthandpromoteaONE-Healthapproach.

• Establishlinkagebetweenthesurveillanceandpublichealthlaboratorysystems

• Establishanelectronicreportingsystemthatisinter-operableandintegratedtoothersystemsandalsolinkedtoDHIS2

• EnhancemonitoringandevaluationcapacityforIDSR,includingsupportivesupervisionanddataqualityassessment

ReportingD.3.1 SystemforefficientreportingtoFAO,OIEandWHO 3

D.3.2 Reportingnetworkandprotocolsincountry 2


80



• Strengthenandimproveconsistency,completeness(includingfromprivatesector)andtimelinessinreportingfromthelocalandstatelevels

• Establishaframeworkformultisectoralcoordinationinreportingandcommunicationthatwillenableinformationsharing

• Establishmentofcentraldatabasethatintegratesdatafromallsectorsforall41prioritydiseasesunderIDSR

• InstitutingmonitoringandevaluationofreportingagainstsetIDSRandIHRindicators

Workforcedevelopment

D.4.1 HumanresourcesavailabletoimplementIHRcorecapacityrequirements 3

D.4.2 FETP1orotherappliedepidemiologytrainingprogrammeinplace 4

D.4.3 Workforcestrategy 2


• Developacomprehensivenationalpublichealthworkforcestrategyforexpansion,diversification,financialsustainment,andretentionoftheexistingpublichealthworkforceinordertoreachthegoalofonetrainedfieldepidemiologist(orequivalent)per200,000population

• LaunchtheIntermediateFETPandfullyimplementFrontlineFETPsothatthereisan‘appropriately’trainedfieldepidemiologistineveryLocalGovernmentArea

• DefinecareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure

PreparednessR.1.1

Nationalmulti-hazardpublichealthemergencypreparednessandresponseplanisdevelopedandimplemented

1

R.1.2 Prioritypublichealthrisksandresourcesaremappedandutilized 1


• Developanall-hazardsmulti-sectoralPHemergencypreparednessplan,linkingexistingagency-specificanddisease-specificplans

• WhereindicatedNCDCshouldleadinpreparationofmemorandaofunderstandingbetweenresponseagenciesindifferentsectors

• StrengthenthetechnicalandadministrativecapabilitiesofNCDCandNigeriaEmergencyManagementAgencytodevelopnationalvulnerabilitymapsthatinvolvemilitary,media,wildlifeandanimalhealthsectorstoaddresszoonoticandemerginginfections

• Pre-positionequipmentandotherresourcestostrategiclocationsconsistentwithvulnerabilitymaps(e.g.remotehard-to-accessareas)

Emergencyresponseoperations

R.2.1 Capacitytoactivateemergencyoperations 2

R.2.2 EOCoperatingproceduresandplans 2

1FETP:fieldepidemiologytrainingprogramme


81


R.2.3 Emergencyoperationsprogramme 3

R.2.4 CasemanagementproceduresimplementedforIHRrelevanthazards 2


• Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenNCDCandtheanimalhealthandenvironment(allhazardsapproach)

• EstablishstandardoperativeproceduresforEOCactivationandoperation

• EstablishstandardtrainingprotocolsforEOCoperationandforemergencyresponse

• EnhancetheNCDCEOCphysicalspace,equipment,andlogisticsupportLinkingpublichealthandsecurityauthorities


1


• Review,reviseandseekassenttooldorexistinglaws(orbills)relatingtohealthsecurity

• DevelopuniqueprotocolsandMoUsforsecurityagenciesandpublichealthdepartmentstoelaborateonthespecificrolesinclearterms

• Integratedandcontinuouscapacitydevelopmentonintegrationandjointworkinginvolvingrelevantsecurityauthoritiesandthoseinpublichealthtomitigatethenormalturnoverinpositionsandretirements.

• Developmentandharmonizationofappropriatelegal,policyinstrumentsandoperationalpackage(MOU,SOPs)toensuremultisectoralhealthpreparednessandresponse.

• Reportingandinformationsharingmechanismsincludingcrossbordercollaboration

Medicalcountermeasuresandpersonneldeployment

R.4.1 Systeminplaceforsendingandreceivingmedicalcountermeasuresduringapublichealthemergency 1

R.4.2 Systeminplaceforsendingandreceivinghealthpersonnelduringapublichealthemergency 1


• DevelopmentofanationalframeworkfordeploymentandreceiptofmedicalcountermeasuresandHWsduringemergencies

• Updatingthenationalplanforprocurement,stockpilingandmanaginglogisticsforMedicalCountermeasures

o IncludingMOUswithregionalandinternationalplayers(countries,manufacturers)

• Developmentofthenationalcapacityforproductionofvaccinesandantibiotics

Riskcommunication

R.5.1 Riskcommunicationsystems(plans,mechanisms,etc.) 1

R.5.2 Internalandpartnercommunicationandcoordination 3

R.5.3 Publiccommunication 2


82


R.5.4 Communicationengagementwithaffectedcommunities 3

R.5.5 Dynamiclisteningandrumourmanagement 3


• Coordination:Developamulti-sectorandmulti-hazardriskcommunicationandemergencyplanandimplementthecommunicationstrategy

• CapacityBuilding:Conducttrainingonmulti-sectorandmulti-hazardriskcommunicationwhichshouldincludesocialscience.

• Establishcontinuousmonitoringandevaluationofriskcommunicationactivities:

PointsofentryPoE.1 Routinecapacitiesestablishedatpointsofentry 1

PoE.2 Effectivepublichealthresponseatpointsofentry 1


• DesignationofPoEswithintheprescriptionoftheIHR(2005)• ReviewthelegislationandpoliciesonPoEsandadvocateforrevisionof

appropriatelegislatione.g.Quarantinelaw• Build/sustainIHRcapacitiesassetforthinAnnex1aand1boftheIHR

(2005)• Buildtechnicalcapacityforporthealthservice• DevelopthenationalpublichealthemergencyContingencyplanfor

PoEs

ChemicaleventsCE.1 Mechanismsestablishedandfunctioningfordetecting

andrespondingtochemicaleventsoremergencies 1

CE.2 Enablingenvironmentinplaceformanagementofchemicalevents 2


• EstablishmentofPoisonInformationControlandManagementCentres(PICMC)intheCountry

• CollaborativelymapriskandimplementroutinesurveillanceforChemicalevents

• DevelopguidelinesandprotocolsforChemicalsurveillancewithrelevantstakeholders

• Establishrequiredmulti-sectorcapacityforChemicalresponse• PerformaninventoryofchemicalswiththeToxicologyLaboratoryof

NigeriaincollaborationwithINTOX

Radiationemergencies

RE.1 Mechanismsestablishedandfunctioningfordetectingandrespondingtoradiologicalandnuclearemergencies 3

RE.2 Enablingenvironmentinplaceformanagementofradiationemergencies 3


• TesttheNationalNuclearandRadiologicalEmergencyPlan(NNREP)• Improvedetectionandresponsecapabilitybytrainingstaff,equipping

&trainingdesignatedhospitalsandenhancingdetectioncapabilitieswithradiationmonitorsandotherdetectionequipment


83


• DevelopcoordinatedsystematicinformationexchangesbetweenstakeholdersincludinghealthbyimprovingcoordinationwiththeIHRfocalpoint


84

Annex3:PerformanceofVeterinaryServices(PVS)AssessmentandRecommendations-2010

CriticalCompetencies Level PriorityActions

1.Professionalandtechnicalcompetenceofthepersonnelofveterinaryservices(VS)

1a.Veterinaryandotherprofessionals(universityqualification)

3

• Createatfederalandstatelevelsadequatevacanciestoemployadditionalveterinariansandotherprofessionals.

• ConsideringtheschemeestablishedbyPACE,developappropriateschemestopromoteprivateveterinarypractice.

• Introduce“sanitarymandates”toallowprivateveterinarianstoparticipateinvaccinationanddiseasecontrolandsurveillance.

1b.Veterinaryparaprofessionalandothertechnicalpersonnel

3

• Createadequatevacanciesincludingremunerationtoemployadditionalparaprofessionalsinthepublicservicetofillandtomotivatestaff

• DevelopalegalframeworkforregistrationofparaprofessionalsbytheVCN

2.Continuingeducation 3 • DVPCStodevelopspecifictrainingprogrammesforitsstaffandbudgetprovisionforthisactivity

3.Technicalindependence 3• EmpowertheDirectoroftheDVPCStotakealltechnical

decisionsindependently.

4.Stabilityofpoliciesandprogramme

4

• Reinforcethecapacity(staff,vehiclesandadequatefunding)oftheDVPCSandStatesinthemonitoringofpolicyimplementationandsupervisionoffieldoperations.

5.CoordinationcapabilityofthesectorsandinstitutionsoftheVS(publicandprivate)

3 • Formulatestrategicandoperationalplans.

6.Funding 2

• Allocatetolivestocksectorofaminimumof30%ofthe10%budgetaryallocationtoagricultureinconformitywiththedecisionoftheHeadsofStateofAfricanUnioncountriesofJuly2003atMaputo.

• Providevehiclesforfieldoperations.


85

7.Contingencyfunding2

• EstablishappropriatecontingencyfundstobeadministereddirectlybytheDirectorofDVPCS

8.Capacitytoinvestanddevelop2

• NeedtoprovidesupportfortheimprovementanddevelopmentofVSinfrastructureduringtheformulationofstrategicplan.

9.Laboratorydiseasediagnosis 3

• Draftaprogrammeforimprovementofequipment,suppliesandconsumablesatNVRIandStateandVeterinaryFacultieslaboratories.

• NetworkNVRIandStateandVeterinaryFacultieslaboratories.

• Introducequalityassuranceinthelaboratoryprocedures.

• AccreditNVRIasaregional/internationalreferencelaboratorye.g.forHPAI.

10.Riskanalysis 2

• Formulateandimplementriskanalysisprogrammes

• CreatecorecapacitywithintheDVPCSforriskAwillbenecessary

11.Quarantineandbordersecurity

2

• Buildingofquarantinefacilitiesatallborderpoints.

• Creationofadditionalveterinaryquarantinestations

• Increaseandtrainveterinaryquarantineservicesstaffonquarantinefacilitiesandproceduresandsurveillancestrategies.

• Implementofinternationalstandardsforcertificationofanimalsandanimalproductsforimportandexport.

12.Epidemiologicalsurveillance 3

• EnforcetheAnimalDiseases(control)ActN°10,1988regardingthediseasereportinginparticularbytheprivatesector.

• Trainmorestaffinepidemio-surveillance.

• Improvefeedbacktostakeholdersandfollow-upreportstotheOIE.

• Needtoreinforcedatacollectionatfederal,stateandlocalgovernmentlevels.

13.Earlydetectionandemergencyresponse

3• Providevehiclesandequipmentforfieldoperationsto

facilitateearlydetectionandemergencyresponse.

14.Emergingissues2

• DevelopproceduresinDVPCSinordertoidentify,monitorandreviewemergingissues.


86

• Prepareappropriatenationalpreparednessplans.

15.Technicalinnovation1

• Establishadatabaseoftechnicalinnovationsandinternationalstandards.

• Subscribetoscientificjournalsforupdatingknowledgeofstaff.

16.Veterinarymedicinesandveterinarybiologicals

2

• CreatecapacityintheDVPCStomonitorstandardsandcontrolofveterinarymedicinesandveterinarybiologicals.

• NeedforNVRItoupdatetypesofvaccinesandtodevelopcapacitiestocarryoutqualitycontrolofimportedvaccinesandbiologicalproducts.

17.Communication 3

• Improvethecapacityofthecommunicationstaff.

• Provideuptodateinformationviatheinternet

• UpdatetheDVPCSwebsiteonregularbasis

• Provideeffectiveintranetandinternetfacilitiesatfederalandstatelevels.

18.Consultationwithstakeholders

2

• Instituteformalandregularconsultationandfeedbackswithstakeholders.

• Listallexistingassociatingstakeholders’representativesatfederalandstatelevelsandencouragetheirestablishmentwheresuchorganisationsdonotyetexist.

19.Officialrepresentation 2 • Improveconsultationwithstakeholders.

20.Accreditation/Authorisation/Delegation

2 • Establish“sanitarymandates”.

21.VeterinaryStatutoryBody 4 • VCNtodevelopalegalframeworktoregisterandregulateparaprofessionals.

22.Implementationofjointprogrammes

2 • Developjointprogrammeswithstakeholdersandpartnerorganisations.

23.Preparationoflegislationandregulations,andimplementationofregulations

3

• Designateamultidisciplinarycommitteetoupdatethemainlawregardinganimaldiseasecontrolandzoonosis.

• Ensuretheharmonisationoflegislationandregulationsregardinganimaldiseasecontrolandzoonosisenactedatthestatelevel.

24.Stakeholdercompliancewithlegislationandregulations

1 • Enforceexistingregulationsforstakeholderstocomply.


87

• Developprogrammetoensurestakeholdercompliancewithrelevantregulations

25.Internationalcertification

2

• Designateteaminchargetomonitortheestablishmentofnewandrevisedinternationalstandards,guidelinesandperiodicallyreviewnationallegislation,regulationsandsanitarymeasuresinordertoharmonisethem,asappropriate,withinternationalstandards.

• Implementinternationalstandardsforcertificationof

animalsandanimalproductsforimportandexport.

26.Traceability 2 • Createcapacitytoidentifyandtraceanimalsandanimalproductsatfederalandstatelevels.

27.Transparency 3 • Improveonsubmissionoffollowupreports.

28.Zoning 1• Improvebiosecurityintraditionalproductionsystemand

inliveanimalmarkets.

29.Compartmentalisation 2 • Developcompartmentalisationstrategy.


88

Annex4:ParticipantList

ParticipantsofeithertheFebruaryPreparatoryWorkshoportheJulyCostingandValidationWorkshop:

Name OrganisationDrPatrickNguku AFENETAugustineDada AFENETMahmoodDalhat AFENETAjaniOyetunjiG AFENETMuhammadShakirBalogun AFENETAbattaEmmanuel DHPRSAyodeleAyemo ehealthAfricaAhmedMatane FAODrZainabAbdulkareen FMARDDrMaryamI.Buba FMARDDrMuh'dAligana FMARDDrMairoKachalla FMARDDr.OAlabi FMARDDrKwagheA.V FMARDVivienIdogho FMFFemiStephen FMOHDrWelleSc FMOHDrAlex-OkohM.O FMOHDrBibilariNgozika FMOHFataiOlarenwajuS. FMOHOgunlesiZaynab FMOHDrJamesBalami FMOHPerpetualEzediunor FMOHOlaoluwaAjoni FMOJMakamaSani FMTSarahMengesha GIZDrGodswillC.Okara MLSCNAjaeroChike MMSDWgCdrJmNalazai MODHIPE.MDickson MPRDrBarthlomewIbeh NABDAOguAmoge NABDADogaraAshikeni NAECDaudaD.Gimba NAFDACGodwinAkwa NAFDACDrMomoduAishaM NAQSDr.NyodeeB.G NAQSDrChikweIheakwazu NCDCAkinbiyiGbenga NCDC


89

YennanSebastine NCDCSadiqGarba NCDCDimMunachimsoV NCDCAminaMohammed NCDCAyoolaOlufemi NCDCNanpringD.Williams NCDCSafiyaMusa NCDCOguanuoEmeka NCDCDrIgbodoGordon NCDCDrOkunromadeOyeladun NCDCNwandoMba NCDCOlaoluAderinola NCDCDrAdesolaYinka-Ogunleye NCDCChimezieAnueyiagu NCDCOlubunmiOjo NCDCOyeronkeOyebanji NCDCOguniyiAbiodun NCDCNwachukwuWilliams NCDCJosephGbenga NCDCEmmanuelAgogo NCDCChibazoEneh NCDCDrAkuAnweSunday NCSInusaEzra NEMACdrBralti(Rtd) NEMAAremuA.Agaka NESREAObinnaKelechiC. NESREAAdeolaJegede NIPRDDrS.OFunsho NISAliMohammedJidda NNRAIdokoSimon NOADrAbubakarI.S NPANwokoloC.R NPASaudatOluwatoyinAdeka NPADrNonyeWelle NPFDrEugeneIvase NPHCDAM.MAbubakar NPHCDADrL.TDamisah ONSADrSolaAruna PHESamuelAlabiO. PHIChristopherLee ResolvetoSaveLivesWinifredUkponu UMBSaikiA.Musa UMBDanielStowell USCDCDanielJ.Duvall USCDCRichardGarfield USCDC


90

DanielYota WHO(AFRO)AntonioOke WHO(AFRO)TalisunaA.O WHO(AFRO)


91

Annex5:InventoryofCostedActivities,2018‒2022

P1:NationalLegislation,Policy,andFinancing

P1.1:Legislation,laws,regulations,administrativerequirements,policiesorothergovernmentinstrumentsinplaceforimplementationofIHR

StrategicAction DetailedActivities MDA Funded Cost(N)

2018-2019

Cost(N)

2018-2022

Completependinglegislativeactionsfor“NigeriaCentreforDiseaseControlBill”togivekeypublichealthinstitutionsthelegalmandateneededtoaccomplishnationalgoals.

● NCDC,FMoH,FMARD,MoE(Healthpromotiondivision):Highpoweredadvocacyteamofe.g.permsec,honmin.ofstate,headofMDAse.g.DGNCDConFollow-UpconsultationswiththeSenateCommitteeonPrimaryHealthattheNationalAssembly.Phonecallscardsat=N=15,000SMS,andPhysicalVisit.

● PublicRelationbyLegalUnitattheNationalAssemblySenateCommitteeonprimaryHealthforspeedytransmissionoftheBilltothePresidencyforassent:DevelopaToRforateamof3consultants(NCDCHRM);

● HireaTeamof3Consultants,(1RetiredJudge/SAN,1Lawyer,1PoliticalJournalistandoutstandingbureaucrats);

● ConsultantsDebrieftoDGNCDCandLegalTeam;DocumentationoftheseprocessforInstitutionallearning;ReportonoutcomeandpassageofBillNCDCLegalCallcards,Internetaccessoffworkhoursandoutofoffice,

NCDC 16,432,000 16,432,000


● DevelopTORtohire1consultantbyNCDCHR,whowillreviewtheNationalHealthAct,2014.5Workingdaystoholda1-DayStakeholdersconsultativemeetingof20peopletoappraiseandvalidatetheReview,DevelopaPolicyStatementontheHealthAct2014.

● TheReviewedHealthAct2014PresentationtoFederalExecutiveCouncilforapproval● TransmissionofBilltoNationalAssembly,byHighPoweredDelegationofMinisterofhealth,PermSecHealth,

NCDCDG,HeadsofParastatalofFMoHtothenationalassemblyforPassageofBill● TransmissionofBilltoThePresidencyforPresidentialAssent.

NCDC 390,000 390,000


● IdentifyFocalPersons/DeskofficersatvariousMDAsandPartners● GivingthePollingsysteminMDAs,NCDCdevelopaninventoryoffocalpersonsandDeskofficers,for

continuityandinstitutionallearning.ManagedbyNCDConlineforeasyaccessbyDeskofficers.● ReviewoftheexistingprovisionsonfinancingofvariousIHRPoliciesandstatutoryprovisionsatrelevant

MDAs● Reviewthefinancialimpedimentstotheimplementationofthestatutoryprovisionandadministrative

activitiesonIHRinrelevantMDAs● Trainingofkeystakeholdersonwork-plandevelopmentforIHRPolicyFinancing

NCDC 1,974,000 1,974,000


● Hire2consultantsfor2weekseachtoReviewDraftDocumentrevised:DesktopreviewofexistingLegislative,policyandFinancingLaws

● IdentifystakeholdersandcirculatetheNHA2014andtheIHR2005guidelinestostakeholdersandpartners● Organizea2-dayworkshoptoanalysestheNHA2014inlinewiththeIHR2005,Of8personstoidentifygaps

inNHAthatitscompliancewithIHR2005● IdentifyIHRFocalPersonsandDeskofficers● InformFMOHofthegapsandtheneedtoamendtheNHA2014inlinewiththeHIR2005● DisseminatedocumenttoFederal,StatesandLocalMDAsforReviewandAnalyzeofgapsbaseonneeds

assessments,toidentifyandcollateexistinglegalstructuresandpolicyframeworkrelevanttoIHR.● ReviewedDocumentsentbacktoNCDCbyEmail

NCDC 1,974,000 1,974,000


92

● Developareportonthefindingfromthemeeting● IdentifythegapsthatpreventeffectivecompliancewithIHRatalltiersofgovernment,atPointofentryand

agreeonmodalitiestoaddressthemusingtheIHRasaguideline● DevelopamonitoringStructureatthethreetiresofGovernment,thatdoesnotonlyimposealegaldutyto

complybuttoalsoenforceimplementationofIHR● CreatebudgetmechanismtosupporteffectiveimplementationofIHR(Policy,legislativeframeworkand

Financing).● RewardstatesthatfollowIHRinpolicyandfunding.

Developspecificpolicies,guidance,andguidelinestoStatesandLocalGovernmentAreasregardingobligations,rolesandresponsibilitiestoincreasetheirrespectiveownershipandimplementationoftheprovisionsoftheNationalHealthAct,andforaccountabilityinallocationandapplicationofresourcesforpublichealthinlinewiththeBasicHealthProvisionFund(2014).

● Hire1HealthConsultantwhospecializesonHealthPolicyandFinancing.1weektoreviewexistingDocumentsandresearchonhealthFinancing,1weekforpreparingthemeetingandtheFinalweektoreviseandpresenttheresult

● Conduct1-daystallholdersreviewmeetingsof8persons● DevelopandDisseminateguidelinesandPolicies

NCDC 216,000 216,000

● TechnicalcommitteenotexcludingLegalunitofNCDCandrelevantlegalMDAs(MOHD,FMARD,MoE,FMF)Relatedrelevantagencies

NCDC 1,380,000 1,380,000



NCDC 2,119,200 2,119,200

● FMOH,FMARD,Fen,FMJ,FMF,Developmentpartners NCDC 1,506,800 1,506,800


● FMOH,FMARD,Fen,FMJ,FMF,Developmentpartners NCDC 990,000 990,000

P1.2:Legislation,policiesandadministrativearrangementsenablecompliancewiththeIHR(2005)


2018-2019

Cost(N)

2018-2022


● IdentifyFocalPersons/DeskofficersatvariousMDAsandPartner● GivingthePollingsysteminMDAs,developasystemoftrainingandretrainingoffocalpersonsandDesk

officers,forcontinuityandinstitutionallearning● CallformeetingofFocalPersonstotakeaninventoryofexistingadministrativeandstatutoryprovisions

relevanttoIHR● ReviewoftheexistingprovisionsonfinancingofvariousIHRPoliciesandstatutoryprovisionsatrelevant

MDAs

NCDC 5,800,000 23,200,000


93

● ReviewthefinancialimpedimentstotheimplementationofstatutoryprovisionandadministrativeactivitiesonIHRinrelevantMDAs

● Trainingofkeystakeholdersonwork-plandevelopmentforIHRPolicyFinancing.● Development,Productionanddisseminationofspecificpolicies,guidance,andguidelines.

Developthestrategicandoperationalplanforanimalhealthpolicyandprogrammesimplementation

● Hireaconsultantfor2weekstodevelopthestrategicandoperationalplanforanimalhealthpolicyandprogrammeimplementation

FMARD 690,000 690,000

● Conduct2-daystakeholdermeetingof20participantsforthereviewandvalidateofthedraftstrategicandoperationalplan(non-residential)

FMARD 0 0

● Printanddisseminate500copiesofvalidatedstrategicandoperationalplan FMARD 250,000 250,000

Supportadvocacyforbudgetaryallocationtolivestocksector

● Conduct2-daystateengagementworkshopof100participants(stategovernorsandNationalandstateassemblycommitteechairmanonagriculture,civilsociety,Press)onbudgetaryallocationtothelivestocksector

FMARD 6,800,000 6,800,000

Reviewtheinternationalstandardsforcertificationofanimalandanimalproducts

● Hireaconsultantfor2weekstoreviewtheinternationalstandardsforcertificationofanimalandanimalproducts

FMARD 930,000 930,000

● Conduct2-daystakeholdermeetingof30personsforvalidationFMARD 2,266,000 2,266,000

● Conduct5-daytrainingfor50participantsoninternationalstandardsforcertificationofanimalandanimalproducts

FMARD 9,024,000 9,024,000

● Print100copiesoftherevisedcertificationstandards FMARD 150,000 150,000

SupportTechnicalworkgroupsinanimalhealthemergingissueanddevelopguidelines,andprocedureaddressingemergingissuesuchasethicalclearance,emergingdiseases(monkeypox,riftvalley,etc.)

● Hireaconsultantfor2weekstodevelopguidelines,andprocedureaddressingemergingissuesuchasethicalclearance,researchetc.

1,297,050 1,297,050

● Setup15technicalworkinggroups(TWGs)of5memberseachtoidentifyinadvanceemergingissuesFMARD 0 0

● Conducttrainingof15TWGsontheprocedureinidentifyingemergingissuesadvances 5,557,000 5,557,000

● Supportmonthlymeetingofthe15TWGs 37,884,000

151,536,000

● Print500copiesoftheprocedureinidentifyingemergingissues

FMARD 750,000 750,000

SupportBiannuallyreviewandfeedbackofimplementationofpolicyandprogrammes ● Conduct2-daysmulti-stakeholdermeetingof100personsbiannuallyonfeedbackofimplementationofpolicy

andprogrammes

FMARD

9,440,000 9,440,000

SupportBiannuallyconsultativemeetingtoconsolidateondifferentviewsfromthe

● Conduct1-dayconsultativemeetingof40peoplebi-annuallytoconsolidateondifferentviewsfromthestakeholders

FMARD

3,964,000 15,856,000

stakeholdersonanimalhealthpoliciesandprogrammes

● Createane-platformemailgrouptoshareupdateswithrelevantstakeholder FMARD

0 0


94

Reviewtheexistinganimalhealthlaws, ● Hireaconsultantfor4weekstoreviewtheexistinganimalhealthlaws,regulationandpolicyannuallyFMARD 1,770,000 1,770,000

regulationandpolicy ● Conduct5-daymulti-stakeholdermeetingof40personstovalidatetheamendmentFMARD 7,166,000 7,166,000

● Printing1000copiesoftheamendmenttobepresentedtoNationalAssemblyFMARD 2,000,000 2,000,000

● Providesupportforlegislativeprocess 0 0

● Printinganddisseminate50,000copiesofanimallegislation FMARD 1,000,000 1,000,000

Conductconsultativeandsensitizationmeetingsfortherevisedlawwiththeanimalhealthpolicymakers

● Conduct3daysconsultativestakeholdermeetingwith40peoplewiththehiredconsultant(Residential)FMARD

4,666,000 4,666,000

● Conduct2-dayssensitizationmeetingof60participantsoftherevisedlawwithanimalhealthpolicymakers(Residential)

FMARD 4,360,000 4,360,000

Conducttownhallmeetingofthelivestockvalueactorsoncompliancewithanimallawsandregulation

● ConductIdaytownhallmeetingof200perstatewithallthelivestockvalueactorsoncompliancewithanimallawsandregulation

FMARD

111,370,000 111,370,000

● Uploadtheanimallawandregulationtotheministrywebsiteforpublicdomain FMARD 10,000 10,000

ConductsensitizationworkshopfortherevisedlawwiththeanimalhealthofficersinDVPCS

● Conduct2-daysensitizationworkshopof100personsontherevisedlawwithanimalhealthrelevantstakeholder(Residential)

FMARD

9,440,000 9,440,000

ConductsensitizationworkshopfortheupdatedPVSwiththeanimalhealthofficersinDVPCSandstateDVS

● Conduct2-daysensitizationworkshopof100personsontherevisedlawwithanimalwithrelevantstakeholder(Residential)

FMARD

9,624,000 9,624,000


95

P2:IHRCoordination,Communication,andAdvocacy

P2.1:AfunctionalmechanismisestablishedforthecoordinationandintegrationofrelevantsectorsintheimplementationofIHR


2018-2019

Cost(N)

2018-2022

Completependinglegislativeactionsfor“NigeriaCentreforDiseaseControlBill”togivekeypublichealthinstitutionsthelegalmandateneededtoaccomplishnationalgoals.(SeeNationalLegislation)

● CostedinNationalLegislation NCDC,FMoH,FMARD,FMoF

0 0

EstablishOneHealthplatformatthenationallevel,statelevel,andLGAs(SeeZoonoticDisease)

● DevelopaconceptnotethatprovidesamodelforcommunicationbetweenvariousMDAsunderIHRcoordination,andidentifiesstakeholders.IHRNFPwillwritetothestakeholderagenciesandaskthemtoidentifyfocalpersonsforIHRcoordination.

NCDC 10,000 10,000

● Holda1-daystakeholdersmeetingof30personstovalidatetheconceptnote(10personsfromoutsideAbuja)andestablishanewtechnicalworkinggroup

NCDC 2,152,000 2,152,000

● Convenethetechnicalworkinggrouptwiceayear NCDC 7,084,200 21,252,600

● ConvenetheIHRstakeholderstwiceayeartoreviewimplementationstatus NCDC 4,173,600 12,520,800

● SupportforIHRNFPsecretariat NCDC 320,000 1,040,000

DevelopAll-hazardsStandardOperatingProcedures(SOPs)andguidelinesforIHRcoordinationbetweenIHRNFPandstakeholders

● WithineachIHR-relatedstakeholderidentifyexistingSOPspertinenttoIHRcoordinationandcommunication(IHRNFPalreadyhasSOPsavailableforcoordination,communicationbetweenIHRNFPandotherstakeholders,andnotification);SOPsonthesideoftheotherstakeholdersneedtobedeveloped

NCDC 0 0

● UseexistingbiannualstakeholdersmeetingforeachIHRstakeholdertopresentanalysisofexistingSOPsandgapswhereSOPsneedtobedeveloped

NCDC 0 0

● WithintheIHRstakeholders,SOPswillhavetobeimprovedordeveloped. 0 0

Developdatabaseofstakeholderandpartnerssupportinganimalhealthprogrammes

● DesignateanofficerinDVPCStoupdateandcompilethelistofpartnersandotherrelevantstakeholdersupportinganimalhealthactivities

FMARD 0 0

Supportthemulti-sectoralmeetingforjointanimalhealthprogrammesuchasAMR,Zoonoticdiseasescontrol,bordersecurity,laboratoryissues

● Conduct1-dayquarterlymeetingof30personswithrelevantMDAsonjointanimalhealthprogrammesuchAMR,Zoonoticdiseasescontrol,bordersecurity,laboratoryissues)

FMARD 4,420,000 15,028,000

ProcurementofConsultantstosupportProjectImplementation

● Engage1consultantperthematicareatodevelopprojectstrategicplansandsupporttheprojectimplementation

NCDC Yes 94,080,000 376,320,000

OneHealthStakeholdersmeeting/IHRquarterlyreviewmeeting

● OnedaymeetingParticipants:NCDCIHRfocalpoint(10),FMARD(5),FMOH(5),FMOE(2)IHR19thematicareapartners(19),internationalPartners(5)(CDC,PHE,GIZ,WHO,RCDC):Hall,teabreak,lunch,water-45Participants

NCDC Yes 1,689,400 1,689,400

RecruitmentofSafeguardconsultantstodevelopaplanfortheprojectaddressing(i)compliance

● Consultancytoprovidesafeguard,wastemanagementandgrievancesupporttotheREDISSEproject NCDC Yes 4,158,000 4,158,000


96

levelrequired(ii)howthetreatmentofmedicalwastemanagement

MonthlyProjectReviewmeeting ● Hold2-daymeetinginAbuja20:Participants(PCU(6)NCDCeachthematicarea-(5),FMoH-2,FMoE-2,FMoF-2,FMARD2)

NCDC Yes 871,200 3,484,800

HoldquarterlyNationalTechnicalCommittee● ConductquarterlyTechnicalcommitteemeetingsinAbujahall,accommodation,lunch,teabreak,stationery

NCDC Yes 30,370,080 30,370,080

BiannualNationalSteeringCommitteeMeetings● Holdbiannualsteeringcommitteemeetings

NCDC Yes 6,826,070 27,304,280

PerformanceIncentive ● ProjectConsultants,MonthlycommunicationallowancesandtravelsupporttforPCU NCDC Yes 60,600,000 60,600,000

NCDC2019WorkPlandevelopment ● 2-dayNCDCLeadership/topmanagementretreattoREVIEWSTRATEGICPLAN,developthegoals,objectivesandactivitiesfor2019

NCDC Yes 1,197,730 1,197,730

ProjectManagementtraining ● Supportforin-countryProjectmanagementtrainingandprocurementofPMsoftware NCDC Yes 7,635,080 7,635,080

Procurementactivitiesandtendersboardmeetings

● Conductmonthlyprocurementreview/tendersboardmeeting;advertisementofprocurement; NCDC Yes 9,711,240 9,711,240

ProcurementConsultant ● ConsultancytosupportprocurementactivitiesofREDISSE NCDC Yes 13,320,000 13,320,000

SupportforREDISSEprojectlogistics ● Runningcostsfortheprojectofficefor12months NCDC Yes 7,364,500 29,458,000

Attendanceofrelevantnationandinternationalevents

● SupporttoNCDCstafftoattendlocalandinternationalconferencesandworkshops NCDC Yes 30,476,250 30,476,250

WorldBankProjectmanagementtrainingandprojectstartupworkshop

● Programmestart-upworkshopwithWorldBankTeam NCDC Yes 16,733,690 16,733,690

MonitoringandEvaluationvisitstoprojectsites ● QuarterlyM/Evisitstoprojectsitestoassessprojectperformanceandmonitoractivitiesonthefieldfor6teamsof2people

NCDC Yes 13,235,904 13,235,904

EstablishOneHealthplatform/coordinationmechanismatthenationalandallstates

● ConstituteaOneHealthTWGof5personstodraftMOUforthesurveillance,laboratoryandresponseincludingbudgetaryallocationforpriorityzoonoticdiseaseacrosstherelevantMDAs

NCDC Yes 0 0

● Conductmulti-stakeholdermeetingstoreviewandvalidatethedraftedMOUwith20participantsfor1-day NCDC Yes 0 0

● SigningofMOUbytherelevantstakeholders NCDC Yes 0 0

● SupporttheOneHealthTWGquarterlymeetingswith20participantsfor1-day(n-Residential) NCDC Yes 0 0

● SupporttheNationalOneHealthannualmeetingswith100participantsfor3day(Residential) NCDC Yes 0 0

● DesignateOneHealthfocalpointintherelevantMDAs NCDC Yes 0 0

● SupporttheOneHealthTWGtodeveloptherolesandresponsibilitiesoftheidentifiedOneHealthfocalpointsfor1-day(TobedoneatoneoftheTWGquarterlymeetings)

NCDC Yes 0 0

IHRcoordination/OneHealth ● SupporttotheREDISSEPCU;SupportindevelopmentofNAPHS NCDC Yes 45,750,000 45,750,000


97

P3:AntimicrobialResistance

P3.1:Antimicrobialresistance(AMR)detectionsysteminplace


2018-2019

Cost(N)

2018-2022

EstablishanationalsteeringcommitteetoadvisetheHonourableMinisters

● SetupasteeringsecretariatatFMOH/NCDC NCDC

0 0

● Identifyallstakeholders NCDC 0 0

● DevelopaTORforthesteeringcommittee:a1-daymeetingfor40peopleinAbuja.RepresentativeswillbefromMDAs,RegulatoryBodies,theprivatesector,academiafromhuman,animal,environmentalhealthandfoodsafetyinstitutionsandpartners(Thisincludescostfortravels/perdiem/food/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC

5,270,000 5,270,000

● Facilitatebi-annual1-daymeetingfor40people(Thisincludescostfortravels/perdiem/food/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC 10,438,000 41,752,000

ConveneregularmeetingwithallDepartments/parastatalstodiscussthe

● Advocacyvisittothedeputyspeakerhousecommitteeonhealth(6personswilltake1-dayvisittothesenate;2wouldbefromoutsideAbuja)

NCDC

865,000 1,730,000

report,thequarterlyAMRactivitymappingmeetingandareasofintegrationbetween

● DisseminatereportoftheWHOAMRcaseinvestmentstudy(Printoutanddisseminate1000copiesofreporttoallstakeholders)

NCDC

750,000 750,000

partnersandagencies ● Workshopwith60stakeholdersdiscussnextstepsafterAMRcasestudyreport,reviewtheToRfortheAMRtechnicalworkinggroupviaa2-dayworkshopheldinLagosandreviewtheNAPtodevelopoperationalplanforactivitiestobeimplementedin2018(Thisincludescostfortravels/perdiem/food/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC

9,374,000 9,374,000

● 4-monthlyAMRTWGworkshoptoreviewprogressonNAPimplementation(1-dayresidentialworkshopof60people)

NCDC 22,677,000 90,708,000

● VirtualmonthlymeetingsfromJunetoSeptemberand1face-to-facemeetinginOctoberannuallytoplanforAnnualNationalAntibioticAwarenessWeek;inthethirdandsixthmonth,stakeholdersfromotherStateswillbeinvitedtoAbuja(Thisincludescostforfeedingforallandtravels/perdiem/accommodationforinvitedstakeholdersetc.)

NCDC

8,051,200 20,128,000

Developaframeworkforpartnershiponpharmaceuticalresearch ● MeetingswithNIPRDtodevelopaframeworkforpartnershipforpharmaceuticalresearchconvened(1-day

meeting,15people)

NCDC

2,151,000 2,151,000

Strengthenthe“OneHealth”componentsintheNigeriaNationalActionPlanonAMR.

● CollaboratewithFMARDtoestablishavoluntarycertificationprogramonrationaluseofantibioticsintheAgriculturesectorbyconveningannualmeetingswithFMARDonframeworkfortheprogramandregularupdatesonprogressmade(Twomeetingsof30peoplefromFMoH,NCDCandFMARDwillbeheldinAbuja)

FMARD

4,794,000 19,176,000

● HoldannualmeetingswithFMEnv,PMGMAN,PCN,NESREAontrackinghealthcarewasteandpharmaceuticaleffluentdischargeintotheenvironment

MOE 5,063,000 20,252,000

EstablishandimplementaMonitoring&EvaluationframeworkforAMRsurveillance ● Engage2consultants(1human,1animal)todevelopM&Eframework/planforAMRresponseinhuman,

animalandenvironmentalhealth

NCDC

1,722,100 1,722,100

● Holda1-dayworkshoponthevalidation/implementationofM&Eplanfor40AMRstakeholders(human,

agriculture,environment)(Thisincludescostfortravels/perdiem/food/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC

1,675,000 1,675,000


98

CreateadatabaseforAMRandAMUSurveillancefromhumanhealthfacilities,farms,feedmills,vetclinicsandenvironment ● EngageanITconsultantfor10daystosetanelectronicdatastorageandsharingsystemonAMRandAMU

surveillanceandResearchinhumans,creatinginterfaceforhuman,animalandenvironment

NCDC

1,796,000 2,694,000

● EngageITconsultanttodevelopmobileplatformandonlinedatabasefordatastorage(3month)foranimalandenvironmentAMRsurveillance

FMARD 898,000 1,796,000

● PrintNationalAMRresponseandcontrolresearchinhigh-impactjournalandshowcaseinnewspapers(Publishinnewspapertwiceayearintwonationaldailiesand5articlesperyear)

NCDC 1,700,000 6,800,000

P3.2:SurveillancesystemforinfectionscausedbyAMRpathogens


2018-2019

Cost(N)

2018-2022


● Organisea4-daytrainingworkshopwith30stakeholdersonhumanAMRsurveillancesystemtoprovidestructure,guideoperations;trainingonantimicrobialsusceptibilitytesting,dataanalysisandWHONETreporting(Thisincludescostfortravels/perdiem/feeding/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC 8,582,000 8,582,000

● Engageaconsultantfor10daystodevelopprotocol/guideline/toolsdevelopmentforhumanAMRsurveillancesystem

NCDC 898,000 898,000

● Printinganddistributionof400copieseach(AMRsurveillanceforhumanhealth)ofdevelopedguidelines/protocols/tools

NCDC 600,000 600,000

● Organisea2-dayannualworkshopof15labstakeholdersinsixgeopoliticalzonetoreviewprogressontheimplementationofAMRsurveillanceintegration(Thisincludescostfortravels/perdiem/feeding/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC 15,100,000 60,400,000

ConductAMRdiagnosticcapacityassessmentoflaboratoriestoselected

● 5-personteamtovisit5human,animalandenvironmentlaboratoriesin2018and10laboratoriesfrom2019to2022shouldbeassessedforAMRsurveillance

NCDC 1,374,600 4,123,800

sentinelsitesforreportingintoGLASSacrosshuman,animalandenvironmentalhealthinstitutionsanddesignateAMRNationalReferenceLaboratoryforhumanandanimalhealth

● Procureequipment,materials,antibioticpanels,consumablesanddatareportingtoolsbiannually,tosupportthe30humanhealthfacilities,6labsfromanimalhealthand2environmentalhealthlaboratories

NCDC 0 0

EstablishinternalandexternalQualityAssuranceprogramsatdesignatedlaboratories

● ProcureEQAsforhumanhealthlaboratoriesforBloodstream,entericandurinaryinfectionsviaenrollmentinEQA

NCDC 0 0

EstablishtermsandconceptanAMR ● Setupa6-mantaskteamtocompiledocuments,developTOR FMARD 0 0

ReferenceLaboratoryandnetworksystem ● Engageaconsultanttoconductanassessmentofexistingstatutoryinstruments,toidentifyrelatedgaps FMARD 494,000 494,000

foranimalandenvironmentalhealthlaboratories ● Aworkshopof20legalofficersfromagriculture,healthandenvironmentandotherMinistries,DepartmentandAgenciesandorganisationstoreviewreports,proposeanamendment,anddraftnewregulationswherenoneexists

FMARD 482,000 482,000

● High-levelstakeholdersmeetingtoreviewandapprovetheproposedamendmentand/ornewregulationswithapresscorps

FMARD 450,000 450,000


99

● Advocacyvisitsandengagementwiththelegislatureandexecutivearmsofgovernmentforbuy-inandlegalbacking

NCDC 267,000 267,000

● DesignateNationalVeterinaryResearchInstitute(NVRI)asAMRreferenceLabforanimalhealth FMARD 0 0

● Engageaconsultantfor10daystodevelopandfinalizeAMRsurveillancesystemguidelinesforanimalAMRsurveillancesystem

FMARD 898,000 898,000

● Organizea4-dayworkshoptotrain20labpersonnelinanimalAMRsurveillancesystemtoprovidestructure,guideoperations;trainingonantimicrobialsusceptibilitytesting,dataanalysisandreporting

FMARD 6,256,000 6,256,000

● ProcurementofLabequipment(2HPLCmachine,antimicrobialsensitivitydiscs,dispensers,reagentandotherconsumables)foranimalhealth

FMARD 0 0

● ProcureEQAsforanimalhealthlaboratoriesforBloodstream,entericandurinaryinfectionsviaenrollmentinEQAprograms(ensurecostingiscapturedunderJEENationalLabsystemtechnicalarea)

FMARD 0 0

P3.3:Healthcare-associatedinfection(HCAI)preventionandcontrolprograms


2018-2019

Cost(N)

2018-2022

StrengthenHCAIsurveillanceandpreventionprogammes

● InaugurateNationalInfectionPreventionandControl(IPC)TechnicalWorkingGroupacrosshuman,animalandenvironmentalhealthsectoranddevelopdraftofharmonizedNationalIPCpolicyandreviewtheNationalIPCtrainingmanualandmoduleforfrontlinehumanhealthcareworkersbyholdinga3-dayworkshopwith20stakeholders

NCDC 4,232,000 4,232,000

● Finalise/validateharmonizedNationalIPCpolicybyholdinga2-dayworkshopwith40stakeholders NCDC 6,222,000 6,222,000

Support,monitorandevaluateinfectionpreventionandcontrolprogramsincollaborationwithNationalIPCfocalpointandstakeholders

● Organisea2-dayannualworkshopof15frontlinehealthcareworkers(perstate)inIPCcommitteesofpublichospitalstodevelopIPCactionplaninsixgeopoliticalzones(Thisincludescostfortravels/perdiem/food/accommodation/venueforinvitedstakeholders,stationeries,writingmaterialsetc.)

NCDC 15,376,000 15,376,000

● Train10frontlinehealthworkersathumanhospitalsonsurveillancesystemforHCAIin37government

hospitalsfor3daysbygeopoliticalzonestomonitorandevaluateIPCmeasuresincludingsurveillanceforHCAIandoutbreakresponse

NCDC 38,814,000 77,628,000

Assessinfectionpreventionandcontrol ● AdaptIPCassessmenttoolandreviewwithassessorspre-evaluation NCDC 3,443,000 10,329,000

facilitiesandadvocateforresourcestosupportIPCnationallyandinallhealthcarefacilities

● Advocacy/SensitizationmeetingtoDirectorPH,StateEpidemiologist,CMD,CMACandHODsandassessmentofIPCprogramsin37healthcarefacilitiesby2-manteamfor1-day

NCDC 3,443,000 10,329,000

IntroduceIPCprogrammeinveterinarypracticeattheveterinaryhospitals/clinics

● ConductsensitizationonIPCandanimalbiosafetyinveterinarypractice,aquaticandterrestrialanimalhusbandryviaa1-daystakeholdermeetingwith40representativesinAbuja

FMARD 1,072,000 3,216,000

andbiosecurityatfarmlevelinaquaticandterrestrialanimalhusbandry.

● Establish/strengtheningexistingIPC/Biosafetycommittees/teamswithinexistingcommitteesintertiaryhospitals.ConstituteIPC/Biosafetycommitteesineachofthe9VeterinaryTeachingHospitals(VTH).Organizea2-daytrainingworkshopfor50membersofthecommittee(5perVTH,5fromnational)

FMARD 9,476,000 9,476,000

● TointroduceIPCmeasuresintoveterinarypracticeandaquaticandterrestrialanimalhusbandryandimplementbiosecuritymeasuresatalllevelsofanimalproduction(terrestrialandaquatic)andfeedmilling.Holda2-daysensitizationworkshopontheimportanceofbiosecuritymeasuresonfarmsandfeedmillsatthe6geopoliticalzones(45personspergeopoliticalzone)

FMARD 21,297,000 42,594,000


100

● Developspecificbiosecurity/IPCguidelines,protocolsandSOPsforterrestrialandaquaticanimalhusbandry,

andinveterinarypractice.Two5-dayworkshopsfor20personsinAbujatodevelop/adaptbiosecurity/IPCtrainingmaterialsforanimalhealthandanimalproduction(terrestrialandaquatic).

FMARD 7,380,000 7,380,000

● Trainingandre-trainingofVeterinarians&para-veterinarystaff,feedmillers,farmers,transporters,live-bird-

markets,surveillanceandcommunicationagentsonbiosecurity/IPCmeasures.2-Daytrainingworkshopsfor45personspergeopoliticalzone(7personsperState)

FMARD 24,513,000 49,026,000

● Distribute1000printedbio-securityandbiosafetyguidelinesforanimalhealthandanimalproduction(terrestrialandaquatic)forterrestrialandaquaticanimalsandinveterinarypracticetothe36StatesandFCT

FMARD 1,500,000 1,500,000

● Promotebiosafety,personalhygieneatanimalfarms,Veterinaryoutfitsandfoodanimalprocessingplantsand

feedmillers.6groupsofateamof3(FMARD,NAQS,NAFDAC)topaysupervisoryvisitstofarmsandfeedmillsinthe6geopoliticalzonesat2-day/state

FMARD 2,687,200 2,687,200

● DevelopIPC/BiosafetyprogramforAnimalHealthClinics/Hospitals(withtheinclusionofenvironmental

managementandhospitalwastemanagementcomponents)A)HireaconsultanttosupporttheIPC/BiosecurityProgramforAnimalHealthfor1month

FMARD 2,514,000 2,514,000

● Conducta5-daymeetingtodevelopguidelinesfortheBiosafety/IPCProgramforVeterinaryClinics/HospitalsandVetlaboratoriesx15peopleinAbuja

FMARD 3,035,000 3,035,000

● A2-daysvalidationworkshopfor40peopleinAbuja(15personsfromoutsideAbuja)

FMARD 5,160,000 5,160,000

Improvehandhygiene,foodhygieneandwastedisposalacrossallsectors

● DevelopguidelinesandIECmaterialstoensureproperwastedisposalandmanagementandguidelineforwholesomeandhygienic,fish,meat,dairy&dairyproducts,terrestrial&aquaticanimaltransporters,handlersandfeed/feedmilling.A)Conducta5-dayworkshoptodevelopguidelinesforwholesomeandhygienic,fish,meat,dairy&dairyproducts,terrestrial&aquaticanimaltransporters,handlersandfeed/feedmillingx10peopleinAbuja

FMARD 4,310,000 4,310,000

● Advocacytogovernmenttoprovidesafepotablewaterforanimalproduction&processing.Ateamof5topayadvocacytogovernment.DevelopmentofadvocacytoolsforAdvocacyvisit

FMARD 64,000 64,000

● Sensitizationandawarenesscampaignstofarmingcommunitiestoprovidesafepotablewaterforanimalproduction&processing.Organize2-dayssensitizationworkshopsfor45peoplepergeopoliticalzoneswitha2-manteam

FMARD 5,262,000 15,786,000

● Controlcenters(NCDCandMinistryofLabour)organizeworkshopsandtrainingonoccupationalsafetyforwastecollectorsandtertiaryhospitalstaff.Organize2-dayssensitizationworkshopsfor45peoplepergeopoliticalzones

MOE 13,526,000 40,578,000

● Trainingonoccupationalsafetyforwastecollectorsandtheiremployersaswellashospitalstaff.2-daysTrainingworkshopsfor45personspergeopoliticalzone(7personsperState)

MOE 13,526,000 40,578,000

● Printanddistribute4000copiesIECmaterialsannuallytoschools MOE 600,000 600,000

● PromotionofHandhygieneatthecommunityandinschools.Annualsensitizationofteachers.1-daysensitizationfor15PrincipalsperState,2teachersfromUBEperstateand3fromNational.CostforRefreshments,DSAandlocaltransportation

MOE 8,470,000 31,339,000

Improveaccesstosafeandpotablewater ● Conductadvocacytorelevantstakeholdersonprovisionofpotablewateratallhealthcarefacilitiesandcommunities

MOE 0 0

● Conductadvocacytorelevantstakeholderstoprovidelogisticsupportforsafehealthcarewastemanagement MOE 0 0

● Provisionofwaterqualitytest-kitsandroutinelaboratorytestingofwaterforaquaticandterrestrialanimals FMARD 0 0


101

P3.4:StewardshipActivities


2018-2019

Cost(N)

2018-2022

DevelopandImplementantimicrobialstewardshipprogramsacrosshuman,animalandenvironmentalhealth

● Hold5-daynationalworkshopwith50stakeholderstodefineTOR,developAMSPolicyforNigeriatodevelopantimicrobialstewardshipworkingmanualsforhospitals,VetclinicsandcommunitypharmaciesinNigeria.(Thisincludescostfortravels/perdiem/feeding/accommodation/venueforinvitedstakeholdersetc.)

NCDC 12,526,000 12,526,000

PromoteoptimalprescribinganddispensingofantimicrobialsinhumansandanimalsandSupportparticipationoftertiaryhealth

● 3-dayWorkshopfor40stakeholdersinanimalhealthtoadapttreatmentguidelinesforanimalsinaccordancewithOIEterrestrialandaquaticcodeanddevelopessentialveterinaryantimicrobiallistintotheveterinaryformulary.

FMARD 3,116,000 3,116,000

facilitiesinNigeriainAMSpointprevalencesurvey

● Printinganddistributionof1,000updatedEDL,STGsforhumanhealthworkersand1,000updatedtreatmentguidelinesandveterinaryformularytoVetworkersatalllevelsofcare

FMARD 3,000,000 3,000,000

ConductAssessment(Survey)ofcurrentpracticesofAMUinhumansandanimals

● Engagetwoconsultantsand4datacollectorsforone-monthtoobtainbaselinedataonantimicrobialconsumptionin1tertiary,1secondary,1primaryhealthfacilities,1Veterinaryfacilityand2communitypharmaciesinthe6geopoliticalzonesofthecountry.(Thisincludescostfortravel/perdiem/food/accommodationetc.)

NCDC 10,236,000 10,236,000

● DevelopandimplementeducationandtrainingonrationaldruguseforhumanandanimalhealthinlinewithupdatedSTGs.a.Holda1-dayworkshopmeetingwith30stakeholdersfromFamilyHealthdepartmentintheFMOHtoincorporateAMRprescribingcompetenciesintotheeducation(trainthetrainer)programswithinMotherandChildhealthclinicalactivities,DepartmentofHospitalservices&FoodandDrugServicesinFMOH,NPHCDA

NCDC 894,000 894,000

● A2-daymeetingwith50stakeholderstodeveloponehealthtrainingmaterialsandmanualsonRationalDrugUse

NCDC 7,468,000 7,468,000

● Holda3-dayTrainingworkshopfor30participants/StatewithNPHCDAforhumanandanimalhealthworkersaresecondaryandtertiarylevelsofcaretocascadetofacilitiesandtointegraterationalantibioticuseintothePHCPACguidelines

NCDC 38,385,000 157,804,992

● 4-personteamvisit37states2-daysannuallymonitoringvisitstoevaluatecomplianceandimpact,antimicrobialPPSreportandconducttwiceyearlyevaluationvisitstofacilities.

NCDC 2,404,800 9,886,400

PilotAMSprogramincludingPPSin12healthinstitutionsinthe6geopolitical

● Procureinformationcommunicationdevicessuchascomputersandinstallrequiredantimicrobialconsumptionmonitoringsoftwareatthepilotfacilitiesandscaleuptotheotherfacilities.

NCDC 12,975,000 51,900,000

zones(1tertiaryand1secondary)andscaleupto27tertiaryandsecondaryhealthfacilitiesrespectively.

● Engageconsultantfor10daystodevelopprotocolforthetrainingofAMSCommitteesondatacollectionprotocols;PPS,antimicrobialuse/resistancereporting,auditingandinformationsharingmechanismsinhumans

NCDC 898,000 898,000

● CreateandmaintainanonlinecontinuouseducationalmoduleonAntimicrobialstewardshipforonehealthworkers.

NCDC,FMARD

0 0

Organize2-dayworkshopwith30stakeholderstodevelopandupdaterelevantprescribingpoliciesandlegislativeframeworkofVCN,PCNonantimicrobialuseandAMRcontrol.

● Organize2-dayworkshopwith30stakeholderstodevelopandupdaterelevantprescribingpoliciesandlegislativeframeworkofVCN,PCNonantimicrobialuseandAMRcontrol.

NCDC 4,976,000 4,976,000


102

1-dayadvocacyvisittopolicymakerswithtwostakeholderseachfromPCN,VCNandNAFDACtoensurecompleteenforcementofrestrictiononoverthecountersaleofantibiotics.(Thisincludescostforadvocacykitsandtransportation)

● 1-dayadvocacyvisittopolicymakerswithtwostakeholderseachfromPCN,VCNandNAFDACtoensurecompleteenforcementofrestrictiononoverthecountersaleofantibiotics.(Thisincludescostforadvocacykitsandtransportation)

NCDC 64,000 64,000

ConductanationwidebaselinebehaviouralstudyonAMRawareness,KAPP.UsebaselinefindingstodevelopanddisseminateanAMRSBCCmaterialsinEnglish,Pidginhausa,IgboandYoruba.Activity

● AssessmentofAntibioticsawarenessin10geopoliticalzone.5teamsof2personsperteam NCDC 5,280,000 10,560,000

DevelopandprintriskcommunicationtoolsforAMRawarenessinHumansandanimals

● PretestingofSBCCmaterialsby2man-teampergeopoliticalzonefor60participants NCDC 1,344,000 1,344,000

● Developmentof10000SBCCmaterialsonAMRinhumansandanimalsinEnglish,Pidgin,Igbo,HausaandYorubaforthecommunity(Thisincludescostforpretesting,developmentanddisseminationof100000copies)

NCDC 1,000,000 1,000,000

Reviewofschoolcurricula(primary,secondaryandtertiary)andtrainingguidelinesforteachersandhealthprofessionalsinhuman,animalandenvironmenttoensureappropriateinclusionofAMR,IPC,biosecurityandantimicrobialstewardship

● 1-daysreviewmeetingwith50relevantstakeholderstoupdateschoolcurriculaandtrainingguidelineswithMinistryofEducationandNYSC(Thisincludescostfortravel/perdiem/feeding/accommodation/venuefortheinvitedstakeholders.

NCDC 1,306,000 1,306,000

Organiseseminarsandtrainingforrelevantstakeholderssuchasmedia,PPMV,animalhealthinspectors,clinicalveterinarians,livestockproducers,aquaculturefarmers,tollmilers,feedmanufacturers,etc.

● Conducta1-dayseminarof120relevantStakeholderstoraiseawarenessonhuman,animalandenvironmentantibioticsresistanceincludingNAFDACfocalpersontodiscussintegrationofAMRmessagesinTVprogramsandchannelsconductedandAMRNationalBehaviourChangeCommunicationConsultativeGroup(NBCCCG),Sensitisedrugretailers,lifestock/fishmarketersandbutchersonAMR

NCDC 3,086,000 3,086,000

IncorporateAMRactivitiesintothrough ● MeetingwithUNICEF/GARP/WHOtoplanonhowWASHcanbeusedtocreateawarenessconducted 0 0

existingWASHprogramswithinNPHCDAand ● AMRmessagingintegratedintotheNationalCholeraWASHCampaignin2018 0 0

Familyhealthandotheragencies ● Coordinatesocialmediaactivitieswithotheragenciestopromotehandhygieneinthecommunityduringcampaigns

0 0

● Recordreviewofvetclinics/hospitalsfordataondruguseinthetreatmentofanimals.Quarterlysamplingofanimalfeeds,water,meat,milk,eggs,fish,honeyin6bigfarms,abattoirs,feedmillsperstate(2manteamfor5-days/state)

FMARD 4,750,000 17,575,000


● EngageaconsultanttodevelopasurveillanceprotocolforAMUinfarms,abattoirs,feedmills,veterinaryteachinghospitals,fishfarms,fishmarketsandmeatshops(1consultanttoworkover10days

FMARD 898,000 898,000

● TrainingofStateMinistryofAgriculturestaffandLGA,veterinarians(publicandprivate),veterinaryparaprofessionalsonAMR,AMUsurveillanceandsamplecollectionandtransportation(50participantsover5-dayseach)

FMARD 57,760,000 213,712,000


103

P4:ZoonoticDiseases

P4.1:Surveillancesystemsinplaceforpriorityzoonoticdiseases/pathogens


2018-2019

Cost(N)

2018-2022

Updatelistoftoppriorityzoonoticdiseasesthrougha"OneHealth"

● Conductmulti-stakeholdersmeetingsof35participantstoreviewkeypriorityzoonoticdiseasesannuallyfor2-day.(Residential)

NCDC 0 0

deliberationprocess ● Conductmulti-stakeholdermeetingsof20participantstovalidatethereviewedkeypriorityzoonoticdiseasesannuallyfor1day.(Residential)

FMARD 0 0

Developintegratedzoonoticdiseasesurveillancesystem

● Engageaconsultantfor4weekstoassesstheexistinganimaldiseasesurveillancesystem(NADIS/ARIS)andtoalsodeveloptheoperationalplanfortheintegrationofzoonoticdiseasesurveillancesystem

FMARD,NCDC

0 0

● Hireaconsultantfor2weekstodevelopSOPs,guidelinesandprotocolsforreportingpriorityzoonoticdiseaseofPHEICtotheIHRNFP

FMARD 0 0

● Conductmulti-stakeholder’smeetingsof20participantsreviewandvalidationofthedraftSOPs,guidelinesandprotocolsforreportingpriorityzoonoticdiseaseofPHEICtotheIHRNFP.

FMARD 0 0

● Conducta2-daytrainingof50animaldiseasereportingofficersin2batches(37Federaland37stateEpidofficers,10veterinaryteachinghospitalstaff,2NVRIstaff,6Quarantineand8privateveterinariansonthecoreactivitiesoftheintegratedzoonoticdiseasesurveillancesystem

FMARD 0 0

● Procure100laptopsfortheanimaldiseasereportingofficers FMARD 0 0

Developriskmappingforfourpriority ● Engageoneconsultantfor4weekstodeveloptheriskmappingforpriorityzoonoticdisease FMARD 1,706,000 1,706,000

zoonoticdiseasesusingonehealthapproach ● Conductexpertelicitationof40participantsworkshopfor5-daystosupporttheconsultantindevelopingriskmapping

FMARD 11,853,000 11,853,000

● 1-daystakeholdermeetingwith20participantstovalidatethereportoftheriskmapping FMARD 5,829,000 5,829,000

● Printingof500copiesofthevalidatedriskmapping FMARD 500,000 500,000

● Disseminationof400copiesofthevalidatedriskmapping FMARD 740,000 740,000



NCDC 0 0

● Conductmulti-stakeholdermeetingstoreviewandvalidatethedraftedMOUwith20participantsfor1-day NCDC 0 0

● SigningofMOUbytherelevantstakeholders NCDC 0 0

● SupporttheOneHealthTWGquarterlymeetingswith20participantsfor1-day(n-Residential) NCDC 0 0

● SupporttheNationalOneHealthannualmeetingswith100participantsfor3-day(Residential) NCDC 0 0

● DesignateOneHealthfocalpointintherelevantMDAs NCDC 0 0


0 0


104

Strengthenlaboratorydetectionforpriorityzoonoticdiseases/pathogens(

● Hireaconsultanttoconductneedsassessmentforhumanlaboratories,sixVTHlaboratoriesacrossthegeopoliticalzonesforthediagnosisofzoonoticdiseases

NCDC/FMARD/FMOH

0 0

● Procurementofreagents,consumables,andequipmentforthesixVTHs(Reagents–2000RDTkits;Lassafever,Rabies,BrucellosisandAvianInfluenza;consumables–100,000needleandsyringes,40,000litresofdisinfectant,10,000vacucontainers,20,000testtubes,20,000gloves,5000PPEs;Equipment–6PCRmachines,10bio-safetycabinets,20electronmicroscopeetc.

FMARD 423,400,000

423,400,000

● Conducttrainingof25laboratorypersonnelondetectionofpriorityzoonoticdiseases

NCDC 13,450,000 33,625,000

● Engageaconsultantfor4weekstodevelopLaboratoryInformationManagementSystem(LIMS)foranimalhealth

FMARD 1,290,000 1,290,000

● Train40laboratoryinformationofficeronLIMS

FMARD 0 7,658,000

● ProvisionofICTinfrastructuralfacilities(40laptops,40modems

FMARD 0 10,400,000

● Monthlyinternetsubscriptionsfor40

FMARD 0 2,400,000

P4.2:AnimalHealthandVeterinarianWorkforce


2018-2019

Cost(N)

2018-2022

Strengthentechnicalcapacityforanimalhealthworkforce(Zoonoticdisease

● Engageaconsultantfor1weektoconductgapanalysisonthetechnicalcapacityoftheanimalhealthworkforceintheareaofzoonoticdiseasecontrol,riskcommunication,diagnosesetc.

FMARD 1,438,000 1,438,000

control,communications,RDTs,etc.) ● Conductmulti-stakeholdermeetingtovalidatethegapanalysisreportwith20participantsfor2days FMARD 3,534,000 3,534,000

● Trainingof100animalhealthworkersfor5-daysin2batches(Residential) FMARD 29,270,000 29,270,000

Advocate/SupportfortherecruitmentanddeploymentofanimalhealthepidemiologistsintothePublicHealthsectorattheStateandnationallevels

● Conductmulti-stakeholdersmeetingwiththe37statecommissioners’ofagricultureand37directorsofveterinaryservicestodiscussonthesustainabilityplanfortheadvancedandfrontlineFETPprogram,recruitmentandotherrelevantworkforceissuesfor2-days(Residential)

FMARD 13,659,000 13,659,000


105

P4.3:Mechanismsforrespondingtoinfectiouszoonosesareestablishedandfunctional


2018-2019

Cost(N)

2018-2022

EstablishOneHealthplatformforrespondingtoinfectiouszoonoticdiseases(1–3havebeencapturedunder

● ConstituteaOneHealthTWGtodraftMOUforresponseactivitiesincludingbudgetaryallocationforpriorityzoonoticdiseaseacrosstherelevantMDAs

FMARD,NCDC,MoE

0 0

indicatorP4.1activity5) ● Conductmulti-stakeholdermeetingstoreviewandvalidatethedraftedMOUwith20participantsfor1-day FMARD,NCDC

0 0

● ThesigningofMOUbytherelevantstakeholders NCDC,FMARD

0 0

● EngageaconsultanttodevelopOneHealthemergencyandresponseplanforselectedpriorityzoonoticdiseases

NCDC,FMARD

0 0

● TrainingofOneHealthresponseteam(1Medical6)Epidemiologist,1Veterinarian,2Laboratorian,1environmentalhealthofficer,1wildlifeofficerand1communicationofficer)in37statesandatfederallevelduringoutbreaksituationfor5-days

NCDC,FMARD

0 0

● Conductsimulationexercisesfor20teamstotesttheemergencyandresponseplanfor2selectedzoonoticdiseases

FMARD 0 0

● Conductionafteractionreviewforatleasttwomajorzoonoticdiseaseoutbreakstoimprovetheresponsemechanismwith40participantsfor2-days(residential)

FMARD 0 0

BuildtechnicalcapacityforzoonoticdiseaseofDiseaseSurveillance

● Identifyanddesignateanimaldiseasesurveillancepoints/officerbasedonthereportoftheriskmappingfrom591to1000surveillancepoints FMARD

0 0

OfficersandAnimalSurveillanceOfficersatLGAlevel

● Trainingof1001existingandnewvetsurveillanceforagentsonresponsetoinfectiouszoonoticdiseasesFMARD

102,943,400

102,943,400

● Engageaconsultantfor1weektodevelopanddesignSOPs,guidelinesandprotocolsonselectedpriorityzoonoticdiseaseforIweek

FMARD 494,000 494,000

Developandimplementanationalstrategyformulti-sectoralresponsetozoonoses

● SeeunderIHR&preparednessandresponse

0 0

ConductprioritizationofTADsandzoonoticdiseases

● Engageconsultantstoconductexpert,elicitationexercise,reviewandupdatethelistofpriorityzoonoticdiseasesandTADsforhumanandanimalhealthsurveillancesystem2.Conducttwomulti-stakeholdermeetingsof50&65personsfortheadoptionandvalidationofthereportrespectively(3daysresidential)andl4.Print2500copiesanddisseminate2000copiesofthereport

FMARD Yes

14,748,284 14,748,284


106

P5:FoodSafety

P5.1:Mechanismsformulti-sectoralcollaborationareestablishedtoensurerapidresponsetofoodsafetyemergenciesandoutbreaksoffoodbornediseases


2018-2019

Cost(N)

2018-2022

Strengtheninter-sectoralandinterdisciplinarycollaboration,

● Quarterlymeetingsof40-memberFoodSafetyCommittee. FMOH 15,228,000 35,532,000

coordinationandinformation-sharingon ● Bimonthlysensitizationoftheparliamentariansattheupperandlowerhouse. FMOH 288,000 288,000

foodsafetyandfoodbornedisease. ● Printing2000copiesofFoodSafety&QualityAct FMOH 4,658,000 4,658,000

● DisseminationoftheActto36statesofthefederation. FMOH 131,200 393,600

● EngageacommunicationsconsultanttodevelopdraftSOPforFoodSafety,IECmaterialsinEnglish FMOH 3,600,000 3,600,000

● Conductastakeholders’meetingof20personsfor1-daytovalidatetheSOP. FMOH 1,444,000 1,444,000

● Engageawebdevelopmentconsultanttodevelopprototypewebsiteonfoodsafety(forpublications,reports,research,interventionsetc.).

FMOH 3,600,000 3,600,000

● ConsultanttoworkwithFoodSafetyProgramme(FMOH)todevelopadraftwebcontent FMOH 0 0

● Conductstakeholders’meetingof30peoplefor2-daystovalidatewebcontentandsitestructure. FMOH 2,556,000 2,556,000

● Uploadfilestoregistereddomain. FMOH 0 0

Strengthenfoodsafetycapacityincludingrelevantlaboratorycapacityinthepublichealth,foodsafety,andagricultureand

● Engageconsultanttoperformbaselineassessmentoflaboratorycapacitiesandidentifyatleast1laboratoryperstate(37labs)forstandardizationandaccreditationtoISOcertificationforfoodbornediseasedetection

NCDC 0 0

veterinarysectorsatcentral,stateanddistrictlevels.

● Consultanttoworkwithfoodborneillnessdetection&responsecollaborativeteamtodevelopdraftSOPsforsamplecollection,transportation,storageandlaboratorytestingrequirementsforfoodsafetythreats.

NCDC 0 0

● Conductstakeholders’meetingof40personsfor2-daystovalidatethedraftSOPs NCDC 0 0

● Trainingof2laboratorypersonnelineachofthe37laboratoriestoensurecapacityandadherencetoprotocols FMOH 5,876,800 17,630,400

● Engageconsultanttoperformbaselineassessmentoflaboratorycapacitiestodetect,reportandsurveyanimal

samplesatleast1laboratoryperstate(37)forstandardizationandaccreditationtoISOcertificationforfoodbornediseasedetection

FMARD 0 0

● ConsultantdevelopdraftSOPsforanalysisofanimalsamplesfordetection,reportingandsurveillance FMARD 0 0

● Conductstakeholders’meetingof40personsfor2-daystovalidatethedraftSOPs FMARD 0 0

● BiannualreviewoffoodbornediseaseandanimaldiseaselaboratorybytheNationalFoodSafetyCommittee. FMARD 0 0

● Reviewofthelaboratoryassessmentforfoodsafetycapacityspecifically,anddefiningspecificneedsforlaboratoryequipmentandcapacityupgrades(animalhealthandhumanhealth)

FMOH 0 1,380,000


107

● Equipmentupgradesandprocurementforfoodsafetycapacitybasedontheresultsoftheabovereport FMOH 0 300,000,000

Strengthensurveillanceoffoodbornediseaseandmonitoringofcontamination

● Establishafoodborneillnessdetection&responsecollaborativeteam● Inaugurateoftheteam

FMOH 0 0

inthefoodchainandenhancefoodborne ● Conduct1-dayquarterlymeetingsofthe20membercommittee. FMOH 8,664,000 20,216,000

outbreakandemergencyinvestigationsandresponse.

● Engagetwoconsultant,incollaborationwiththefoodborneillnessdetection&responsecollaborativeteam,todevelopdraftreportingformatanddraftSOPsfor:(a)Surveillancefoodbornediseases;(b)Monitoringfoodbornedisease;(c)Detectionoffoodbornediseases;and(d)Respondingtofoodbornediseaseevents

FMOH Yes 4,800,000 4,800,000

● ConductStakeholders'meetingtovalidatethedraftedreportingformatandSOPs. FMOH 3,720,000 3,720,000

● ValidateddocumentspresentedtotheNationalCouncilonHealth FMOH 0 0

● Conducta10-mansensitizationexerciseto36StateandFCTontheuseofthereportingSOPtoensurepromptresponsetofoodsafetyevents.

FMOH 0 14,980,800

● Quarterlyreviewofthefoodbornediseasesurveillance,detectionandresponsesystembytheNationalFoodSafetyCommittee.

FMOH 0 0

● Conductperiodictrainingforfoodborneillnessdetection&responsecollaborativeteammembersandotherkeyfrontlineofficers(40persons).

FMOH 7,852,800 23,558,400

● EngageaconsultanttooverseetheassessmentofthecurrentstateoftheNationalAnimalDiseaseInformationSystem(NADIS).

FMARD 3,600,000 3,600,000

● ConsultanttoworkwithFMARDtoreviewanddevelopdraftchecklists,SOPsandguidelinestoensurepropersurveillanceoffoodbornediseasesofanimalorigin.

FMARD 0 0

● Conductstakeholders’meetingof40personsfor2-daystovalidatethedraftchecklists,SOPsandguidelines. FMARD 3,720,000 3,720,000

● PresentationandapprovalofthevalidateddocumentsattheNationalCouncilonAgriculture&RuralDevelopment(NCARD)

FMARD 0 0

● RegionalToTfor30agriculturalextensionworkers&veterinariansin6geopoliticalzones(i.e.5perstate)ontheuseoftheapproveddocuments

FMARD 9,397,600 28,192,800

● ProductionandDisseminationofthedocumentsnationwide FMARD 4,658,000 4,658,000

● 16.QuarterlyreviewofthesystembytheNationalFoodSafetyCommittee FMARD 0 0

● EngageaconsultanttoconductanationwideassessmentonDrugResiduesinMeat,Milk,Eggs,Honey,FishandotherAgriculturalproducts.

FMARD 0 28,800,000

● ConsultanttoworkwithFMARDtodevelopzero-draftNationalDrugResidueMonitoringplan FMARD 0 0

● Conductstakeholders’meetingof40personsfor2-daystovalidatethezero-draftNationalDrugResidueMonitoringplan

FMARD 0 3,720,000

● PresentationandapprovalofthevalidatedplanattheNationalCouncilonAgriculture&RuralDevelopmentfornationwideimplementation

FMARD 0 0

Developthecertificationprotocol,guidelinefortheinspectionoffacilitiestoexportliveanimal,animalbyproductsandanimal;andprocureinspectionvehicle

● Hireaconsultanttodevelopthecertificationprotocol,guidelinefortheinspectionoffacilitiestoexportliveanimal,animalproductsandanimalbyproducts

FMARD

1,297,050 1,297,050


108

● Procurementof4inspectionandmonitoringvehicleforcertificationoffacilityuseforexportofanimal,animal

productsandanimalbyproductsFMARD

140,000,00

0140,000,000

● Conductperiodicactivesurveillanceforallthefacilitiesuseforexportofanimal,animalproductsandanimalbyproductsbiannually

FMARD 18,200,000 72,800,000

Developanimalidentificationandtraceabilitysystemforanimalandanimalproductasrequirementfordiseasescontrolandfoodsafetypurpose

● Hireaconsultantfor4weekstodevelopanimalidentificationandtraceabilitysystemforanimalandanimalproductasrequirementfordiseasescontrolandfoodsafetypurpose

FMARD

1,770,000 1,770,000

● Highlevelconsultativemeetingwithinternetserviceprovider(MTN,GLO,)todevelopstrategyandMOUfortheimplementationofanimalidentificationandtraceability

FMARD 1,074,000 1,074,000

● Conduct2-daymeetingof30personstovalidatethesystem FMARD 2,266,000 2,266,000

● Procurementoftoolsforthetraceability(cyber,2trackermachines,10laptops,identificationbio-chips,) 0 0

● Procurementofofficefacility(5table,10chair,5cabinet) FMARD 2,300,000 2,300,000

● Procurementofbandwidthandinternetsubscription) FMARD 15,540,000 62,160,000

● Conduct5-daytrainingof20personsbi-annuallyonanimalidentificationandtraceability FMARD 4,458,000 4,458,000


109

P6:BiosafetyandBiosecurity

6.1:Whole-of-governmentbiosafetyandbiosecuritysystemisinplaceforhuman,animal,andagriculturefacilities


2018-2019

Cost(N)

2018-2022

Developmulti-sectorallegislationandregulationsonbiosafetyandbiosecurity,includingsustainablefundingmechanisms

● Initiationofinstitutionalcommunitytosupportprofessionalsworkingonbiosecurityandlaboratorybiosafetyandenlistingofnewonesbyholdingaresidentialstakeholdersmeetingof30peoplefor1-daywithofficeofthenationalsecurityadviser(ONSA)astheleadorganisation.

ONSA

3,096,800 3,096,800

● Hirestafftooverseedraftingofthenationalpolicy,mustcoordinatestakeholdersbetweenallsectors ONSA 14,490,000 28,980,000

● HireaninternationalconsultantforoneweektodraftalaboratoryBiosafetyandBiosecuritybillforsubmissiontothelegislature.

ONSA 1,057,050 1,057,050

● Submissionofdraftbillforlegislature ONSA 20,000,000 40,000,000

● Holda2,3-dayresidentialexpertmeetingsoften(10)invitedexpertstoreviewdraftofB/Bbill. ONSA 6,074,400 12,148,800

● Holda1-daynon-residentialrelevantstakeholdersmeetingofeight(8)MDAsonidentifyingbudgetsandtheircomplementarityforB/B

ONSA 492,400 492,400

Establishamulti-sectoralnationalcoordination,oversightandenforcement

● SetupaTen(10)manmulti-organisational,multidisciplinarytaskforceonbiosecuritypendingtheassenttoproposeddraftbillcoordinatedbyONSAwhowillholdabi-monthlymeetingforeachyear.

NCDC 3,168,000 3,168,000

mechanismforresponseandcontrolofdangerouspathogens.

● Inviteone(1)Consultanttodevelopindicatorsforanappropriatedatabaseforinventoryingandtrackingdangerouspathogensnationwideandtocreateacoordinationmechanismforthesharingofinformationbetweenhumanandanimalhealthfacilities

ONSA 4,057,050 4,057,050

● Invitetwo(2)expertstoguideindevelopinganadoptableSOPfornation-wideresponseprocedureandpreparefacilityauditreportingframework

ONSA 2,580,000 5,160,000

● Holda1-daymeetingfor20personstofinalizeandadoptthedraftSOPsandtherecommendedsoftware. ONSA 1,974,000 3,948,000

● SOPs-printinganddisseminationcosts ONSA 6,000,000 12,000,000

Performanauditofinstitutionsandlocationswithdangerouspathogensand

● Organiseandholdaone-daypre-takeoffworkshopforsix(6)auditsurveyteamsof3memberseach,coordinatedbythenationaltaskforcesurveyteam

ONSA 2,858,000 2,858,000

toxincontrolinordertodevelopaplanforconsolidation.

● Conductanationwidesurveybythesix(6)auditsurveyteamsoninstitutions/facilitiesthatdealonhighlydangerous&infectiousagentsinthecountrywithin20days;

ONSA 28,632,000 28,632,000

● HireanITspecialisttodevelopaninventory/databaseofallinstitutionsandfacilitiesthatdealwithdangerouspathogensandotherhazardousagents.

ONSA 14,490,000 28,980,000

● ITcostsforhostingandrunningdatabase ONSA 4,674,228 18,696,912

● Holda1-daynon-residentialworkshopof15personstoreviewactivityandtestruntheinventory/databasedeveloped.

ONSA 1,504,600 3,009,200

● Conductanannualindependentauditvisittotheinstitutionsandfacilitiesinthe6geopoliticalzonesofthecountrybyselectedteamof2expertsfor5days.

ONSA 22,385,000 89,540,000

● Holda2-dayresidentialannualmeetingofall(30)stakeholderstofinalizereportontheauditofthefacilities. ONSA 3,880,000 15,520,000


110

Conductneedsassessmenttoidentifygapsincurrentbiosafetyandbiosecuritytraining

● Setupasub-taskforceteamof6personsonbiosecurityandlaboratorybiosafetytrainingprogrammescoordinatedbythenationalteam.

ONSA 837,200 837,200

● Hireaconsultantfor1monthtodevelopemergencyresponseplansforeventsinvolvingdangerouspathogens:useofhighcontainmentfacilities,accidentalexposureetc.

ONSA 0 1,290,000

● Holda1-daymulti-stakeholdermeetingof20participantstoreviewandvalidatetheabove(non-residential)

ONSA 0 1,847,200

● Holda1-daymeetingofsubtaskforce(10persons)todraftaguideonsettingupinstitutionalbiosecuritytrainingprograms.

ONSA 0 2,324,000

● Holda1-daymulti-stakeholdermeetingof25participantstoreviewandvalidatetheguide(non-residential)

ONSA 841,000 3,364,000

● Hireaconsultantfor24weekstodeveloponlinetrainingprogrammesonbiosecurityandbiosafetyandnetworkwithotherdevelopedandinternationalinstitutions.

ONSA 7,290,000 7,290,000

● ITneedsforonlinetrainingprogramme

ONSA 15,250,000 30,500,000

● Holda1-daymulti-stakeholdermeetingof20participantstoreviewandvalidatetheassessmentreport(non-residential)

ONSA 706,000 706,000

● Providea3daytrainingworkshopof30participantsfromrelevantinstitutionsonglobalbestpracticesfor

facilitieswheredangerouspathogensarehandledresultingtonationalrecommendationsoncontinuoustrainingandre-training.(Residential)

ONSA 5,250,000 21,000,000

Establishtrainingandoversightforpersonnelreliabilityprogramsandensure ● HireaconsultanttodevelopadatabaseofNationalandinternationalexpertsinBiosafetyandBiosecurityfor

trainingandnationalcapacitybuilding

ONSA 690,000 690,000

compliancetobiosafetyandbiosecurityrulesandregulations. ● Conducttwo(2)inspectionsandmonitoringexercise(initialandmidterm)bya12mancomplianceteamto

ensurecompliancewithregulations,proceduresandtermsandconditions.

ONSA 0 44,770,000

● Setupasub-taskforceteamof6personsonbiocontainmentandspecimenrepository

ONSA 410,000 410,000

● Setupasub-taskforceteamof6personstodevelopcertification,buildingandrenovationstandardsforhighcontainmentfacilities

0 0

● Procurementofequipmentforfacilitiesidentifiedforrefurbishing;freezers,HVACsystem,stabilizers,UPS,

converters,temperaturemonitoringsystem,LIMSsystem,liquidnitrogenplant,PPE,biosafetyhoods,generators,watersupply,restrictedaccesscontrolpanels,

ONSA 0

1,566,480,000


111

D1:NationalLaboratorySystem

D1.1:Laboratorytestingfordetectionofprioritydiseases


2018-2019

Cost(N)

2018-2022

IdentifypublichealthLaboratoriesthatconstitutethenetworkandcreatedatabase ● HireaconsultanttoadaptexistingquestionnairefromJICAassessmentforallpublichealthlaboratoriesover5-

days;

NCDC

494,000 494,000

● ConsultanttodevelopODKtoolformobiledatacollectionandM&Eoveraperiodofdays;

NCDC 240,000 240,000

● Conducttraining40datacollectorsontheuseofODKandquestionnaireoveraperiodof2-days(Residential)

NCDC 8,848,800 8,848,800

● Conductfieldvisitstoallpublichealthlaboratories;40datacollectors,over5-daysnationwide

NCDC

37,368,000 37,368,000

● Consultanttoclean,analyzethedataandwritereportoveraperiodof5-days;

NCDC 300,000 300,000

● Stakeholdersmeetingtovalidatetheassessmentreportfor1-day,20participants

NCDC 1,974,000 1,974,000

● Hireaconsultanttocreateinterfaceforinteractivedatabaseoveraperiodof2weeks;

NCDC 1,588,250 1,588,250

● HireaconsultanttocreateSOPwitheHAforupdatingdatabaseannuallyusingfollow-upphonecallsorquestionnaireoveraperiodof5-days

NCDC 300,000 300,000

● StakeholdersmeetingtovalidatetheinteractivedatabaseandSOPfor1-day,20participants

NCDC 1,074,000 1,074,000

● Consultanttodevelopminimumrequirementsforoperatingstandardsforlaboratorydiagnosisofprioritydiseaseswithinthenetworklaboratories

0 0

DevelopplanwithMoH,MoA,andotherstakeholdersfordevelopingthecapacityneededtomeetdiagnosticandconfirmatoryrequirementsforprioritydiseasesinhumanandanimalhealthlaboratories. ● ConductStakeholdersmeetingof30personsover2-days(Residential)tosetobjectives,getbuy-inandto

reviewexistingassessmentsoflaboratorycapacityfordiagnostictestingofprioritydiseases,includingJEE&PVS;

NCDC

6,022,000 6,022,000

● Establishtechnicalworkinggroupsinhumanandanimalhealthtodraftplansforcapacitydevelopmentforprioritydiseases;(twodaymeetingwith30persons,non-residential);TWGsdecideoninformationsharingneedsbetweenhumanandanimalhealth;TWGcreatestrategiesforlaboratoryinformationsharingbetweenhumanandhealthforpriorityzoonoses(onedaymeetingwith30persons,non-residentialforsubactivities3and4)

NCDC

3,166,000 3,166,000

● TWGsdevelopM&Etoolsforthelevelofutilizationandimpactofthedevelopedlaboratoryinformationsharing

betweenhumanandanimalhealthonpromptlaboratorydiseaseinterventionandaction.(3daysresidentialmeetingof30persons)

NCDC

4,180,000 4,180,000

● TWGannualmeeting(1-dayresidentialmeeting)

NCDC

3,166,000 312,664,000

DevelopstrategytosetupacentralRepositoryandcoordinateddissemination/distributionofcorereagentsandconsumablesofthepriority

● Supplychainstakeholdermeetingbetweenimmunizations,HIV,TB,malaria,poliotodiscussexistingsupplystorenetworksanddeterminewhetherexistingassetscanbeleveragedon,oranewsystemneedstobedeveloped;(2-daysstakeholdersmeetingof30persons,Residential)

NCDC

3,166,000 3,166,000


112

diseasestothelaboratorynetworktoimproveexistingsupplychain

● AdvocacyeffortstoHMHtosupportthisasapriority;

NCDC 0 0

● Seriesoftrainingsatnationalandzonallevelsforsupplychainmanagementonlogistics,biosafety;(ConductaNationaltrainingoftrainersof40participantsover3days(residential),

NCDC 6,828,000 6,828,000

● Trainingof774LGAssupplychainmanagersatgeopoliticalzonelevelsoveraperiodof3days,Residential)

NCDC

46,873,600 46,873,600

● EstablishroutinemechanismsforprocurementofreagentsandconsumablesforNVRI&NRL/CPHL.(1-dayresidentialWorkshopof20persons)

NCDC 1,442,000 1,442,000

AdoptandimplementoneLaboratoryInformationsharingsystembyalllaboratories ● Reviewmappingassessmentactivitytodeterminewhichsystemsareusedwhere;(Stakeholdersmeeting40

personsover2-days,Residential)

NCDC

4,196,000 4,196,000

● Hireaconsultantover2weekstoconductananalysisoftheexistingneedsandinteroperabilityrequirements[incl.withDHIS2]&costs;determineifapartnerwithNCDCisneededtocustomizesolutionstodomesticate;

NCDC 1,588,250 1,588,250

● Presentanalysisresultsatstakeholdermeetingof30personsover2-days(residential)toselectoradoptaplatformforLIMS;

NCDC 3,166,000 3,166,000

● PilotLIMSsystematnationallevel,1NCDCaffiliatelab,and1state;

NCDC 2,600,000 2,600,000

● TrainingonLIMSatnational&stateTOT;(Trainingof70personsonLIMSoveraperiodof3days,Residential)

NCDC

11,223,200 11,223,200

● InitialrolloutofLIMSatthenationallevelNRL;Secondrolloutat10NCDC-affiliatedlabs;......

NCDC

67,034,000 67,034,000

● Progressiverolloutatstatelabs(onelabperstate,10stateperyear)includesprocurementofhardware,software,andnetworkconnection

SMOH

0 225,478,000

D1.2:Specimenreferralandtransportsystem


2018-2019

Cost(N)

2018-2022


● Engageoneconsultantforeachoftheseagencies(human,animal,food,environmental)todraftoperationalguidelinesforspecimenmanagement;(4consultants,foroneweek)andidentifyonefocalpersonfromeachagency

NCDC 1,680,000 1,680,000

● ConductastakeholdersmeetingstoreviewtheSOPs,findlinkages;(2-daysstakeholdersWorkshopof40participants,Residential)

NCDC 4,196,000 4,196,000

● FinalizeSOPs(1-daystakeholdersmeetingof20participants,non-residential) NCDC 706,000 706,000


113

Establishaspecimentransportation ● ConductanationalworkshopreviewingsubnationalspecimentransportsystemsinotherAfricancountries; NCDC 10,647,400 10,647,400

systematalllevels ● Identifyandsigncontractwithaprivatecourierforspecimentransportationfromcommunitiesto37statecapitalsandonwardtoReferencelaboratories

NCDC 47,520,000

● Conduct2-daystakeholdersWorkshopforallstatestoreviewexistingintra-statespecimentransportation

systemandneeds,anddiscusspossiblepublic-privatepartnershipforstatecourierservices;(3-daymeetingof50persons,Residential.NB:thisaddressessub-activities2and3)

NCDC 5,070,000 5,070,000

● Financingassessment,advocacy,forstatefundstoimplementcourierservices(Advocacyvisitof3seniorstaff

ofNCDCandNVRIto37states,spending2-days/state)NCDC 16,457,600 16,457,60

0

● ConsultanttomapexistingcertifiedinternationalcouriersforinfectioussubstancesANDtheappropriate

regionalreferencelaboratoriesforconfirmationbypathogen;developatransportationplanforinternationalshipmentsfrom2hubs(AbujaandLagos)

NCDC 600,000 600,000

● Internationalshipmentsofspecimenstoregionalreferrallabs NCDC 18,300,000 73,200,00

0

● Infectioussubstancetrainingfor2nationalstaff NCDC 4,000,000 16,000,00

0

Establishatrackingsystemforspecimenreferralandtransportation[pre-requisite

● Contractavendorfor5-daystodevelopaplatformormodifyaplatformforanODK-basedbarcodetrackingsystemthatcanconnecttoLIMS;findoutfromUche

NCDC 300,000 300,000

istheestablishmentofpublichealth ● ProcuresoftwareandhardwarefortrackingofsamplesandlinkagetoLIMS NCDC 10,675,000 10,675,000

networkforspecimentransportatstate/LGAlevel]

● Hireaconsultantfor10daystocreatetechnicalguidelinesforalllevels(courierperson,laboratorymanagement);

NCDC 898,000 898,000

● AlignspecimencollectionandtrackingsystemwithIDSRguidelinesandsurveillanceSOPs NCDC 0 0

● Onedaystakeholdersmeetingof20personstovalidatetheguidelines(non-residential) NCDC 706,000 706,000

● ConducttrainingforapilotofthesysteminFCT;(Trainingof20personsover2-days,non-residential) NCDC 1,392,000 1,392,000

● PilotspecimentrackingsysteminFCT;(supportfor2-daysfieldactivitiesof20persons)ersons) NCDC 225,600 225,600

● Analyzeimplementationandevaluateeffectiveness(Onedaystakeholdersmeetingof30persons NCDC 884,000 884,000

Buildsamplemanagementcapacityforpublichealthnetworklaboratoriesforprioritydiseases

● Conducthands-ontrainings/simulationsfor40laboratorypersonneloveraperiodof5-days,Residential,(specimenprocessing,laboratorymanagers,laboratoryscientists)fornetworkpublichealthlaboratories,andcourierservicesonsamplemanagement;

NCDC 8,966,000 35,864,000

● Conducthandsontrainingforstatesineachgeopoliticalzone(6zones)--2participantsperstate+2national

facilitatorspermeetingNCDC 22,668,000 90,672,00

0

● ProcureanddistributesampletransportationmaterialstoNCDCnetworklabs NCDC 5,000,000 12,500,00

0

● Pre-positionspecimencollectionsuppliesforprioritydiseasesatstatelevel(instatelabs) SMOH 7,500,000 30,000,00

0


114

● Hireaconsultantfor10daystodeveloprefreshertrainingmodulesforfrontlinehealthworkers NCDC 898,000 898,000

● Onedaystakeholdersmeetingof20personstovalidatethetrainingmodules NCDC 706,000 706,000

Establishmonitoringandevaluationmechanismforcollection,packaging,andtransportofspecimens

● NRLnetwork/referralfocalpointtodevelopM&Eindicators,includingspecimentransporttimes,specimenquality/integrityatreception;specimenchainofcustody;biosafetyevents;packagingpracticesforhighconsequencepathogensbyconducting2meetingsof10peoplefromnational*3days

NCDC 3,128,000 3,128,000

● Hireaconsultantfor2weekstointegraterecommendationsfromaforementionedhighlevelmeetingsanddraftSOPsforspecimencollection/packaging/transportM&E

NCDC 600,000 600,000

Providerefreshertrainingfornetworklabstodeveloptechnicalcompetency

● 1weekresidentialtraininghostedatdesignatednationalexpertlabfor2personspernetworklabfor6diseases NCDC 69,294,000 277,176,000

Procurementofkeyreagentsandconsumablesfor6prioritydiseases

● allnetworklabsfor6prioritydiseases NCDC 1,096,920,064

2,742,299,904

Annualequipmentmaintenancefornetworklabs● annualmaintenancecostsforhoods,PCRmachines NCDC 365,640,00

0914,099,9

68

D1.3:Effectivemodernpointofcareandlaboratory-baseddiagnostics


2018-2019

Cost(N)

2018-2022

Developanintegratedsyndromicandlaboratory-basedpointofcarediagnostics

● Convenea2-dayresidentialworkshopof15personstodevelopthealgorithm;forEACHprioritydisease

NCDC 4,876,000 7,314,000

algorithm;Establishsupplychainmanagementsystemforpointofcarediagnostics

● Printanddisseminate6reports(1report/dx)to48labs*5copieseach NCDC 0 432,000

ConductareviewofnovelRDTsforVHFandotherprioritydiseases,determinewhichhavethehighestneedsforRDT/POCtesting

● nocost NCDC 1,221,200 1,221,200

DevelopprotocolfornationalinfieldevaluationofselectedcommercialRDtsforprioritydiseases

● hoststakeholdermeeting,10participantstodiscussdraftprotocolandapprove NCDC 1,046,000 1,046,000

Conductlaboratory-basedvalidationatGaduwawithQApanel,comparingtheRDTwiththeknownconventionaltests(PCR,culture,ELISA)andassessingsensitivityandspecificityoftheRDT

● ProcureRDTkitsforvalidation:cholera,CSM,dengue,malaria,influenza NCDC 14,000,000 14,000,000

TraininglaboratorystaffonGCLPpractices ● nationaltraining1weekwith10staff NCDC 2,600,000 2,600,000


115

SourcingofQApanelsforvalidationofRDTkits&POCTechnologies

● SourceQApanelsforvalidationfromuniversities,researchinstitutes(domesticandinternational);thesemightcomefromLUTHorInstitutePasteur(Dakar),C'oted'Ivoireetc.

NCDC 10,000,000 10,000,000

● NationalTOTforfieldvalidation;5-dayswith15participants,8awayparticipantsfromnetworklaboratories NCDC 0 4,551,400

ConductfieldvalidationofRDTs/POC ● PayforshipmentoftheRDTstofieldsites(1fieldsitepergeopoliticalzone) NCDC 0 305,000

● Conducttrainingofuseoftestkitsat6fieldsites(trainerscomefromlabsthatweretrainedearlier) NCDC 0 2,932,800

● Monitoringandevaluationatfieldsites NCDC 0 900,000

● Conductareviewmeetingofthevalidationprocess(laboratoryandfield);developanalgorithm NCDC 0 3,166,000

● HireconsultanttodraftSOPsforreviewbyNCDClaboratorystaff NCDC 0 1,200,000

D1.4:LaboratoryQualitySystem


2018-2019

Cost(N)

2018-2022

ObtainaccreditationforNationalReferenceLab-Abuja

● RegisterforMLSCNmentoringplan NCDC

4,800,000 4,800,000

ImplementSLMTAinalllabsinthepublichealthlaboratorynetwork

● ConductSLMTAtraining NCDC

40,476,800 121,430,400

DevelopplanwithMoH,MoA,andotherstakeholderstosupporttheimplementationofnationalqualitystandardsthatareconsistentwithinternationalstandards.

● Conducta2-daysstakeholdermeetingof40personstoidentifytheresponsibleofficersinFMoH,FMARD,NCDC,MLSCNandobtainagreementontheadoptionofinternationalinstrumentsthathavebeendomesticatedbyvariousorganizations,includingMLSCN;

NCDC

4,940,000 4,940,000

ImplementtheannualMLSCNassessmentofpublicHealthlabsacrossall36States.

● AnnuallaboratoryqualityassessmentoverseenbyMLSCNforpublichealthlaboratories(Ateamof5personsover2-daysperstateforthe37states)

NCDC

26,817,600 107,270,400

Develop(regulatory)systemtolicense ● Policies,guidelines,toolsalreadyexist.Somefundingneededtosustainongoingactivities. NCDC 600,000 1,500,000

publichealthlaboratorieswhichincludesmandatoryinspectionsandsupportedby

● Conveneawarenessmeetingsofstakeholders(onedaystakeholdersmeetingof40persons,Residential) NCDC

1,062,000 1,062,000

nationalpolicy. ● Rolloutimplementationplanin37states(i.e.,beginthelicensingprocessinstatepublichealthlaboratories)--Fieldvisits(NCDCnetworklabs+statepublichealthlabs)

MLSCN

186,240,000

744,960,000

RegisterNCDC&VTHlabsintheMLSCNEQAprogram.

● ExpandexistingnationalEQAprogramrunbyMLSCNfromhealthcaretopublichealthlaboratories;(10NCDCaffiliatedlaboratories,NVRIand6VTHlabs)

MLSCN

0 7,650,000

EstablishadditionalNationalEQAprogramfornon-RDTstoaddresshuman,animal,and

● Influenza(WHO-fundedEQARNApanel@NRL-nospecifictrainingneeded);Shippingfor10labsforWHOEQAinfluenzapanel(influenzanetworklabs)YFassessment(AFROprogramthathasn'tyetstartedforserology);joininganinternationalEQAcostingfor7labs-1internationalshipment+1costforbuyingtheEQA+6nationaltransportationcosts

FMOHFMARDMLSCN

0 26,401,242


116

environmentalatpublichealthnetworklaboratories

LassaFever-internationalRNAEQAprocurementfor4labs-1internationalshipment+1costforbuyingtheEQA+3nationaltransportationcosts

● CSM-budgetfor20statesrunningaCSMEQA● Cholera-budgetfor20statesrunningEQA● Dengue/Chik:5labs

NCDC

● Laboratory-baseddevelopmentofpanels,includingprocurementofconsumable(reagents,solutions,equipment);4.InternationaltravelfortrainingonpaneldevelopmentincountriesthathavedomesticatedEQAprogramsforthesamepathogens;

FMOHFMARDMLSCNNCDC

8,100,000 16,200,000

InfrastructureUpgrades ● ProcureandinstallsolarsystemforNationalReferenceLabs20KVA(HH-CPHL,NRL) NCDC

92,000,000 92,000,000

● Procurementandinstallationofsolarsystemfor13VTHsand22NVRIout-stationlabs FMARD

805,000,00

0805,000,0

00

● Procuresolarpowersolutionsfor6regionalNCDClaboratories NCDC

138,000,00

0138,000,0

00

● Maintenancecontractand3yearwarrantyforinverters NCDC

17,000,000 51,000,00

0

● infrastructuralupgradeattheNationalReferenceLab,Abuja NCDC

20,000,000 50,000,00

0

● LabfurnitureforNRL,Abuja(micro,virology,PCRsuite,chemistry NCDC 9,000,000 9,000,000

● LabfurnitureforCPHL,Lagos(micro.Virology,heam,chemistry) NCDC 9,000,000 9,000,000

● LabfurnitureforNVRI,VOM(micro.Virology,PCR,heam,chemistry) FMARD 9,000,000 9,000,000

● Renovation/RemodelingofhealthfacilitiesCPHL NCDC

10,000,000 10,000,00

0

● Minorupgradesandrenovationatregionallaboratoriesforhumanandanimalhealth(2HHand1AHpergeo

zone)NCDC

18,000,000 18,000,00

0

● Procurementandinstallationandannualmaintenancecontractforfirealarmsandfireretardantsystemsat

CPHLandNRL,GaduwaincludingexternalconductoffiredrillsandNCDC

50,000,000 50,000,00

0

● Supporttosecuritychargesat(HH-CPHL,NRL,6regionallabs) NCDC 2,400,000 9,600,000

● Supporttosecuritychargesat(AH-NVRIand6reflabs) FMARD 2,100,000 8,400,000

● ProcurementofRotarykilnincineratorsto(HH-CPHL,NRL,6regionallabs NCDC

200,000,00

0200,000,0

00

● ProcurementofRotarykilnincineratorsto(HH-CPHL,NRL,6regionallabs FMARD

175,000,00

0175,000,0

00


117

● MaintenanceandwarrantyforRotarykilnincineratorsto(HH-CPHL,NRL,6regionallabs NCDC

20,000,000 20,000,00

0

● MaintenanceandwarrantyofRotarykilnincineratorsto(HH-CPHL,NRL,6regionallabs FMARD

17,500,000 17,500,00

0

● MaintenanceofBSL3laboratory(2020onwards) NCDC

0 500,000,0

00

● Hire10shortservicestaff(5xatgrade10,3xatgrade14,2xatgrade8) NCDC

406,617,66

41,016,544,

192

Maintainoperationsofexistingmobilelabsandprocureadditional3labs.Mobilefacilitiestobeoperationalin6geopoliticalzones

● Maintenanceofexisting2mobilelabs;equipmentandvehicle NCDC

10,000,000 40,000,000

Procure2additionalmobilelabs;1xvirologyand1xbacteriology

● bacteriologyunitvirologyunit

NCDC

0 69,280,000

Developtrainingprogrammeforstaffthatcoverbiosafetyandbestpracticeswithinamobilelabs

● TOTfor12peopleonbiosafetyandGLPinmobilelaboratory.Residentialtraining.DTA@16,000/dayX7nightsX12persons=1,344,000+LocalTravel@30%DTA=403,200for12persons.+Airfare@100,000/personX12=1,200,000+airporttaxi@20,000/personX12=240,000

NCDC

0 3,187,200

Infrastructureupgradesforspecimenrepository ● InfrastructureupgradeisongoingaspartoftheCDC/FMOHNAIISsamplerepository _

procurementFreezers● Procureadditional12pcs-80degreesfreezer@5,673,600each NCDC

22,694,400 68,083,20

0

LIMSsystemforspecimenrepository ● Purchase,deploymentonfreezerworkssoftwareforbiorepositorymanagement.Softwarelicense@1,980,000. 1,980,000 1,980,000

Runningcosts(liquidnitrogen,electricity) ● Setupa20-cubicmeterliquidnitrogenplant NCDC 0 3,600,000

Procureequipment,materials,antibioticpanels,consumablesanddatareportingtoolsbiannually,tosupportthe30humanhealthfacilities,6labsfromanimalhealthand2environmentalhealthlaboratories

● Procuresamplecollectionmaterials(samplebottles,swapsticks,transportmedia,coldboxes)(774coldboxes,10,000samplebottles,triplepackagingkit,Procurelaboratoryconsumables(gloves,cottonwool,methylatedspiritsfor774LGAs)

0 0


118

D2:Real-TimeSurveillance

D2.1:IndicatorandEvent-BasedSurveillance


2018-2019

Cost(N)

2018-2022

Assesthebaselineproportionofreportingpublicandprivatehealthfacilityprivatehealthfacilitiesinallstates

● DesignateNCDCofficertocontactSMOHandFMoHplanningdepartmentforneededdata(denominatorofthetotalnumberofprivateandpublichealthfacilities),andnumerator(statesshouldhavethedataonhowmanyhealthfacilitiesreport,onaverage,weeklytoIDSR)

NCDC

40,000 100,000

● Analysisofdatatodeterminereportingheathfacilities(publicandprivate) NCDC 0 0

DevelopIDSRtrainingcurriculumincorporatingtrainingonalltheexistingsurveillancetoolsandsystem

● Designateexistingofficersandpartnerstodraftthecurriculum NCDC

0 0

● Conductathreedayworkshopof20peopletoreviewandvalidatedocument NCDC 7,708,000 7,708,000

Expandthenumberofreportingsitestoincludeprivatehealthfacilities(andprivateveterinaryclinics.)

● Seeplanunderreporting NCDC,FMARD

0 0

Buildcapacityforsurveillanceamonghumanandanimalhealthworkersinboth

● EveryhealthfacilitymustdesignateanIDSRfocalperson,andthatfocalpersonmustberecordedbytheDSNO;NCDCcanworkviathestateepidemiologiststocontinuetoputpressureonthisactivity

NCDC

FMARD

SMOH

0 0

publicandprivatesectors ● TOTmodulartrainingsatthenationallevelwith35participantsover5-daysonIDSRforeachtraining. NCDC 6,633,000 6,633,000

● NationaltrainerswillthenconductstateTOTin37states,for3modules NCDC

257,002,000

257,002,000

● Healthfacility-leveltrainingconductedbyStateandLGAofficerswhoweretrainedintheabove. SMOH

1,138,000,000

2,642,436,096

● TrainingoftertiarycarefacilitiesonIDSR SMOH

83,250,000 83,250,000

● Supportivesupervisionbynationalstaffforthetertiarycarefacilitytrainings NCDC 2,308,800 2,308,800

● 1.Hireaconsultanttoreviewanddeveloptrainingmanual,guideline,SOPforepidemic-surveillance,preparednessandresponse,anddiseasereportingandreportingtools(ARIS)

FMARD 0 0

● 2.Conduct2-daymeetingof30participanttovalidatethetrainingmanual,guideline,SOPforepidemic-surveillance,preparednessandresponse,anddiseasereportingandreportingtools(ARIS)

FMARD 0 0

● 3.Conduct5-daytrainingof80participants(Ifederaland1stateVetEpid.Officer)onepidemic-surveillance,preparednessandresponse,anddiseasereportingandreportingtools(ARIS)

FMARD 0 0

● 4.Printingof500copiesoftrainingmanual FMARD 0 0


119

● Hold1TOTtrainingatthenationallevelwith40participantsover5-daysonARISinAbuja(36awayparticipants;1fromeachstate)

FMARD

12,018,800 12,018,800

● Hold2TOTtrainingsattheregionallevelwith37participantsover5-daysonARISforeachtraining.(2peopleperstate)

FMARD

18,398,000 18,398,000

● Hold37stepdowntrainingsatthestatelevelwith30participantsover5-daysonARISforeachtraining. FMARD

70,072,000 136,456,000

● Hirenationalconsultanttooverseethecompilationofdataoncommunitybasedsurveillancestructuresfor20days,includingsupportstaff.

NCDC 1,200,000 1,200,000

● Hold2stakeholdersconsultativemeetingoncommunitybasedsurveillancestructuresandinformstrategywith40participantsover2-daysforeachmeeting.1stmeetingisforconsultation.2ndmeetingisforcompilingpartnerdata.

NCDC

2,266,000 2,266,000

● Holdworkshoptoreviewandvalidateresultswith30participantsover1-daywithkeystakeholders. NCDC 1,252,000 1,252,000

● Print(guidelines,SOPs,Reportingforms,treatmentprotocols)anddistributetostate,LGAs,healthfacilities NCDC

151,600,000

606,400,000

Integratepriorityzoonoticdiseasesintoroutinehumanandanimalsurveillance

● Hostworkshopwith40participantsover3daystoreview,validate,andacceptnationalpriorityzoonoticdiseases.ANDalsowillreviewIDSRprioritydiseaselist

NCDC

5,170,400 5,170,400

● UpdateguidelinesandSOPs(humanandanimal)forthenewpriorityzoonoticdiseasesbyDec2018. NCDC,FMARD

0 0

● IntegrateintoIDSRandARIStrainingsmentionedabove. NCDC,FMARD

0 0

Pilotnationalevent-basedsurveillancesystemforanimalhealthsectorinthe

● Hireconsultanttodevelopnationallevelevent-basedsurveillancesystem(mediamonitoringandcallcenter)foranimalhealth.

FMARD

1,200,000 1,200,000

contextofOneHealthbyDecember2019 ● ProcureICTequipmentfor6staff FMARD 2,890,000 2,890,000

● Hold1consultativemeetingtoleverageontheexistingeventbasedsurveillancesysteminhumanhealthwith40participantsover3days

FMARD 8,822,800 8,822,800

● Hold1trainingonEBSsystematthenationallevelwith40participantsover5-days FMARD

0 12,018,800

ReviewofIDSRlistofprioritydiseases ● Appointacommitteeof4toDevelopaDelphiprocessforreviewofPrioritydiseaselist NCDC,FMOH

0 0

● Conducta3-dayworkshopof40participantstoreviewandadopttheprioritylist. NCDC,FMOH

0 0

● RecommendthelisttotheDG,HMHandNCHforapproval NCDC,FMOH

0 0

AdapttheWHOAfroIDSRguidelinesas ● Hireaconsultantwith4designatedofficerstoadapttheGuideline NCDC 1,740,000 1,740,000

soonasconcluded ● Sharedocumentwithstakeholdersforreview. NCDC 40,000 40,000


120

● Convenea5-daystakeholdersworkshopwith30participantsforreviewandvalidationoftheguidelines NCDC

13,711,000 13,711,000

● Printanddisseminatenewguidelinesuptohealthfacilitylevel NCDC 0 0

D2.2:Interoperable,interconnected,electronicreal-timereportingsystem


2018-2019

Cost(N)

2018-2022

ReviewIDSRsurveillancegovernance,nationalsystemsarchitecture,andmonitoringandevaluationcomponents.

● Hireaconsultantfor25daystoconductanassessmentofanimalandhumanhealthdatasystemsanddevelopdatastandardsandalsosupportthereviewprocess

NCDC

1,500,000 1,500,000

● Holdnationalmeetingtoreviewsurveillancegovernance,nationalsystemsarchitectureandM&Ewith30participantsover3days.

NCDC 0 0

EnhanceutilizationofARISPlatforminallstates ● Hold1stakeholdersmeetingof60participantsfor2-dayswithStateDirectorsofVet.ServicesandDirectorsofVet.TeachingHospitalstoensurecompliancewithuseofARISplatform

FMARD 0 0

● Procure100laptopsforFederalandStateVeterinaryOfficers FMARD 0 0

● Conductnationalrefreshertrainingwith100federalandstatestaffover3days FMARD 0 0

Establishpublic-privatepartnership ● Stakeholdermapping(internalmeetings) NCDC 0 0

mechanismsforsurveillanceofhumanandanimalhealthatnationalandstatelevels

● Holdannualnationalstakeholdermeetingstoidentifygapsandopportunitieswith50participantsover1-day NCDC 3,142,000

12,568,000

(HumanHealth) ● DevelopToRforpublic-privatepartnershipgroup NCDC 0 0

Establishpublic-privatepartnershipmechanismsforsurveillanceofhumanand

● Holdmulti-StakeholdermeetingswithprivateanimalhealthserviceproviderstodiscussthePPPinsurveillance,adoptandvalidatethePPPmechanism

FMARD 3,451,600 3,451,600

animalhealthatnationalandstatelevels(AnimalHealth)

● DevelopToRforpublic-privatepartnershipgroup FMARD 0 0

Implementintegratedhumanhealthsurveillancesystemathealthfacilitylevelcountrywide

● DevelopSOPforthesurveillancedataentryonIDSRatthehealthfacility NCDC,SMOH

0 0

D2.3:Integrationandanalysisofsurveillancedata


2018-2019

Cost(N)

2018-2022


121

ImproveICTtosupportdataanalysisforsurveillanceatalllevels

● Conductneedsassessmentofsurveillancearchitecture,includingICTatstateandLGAlevels(seeactivityD2.2)NCDC 0 0

● Procure1000laptopcomputersfornational,state,andLGAstaffforhumanhealthsurveillance

NCDC 0 0

● Procureinternetmodemsfor1000staffmembers

NCDC 0 0

● Providevoiceanddatacreditsforstaffmembersperyear

NCDC 0 0

● Procure1,500tabletsforSORMASdeploymentatLGAlevel

NCDC 0 0

● ConductneedsassessmentofICTathealthfacilitylevelbyDecember2019

NCDC 0 0

Buildcapacityfordataanalysisamonghumanandanimalhealthworkers

● Procure800printersandtonerforallLGAsandStates(assumestrainingondataanalysisaccomplishedintheaboveactivities)

NCDC 328,000,000

328,000,000

D2.4:SyndromicsurveillancesystemsObjective:EnhancetheperformanceoftheIDSRandtechnicalcapacityoftheworkforceby2021


2018-2019

Cost(N)

2018-2022

StrengthencapacityforsyndromicsurveillanceinPrivatesectorandtertiary/referralhealthfacilities

● PrintanddisseminateSOPs/guidelinesonsyndromicsurveillancetoalltertiary/referralandprivatehealthfacilities

NCDC 0 0

● Traindesignated2-3healthworkersonIDSRinalltertiary/referralHealthfacilities

NCDC 0 0

● Publishdesignatedlaboratoriesforconfirmationofspecificprioritydiseases NCDC 0 0

● HireaconsultanttolinksurveillanceandLaboratorydataplatform NCDC 0 0

EnhancemonitoringandevaluationcapacityforIDSR

● Develop/reviewexistingM&EstrategyandtoolsformonitoringonODKNCDC 0 0

● HoldannualIDSRreviewmeetingwith300participantsover3daysNCDC 60,610,000

242,440,000

● Hold37statevisitsfor3nationalstaffover3daysforsupportivesupervisionbiannuallyNCDC 36,630,000

146,520,000

● HoldquarterlyIDSRindicatorreviewmeetingsinall37Statesover1-daywithLGAsSMOH

274,724,992

934,065,024

● Quarterlyvisitby2stateofficerstoallLGAswithinthestate(774total)over1-dayforsupportivesupervisionSMOH

123,840,000

421,056,000


122

Developasystemofroutine(10events)AfterActionReviewsannuallytoenhancereporting

● Consultantand1designatedstafftodomesticate/adaptWHOAARguidanceforNigerianAARNCDC 600,000 600,000


123

D3:Reporting

D3.1:SystemforefficientreportingtoWHO,FAOandOIE


2018-2019

Cost(N)

2018-2022

Expandthenumberofreportinghealthfacilities ● HumanHealth● Hold1-daynationalawarenessandadvocacymeetingswithstakeholderondiseasesurveillanceandreporting

with50participants(Stakeholders:NMA,SMOH,AGPMPN,MDCN,MODetc.).

NCDC 12,674,000 31,685,000

● DraftamemototheHonorableMinister,HealthtotheNCHonenforcementofreportingonIDSRbyallhealthfacilities(Publicandprivate)andlinkingittohealthfacilitylicenserenewal

NCDC,FMOH,FMARD

0 0

● DevelopvideoclipsandIECmaterialsondiseasereportingforhealthcareworkers NCDC 0 0

● PublicizevideoclipsandIECmaterialsviatraditionalandsocialmedia NCDC 0 0

● Print100,000diseasereportingIECmaterialstoallhealthfacilities NCDC 0 0

● Disseminationto36statesand36,000healthfacilities NCDC 0 0

● Hold1-dayStatelevelawarenessforbothpublicandprivatehealthfacilitiesin37stateswith200participantseach

NCDC 129,078,200

129,078,200

● SurveillancedepartmentandICTunitofNCDCdevelopaneregistryofallhealthfacilitieswithfocalpointinallstatesandLGAs

NCDC 100,000 250,000

● Hold1-daymeetingof10participantstoadaptandcompilealltheSOPforreportingintosingledocument NCDC 528,000 528,000

● Print50,000bookletsoftheSOP NCDC 37,500,000 37,500,000

● Disseminate40,000bookletsoftheSOP NCDC 740,000 740,000

● Print500,000ofIDSRreportingtool() NCDC 300,000,000

300,000,000

● AnimalHealth● Hold2-daynationalawarenessandadvocacymeetingswithstakeholderondiseasesurveillanceandreporting

with50participants(Stakeholders:NVMA,StateDVS,VCN,PrivateVetRep.NAQS).

NCDC 8,167,000 8,167,000

● DraftamemototheHonorableMinister,AgriculturetotheNCAonenforcementofreportingonARISbyallanimalhealthfacilities(Publicandprivate)andlinkingittopracticingpermit/licenserenewal

FMARD 0 0

● Hold1-dayStatelevelawarenessforbothpublicandprivateveterinaryhealthfacilitiesin37stateswith100participantseach

FMARD 76,168,200 76,168,200

● DepartmentofVeterinaryServicesdevelopaneregistryofthevethealthfacilitieswithfocalpointinallstatesandLGAs

FMARD 100,000 250,000

● Hold1-daymeetingof10participantstoadaptandcompilealltheSOPforreportingintosingledocument FMARD 528,000 528,000


124

● Print20,000copiesoftheSOP FMARD 15,000,000 15,000,000

● Disseminate15,000copiesoftheSOP FMARD 740,000 740,000

● Print50,000ofanimaldiseasereportingtool FMARD

● Disseminate40,000ofanimaldiseasereportingtool FMARD

ProvideelectronicreportingtoolstoallHealthfacilities

● capturedundersurveillance NCDC,SMOH

0 0

BuildcapacityforIDSRreportingamonghumanhealthworkersinbothpublicandprivatesectors

● Hold3nationalstakeholdermeetingsforanimalhealthwith40participantsover2-daystodevelopandimplementstrategy(Stakeholders:NVMA,VCN).The1stmeetingisforadvocacyandstrategydevelopment.The2ndmeetingisforvalidationandrolloutofstrategy.The3rdmeetingisforafteractionreviewofimplementation.

NCDC 0 0

BuildtechnicalcapacityamongtheNationalIHRFocalPointandOIEteams.

● Trainhealthfacilitysurveillancefocalpersonsone-IDSRandprovideelectronicstoolsforreportingtotheLGADSNOs

NCDC 0 0

Developasystemforroutinesimulationexercise(3)annuallyforrarediseasestobuildcapacityforcasedetectionandreporting

● Hold31-daytabletopexercisewith40participantsonprioritydiseasewithhighimpactandlowprobability NCDC 22,404,000 56,010,000


NCDC 9,487,600 9,487,600

● Procure100laptopsforFederalandStateVeterinaryOfficers FMARD 29,250,000 29,250,000

● Conductnationalrefreshertrainingwith100federalandstatestaffover3days NCDC 0 20,332,000


● Conductneedsassessmentofsurveillancearchitecture,includingICTatstateandLGAlevels(seeactivityD2.2) 0 0

● Procure1000laptopcomputersfornational,state,andLGAstaffforhumanhealthsurveillance NCDC 330,000,000

330,000,000

● Procureinternetmodemsfor1000staffmembers NCDC 37,500,000 37,500,000

● Providevoiceanddatacreditsforstaffmembersperyear NCDC 20,000,000 80,000,000

● Procure1,500tabletsforSORMASdeploymentatLGAlevel NCDC 33,750,000 33,750,000

● ConductneedsassessmentofICTathealthfacilitylevelbyDecember2019 NCDC 12,200,000 12,200,000


125

D3.2:Reportingnetworkandprotocolsincountry


2018-2019

Cost(N)

2018-2022

StrengthenthereportingcapacityforintersectoralinvolvementthroughOne

● Constitutea10memberintersectoralOHTWGworkinggrouptodriveimplementationandcoordinationofOH. NCDC 0 0

Health ● TWGtodevelopaframeworkforintersectoralreportingofkeyprioritydiseases NCDC 0 0

● Conducta2daystakeholdersmeetingtoreviewandadoptthebelow NCDC 4,654,400 4,654,400

Establishmentofacentralsurveillanceandlaboratorydatabasethatsourcesandintegratedatafromothersector

● HireaconsultanttofindlinkagesbetweenIDSRandARISreportingandestablishasystemthatisabletodetectanimalorhumaneventsandcanbeusedtoinvestigateinhumanandanimalhealthsectors.ANDdevelopamonitoringandevaluationframeworkforreportingoflistedzoonoses.

NCDC 3,600,000 3,600,000

AdaptIHR2005afterenactmentofNCDCbill ● Constitutea5manteamtoadapttheIHR2005afterenactmentofNCDCbill NCDC 0 0

● Reviewandvalidatetheadapteddocumentina2-daymeetingwith40participants NCDC 0 0

Establishdiseasefreezonesfor5selectedfoodanimals

● Hireaconsultantfor4weekstodeveloptheprotocolandguidelineforestablishmentofdiseasesfreezoneFMARD 0 0

● Conduct2-daymeetinginconjunctionwithconsultantinidentificationoffreezonefor5selectedfoodanimals(Pig,poultry,sheep,goat,cattle)

FMARD 8,720,000 8,720,000

● Conductthecertificationprocessforthe6selectedzoneseachingeopoliticalzone(collectionofsampleforscreening,facilitiesinspectionetc.)

FMARD 9,990,000 9,990,000

● ConductperiodicsurveillanceandmonitoringquarterlyfortheselectedzoneFMARD 6,960,000 27,840,000

● Conduct5-daytrainingof30participantsonoperationalframeworkofdiseasesfreezoneFMARD 5,812,000 5,812,000

● Printingof500copiesoftheprotocol. FMARD 1,000,000 1,000,000

Establishcompartmentfor5selectedfoodanimals

● Hireaconsultantfor4weekstodeveloptheprotocolandguidelinefortheestablishmentofcompartmentsFMARD 1,770,000 1,770,000

● Conduct2-daymeetinginconjunctionwithconsultantinidentificationofcompartmentinstatefor5selectedfoodanimals(pig,poultry,sheep,goat,cattle)

FMARD 3,750,000 3,750,000

● Conductthecertificationprocessforthe6selectedcompartmentsineachstate(collectionofsampleforscreening,facilitiesinspectionetc.)

FMARD 27,269,000 27,269,000

● ConductperiodicsurveillanceandmonitoringquarterlyfortheselectedcompartmentsFMARD 12,888,000 51,552,000

● Conduct5-daytrainingof30participantsonoperationalframeworkofdiseasescompartmentsFMARD 5,812,000 5,812,000

● Printingof500copiesoftheprotocol. FMARD 0 0


126

ProvisionofAnimalSurveillancekits ● Procurementofsurveillancekitfor1000surveillanceagents(samplingmaterials-testtube,anticoagulant,needleandsyringes,disinfectants,gloves,markers,polythenebags,cool-boxes)

FMARD 50,000,000 100,000,000

ConductgapanalysisoftheexistingsurveillancesystemforTransboundaryAnimalDiseasesandzoonoticdiseases

● Engageaconsultanttoconductgapanalysisfortheexistinganimaldiseasessurveillancesystem,2.Conducttwomulti-stakeholdermeetingsof50&65personsfortheadoptionandvalidationofthereportrespectively(3daysresidential)andl4.Print2500copiesanddisseminate2000copiesofthereport

FMARD Yes 21,824,384 21,824,384

ScaleupandtrainingofAnimalDiseaseSurveillanceAgents(DSA)from591to1,000;

● Hireaconsultanttodeveloptrainingmanualand2.Conductmulti-stakeholder,meeting3.Hire4facilitatorstotrainthesurveillanceagentsoncoresurveillanceactivities;(casedefinitionandrecognition,responsetooutbreak,reporting),,,and4.Printtrainingmanual

FMARD Yes 76,213,832 76,213,832

Establishing,deployment,licensingandtrainingofanenterprisemanagementsoftwareforprocurement,auditandfinancialmanagement

● Procurementofconsultancyforinstallation,licensingandtrainingofanenterprisemanagementsystemforfinancialprocurementandauditmanagement

FMARD Yes 54,149,624 54,149,624

LogisticsandutilitiessupportfortheNCDC ● CostsharingtosupportrunningcostsforNCDCHQ FMARD Yes 120,750,000

120,750,000

Procurementofvehicles,insuranceandrunningcost

● ProcurementofvehiclesforREDISSEprojectoffice FMARD Yes 211,034,992

211,034,992

Embarkontargetedadvocacyforownershipofinfluenzasurveillance

● Payannualhigh-level2-daysadvocacyvisittotheChiefMedicalDirectorsof4sitesandtheircorrespondingStateMOHsmanagement

NCDC Yes 655,140 655,140

Strengthensampleanddatacollectionactivities ● Carryoutannual3-daysupportivesupervisoryvisitsto4sentinelsites NCDC Yes 954,040 954,040

Review,update,printanddistributeNISSprotocolandcollectiontools.

● ConvenemeetingtoreviewandupdateNationalInfluenzaSurveillanceProtocolwiththedatacollectiontools NCDC Yes 901,580 901,580

● Print200protocolsand2000datatoolsanddistributetosentinelsitesandMOHs NCDC Yes 1,677,500 1,677,500

StrengthenOneHealthapproachtoinfluenzasurveillance

● Convene1-daymeetingof15HumanHealthandAnimalHealthonjointinfluenzasurveillanceandoutbreakresponse

NCDC Yes 203,740 203,740

CarryoutactivesurveillanceforinfluenzaamonghumancontactsofAvianinfluenzainfectedbirdsandprovideearlyresponsetotheresultinghumancases.

● Hold2meetingsii.Reviewprotocolsiii.Providenecessarydatatoolsiv.Carryoutinvestigationsv.ShipsamplesfromoutbreakstoNRLvi.Writereports.

NCDC Yes 2,006,900 2,006,900

CarryoutroutineshipmentofsamplesfromsitestotheNationalReferenceLaboratory

● ShipweeklyILIandSARIsamplesincludingEpidemiologicalrecordsfromthesentinelsitestothereferencelaboratory

NCDC Yes 915,000 915,000

Carryoutclearingofgoods,reagentsandconsumablesforinfluenzatestingshippedtotheNationalReferenceLaboratory

● initiateclearingofreagentsanditemsforinfluenzareceivedfromInternationalReagentsResource(IRR)andotherpartnersfromthenation'sports

NCDC Yes 732,000 732,000

ShareInfluenzadatawithlocalandinternationalpartners

● PromptlysubmitepidemiologicdatatoFluIDandVirologicdatatoFluNet NCDC Yes 0 0

Shareinfluenzasampleswithrelevantauthorities ● ShippositiveandunsubtypableinfluenzasamplestoGlobalInfluenzaSurveillanceandResponseSystem(GISRS)viatheWHOCollaboratingCenters(WHOCC).WHOCC

NCDC Yes 0 0


127

Attendmeetings,sharedatawith/atinternationalforum

● Presentdataoninfluenzasurveillanceatlocalandinternationalworkshops NCDC Yes 1,021,750 1,021,750

Ensurecontinuousinfluenzatesting ● Procurequalityreagentsandmaterialsforinfluenzaspecimencollection,processingandrt-PCRtesting NCDC Yes 4,364,550 4,364,550

● ParticipateinExternalQualityAssuranceProgramme NCDC Yes 0 0

Provideforunbudgetedexpensesforkeepingthelaboratory

● Makeavailablemonthlyexpensefortherunningofthelaboratory NCDC Yes 292,800 292,800

Ensurefundsarespentinaccordancewiththerulesandregulationsofthedonor(US-CDC)

● EngagetheservicesofaFiscalAgenttoguideontransactionsontheprojectactivities NCDC Yes 1,525,000 1,525,000

Developriskmappingforfourpriority ● Engageoneconsultantfor4weekstodeveloptheriskmappingforpriorityzoonoticdisease NCDC Yes 0 0


NCDC Yes 0 0

● 1-daystakeholdermeetingwith20participantstovalidatethereportoftheriskmapping NCDC Yes 0 0

● Printingof500copiesofthevalidatedriskmapping NCDC Yes 0 0

● Disseminationof400copiesofthevalidatedriskmapping NCDC Yes 0 0



NCDC Yes 0 0

● Procurementofreagents,consumables,andequipmentforthesixVTHs(Reagents–2000RDTkits;Lassafever,Rabies,BrucellosisandAvianInfluenza;consumables–100,000needleandsyringes,40,000litresofdisinfectants,10,000vacuum-containers,20,000testtubes,20,000gloves,5000PPEs;Equipment–6PCRmachines,10bio-safetycabinets,20electronmicroscopeetc.

NCDC Yes 0 0


128

D4:WorkforceDevelopment

D4.1:HumanresourcesareavailabletoimplementIHRcorecapacityrequirements


2018-2019

Cost(N)

2018-2022

DevelopcareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure

Hireaconsultantfor60days(retiredhigh-levelcivilservant)todriveprocessandadvocacy; NCDC 4,938,000 4,938,000

NCDCteamguideconsultanttodraftandreviewtheconceptnote NCDC 143,000 143,000

Establishaworkforcecareerpathdevelopmentsecretariat/committeebetweenFMOHandFMARDtoconducta2-daynon-residentialworkshopfor10personstoreviewexistingcivilservicerules/policiesanddraftproposedcareerpathswithconsultant

NCDC 2,276,000 2,276,000

Residentialstakeholderworkshopfor20personsincludinghighlevelofficialsFMOH,FMARD,OHSFtoreviewandrevisethedraftpolicy

NCDC 4,430,000 4,430,000

AdvocacyvisitstoheadsofrelevantMDASontheproposedcareerpath NCDC 930,000 930,000

Supportthefour(4)sittingsofnationalcommitteeof15personsandadvocacyvisitofrelevantstakeholdersatthenationalandstateleveltodevelopthecareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure.

NCDC 1,600,000 1,600,000

Convenea2-daynationalstakeholdermeetingoftheHeadsofCivilServiceCommissiontoreviewandadoptcareerpathforspecializedpublichealthexpertisewithintheNigeriancivilservicestructure(50persons)-residential

NCDC 7,662,800 7,662,800

D4.2:FieldEpidemiologyTrainingProgramorotherappliedepidemiologytrainingprograminplace


2018-2019

Cost(N)

2018-2022

Increasenationalworkforceof ● Advocacyforsustainedfundingforexistingprogramsfromexternaldonors; NCDC 0 0

epidemiologiststhroughsustainmentofFrontlineandAdvancedFETP(Scaleup

● Conduct3-dayresidentialworkshoptodevelopsustainabilityandadvocacystrategyforGoNtoincorporateprogramsintoFederalbudget

NCDC 5,710,000 5,710,000

frontlinepublichealthworkforce) ● Conduct3daysmulti-stakeholderworkshopof40peopletoreview,harmonizeandintegratetherelevanttrainingsforfrontlinepublichealthworkforceincludingIDRS,frontlineFETP,SOMARS,WARDs,andARIS(residential)

NCDC 7,850,000 7,850,000

● ConducttrainingofonepublichealthprofessionalperLGA(774)onFrontlineIDSRoveraperiodof3months(residential)in6batches/geopoliticalzones

NCDC 1,048,769,984

1,048,769,984

● EngageatleastoneNFELTPgraduateperstatetosuperviseandmentorthetrainedfrontlinepublicworkforceoveraperiodof4weeks

NCDC 89,628,000 224,070,000


129

● Enrollmentof50publichealthprofessionalsinadvanceFETPacrossthestatesyearly NCDC 1,680,999,936

4,202,500,096

EstablishIntermediateFETPinNigeriaor ● ConductadvocacytostakeholdersonneedforintermediateFETP,draftandsignMOUwithstakeholders NCDC 3,539,000 3,539,000

throughanagreementwithanother ● EstablishatechnicalteamwithinNCDCtooverseetrainings NCDC 160,389,216

400,973,024

country ● Conduct2-daysmulti-stakeholderresidentialmeetingof40personstovalidateandadoptthecurriculumofintermediateFETP(residential)NCDC/AFENET/Academia)

NCDC 3,786,000 3,786,000

● Advertiseandselect2setsoftrainees(2perstate)inIntermediate-levelFETPoveraperiodof6months(residential)

NCDC 11,032,000 27,580,000

● Recruitandtrain72intermediateFETPtrainees/year NCDC 417,600,000

1,670,400,000

D4.3:Workforcestrategy


2018-2019

Cost(N)

2018-2022

Developandimplementacomprehensivenationalpublichealthworkforcestrategyforexpansion,diversification,financialsustainment,andretentionoftheexistingpublichealthworkforce

● Conduct1-dayresidentialmulti-stakeholdermeetingof5personstodiscusstheestablishmentofnationalpublichealthworkforcestrategyanddeveloptheTORfortheengagementofconsultanttodevelopthepublichealthworkforcestrategy

NCDC

373,000 373,000

● Hireaconsultanttodraftthenationalpublichealthworkforcestrategyoveraperiodof4weeks NCDC 1,706,000 1,706,000

● Conduct2-daysmulti-stakeholdermeetingof40personstovalidateandadoptanationalpublichealthworkforcestrategy(residential)

NCDC 2,890,000 2,890,000

● Presentationofnationalpublichealthworkforcestrategyattherelevantcouncil;NationCouncilonHealthandAgricultureforapproval

NCDC,FMOH

0 0

● Convene2-daysstakeholdermeeting(50participants)ofFederalandStateHeadsofCivilServiceCommissiontodevelopimplementationplanforthenationalpublichealthworkforcestrategy(residential)

NCDC 7,662,800 7,662,800

Definepublichealthworkforceroles,andmaphumanresourcesatstateandLGAlevels

● Developane–registrydatabaseforpublichealthworkforcebythein-houseICTunitinNCDCandupdatequarterly

NCDC

2,514,000 2,514,000

● Trainingofstate-levelpeopletousethetemplateproperly NCDC

29,544,000 73,860,000

● Disseminateinformationtoallpublichealthprofessionalinstatethroughthenationalandstaterelevantpublichealthorganizationfore-dataentry

NCDC 150,700 602,800

Conductadvocacytoemployadditionalveterinariansinthestate

● Conduct2-daystateengagementworkshopof100participantswiththecommissionerofstateministryofAgricultureandstateHeadofcivilservicescommissionasanadvocacytoemployadditionalveterinarians.(Residential)

FMARD

9,440,000 9,440,000


130

SupportRevolvingschemeforPrivateveterinariansandparavets

● 1.Support774Privateveterinariansandparavetswithveterinarytoolkits(veterinaryequipmentanddrugs)FMARD

1,548,000,000

1,548,000,000

EstablishSanitaryMandateProgramme ● Conduct5-daytrainingworkshopfor774privateveterinariansonsanitarymandatein37states(Residential) FMARD 0 0

Developanin-servicetrainingprogrammeforthestaffofDVPCSandleadershiptrainingofveterinaryofficersinmanagerialcadre

● Hireaconsultantfor2weekstodevelopanin-servicetrainingprogrammeforthestaffofDVPCSFMARD

0 0

● Conduct3-daystakeholdermeetingtovalidatetheinservicestraining(50persons,residential)FMARD 0 0

● Conduct3-dayquarterlytrainingof45persononriskanalysis,surveillance,preparednessandresponse,leadership,etc.(residential)

FMARD

28,780,000 115,120,000

● Conduct5-daytrainingof50participants(DVS,DVPCS,VTHS)onmanagementandleadership(residential) FMARD

12,190,000 12,190,000

Supportthesupervision,monitoringandevaluationandreportwritingofanimalhealthpolicyandprogrammesimplementation

● Conduct2-dayintensivetrainingof50staffonsupervision,monitoringandevaluationandreportwritingofanimalhealthpolicyandprogrammesimplementation

FMARD

5,484,000 5,484,000

● Procurementof37fourrunnervehiclesforsupervision,M&E FMARD

1,295,000,064

1,295,000,064

● Logisticsupport(fuelingandmaintenanceofvehicle,communicationallowance)for50supervisorystaff FMARD

21,000,000 84,000,000

DevelopCommunityAnimalHealthWorkerProgramme(CAHW)

● HireaconsultanttoreviewanddevelopCAHWtrainingmanual,guideline,SOPforepidemicsurveillance,diseasereportingandreportingtoolsandbasicanimalcareservices

FMARD

1,297,050 1,297,050

● Conduct2-daymeetingof30participanttovalidatetheCAHWtrainingmanual,guideline,SOPforepidemic-surveillance,diseasereportingandreportingtoolsandbasicanimalcareservices

FMARD 2,714,000 2,714,000

● Conduct5-daytrainingof3,096CAHWs(4perLGAs)onepidemic-surveillance,diseasereportingandreportingtoolsandbasicanimalcareservices

FMARD

178,770,000

178,770,000

● Printingof500copiesoftrainingmanual FMARD 750,000 750,000

SupportAdhocAnimalHealthOfficerinstatewithinadequatehumanresources

● Support5NYSCmembersandHire20adhocVeterinariansforthestates FMARD Yes 48,900,000 195,600,000

SupportAnimalHealthSectorofthePCU ● CapacityBuilding,CoordinationProgramSpecialist/Officer,Monitoring&EvaluationOfficer,Finance/Accountant,ProcurementOfficer,Communications+AdvocacyOfficer,internandcomponentfocalperson

FMARD Yes 33,600,000 134,400,000

Supportattendanceofrelevantnationandinternationalevents(seminars,shortcourses,workshops,conferencesandOIEsession)

● Attendanceof10staffinrelevantnationandinternationaleventsfor1week FMARD Yes 20,317,500 40,635,000

ConductPVSgapanalysisandassessment● Support2OIEdelegateswithDSA,airfarefor2weeks)toconductPVS,conduct2multi-stakeholdermeetingfor

validationandgfor2-daysresidentialmeetingsand4.printanddisseminatePVSreportFMARD Yes 23,832,344 23,832,34

4


131


132

R1:Preparedness

R1.1:Multi-hazardnationalpublichealthemergencypreparednessandresponseplanisdevelopedandimplementedStrategicAction DetailedActivities MDA Funded Cost(N)

2018-2019

Cost(N)

2018-2022

Developanall-hazardsmulti-sectoralpublichealthemergencypreparedness

• SixmembersteamtoIdentifyintersectoralandinterdependencestakeholders,outlinedpotentialcontribution,rolesandresponsibilitiesofthedifferentstakeholderstoconstituteanall-hazardTWG(adaymeetinginAbuja)

NCDC

19,200 19,200

plan(PHEPPP),linkingexistingagency-specificanddisease-specificplans.

• InaugurateTWGatthenationaltoplanforthedevelopmentofallhazardmulti-sectoralpublichealthemergencypreparednessandresponseplan.Presentdetailedpotentialcontributionofdifferentstakeholder.AdaymeetinginAbuja(30personsselectedacrossinterdependentstakeholders)

NCDC

201,000 201,000

• 3-dayladvocacyatthenationalleveltoheadsofMDAsinAbujaforthedevelopmentoftheall-hazardmulti-

sectoralPHEPP(FMARD,FMoH,FMOEv,NEMAandotherrelevantstakeholders)(Maxof7personsfor3-day)

NCDC

294,000 294,000

• Engageaconsultantfor30daystodevelopazerodraftoftheallhazardsPHEPP NCDC 1,200,000 1,200,000

• 3-dayStakeholdermeetingformaximumof40participantsinKadunatoreviewzerodraftandadoptinputfromstakeholders.

NCDC 9,458,000 9,458,000

• Consultantupdatesdraftwiththeinputfromallstakeholders NCDC 300,000 300,000

• PrintinganddisseminationofthenationalPHEPPtorelevantstakeholders. NCDC 1,164,500 1,164,500

• Engageaconsultantfor30daystodeveloptrainingmoduleonriskreductionandemergencypreparednessandresponseinthehealth

NCDC 1,200,000 1,200,000

• 2-day,20memberteamtoreviewthezerodraftofthetrainingmoduleonriskreductionandEPRinNasarawa(maximumof10participants)

NCDC 3,673,000 3,673,000

• 5-daytrainingandsimulationonmultiple(twohazard)hazardinLagosforhealthworkeratthenationallevel(80

Participants).NCDC

24,296,400 24,296,40

0

• Engageaconsultantfor14daystodevelopfirstdraftofMOUthatguideoperation(ConsulttheLegalofficer). NCDC 600,000 600,000

DevelopmemorandaofunderstandingwithrelevantMDAs.(Preparednessandresponse)

• 1-daymeetingofPHEPRPTWGinAbujatodevelopamemotoNationalcouncilonhealthtoaddresscoordination,collaborationandsupportamongrelevantstakeholders.(25participants).

NCDC

771,000 771,000

• 1-daymeetinginAbujatoreviewandadapttheMOUforsigning(30participants) NCDC 682,000 682,000

• AdaymeetinginAbujaforSigningofMOUbyheadofMDAs. NCDC 100,000 100,000

R1.2:Prioritypublichealthrisksandresourcesaremappedandutilized


2018-2019

Cost(N)

2018-2022

Conductnationalmulti-sectoralall-hazardspublichealthriskassessmentandresource

● 5-dayNationalworkshoponprofilingrisk,vulnerabilityRiskAssessmentandresourcesmappingusingSTARandVRAMtoolsinLagos.(45participants)

NCDC 0 0

mappingtoinformnationalpublichealthemergencypreparednessplan

● 2-daypreassessmenttrainingfordatacollectorsinNasarawaaweekafterthenationalworkshop(18participants)

NCDC 2,834,800 2,834,800


133

● Twelvedays’assessmentphasefordatacollectionandanalysisinsixgeopoliticalzones,sixstatesperzone.(twodatacollectorsperzone)

NCDC 6,124,800 6,124,800

● Engageaconsultantfor30daystocollate,analyseandcomeupwithfinalreport. NCDC 1,200,000 1,200,000


● Identify,constitutequantificationandforecastingteamforresponsematerials,laboratoryreagents,consumablesandallhealthcommoditiesforalltheprioritydiseasesandevents.15participants,AdaymeetinginAbuja)

NCDC 122,000 122,000

● 5-daymeetingtoforecastingforhealthcommodityneededforprioritydiseasesandeventsanddevelopprocurementplaninAkwanga,Nasarawastate(ResponseandLaboratory)(15participants)

NCDC 6,729,000 6,729,000

● 5-daymeetingtodevelopSOPsforreceiving,storage,Profilingtransporter(eligibility),distributionand

prepositionofallhealthcommoditiesincludinglaboratoryandresponsematerialsinEnugu(35participants)NCDC 12,901,000 12,901,00

0

● MeetingtoPrepareProcurementplanforcommoditiesrequiredforprevention,detectionandresponse NCDC 3,454,000 3,454,000

● ProcurementanddeployHealthcommodities,Equipment,reagentsandMedicinestothepointsofusebased

ontheprocurementplanNCDC 1,000,000,0

003,000,000,

000

DevelopPlansforsurgecapacityto ● Engageaconsultantfor30daystodevelopzerodraftofthesurgecapacityplan. NCDC 1,200,000 1,200,000

respondtopublichealthemergenciesof ● 5-daystakeholdersmeetinginLagostoreviewthedraftandbuy-inofthestakeholders.(35participants) NCDC 11,097,000 11,097,000

nationalandinternationalconcern ● Printinganddissemination NCDC 1,164,500 1,164,500

● IdentifyandconstituteEMTteam NCDC 0 0

CapacitydevelopmentfortechnicalandadministrativestaffsofNigeriaCDCandrelevantMDAs.

● Developtrainingmoduleonriskreductionandemergencypreparednessandresponseinthehealthsector(thesameasabove)

NCDC 1,500,000 1,500,000

● ConductTOTforhealthworkeratthenationalConduct3-daytraininginsixgeopoliticalzones(thesamein

activityoneabove)NCDC 17,182,000 17,182,00

0


● Identifyandconstitutequantificationandforecastingteamforresponsematerials,laboratoryreagents,consumablesandallhealthcommoditiesforalltheprioritydiseasesandevents.(AdaymeetinginAbuja)

NCDC 1,608,000 1,608,000

● FourdaysforecastingandsupplyplanningmeetingforprioritydiseasesandpublichealtheventsinAbuja.(30participants)

NCDC 4,294,000 4,294,000


NCDC 7,324,000 7,324,000

● 5-daymeetingtodevelopSOPsforreceiving,storage,distributionandprepositionofallhealthcommoditiesincludinglaboratoryandresponsematerialsinEnugu(35participants)

NCDC 8,253,000 8,253,000

● 2-daymeetingforProfilingtransporter,storagefacilityforinventorymanagement.(15participants) NCDC 2,011,000 2,011,000

● PrepareProcurementplan,procureanddeployhealthcommodities,equipment,reagentsandmedicinestothe

pointsofuseacrossthecountry.(allthroughtheyear)NCDC 2,000,000,0

008,000,000,

000


134

DevelopPlansforsurgecapacityto ● Engageaconsultantfor30daystodevelopzerodraftoftheplan. NCDC 3,780,000 3,780,000


nationalandinternationalconcern ● 3-dayfinalizationmeetinginKaduna(35participants) NCDC 4,913,000 4,913,000

● Printinganddissemination. NCDC 500,000 1,000,000

● IdentifyandconstituteEMTteam. NCDC 0 0

● 3-daymeetingtoharmonizethelinkwiththeworkforceformanpower,linkwithmedicalcountermeasurelogisticsforresourcesmanagementandlinkwithcoordinationforthecoordinationoftheEMT

NCDC 6,198,000 6,198,000

DevelopandmaintaindatabaseofSubject ● Developelectronicdatabaseformanagementofinformationofrapidresponders NCDC 3,780,000 3,780,000

MatterExpertsforpreparednessandresponse(movedfromEmergencyResponseOperations)

● Quarterlyreviewofthesubjectmattersexpert’sdatabase. NCDC 0 0

Developriskanalysisprogrammeforanimalhealthofficers

● Hireaconsultantfor4weekstodevelopriskanalysisprogrammeforanimalhealthandtrainingmanualFMARD 2,137,050 2,137,050

● Conduct2-daymeetingof30participantstoreviewandvalidatetheprogrammeandtrainingmanualFMARD 2,714,000 2,714,000

● Conduct5-daytrainingof100participantsonriskanalysis(NAQS,DVPCS,StateVS,privatevet) FMARD 15,290,000 15,290,00

0

Developnationalpreparednessplansforemergingandremerginganimaldiseasesandotherevents

● Hireaconsultantfor4weekstodevelopnationalpreparednessplansforemergingandreemerginganimaldiseasesandotherevents

FMARD 1,770,000 1,770,000

● Setupanationalpreparednesscommitteeof10animalhealthprofessionalsforemergingandremerginganimaldiseasesandotherevents

FMARD 0 0

● Supportquarterlymeetingofthenationalpreparednesscommitteeof10professionalsFMARD 2,384,000 9,536,000

● Conduct2-daystakeholdermeetingof40participantstoreviewandvalidatethepreparednessplanFMARD 3,996,000 3,996,000

● Conduct2-daytrainingof50participantsonpreparednessplanforemergingandremerginganimaldiseasesandotherevents

FMARD 4,164,000 4,164,000

● Printingof500copiesofthepreparednessplanforemergingandreemerginganimaldiseasesandotherevents FMARD 600,000 600,000

Mapthehotspotsinhuman,wildanddomesticanimalspeciesinterfacesforzoonoticdiseasesandTADs

● EngageconsultantstoidentifyanddeveloptheGISmappingofthehotspotsinhuman,wildanddomesticanimalinterfaceandforzoonoticdiseasesandTADs,traindatacollectortocollecttheGPScoordinatesanduploadtheGISmappingwithNCDCandMinistrywebsite2.Conducttwomulti-stakeholdermeetingsof65&60personsfortheadoptionandvalidationofthereportrespectively(3daysresidential)andl4.Print2500copiesanddisseminate2000copiesofthereport

FMARD Yes 64,828,756 64,828,756

ConsultativeMeetings-NLDCandNRCDwithrelevantstakeholderintheagriculturalsector

● Supportformulti-stakeholdermeetingof60personstocarryoutadvocacyandsensitization,2.NLDCand3.NRCDmeeting-3daysresidential

FMARD Yes 0 0

ProcurementofessentialveterinarystockpilesandvaccinesforVaccinepreventablezoonoticdiseases

● Procure2swildlifecapturingtools(dartingguns,traps,etc.),1000samplematerials,(1000coldbox,tubesandbottle)50,000syringesandneedle,10,000vacutainers

FMARD Yes 0 0


135

R2:EmergencyResponseOperations

R2.1:CapacitytoActivateEmergencyOperations


2018-2019

Cost(N)

2018-2022


● Inauguration,andactivationofnationalEPRteamtakinganallhazardsapproachinvolvingtheanimalandenvironmentalhealthsector.

NCDC 550,000 550,000

● 1-daybiannualmeetingwithMinistries,DGsandDirectorsfromNiMET,NEMAandotherstakeholders.

NCDC 2,226,000 5,194,000

● WritetostatetoactivateEPRandRRTteamswhichwouldincludeanimalandenvironmentalhealthcomponent.

NCDC 216,000 216,000

● Conduct3-dayAdvocacytorelevantMDAsontheneedforOneHealthinemergencyresponseinAbuja.(15

membersadvocacyteamselectedacrossthestakeholders)

NCDC 0 0

EnhancetheNCDCEOCphysicalspace,equipment,andlogisticsupport

● ProcurealargerEOCphysicalspace-conferenceroomtoaccommodate30persons,6meeting(includingEOCmanagersroom)roomstoaccommodate10personseach

NCDC 0 0

● Three(3)84”smartscreenmonitorsfortheconferenceroomandOne84”smartscreenmonitorsforthemeetingrooms,Fourvideoteleconferenceequipment,Twoprojectorandprojectorscreens,Sixdesktopsforworkstationsandbackup,10laptops,TwoMultipurposeprinters,OnePhotocopier,onescanner,Internetserviceandmodemsforbackup,1ResponsehiluxConferenceareaLargeconferencetabletoseat15persons,30swivelchairs,Threenoticeboards,onewhiteboard,2FlipchartstandsMeetingroomsFiveconferencetablestoseat10personseach,50swivelchairs,5fireproofcabinets,5flipchartstands,5whiteboardsEOCmanagersofficeOneofficedesks,Twoswivelchairs,onefireproofcabinet

NCDC 0 0

DevelopandmaintaindatabaseofSubjectMatterExpertsandRRTforpreparednessandresponse(MovetoPreparedness)

● Developelectronicdatabaseformanagementofinformationofrapidresponders NCDC 300,000 300,000

● Quarterlyreviewofthesubjectmattersexpertdatabase. NCDC 0 0

R2.2:EmergencyOperationsCentreOperatingProceduresandPlan


2018-2019

Cost(N)

2018-2022

StrengthenproceduresandplansforEOCemergencyoperationsfunction

● Appropriatelegalinstrumentsareinplacetoenactcriticallegalandadministrativemeasuresforemergencylegislation,administrativeregulations,non-legislativeguidelinesorstandards,andnon-legislativeagreements,orarrangementsforPHEOCtomanagepublichealthresponses

NCDC 8,494,000 8,494,000


136

● 1-daymeetingtodevelopMoUontheestablishmentandfunctionalityofEOCsatbothNationalandStateLevelNCDC 746,000 746,000

● 1-daymeetinginAbujatoreviewandadapttheMOUforsigning(30participants) NCDC 682,000 682,000

● AdaymeetinginAbujaforSigningofMOUbyheadofMDAs. NCDC 100,000 100,000

● PresentationbytheMinisterHealthtotheNCH NCDC 0 0


● 5-daystrainingandmentoringofrelevantstakeholdersin36plusonestate(3fromAbujaand15atthestatelevel).

NCDC 29,601,600 67,660,800

R2.3:EmergencyOperationsProgram


2018-2019

Cost(N)

2018-2022

StrengthencapacityforemergencyresponseamongEOCstaffandsurgepersonnelbydevelopingstandardtraining,simulationexercises,andafteractionreviews

● Conducta5-daymeetingtoreview,harmoniseandstandardisetrainingprotocolsoftheexistingdocumentforEOCoperationsandforemergencyresponse

NCDC 3,450,000 3,450,000

● Conductjoint30outbreakinvestigationswithAnimal,humanandenvironmentalhealthteams(6participants) NCDC 164,340,000

361,548,000

● Conductafteractionreviews NCDC 97,927,200 228,496,800

Hirecorepublichealthemergencymanagementstaff

● TWGtoConducta2-daymeetingforneedsassessmentofhumanresourcesneededforresponse,rolesandresponsibilitiesshouldalsobedefined(thisshouldbetakenintocontextofthePublicHealthWorkforceresourcemappingtobeconductedbytheHealthworkforcetechnicalarea)

NCDC 441,500 441,500

R2.4:CasemanagementproceduresareimplementedforIHRrelevanthazards


2018-2019

Cost(N)

2018-2022

Developnationalcasemanagementguidelinesforprioritydiseases,SOPsforthe

● Conduct3daysmeetingtoreviseexistingcasemanagementguidelinesandSOPs(20participants;involvingthe6pillarleads;Enugu)

NCDC 6,696,800 6,696,800

managementandtransportofpotentiallyinfectedpersonsandimproveinfection

● Engageconsultantfor1monthtoharmonisecasemanagementguidelinesforprioritydiseasesanddevelopSOPfortransportationofpotentiallyinfectedpersons.

NCDC 1,200,000 1,200,000

preventionandcontrolatthenationalandstatelevels

● Convene5-daysstakeholdersmeetingtovalidaterevisedandharmonisedguidelinesandSOPinconjunctionwiththeIPCteam(30participants;Akwanga).

NCDC 10,013,200 10,013,200

● PublicationonMDAswebsite NCDC 0 0


137

● PrintingandDisseminationofrevalidatedcasemanagementguidelines,SOPstorelevantstakeholders NCDC 2,329,000 2,329,000

Improveinfectionpreventionandcontrolatthenationalandstatelevels

● Conductassessmentofisolationunitsinallthestateinthecountrytoidentifygapscomparedtoglobalbestpracticeanddevelopminimumstandardsforisolationpractice.2daysperstate,2personperstatefor36statesandFCT

NCDC 11,277,600 11,277,600

● Conduct5-daystrainingtobuildIPCcapacityofHealthworkersineachgeopoliticalzone40participantsperzone.

NCDC 37,344,000 37,344,000

Establishfundingmechanismandoptionsforanimaldiseaseandtransboundarypest

● Conduct2-daystakeholdermeetingforestablishmentoffundingmechanismandoptionsforanimaldiseaseandtransboundarypestoutbreaksfromtheEcologicalFundandothers

FMARD 0 0

outbreaksfromtheEcologicalFundand ● Printing200copiesofthememoonestablishmentoffundingmechanismtoNCAforapprovalFMARD 0 0

others ● Conduct2-daymeetingtostrengthencollaborationwithrelevantMDAs.NCDC,NEMA,Securityagencies,NGOandpartners

FMARD 1,338,000 1,338,000

Provide40operationalvehiclesforanimalhealthservicesincludingresponsetoanimaldiseasesoutbreak

● Procure40operationalvehiclesforanimalhealthservicesincludingresponsetoanimaldiseasesoutbreakFMARD 720,000,000

720,000,000

● Providemonthlyfuelingandmaintenanceof40operationalvehicles FMARD 16,800,000 67,200,000

SupportforEmergenceandResponseActivities ● Procure2s4Runner,6s.4-Wheeldoublecabinand2sCorollaVehicles2.Registrationandinsuranceofthevehicles3.Tracking,fuelingandmaintenance

FMARD Yes 239,680,000

239,680,000

EquippingtheCrisisManagementCenter(animalcomponentoffice)

● Procure2LED60",TV,teleconference,Ups,stabilizer,swivelandvisitorchair,printer,cartridge,camera,modem,deskphone,photocopier,windowblind,wastebin&shredder

FMARD Yes 10,270,000 10,270,000

RefurbishmentofREDISSEAnimalHealthcomponentofficeatHeadquarter

● Officeportioning,tiling,painting,toiletfitting,procurerefrigerator,waterdispenser,TV,chair.Cabinet,vehicle,rent,andconferencetable

FMARD Yes 23,989,200 23,989,200

Supportforprojectlogistics ● Provideutilityfees-electricity,water,wastemanagement,l,PMS,detergents,beverage,microwave,freezer,seater,TV,laptop,cutleriesandvehiclesandattendanceofinternationalconference

FMARD Yes 14,985,500 14,985,500

Projectmanagementcosts6.Staffincentives ● Providemonthlyincentives/stipendsfor6stafffor9months FMARD Yes 28,200,000 28,200,000

Engagementofcontractstaffandconsultants ● Hire4cleaners,security,driver,grievanceredressedofficer,receptionist FMARD Yes 7,800,000 7,800,000

Exchangevisit ● Airticket,accommodationandperdiemfor3NCDCstafffor5-daysexchangevisittoRobertKochInstituteBerlinGermany

NCDC Yes 3,889,018 3,889,018

1stTechnicalWorkingGroupMeeting(TWG) ● 13TWGMAURICEmembers,FMoHandNCDCMAURICEteammetand:-JustifiedtheneedforaharmonisednationalInfectionPreventionandControl(IPC)manual-AgreedonthecontentandstructureoftheMAURICEmanual3.ExchangedinformationonrelevantIPCdocumentsandliteraturefordevelopmentofthedraftmanual

NCDC Yes 1,590,190 1,590,190

2ndTechnicalWorkingGroupMeeting ● ReviewandincorporationofcommentsbyTWGmembersintothedraftMAURICEmanualdevelopedbytheNCDCteam

NCDC Yes 1,580,800 1,580,800

TrainingModuledevelopmentWorkshopinAbuja

● TrainingofNCDC,FMoH,UATH,NHA,RKI,GIZstaffontheconceptoftheparticipatoryqualitydevelopmentapproachandsystemicview

● DevelopedfacilitatorsandparticipantsguideReviewofdraftIPCMAURICEmanualanddraftonepagers

NCDC Yes 2,288,000 2,288,000


138

PilotworkshopattheUniversityofAbujaTeachingHospital(UATH),Gwagwalada

● Trainingof13UATHstaffas“IPCChangeAgents”usingaparticipatoryqualitydevelopmentapproachandsystemview,1-dayfieldvisitandengagementofUATHforsustainability

NCDC Yes 794,269 794,269

LagosImplementationworkshop,part1 ● IPCtrainingof28frontlinehealthcareworkersfrom7publichealthfacilitiesand7privatehealthfacilitieswith4stateministryofficialsas"IPCchangeagents"usingparticipatoryqualitydevelopmentApproachandsystemicview

NCDC Yes 13,615,014 13,615,014

LagosImplementationworkshop,part2 ● FeedbackonfieldphasefindingsandexperiencesbychangeagentsEngagementof11hospitalmanagement(medicaldirectors)forsustainability

NCDC Yes 10,758,550 10,758,550

Operationalresearch ● SystematicevaluationoftheefficiencyofMAURICEtrainingwithregardtoIPCinterventionsinthehospitalviasupervisoryvisits

NCDC Yes 0 0

EnsureproperadministrationandoperationsmanagementoftheEOC

● EngageanEOCplanningofficer,grantsmanagerandITmaintenanceofficers NCDC Yes 16,012,549 16,012,549

ConveneregularEOCmeetings ● Routineandoutbreakresponsemeetings NCDC Yes 1,281,000 1,281,000

EOCFacilityMaintenance ● ProvidefundsformaintenanceoftheEOCFacility NCDC Yes 2,111,256 2,111,256

EnsureproperfinancialmanagementofCo-Agfunds

● EngagementofafiduciaryagenttoensureGoodgovernanceandstrongfinancialpracticeswhichwillbeincompliancewithtermsandconditionsofthecooperativeagreementduringtheimplementationofthegrant.

NCDC Yes 2,954,840 2,954,840

ConductgapanalysestodetermineminimumEOCoptimalfunctionality

● CarryoutexpertreviewandassessmentoftheexistingEOCstructures,systemsandmanagement. NCDC Yes 0 0

DevelopmentofaNationalMedicalCounterMeasuresStrategicPlan

● Conducta5-daystakeholders'workshoptoratifythedraftMCMstrategicplan NCDC Yes 4,282,200 4,282,200

CapacitybuildingandmentorshipofStateEOCsduringpublichealth/emergencyoutbreaksofconcern

● ProvisionofonsiteandoffsitetechnicalsupporttoStateEOCsandemergencyresponsestructuresduringpublichealth/emergencyoutbreaksofconcern

NCDC Yes 0 0

DevelopmentandImplementationoftheNCDCMulti-HazardPreparednessPlanforkeyprioritydiseases(YellowFever,CSM,LassaFever,Cholera,AvianInfluenza,Monkeypox)

● i.Collationandreviewofexistingpreparednessplansfordifferentdiseaseareasii.Conveystakeholdermeetingstointegratecollatedplansiii.Finalizeanddisseminateamulti-hazardpreparednessplan.

NCDC Yes 4,282,200 4,282,200

Supportoutbreakinvestigationandresponse. ● DeploymentofRRTsforinvestigationandon-siteresponsetorumours/alerts/confirmedreportsofepidemic-pronediseaseoutbreaks

NCDC Yes 2,793,800 2,793,800

DevelopaNationalHEOCPolicy ● Constitutean8-memberpolicydraftingcommitteewithmembersfromNPHCDA,WHO,AFENET● ConductseveralmeetingstodevelopadraftNationalHEOCpolicy.● SubmitthedraftHEOCpolicytotheNCDCManagementCommittee

NCDC Yes 36,600 36,600

Ensurestockpileofsufficientlaboratoryreagentsandotheressentials.

● Procureessentialreagentsandcommoditiesforlaboratories NCDC Yes 2,592,500 2,592,500

Monitoringandsupervisionoffacilitiesforadherencetostandardandbrainstormingonchallenges

● ConductmonitoringandsupervisoryvisitstolaboratorieswithintheNCDCnetwork. NCDC Yes 2,293,600 2,293,600

Onsiteassessmentandvaluationtoidentifyasuitablefacility.

● SiteassessmentofproposedfacilitybytheEOCteamleadandindependentvaluationconsultant. NCDC Yes 1,300,000 1,300,000


139

Renovationoffacility,equipping/optimisationoftheEOCfacility

● Demolitionandalteration@192,500Rehabilitationworks@3,067,963

● PurchaseofcommunicationsandInformationTechnologyequipment@6,111,200● ProjectAdministration(2.5%)@287,691

ValueAddedTax(VAT)5%604,152

NCDC Yes 102,635,056

102,635,056

BasicPHEOCfundamentalstraining ● Transportationof5NCDCPersonneltoandfromStatefortrainingactivities@1,857,632perstate.Stationery@500/personX30personsandprintingoftrainingmaterials@100x40itemsX30personsandTeabreak&Lunch@6,000/personX30personsX10daysandfilejackets@500/personX30andtepads@400/personX30persons@1,966,000

NCDC Yes 0 0

Conductanexperiencesharingworkshopforthealreadyestablished6statePHEOCsinAbujatoreviewtheestablishmentprocess,whathasgonewell,andlessonslearned.3peoplefromeachstatewillbeinattendance.

● DTA@16000/dayfor2-daysfor24people● Flight@60,000perpersonfor24people

Airporttaxi@20000/[email protected]%ofDTAfor24peopleHallhirefor2-days@300,000

● Lunchfor35persons@3000/dayandteabreak@1500/day.7)Filejackets@500/personX35andtepads@400/personX35people.Thiswillalsoincluderoadtransportforsomestates.

NCDC Yes 4,200,000 4,200,000

Monitoringandsupportivesupervisionoffirst6newlyestablishedstatePHEOCs.3peoplewillbedeployedtothefirst6PHEOCstoprovidesupportivesupervisionandconductsimulationexercises.

● Flight@60,000for3peopleDTA@16,000/dayx3peopleAirporttaxi@20000/perpersonLocaltransport@1,500/dayLunch@3000for10peopleTeaBreak@1500for10peoplePrintingofmonitoringmaterials@5000

NCDC Yes 3,000,000 3,000,000

6.PersonnelwagesandsalariesforstateEOCprojectandnationalICCfor12months

● 1consultant/TeamLeadforstatePHEOCestablishment@1,000,000/month1projectassistantstatePHEOCestablishment@400,000/month1IncidentCoordinationCentreAssistant@150,000/month1BiomedicalEngineer@N120,000/month1TechnicalAssistanttoDG@400,000/month1TechnicalAssistantfor(operations)@600,000/month1TechnicalAssistantforCommunications@400,000/month1CommunicationsAssistant@150,000/month

NCDC Yes 38,640,000 38,640,000

OnsiteassessmentandadvocacyvisitsofPolioEOCsin3stateswhichaimstounderstandthescopeofoperationstoenabletransitiontoPHEOCsfor2-daysfor3people

● Flight@60,000for3peopleAirporttaxi@20000/perpersonDTA@16,000/dayx3peopleLocaltransport@1,500/day

NCDC Yes 1,200,000 1,200,000

EngagementworkshopforthepolioEOCsasafirststepinthetransitionofpolioEOCsintostatePHEOCnetwork-2personswillbeinvitedfromeachofthe8PolioEOCs.

● DTA@16000/dayfor2-daysfor16peopleFlight@60,000perpersonfor16peopleAirporttaxi@20000/[email protected]%ofDTAfor16peopleHallhirefor2-days@400,000Lunchfor30people@3000/dayandteabreak@1500/day.filejackets@500/personX30andtepads@400/personX30persons.Thiswillincluderoadtransportforsomestates.

NCDC Yes 3,400,000 3,400,000

Internetservicessubscription ● AnnualsubscriptionforNCDCinternetservices@1,000,000 NCDC Yes 1,000,000 1,000,000

ICCconsumables&supplies ● Printer/Copierink@125,000,kitchenettesupplies@25,000 NCDC Yes 1,800,000 1,800,000

RunningofEOCmeetings ● Monthlymeetingcosts@50000 NCDC Yes 600,000 600,000


140

MonthlyCablesubscription ● Paymentformonthlycablesubscription@20000 NCDC Yes 240,000 240,000

Monthlysubscriptionforclosedusergroup(CUG)tollfreelinesforNCDCresponsestaff,stateepidemiologistsandlocalgovernmentareadistrictsurveillanceandnotificationofficers.

● CUGsubscriptionanddatabundlerental@47,[email protected] NCDC Yes 600,000 600,000

PaymentforadatamanagementtoolforE-healthAfrica

● AnnualsubscriptionforNCDCdiseaseoutbreaksdatatool@4945644 NCDC Yes 4,945,644 4,945,644

Engageoneconsultantfor4weekstodevelopconducttheevaluationprocess,identifyresearchquestionsforpublicationandmakerecommendationsfornextphaseoftheEOCproject.

● Consultancyfee@1,000,000TravellogisticsforevaluationvisitsX2peopleto6statesfor2@1,500,000Focusedgroupdiscussionandworkshop@2,500,000

NCDC Yes 5,000,000 5,000,000

Establishfundingmechanismandoptionsforanimaldiseaseandtrans-boundarypestoutbreaksfromtheEcologicalFundandothers

● Conduct2-daystakeholdermeetingforestablishmentoffundingmechanismandoptionsforanimaldiseaseandtrans-boundarypestoutbreaksfromtheEcologicalFundandothers

FMARD 0 0


141

R3:LinkingPublicHealthandSecurityAuthorities

R3.1:PublicHealthandSecurityAuthorities,(e.g.LawEnforcement,BorderControl,Customs)arelinkedduringasuspectorconfirmedbiologicalevent


2018-2019

Cost(N)

2018-2022

EstablishanationalTWGforlinkingpublichealthandsecurityauthorities

● SetupTWGsecretariatatONSAandWritelettersfornominationfromallsecurityagenciestoconstitutetheTWG

ONSA 0 0

● 1-dayinauguralmeetingofTWG(40persons)toreviewTORanddefinenextsteps ONSA 1,062,000 1,062,000

● Bi-Monthlymeetingof20persons ONSA 4,942,000 4,942,000

UpdateoldstatutoryinstrumentstomakethemcompliantwithIHR.

● SecretariattodevelopTORandidentify7-mantaskteamtocompileavailablestatutorydocuments ONSA 0 0

● Engageaconsultanttoconductanassessmentofexistingstatutoryinstruments,toidentifyrelatedgaps ONSA 1,221,200 1,221,200

● 2-daysworkshopforLegalofficersfromallrelevantMDAsandorganizationstoreviewreports,proposeamendment,anddraftnewregulationswherenoneexists

ONSA 4,196,000 4,196,000

● High-levelstakeholders(Civil+Military+IntelAgencies)2-daysmeetingtoreviewandapprovetheproposedamendmentand/ornewregulations

ONSA 3,468,000 3,468,000

● Engagementwiththelegislativearmforlegalbacking,workingwithMinistryofJusticeandtheLEGISLATIVETECHNICALGROUPofJEE

ONSA 0 0

DevelopuniqueprotocolsandMoUsfor ● Setupa5mantaskteamtocompiledocuments,developTORforaconsultanttocoordinateprocess ONSA 0 0

securityagenciesandpublichealthdepartmentstoelaborateonthespecific

● Hireaconsultant(workingwiththetaskteam)toliaisewithlegalofficersofrelevantMDAsandorganisationstofacilitatethedraftingofanMOU

ONSA 1,221,200 1,221,200

rolesinclearterms ● StakeholdersmeetingstoreviewandvalidatetheMOU ONSA 1,418,000 1,418,000

● Conductadvocacytoheadsofagenciesforbuy-inandendorsementoftheMoU ONSA 0 0


● Ensureroutineinclusionofrelevantpersonnelfromthesecurityagenciesinallpublichealth-relatedtrainingsandworkshops

ONSA 0 0

● IdentifydeskofficerforpublichealthemergenciesinallrelevantMDAsandsecurityagenciesONSA 0 0

● Jointcapacitybuildingonpublichealthemergenciesanddisasters(tabletopexercise)formiddlecadreofficers-oneperyear

ONSA 21,332,000 53,330,000

● Jointcapacitybuildingonpublichealthemergenciesanddisasters(simulationexercises)formiddlecadreofficers-1peryear

ONSA 36,600,000 91,500,000

● Conductbiannual/seminarsandstepdowntrainings ONSA 3,720,000 11,160,000

● Integratesecurityagencies'personnelasco-editorsofperiodicepidemiologybulletinsONSA 0 0

● Ensureappropriatedistributionofthedocumentamongstakeholders(Civil+Military+IntelAgencies) ONSA 0 0


142

● EnsureinvolvementofSecurityOfficials(NIPSS,NDC,ISS,ONSA,ArmedForces)inAfterActionReview(AAR)postincident.

ONSA 0 0

Implementappropriatelegal,policyinstrumentsandoperationalpackage(MOU,

● ToinvolvedeskofficersonpublichealthemergenciesfromsecurityagenciesandMDAsinNASORM NCDC 0 0

SOPs)toensuremulti-sectoralhealthpreparednessandresponse.

● EmbedmilitaryandsecurityagenciesinNCDCandotherpublichealthagencies,tofacilitateinter-agencycollaborations,skillsexchangeandcapacitybuilding

NCDC 650,000 650,000

Improvereportingandinformationsharingmechanismsincludingcross-bordercollaboration

● Establishandkeepupdated,alistserv/databaseofalltherelevantdeskofficersandkeypersonnelofthesecurityagenciesandMDAs,atsecretariat(ONSA)

ONSA 0 0

● Establishamechanismfortransmissionofriskcommunicationinformation,situationreportsandresponseactivities,torelevantsecurityagenciesandMDAs

ONSA 0 0

● Tohavepublichealthissuesdiscussedduringcross-bordercollaborationmeetings(ECOWASHealthMinistersmeeting)

ONSA 0 0

● Advocacytohavepublichealthemergencysituationreportsroutinelydiscussedatnationalsecuritymeetings ONSA 0 0


R4:MedicalCountermeasuresandPersonnelDeployment

R4.1:Systemisinplaceforsendingandreceivingmedicalcountermeasuresduringapublichealthemergency


2018-2019

Cost(N)

2018-2022


● 5-dayworkshopfor40peopletodevelopSOPsandprotocolsforplanning,placingorder,procurement,deployment,emergencycommoditiesforwaiversandreceivingMCMassetslocallyandinternationallyandconceptnoteonMCMframework

NCDC 9,406,000 9,406,000

● 4-dayWorkshopfor40peopleandTrainingofstakeholdersonMCMlogisticsatsixgeopoliticalzonesbyMCM

TWG(5facilitatorsfromAbujaand35participantsfromneighboringstates).NCDC 39,310,400 78,620,80

0

● 1-daymeetingfor30peopletosetupandfortheinaugurationoftheInter-MinisterialSteeringCommitteeonMCM

NCDC 904,000 904,000

● Onedaybi-annualmeetingsof25peopleoftheInter-MinisterialSteeringCommitteeonMCM NCDC 2,445,000 5,705,000

● 2-daysmeetingof6peopletodevelopdatabaseofthedonorsandsuppliers NCDC 907,600 1,815,200

● NCDCtodevelopmemotoNationalNCHontherolesandresponsibilitieswithstakeholders/donorforMCM(nocost)

NCDC 0 0

SupportthedevelopmentofMOUswithinternationalsuppliersofmedical

● Engageonenationalconsultantfor14daysconsultancytosupporttheprocessofdevelopingtheMOUs. NCDC 930,000 930,000

countermeasuresforpublichealth ● 1-dayreviewofthefirstdraftofMOUbytheconsultantbysixmemberteam NCDC 551,200 551,200


143

emergencies ● A2-dayresidentialmeetingtovalidateandadaptMOU(30residentialand10non-residentialparticipants;Lagos)

NCDC 4,292,000 4,292,000

● Printingof100copiesofthefinaldocument NCDC 232,900 232,900

● Disseminationoffinaldocument NCDC

Conducttabletopsimulationexercisetotestthemedicalcountermeasuresplan

● Conductaquarterly2-dayresidentialmeetingofthePD/MCMTWG(30participants)whichwillinclude1-daysimulationexercise(tabletopexercise)

NCDC 19,730,000 67,082,000

PromotetheadherencetothenationalpharmaceuticalassurancepolicybylocalmanufacturersforitemsrequiredforMCMthatcanbeprocuredincountry

● FMoH,NAFDACandNCDCtoorganizea3-dayannualsensitizationworkshoptopromotetheadoptionofthepracticesintheareaoftheexecutiveordereaseofdoingbusinessforthepharmaceuticalcompanies(70participants).

NAFDAC 2,598,000 2,598,000

● DisseminatethePAQPtoallstakeholders NCDC 20,000 20,000

R4.2:Systemisinplaceforsendingandreceivinghealthpersonnelduringapublichealthemergency


2018-2019

Cost(N)

2018-2022

Developapersonneldeploymentplanandlegalandregulatoryframeworkfor

● Hire1nationalconsultantfor10workingdaystoreviewthelegalandregulatoryframeworkforpersonneldeploymentincludingsectorrolesandresponsibilities.

NCDC

690,000 690,000

personneldeployment,includingsector ● Hire1NationalConsultantfor10workingdaystodraftthenationalmedicalpersonneldeploymentplan NCDC

rolesandresponsibilitiestoidentifybarriers ● 3daysmeetingof25peopletoreviewzerodraftdevelopedbyconsultants(Akwanga) NCDC 4,575,000 4,575,000

toreceivinghealthpersonnelduringpublichealthemergencies

● Printanddisseminationof500copiesofthefinaldocument NCDC

1,164,500 1,164,500

Reviewandestablishstandardsofcareincludingthecompetenciesrequired-

● Hireaninternationalconsultantfora14-dayconsultancytoreview,establish,draftandadaptthestandardsofcareincludingthed-includingSoPs,domesticateguidelinesetc.

NCDC

0 1,297,050

includingSoPs,domesticateguidelinesetc. ● 3-daymeetingof25peopletoreviewzerodraftdevelopedbyconsultants(Kaduna) NCDC 0 4,832,000

● Printinganddisseminationof100copiesofthefinaldocument NCDC


ProvisionofAnimalcontainmentequipmentandmaterialsduringAnimalHealthcrisis

● Procure1loadingtruckand1excavatortruckProcure6wildlifesurveillancevehiclefornationalwildlifeparksProcurewildlifecapturematerials(captureguns,traps,sedatives,tranquilizer,PPE)

FMARD


144

R5:RiskCommunication

R5.1:RiskCommunicationSystems


2018-2019

Cost(N)

2018-2022

Developamulti-sectoralandall-hazardsrisk ● Identificationandmappingofrelevantstakeholdersacrosssectorsanddisciplines NCDC 0 0

communicationstrategyandemergencyplan ● Inaugurationofthemulti-sectoralriskcommunicationgroup NCDC 0 0

● Monthlymeetingofthemulti-sectoralriskcommunicationworkinggroup,30persons-local(communicationand

refreshment,teabreakandonelunch)NCDC

21,216,000 42,432,00

0

● 2-daystrainingfor30membersofriskcommunicationworkinggrouponmulti-sectoralriskcommunicationcoveringhealthsystembuildingblocks

NCDC 6,482,000 6,482,000

● Conduct3days’Workshopfor40multi-sectoralriskcommunicationgroupmemberstodevelop/collate

communicationplansofdifferentMDAs(Thisincludescostfortravels/perdiem/feeding/accommodation/venuefor)

NCDC

8,560,000 8,560,000

DevelopaMonitoringandEvaluationprocesstoprovidefeedbackintotheprogrammeforimprovement.

● Engageaconsultanttosupporttheprocess(Thisincludescostfortravel/perdiem/accommodation/food/venue) NCDC

2,490,000 2,490,000

● Conduct2-daysworkshoptodevelopmonitoringandevaluationtoolkitsandresearchtogatherdataforanalysis.(Thisincludescostfortravel/perdiem/accommodation/food/venue)

NCDC 1,392,000 2,784,000

● Conduct3daystrainingonmonitoringandevaluationfor30multi-sectoralriskcommunicationgroupmembers

atthenationallevel(Thisincludescostfortravel/perdiem/feeding/accommodation/venue)NCDC

0 14,712,00

0

● 3daysstepdowntrainingforthesub-nationalstructures(774LGAEducators:2Statehealtheducatorsperstate

includingFCT)onmonitoringandevaluationprocess(Thisincludesthecostforfeeding/travelsperdiem/accommodation/venue

NCDC

55,776,000 125,496,000

● Pretestmonitoringandevaluationtoolkit NCDC 789,200 3,156,800

● 2-dayFinalizationmeetingby30multi-sectoralriskcommunicationgroupmembersforthemonitoringandevaluationprocess

NCDC 2,198,000 8,792,000

● Disseminationofthetoolkittothestates(Thisincludescostforprintingandlogistics) NCDC 1,139,600 2,279,200

● Quarterlysupportivesupervision(Thisincludescostfortravel/perdiem/accommodation/food/venue) NCDC

11,145,600 33,436,80

0

R5.2:InternalandPartnerCommunicationandCoordination


2018-2019

Cost(N)

2018-2022

Buildcapacityforriskcommunicationamonghuman,environmental,andanimalhealth

● Identifyrelevanttrainingneedsofcommunicationofficersacrossacrosshuman,animal,andenvironmentalhealthMDAs

NCDC

0 0


145

workers ● Developatrainingcurriculumortrainingmoduleonriskcommunication NCDC 150,000 300,000

● Engageaconsultanttosupporttheprocess NCDC 1,290,000 1,290,000

● Conductatrainingoftrainersonriskcommunicationfor40CommunicationofficersacrossNationalMDAs(Thisincludescostforfeeding/Localtransport/venue/honourariumfor5facilitators)

NCDC 3,796,000 7,592,000

● Cascadetrainingtothestatelevelacross36StatesandFCTfor20communicationofficersacrossMDAsineach

State(Thisincludescostfortravels/localtransport/perdiem/accommodation/feeding/venue)NCDC

15,760,000 58,312,00

0

CreateanddisseminateIECmaterialstoincreasefacilitiesreporting(fromreportingtechnicalarea)

● DevelopvideoclipsandIECmaterialsondiseasereportingforhealthcareworkers NCDC

250,000 250,000

● PublicizevideoclipsandIECmaterialsviatraditionalandsocialmedia NCDC 1,100,000 1,100,000

● Print100,000diseasereportingIECmaterialstoallhealthfacilities NCDC

10,000,000 10,000,00

0

● Disseminationto36statesand36,000healthfacilities NCDC 1,850,000 1,850,000

R5.3:Publiccommunication


2018-2019

Cost(N)

2018-2022

BuildcapacityforcoordinatedpubliccommunicationattheNationalandState

● Engageconsultanttosupporttheprocess(Thisincludescostfortravels/perdiem/accommodation/feeding/venue)

NCDC

0 1,290,000

level ● Developtrainingmodules NCDC 0 0

● Conduct3daysTrainingworkshopforCommunicationofficersintheNational(30).(Thisincludescostfortravels/perdiem/accommodation/feeding/venue)

NCDC 3,282,000 3,282,000

● SupportStatestoCascadeTraining(1-day)tootherrelevantagenciesineachoftheirStates(Thisincludescostfor

travels/feeding/venue)NCDC

0 14,392,80

0

● Engageaconsultanttodevelopnationalcommunicationstrategy(Tactivelyreachouttovarietyofmediaplatforms)

NCDC 0 2,490,000

● Conduct2-daysdocumentreviewworkshop NCDC 0 4,524,000

● Pretestfinaliseddocument NCDC 0 819,200

● PrintingandDisseminateDocuments NCDC 0 5,979,200

R5.4:CommunicationEngagementwithAffectedCommunities


2018-2019

Cost(N)

2018-2022


146

Establishcommunityoutreachprogramsand ● DevelopandproduceIECmaterials NCDC

11,250,000 11,250,000

regularlyconductinformationeducationcommunication(IEC)materialstestingwith

● Mobilize774LGASocialmobilizationofficerstoregularlyengagemembersofthetheircommunitiesondifferenthealthissues(Thisincludescostfortravels/perdiem/accommodation/feeding/venue)

NCDC

0 13,438,400

membersofthetargetaudience. ● Identifyandsegmenttargetaudience NCDC 0 0

● ConductfieldtestingandfinalizationofIECmaterialsassoontheyareproduced(Thisincludescostfortravels/perdiem/accommodation/feeding/venue)

NCDC 0 1,730,700

R5.5:DynamicListeningandRumourManagement


2018-2019

Cost(N)

2018-2022

Developstrategicframeworktointegratefragmentedeventmonitoringatthecommunitylevel

● Conduct2-daysmeetingfor20stakeholderstoreviewexistingmonitoringtools,andidentifywaystheycanfeedintoeachother(Thisincludescostfortravels/perdiem/accommodation/feeding/venue)

NCDC 0 4,432,000

● Engageaconsultanttosupporttheprocess(todevelopanintegratedframeworkformonitoringtools) NCDC 0 2,490,000

● Conducta1-dayfinalizationmeeting(Thisincludescostfortravels/perdiem/accommodation/feeding/venue) NCDC 0 0

Develop/strengthenNationalandStatesystemstoconsidercommunicationfeedback—includingrumoursandmisinformationfromthepublic—indecision-makingprocessestoimprovecommunicationresponse.

● Capacitybuildingfor2-daysfor10Nationalcommunicationofficersand40Stateofficersonthecollection,collation,analysis,andescalationoffeedbacktorelevantauthoritiesforaction(Thisincludescostfortravel/perdiem/accommodation/food/venue)

NCDC 0 5,704,000

● ConductAdvocacyvisitsto15relevantMDAs(ThisincludescostforLocaltransport) NCDC 7,920,000 7,920,000

● WeeklyCollection,collationandanalysisoffeedbackatStateandNationallevel NCDC 0 0

BrandingandcorporatecommunicationandriskcommunicationstrategiesfortheREDISSEproject

● Consultancytodevelop,testanddisseminateriskcommunicationinformationforepidemic-pronediseasesbasedonseasonalityandprevailingincludingdevelopprojectcommunicationplanandsamplecommunicationmaterial

NCDC Yes 61,043,648 61,043,648

RiskCommunicationTWGmeetings ● ConductquarterlyTechnicalcommitteemeetingsinAbujahall,accommodation,lunch,teabreak,stationery NCDC Yes 9,917,660 9,917,660

Setupofprojectwebsite,setupoftheintranetcommunicationsandnetworkingoftheoffice

● ConsultancytodevelopprojectwebsiteandprojectintranetincludingoverhaulandupgradeofNCDCwebsiteanddevelopmentofREDISSEwebpages

NCDC Yes 18,674,850 18,674,850

REDISSEPCUOfficesetup ● Procurementofofficesuppliesandequipment NCDC Yes 20,715,000 20,715,000


147

PointsofEntry

PoE.1:RoutinecapacitiesareestablishedatPoE


2018-2019

Cost(N)

2018-2022

DesignatePoEsasguidedbyIHR(2005)Articles20and21

● MemotoHMHfromDir.PHSforconsiderationandapproval,andnotificationtoWHOandIHRfocalperson.SendcommunicationtoWHOAFROviatheNigerianIHRNFPtoindicatedecisiontodesignateMMIA,NAIA,MAKIAandthePortofLagos(Papa).

FMOH 0 0

ConductIHRassessmentforcorecapacityrequirementsatdesignatedairportsandports(40-50persons/site)-Sitevisits

● Identifyandassemblestakeholderstoparticipateinassessment-allagenciesatPOE;a.ConductIHRassessmentforMMIAb.ConductIHRassessmentforMAKIAc.ConductIHRassessmentforNAIAd.ConductIHRassessmentforPortofLagos(Papa)

FMOH 6,000,000 6,000,000

● Identifyandassemblestakeholderstoparticipateinassessment-allagenciesatPOE;ConductIHRassessmentforNAIA

FMOH 196,000 196,000

● Identifyandassemblestakeholderstoparticipateinassessment-allagenciesatPOE;a.ConductIHRassessmentforMMIAb.ConductIHRassessmentforMAKIAc.ConductIHRassessmentforPortofLagos(Papa)

FMOH 1,918,800 1,918,800

● Identifyandassemblestakeholderstoparticipateinassessment-allagenciesatPOE;a.ConductIHRassessmentforNAIA

● Afinalassessmentmeetingwithbetween15and20agencies(50participants)willholdatthePoE.Thiswillrequire1coffeeand1lunchbreak.

● Thefinalassessmentmeetingwillrequiretravelfor4directoratecadrestaff(thisisinadditiontothe5IHRconsultants).TheywouldrequireflightticketstoandfromAbuja,accommodationandperdiemsfor3-days(including2traveldays)

FMOH 1,240,000 1,240,000




FMOH 6,355,200 6,355,200

● Developanactionplantoaddressthegapsateachoftheselectedpointsofentry.Engage5NationalconsultantstomeetinAbujafor5-days

FMOH 1,500,000 1,500,000

● Developanactionplantoaddressthegapsateachoftheselectedpointsofentry.1.TheconsultantswillmeetinAbujafor5-daystoevaluatetheresultsoftheassessmenttools,determinethescoresofeachPoE,identifythegapsanddevelopactionplanstoaddresseachoftheselectedpoints.2.Theywillrequirerentinganofficespaceforthe5-days3.1coffeeandlunchbreakwouldberequiredfor5-days

FMOH 1,750,000 1,750,000

● SharereportofassessmentwithNAIA-specificandnationalstakeholdersat'ReportDisseminationandStrategyDevelopmentMeetings'.(EachIHRassessmentrequiressitevisitstoandafinalassessmentmeetingwithbetween15and20agencies)a.ThePost-IHRassessmentmeetingwillconsistof15and20agencies(50participants).b.Thiswillrequire1coffeeand1lunchbreak.

FMOH 1,240,000 1,240,000


148

c.Theassessmentmeetingwillrequiretravelfor4directoratecadrestaff.d.Theassessmentmeetingwillrequirerentingavenue.

● SharereportofassessmentwithMMIA,MAKIA,PortofLagosPapa-specificandnationalstakeholdersat'ReportDisseminationandStrategyDevelopmentMeetings'.(EachIHRassessmentrequiressitevisitstoandafinalassessmentmeetingwithbetween15and20agencies)a.ThePost-IHRassessmentmeetingwillconsistof15and20agencies(50participants).b.Thiswillrequire1coffeeand1lunchbreak.c.Theassessmentmeetingwillrequiretravelfor4directoratecadrestaff.d.Theassessmentmeetingwillrequirerentingavenue.

FMOH 7,705,200 7,705,200

● SharereportofassessmentwithrelevantPoE-specificandnationalstakeholdersat'ReportDisseminationandStrategyDevelopmentMeetings'.(EachIHRassessmentrequiressitevisitstoandafinalassessmentmeetingwithbetween15and20agencies)Engage5NationalconsultantstomeetinAbujafor1-day

FMOH 1,200,000 1,200,000

Build/sustaininfrastructureforroutineservicesatidentifiedtargetports/airports/groundcrossings

● UsefindingfromIHRassessmentstodeterminetheresourcesneededtoaddressgapsandimplementactionplan. FMOH 0 0

ProcurementofequipmentCapitalProcurement

• Build4temporaryhumanholdingareasateachdesignatedPoEusingfabricated2-in-140ft.• container(includingfullinstallation)• Eachstructureshouldhavepartitionedareaforfurtherassessmentoftheilltraveler,1donningarea,1

doffingarea,andtwobedspaces-N3,120,000/building• Incineratorformedicalwaste-N7,930,000(willserveforbothhumanandanimalmedicalwaste

EquipmentProcurement:Eachfacilitywillhavethefollowing-

• 2examinationcouches-N60,000x2• 2handstretcher-N45,500.00x2• 2wheelchairs-N36,000.00x2• 2handsanitizerdispenser(purel)-N58,500.00x2• 2airconditioner(1.5HP)LG-N175,000.00x2• 1Inverter(10KVA)N3,250,000.00• 2Stabilizer(5KVAforACs)-N30,000x2• 1Stabilizer(2KVAforrefrigerator)-N15,000.00• 1MobileHandwashsink-N595,000.00• 2HospitalScreen-N45,500.00x2• 1Officetable-N65,000.00• 2chairs-N15,000.00x2• 2Hospitalbedsidelocker/rack-N18,500.00x2• 2AED-N494,000.00x2• 2Nebulizer-N45,500.00x2• 2OxygenTank(12.5L)-N58,500.00x2• 2Ambubag-N13,000.00x2• 1FireExtinguisher-N45,500.00• 1refrigeratorN97,500.00• 1WaterStoragetank(GEEPEE)-N156,000.00• 2dripstands-N13,000.00x2• 2Digitalsphygmomanometer-N32,500.00x2

FMOH 0 0


149

• 2Manualsphygmomanometer-N45,500• 2Littman'sStethoscope-N32,500.00• Glucometer(Accucheck)-N9,800• 1desktopComputerHPPavilion570-N279,500• 1UPS2KVA-N45,500• 1PrinterLaserjetEnterprise-N281,000• 1Photocopier(sharpAR6020)+stand-N286,000• 1AutomaticHandDriers(Brimix)-N14,500• 1Automaticsoapdispensers-N35,100• 5InfraredThermometer-N12,000• 1000DigitalClinicalThermometer-N2,600/unit• 1AutoclaveSterilizer-N775,000• 5Plasticsharpcontainer-N4,500/container

SuppliesforHumanHoldingArea:

• 1152Aprons-N2,000/unit• 240Disposablegloves-N1,600/pack• 144Cottonwool-N1,500/roll• 48Antiseptic-N4,600/L• 120Syringes&Needles2cc-N3,500/pack• 120Syringes&Needles5cc-N4,600/pack• 120Syringes&Needles10cc-N5,200/pack• 48facemasks-N650/pack• 24N95ParticulateMasks-N9,500/pack• 12Glucometerstripx50(accucheck)-N6,500• 400Level3PPE-N46,787/unit• 4Mackintosh-N3,300/unit• 12Hydrogenperoxide(500ml)-N4,700• 24MethylatedSpirit/2L-N2,000• 12SpecimenbottlesPlainx100-N5,000/Pack• 12SpecimenbottlesEDTAx100-N5,000/Pack• 12Surgicalglovesx50-N5,000/pack• 600Handsanitisers-N1,200• 60Handsanitisersrefill-N3,200/L• 48Jik-N3,000/carton• 120Disposablecouchdrapes-N4,500/pack• 12Lancetsx200-N1300/Pack• 12IVFluid-N4,600/carton• 600Bactericidalliquidhandwash(500ml)-N1,950• 5Infusiongivingsetx50-N4,600• 5IVCannulax50-N4,600

Procure4dedicated,fullyequippedambulancesfortransferofilltravellers-N45,500,000.00

● Identificationof4-5directoratestooverseetheprocurementprocess 0 0

CapitalProcurement

FMOH 67,619,904 67,619,904


150

• Build4temporaryhumanholdingareasateachdesignatedPoEusingfabricated2-in-140ft.container(includingfullinstallation)Eachstructureshouldhaveapartitionedareaforfurtherassessmentoftheilltraveller,1donningarea,1doffingarea,andtwo-bedspaces-N3,120,000/building

• Incineratorformedicalwaste-N7,930,000(willserveforbothhumanandanimalmedicalwaste

EquipmentProcurement:

• Eachfacilitywillhavethefollowing-• 2examinationcouches-N60,000x2• 2handstretcher-N45,500.00x2• 2wheelchairs-N36,000.00x2• 2handsanitizerdispenser(purel)-N58,500.00x2• 2airconditioner(1.5HP)LG-N175,000.00x2• 1Inverter(10KVA)N3,250,000.00• 2Stabilizer(5KVAforACs)-N30,000x2• 1Stabilizer(2KVAforrefrigerator)-N15,000.00• 1MobileHandwashsink-N595,000.00• 2HospitalScreen-N45,500.00x2• 1Officetable-N65,000.00• 2chairs-N15,000.00x2• 2Hospitalbedsidelocker/rack-N18,500.00x2• 2AED-N494,000.00x2• 2Nebulizer-N45,500.00x2• 2OxygenTank(12.5L)-N58,500.00x2• 2Ambubag-N13,000.00x2• 1FireExtinguisher-N45,500.00• 1refrigeratorN97,500.00• 1WaterStoragetank(GEEPEE)-N156,000.00• 2dripstands-N13,000.00x2• 2Digitalsphygmomanometer-N32,500.00x2• 2Manualsphygmomanometer-N45,500• 2Littman'sStethoscope-N32,500.00• Glucometer(Accucheck)-N9,800• 1desktopComputerHPPavilion570-N279,500• 1UPS2KVA-N45,500• 1PrinterLaserjetEnterprise-N281,000• 1Photocopier(sharpAR6020)+stand-N286,000• 1AutomaticHandDriers(Brimix)-N14,500• 1Automaticsoapdispensers-N35,100• 5InfraredThermometer-N12,000• 1000DigitalClinicalThermometer-N2,600/unit• 1AutoclaveSterilizer-N775,000• 5Plasticsharpcontainer-N4,500/container


● procurementofequipmentSuppliesforHumanHoldingArea:1152Aprons-N2,000/unit240Disposablegloves-N1,600/pack

FMOH 107,812,800

323,438,400


151

144Cottonwool-N1,500/roll48Antiseptic-N4,600/L120Syringes&Needles2cc-N3,500/pack120Syringes&Needles5cc-N4,600/pack120Syringes&Needles10cc-N5,200/pack48facemasks-N650/pack24N95ParticulateMasks-N9,500/pack12Glucometerstripx50(accucheck)-N6,500400Level3PPE-N46,787/unit4Mackintosh-N3,300/unit12Hydrogenperoxide(500ml)-N4,70024MethylatedSpirit/2L-N2,00012SpecimenbottlesPlainx100-N5,000/Pack12SpecimenbottlesEDTAx100-N5,000/Pack12Surgicalglovesx50-N5,000/pack600Handsanitisers-N1,20060Handsanitisersrefill-N3,200/L48Jik-N3,000/carton120Disposablecouchdrapes-N4,500/pack12Lancetsx200-N1300/Pack12IVFluid-N4,600/carton600Bactericidalliquidhandwash(500ml)-N1,9505Infusiongivingsetx50-N4,6005IVCannulax50-N4,600


• Build4temporaryanimalholdingareasateachdesignatedPoEusingfabricated2-in-140ft.container(includingfullinstallation)-N3,120,000/building

Equipmentforanimalquarantinefacility:

• 4Kennels-N80,000• 1examinationtable-N25,000• 1Officetable-N65,000.00• 2chairs-N15,000.00x2• 1airconditioner(1.5HP)N175,000.00• 1inverter(10KVA)N3,250,000.00• 1Stabilizer(5KVA)-N30,000.00• Stabilizer(2KVAforrefrigerator)-N15,000.00• 1waterstoragetank(GeePee)-N156,000.00• 1MobileHandwashsink-N595,000.00• 1handsanitizerdispenser(purel)-N58,500.00• 1microscope(Olympus)-N455,000.00• 1hematocritcentrifuge-N234,000.00• 1Refrigerator-N97,500.00• 1desktopComputerHPPavilion570-N279,500• 1UPS2KVA-N45,500• 1PrinterLaserjetEnterprise-N281,000

FMOH 53,237,600 53,237,600


152

• 1Photocopier(sharpAR6020)+stand-N286,000• 1AutomaticHandDriers(Brimix)-N14,500• 1Automaticsoapdispensers-N35,100• TrocarandCannula(smallsize)-N5,000• TrocarandCannula(bigsize)-N10,000• 1AutoclaveSterilizer-N775,000• 2AnimalStethoscope-N32,500

4fabricatedandequippedambulancesforthetransferofillanimalstodesignatedreferralfacilities.Theanimalambulanceswillhave4detachablekennel-N42,800,000.00

SuppliesforAnimalHoldingArea:

• 1152Aprons-N2,000/unit• 240Disposablegloves-N1,600/pack• 144Cottonwool-N1,500/roll• 48Antiseptic-N4,600/L• 120Syringes&Needles2cc-N3,500/pack• 120Syringes&Needles5cc-N4,600/pack• 120Syringes&Needles10cc-N5,200/pack• 48facemasks-N650/pack• 24N95ParticulateMasks-N9,500/pack• 400Level3PPE-N46,787/unit• 4Mackintosh-N3,300/unit• 12Hydrogenperoxide(500ml)-N4,700• 24MethylatedSpirit/2L-N2,000• 12SpecimenbottlesPlainx100-N5,000/Pack• 12SpecimenbottlesEDTAx100-N5,000/Pack• 12Surgicalglovesx50-N5,000/pack• 600Handsanitisers-N1,200• 60Handsanitisersrefill-N3,200/L• 48Jik-N3,000/carton• 120Disposablecouchdrapes-N4,500/pack• 12IVFluid-N4,600/carton• 600Bactericidalliquidhandwash(500ml)-N1,950• 5Infusiongivingsetx50-N4,600• 5IVCannulax50-N4,600• 12Potassiumpermanganate-N11,000/L

FMOH 107,966,400

323,899,200

Trainingandre-trainingofstaff;Engage2trainingfacilitatorswhowillconductbiannual2-daytrainingsateachofthePoEs.20staffperPoEwillbetrainedfor2-daysonthemaintenanceoftemporaryholdingareas,quarantinefacilitiesandambulances80perquarterfor5years.Trainingwillinvolve1coffeebreakand1lunchbreakAvenuewouldneedtoberented

FMOH 12,544,000 37,632,000

● Periodicevaluationforsustainability.Engage2consultantstoconducta2-daybiannualevaluationvisitstoeachofthePoEs

FMOH 1,920,000 5,760,000

● Conductbiannualevaluationforsustainability.2consultantsand1directoratecadrelevelstaffofPHSwillbepartoftheteam.

FMOH 4,699,200 14,097,600

● One(1)meetingtoharmonizeresourceneedsEngage2consultantswhowouldconsulta1-dayresourceharmonizationmeeting

FMOH 120,000 120,000


153

PoE.2:EffectivePublicHealthResponseatPointsofEntry


2018-2019

Cost(N)

2018-2022

ReviewthelegislationandpoliciesonPoEsandadvocateforrevisionofappropriate

● Dir.PortHealthServicestoinitiate(identifyingtheneeds)andsendamemotoHMHrequestingreviewoflegislation

FMOH

0 0

legislationtodevelopPoEcapacitiesspecifiedinAnnex1oftheIHRe.g.Quarantinelaw

● HMHtoconstituteamulti-sectoralcommitteetoreviewlegislationandpoliciesonPOEsandcommunicatesametoNationalCouncilonHealth

● Committeewillconsistof10keystakeholders.Committeetomeet4timesbeforerecommendationforamendmentissenttotheHMHandreportissenttotheMinistryofJustice.

● Committeemeetingwillrequiretravelperdiem,accommodationandflightticketsfor10directoratelevelstaffforeachofthe4meetingsrecommended.

● 1coffeebreakand1lunchbreakwillberequired.● Avenuewillberequiredforthe4meetings

FMOH

7,184,000 7,184,000

● CommitteeidentifiesrelevantstakeholdersandsendsmemorandafortheirinputCommitteemeetinghasbeencostedinactivityabove.

FMOH 0 0

● CommitteetobringupadraftrecommendationfortheamendmentandsendtoHMHo Committeemeetingtoreviewrecommendedamendmenthasbeencostedinactivityabove.o Stationeryo TransportoftwoselectedcommitteememberstovisittheofficeoftheHMHtosubmitthedraft

recommendation.

FMOH

9,600 9,600

● ReportofCommitteetobesenttotheministryofjustice● Ministryofjusticetoliaisewiththelegaldept.ofFMOHtogetafinaldraft● FinaldraftissenttotheFederalExecutiveCouncilbyFMOH....FECapprovesandtransmitstoNASSasanexecutive

bill● NationalAssemblyholdsfirst,secondreading,publichearingandfinalreading● CommitteemeetingtoreviewreporttobesenttotheMOJhasbeencostedinactivityabove.● Thebudgetholderwillrequirefundsforadvocacyandlogisticstofacilitatethisprocess.

FMOH

0 0

● Lawispassedbyjointassembly(upperandlowerchamber) FMOH 0 0

● BillissenttoPresidentforassent FMOH 0 0

● AssentedbillisgazettedbyFederalMinistryofJustice FMOH 0 0

DeveloppublichealthemergencycontingencyplanforPoEswhichincludescoordinated,multi-sectoralresponseactionsforaccesstotreatment,isolation,anddiagnosticsfacilities,quarantineofsuspecttravelersandanimals,infectionpreventionandcontrol,andinternationalalertand

● Dir.PHStoconvenestakeholdersmeetingtoreviewtheDraftNationalPublicHealthEmergencyPlanforPOEso Holda3-dayreviewmeetingwith30-40participantsfrom15-18MDAs.o Meetingwillrequiretravelflighttickets,perdiemsandaccommodationfor30-40directoratelevelstaff.o Therewillalsobe1coffeebreakand1lunchbreak.o Meetingwouldrequirerentingavenue

FMOH

10,290,000 10,290,000

responseforillorsuspecttravelersonboard. ● Testandvalidatetheplano Conductatabletopexercisetotesttheplan.Exercisewillbea1-dayeventwithabout30-40participants

requiringtravelandaccommodationfor30-40directoratelevelstaff.o Meetingwillrequiretravelflighttickets,perdiemsandaccommodationfor30-40directoratelevelstaff.o Therewillalsobe1coffeebreakand1lunchbreak.

FMOH

6,966,000 6,966,000


154

o Meetingwouldrequirerentingavenue ● 2documentreviewsessions

o 1-dayreviewmeetingwith30-40participantsfrom15-18MDAs.o Meetingwillrequiretravelflighttickets,perdiemsandaccommodationfor40directoratestaff.o Therewillalsobe1coffeebreakand1lunchbreak.

FMOH

13,932,000 13,932,000

● FinalapprovalbyHMHandrelevantstakeholderso Willinvolve2-weektravelby2endorsementfacilitatorso Flighttickets,accommodationandperdiemsrequired

FMOH

1,112,400 1,112,400

● PrintingofdraftandfinalcopiesofthePlan(700-1000copies).(700-1000copies)@N1750with35%markuppercopy.

FMOH 2,329,000 2,329,000

● GuidedbytheIHRassessmentreportandtheaccompanyingactionplandeterminestaffstrengthandknowledgegaps.Engage2consultantswhowillconducta1-dayevaluationateachofthePoEstodeterminestaffstrengthandknowledge

FMOH

480,000 480,000

Buildtechnicalcapacityforporthealthservice ● GuidedbytheIHRassessmentreportandtheaccompanyingactionplandeterminestaffstrengthandknowledgegaps.o Theconsultantswouldrequireflightticketsto3PoEsoutsideAbujao AccommodationwouldberequiredforstatesaboutAbujao CarHirefor6daysrequiredo PerDiemforconsultants

FMOH

199,800 199,800

● GuidedbytheIHRassessmentreportandtheaccompanyingactionplandeterminestaffstrengthandknowledgegaps.Thismeetingwouldrequire:o The2consultants’localtransportationtoNAIAo CarHirefor1-dayo 1-dayperdiemforconsultants

FMOH

34,600 34,600

● Developandimplementworkforcestrategy.Engage2consultantswhowillconducta2-weekworkforcestrategydevelopmentmeetinginAbujawith5directoratecadrestaff

FMOH 1,200,000 1,200,000

● Developandimplementworkforcestrategy.Themeetingwouldrequire5directoratecadrelevelstaffTherewillalsobe1coffeebreakand1lunchbreakFMOHwillprovideanofficespaceforthemeeting

FMOH

847,000 847,000

● Develop,aspartofworkforcestrategy,acomprehensive3-5-yearcapacitybuildingandskillstransferprogram.Meetingalreadycostedabove

FMOH 0 0

● Conducttargetedtrainingofpersonnel.o Conduct3-daytrainingsfor50PoEstaffbi-annually(200staffperyear).o 10ofthe50participants(perquarter)willrequiredirectoratelevelDSA.o Trainingwillrequiretheengagementof2trainingconsultantsand3facilitatorswouldberequired.o Therewillalsobe1coffeebreakand1lunchbreako Trainingwouldrequireatrainingvenue

FMOH

2,880,000 8,640,000


FMOH

24,462,000 73,386,000

● 8Supportpersonnel(2fromeachPoE)toconductcascadedtrainings.o 2stafffromeachPoEwillhold5cascadetrainingsessionsattheirPoEs.o Eachsessionwillrequireteabreakandstationeriesandwouldinvolve20participantspersession.o Supervisionofthetrainingwillinvolvesitevisitsby4directoratecadrestafflivinginthestateswhereeach

PoEislocated.o The4directoratecadrestaffwillrequireperdiemsandcarhire.

FMOH

1,702,000 5,106,000


155



FMOH

596,000 1,788,000

Integratepublichealthemergencycontingencyplanwithotherpublichealthresponseplansatthe

● AtstakeholdermeetingtoreviewtheNationalPHECP,ensureallexistingandrelevantplansareintegratedwiththeNationalPHECPwhichintegratesallPoE-specificPHECPs).Costedinactivity2above.

PHS

0 0

local/intermediate/nationallevelsandotheremergencyoperationalplansatPoE,anddisseminatedtoIHRNFP,relevantsectors,andkeystakeholders.

● EstablishProtocolforallnewPlansrelevanttoPoEstointegratemeasureswiththeNationalPHECP.Costedinactivity2above.

PHS

0 0

Developtriggersandformalcommunicationsprocessestocommunicateinformationonpublichealththreatsorotherincidentsofconcern(e.g.,chemical,radiological)toIHRNFP,PoEauthorities,relevantmulti-sectoralagencies,andstakeholders.

● CommunicationprotocolsandframeworksfortriggerstobeadoptedacrosssectorstobedevelopedaspartoftheNationalPHECPCostedinactivity2above.

PHS

0 0

RenovationofAnimalQuarantineFacilities ● Renovationofquarantinefacilitiesin10borderpoints FMARD

150,000,000

150,000,000

andprocurementofinspectionvehiclefor ● Procurementof10inspectionvehiclesforborderpoints FMARD

150,000,000

150,000,000

borderpoints ● Procurement10trackerfortrackinganimalsFMARD 100,000 100,000

● Procurementof10laptops FMARD 2,500,000 2,500,000

Developtrainingprogrammeforquarantine ● Hireaconsultantfor2weekstoreviewanddeveloptrainingprogrammeforquarantineofficersFMARD 930,000 930,000

officers ● Conduct5daytrainingfor50quarantineofficersoncoreactivitiesofproceduresandsurveillancestrategies FMARD

0 10,290,000

CE:ChemicalEmergencies

CE.1:Mechanismsareestablishedandfunctioningfordetectingandrespondingtochemicaleventsoremergencies


2018-2019

Cost(N)

2018-2022

Strengtheninginter-agencychemicalemergencyresponseteamincollaboration

● Createa40memberscommitteeonChemicalemergencyresponse(FMOH,NAFDAC,NEMA,ONSA,SGF,FMEnv,NCDC,NESREA,MMSD,FMARD,IPAN,ICCON,partners-WHO,MSFetc.)

0 0

withEOCofNigeriaCentreforDiseaseControl. ● InaugurationoftheCommitteeconsisting25peoplefromAbujaand15fromotherstates.(20ministryofficials) FMOH 5,158,000 5,158,000


156

● 1.2-daysbiannualmeetingofthe40membersCommitteeinAbujaconsisting25peoplefromAbujaand15

peoplefromotherstatesFMOH 4,538,000 18,152,00

0



0

● Engageconsultantfora30daystodevelopdraftSOPsonchemicalriskcommunication FMOH 1,890,000 1,890,000

● MeetingoftheCommitteetomakeinput/invalidatethedraftSOPs FMOH 3,276,000 3,276,000

● FinalizationofDraftDocumentbytheConsultant(2days) 0 0

● ProductionofdraftSOPsonchemicalriskcommunication(2000copies) FMOH 4,658,000 4,658,000

Strengthenthecapacitytomonitorchemicalsinair,water,wastewater,soil,

● EngageConsultantfor30daystoconductabaselineassessmentontheNationalpreparednessandresponsetochemicalemergencies

FMOH 28,260,000 28,260,000

sediments,humanandPlantspecimenandproductsforpurposesofcompliancepromotion,research,andenforcementby2020

● Engage3Consultantsfor25workingdayseachtodevelopastrategicplan,SOPsandtrainingmanualswiththeChemicalManagementProgramme/NCDCforriskassessment,(surveillance,laboratoryconfirmation,eventconfirmationandnotification)andresponsetochemicalevents.

FMOH 4,770,000 4,770,000

● Organisea5-daytrainingof80participantsatNigerStateconsistingof50participantsfromFCTand30fromotherstates.(Consultantswillbefacilitators)

FMOH 24,420,000 97,680,000

● LaunchingoftheStrategicPlan,SOPsandTrainingManualwith100peopleinattendance FMOH 8,034,000 8,034,000

● 3daystrainingoftoxicologists(34)onanalysis,transportationandpackagingofspecimenfromtertiaryhealthcarefacilitiesintheCountrytoreferralChemicalLaboratory(2perstateincludingFCT)-Hands-ontrainingontheuseoftheequipmentinLagos17southernstates

FMOH 13,190,800 39,572,400

● 3daystrainingoftoxicologists(40)onanalysis,transportationandpackagingofspecimenfromtertiaryhealthcarefacilitiesintheCountrytoreferralChemicalLaboratory(2perstateincludingFCT)-Hands-ontrainingontheuseoftheequipmentinAbujafor19northernstatesplusFCT

FMOH 10,187,800 30,563,400

● 2-daystrainingof60laboratorypersonnelworkinginestablishedtertiaryhealthcarefacilitiesatAbuja(10ineachgeopoliticalzones)

FMOH 12,179,800 24,359,600

● 3-dayAnnualreviewoftheriskassessment,surveillance,laboratoryconfirmation,eventconfirmationandnotification,andresponsetochemicalemergencybytheChemicalemergencyresponseteaminAbujafor60people.

FMOH 8,624,000 34,496,000

Developriskassessmentandmanagement● Constituteatechnicalworkinggroupwith15members(10fromnationaland5expertsfromstates)

FMOH 20,000 20,000

frameworkforpollutionandchemicalhazard● Bimonthlytechnicalworkinggroupmeeting(15members)

FMOH 6,030,000 24,120,000

● 40memberstakeholdersmeetingatNasarawa(25fromnationaland15fromotherstates)todevelopalistofNationalpriorityareasofchemical/pollutioneventsinNigeriafor2-days

FMOH 8,628,000 8,628,000

● Engageaconsultant(10workingdays)tocollatethedatabeinggeneratedfromthestakeholdersmeeting

FMOH 690,000 690,000

● 4-daysworkshopforTWGtodevelopthetoolsforriskassessmentandmanagement

FMOH 2,423,000 2,423,000


157

● Conductriskassessmentandmappingofpollutionandchemicalhazard5-days,4perteam15states

FMOH 14,145,000 14,145,000

● Organisea-onedaystakeholdersworkshoptovalidateinformationfromthestakeholders

FMOH 3,276,000 3,276,000

● 5-dayspilotsurveyofthetoolinthefieldatLagos(10people)

FMOH 2,441,000 2,441,000

CE.2:Enablingenvironmentisinplaceformanagementofchemicalevents


2018-2019

Cost(N)

2018-2022

Establishrequiredmulti-sectorcapacityforresponsetochemicalevents

● FieldmonitoringandsupervisoryvisittoChemicalhazard/pollutedsitesinstatestodeterminethelevelofcontamination(includingsaferminingpractices)inthestatestwopersonsperstatefor5-daysannuallyto36statesandFCT

FMOH 13,875,000 55,500,000

● 5eventperannumvisittorespondtolargelevelofchemicalevent/contaminationfor14days4personsper

team

FMOH 8,162,000 32,648,000

● Usedevelopedtrainingmanualtotrain4eworkersfromeachstateinthesixgeopoliticalzoneonresponseandtreatmentfor3days(3trainersfromtheNationalpergeopoliticalzone)2019,2020

FMOH 16,378,800 32,757,600

● 5-daycapacitytrainingatJosfor60environmentalcomplianceofficeronenvironmentalmonitoringandcomplianceinmining

MMSD 0 0

● 5-daycapacitybuildingtrainingonsaferminingprogram40ASMzamfara&Niger

MMSD 0 0

● EngageoneConsultanttoconductabaselineassessmentfortransportationofchemicalmaterial,samplesandwastesfromhospitalsandhealthcarefacilitiesincludingimportandexport(15workingdays)anddevelopaNational&internationalplanfortransportationofchemicalmaterial,samplesandwastesfromhospitalsandhealthcarefacilities(15workingdays)2020

FMOH 0 1,800,000

● 1-daytechnicalworkinggroupworkshoptodiscusstheNational&internationalplanfortransportationofchemicalmaterial,samplesandwastesfromhospitalsandhealthcarefacilitiesFor40people2020

FMOH 0 2,330,000

● Convene1-dayValidationworkshopof40stakeholderstovalidatethedraftdocument(includingthetechnicalworkinggroup)2020

FMOH 0 2,330,000

● Procurementofofficeequipment(20Laptops,10desktops,2Printers,4scanners1Photocopier,10officetablesand10chairs)

FMOH 11,685,000 11,685,000

PerformaninventoryofChemicalToxicologyLaboratoryinNigeriaandtheircollaborationwithINTOX ● Developaself-assessmenttoolfortheinventoryofchemicaltoxicologylaboratoriesinthecountry(nocost)

● Productionofadraftcopyofthetool(10toolsperstatex36statesandFCT)2019

FMOH 40,700 40,700

● Distributetoolstoalllaboratoriesthatperformtoxicologyanalysis.(10toolsperstatex36statesandFCT)2019,2020

FMOH 40,700 81,400

● Hireconsultantformappingoftoxicologylaboratories2019

FMOH 1,490,000 1,490,000


158

● Visittotoxicologylaboratoriestoconductverificationandassessmentofthetoxicologylabsquarterly.(4persons

perstatex36states)

FMOH 95,040,000 95,040,000

Conductastudytourofchemicaltoxicologylaboratoryinadevelopedcountry. ● IdentifyInternationaltoxicologylabtovisit(Thesettingupofachemicaltoxicologylab,modernequipment

required,SOPsrequired)(4personsfor5-days)

FMOH 0 3,030,000


159

RE:RadiationEmergencies

RE.1:Mechanismsareestablishedandfunctioningfordetectingandrespondingtoradiologicalandnuclearemergencies


2018-2019

Cost(N)

2018-2022

TesttheNationalNuclearandRadiologicalEmergencyPlan

AssignmentofCriticalTasks–WhoistodoWhatduringanemergency(Stakeholders)•MaterialsfortheMeeting,•LogisticsfortheMeeting•DurationoftheMeeting–2days•RefreshmentfortheMeeting•NumberofParticipantsfortheMeeting–40person•VenueoftheMeeting…..

NNRA 1,046,000 1,046,000

ScenarioDevelopment–ByNNRAandNEMAwiththesupportofIAEAanditisgoingtobeareallikescenario•MaterialsfortheMeeting,•LogisticsfortheMeeting•DurationoftheMeeting–2days•RefreshmentfortheMeeting•NumberofParticipantsfortheMeeting–10person•VenueoftheMeeting–NNRA/NEMAHeadoffice

NNRA 3,095,000 3,095,000

ConductoftheExerciseandEvaluation(yearly). NEMA 0 0

TableTopExerciseonceeveryyear•MaterialsfortheExercise,•LogisticsfortheExercise•DurationoftheExercise–2days•RefreshmentfortheExercise•NumberofParticipantsfortheExercise–50person•VenueoftheExercise…..

NEMA 7,174,000 14,348,000

Buildcapacityforradiationandnucleardetectionandresponseamonghumanhealthworkers

TrainingofHumanHealthWorkers;NationalTraintheTrainerscourseonMedicalResponsetomaliciouseventswiththeinvolvementofradioactivematerialineachofthezoneswherethedesignatedSix(6)Hospitalsarelocated.•Minimumof25–30participantsateachoftheZonesUniversityofNigeriaTeachingHospital,(UNTH),Enugu-SE,AhmaduBelloUniversityTeachingUniversity(ABUTH),Zaria–NW,UniversityofMaiduguriTeachingUniversity(UMTH)-NE,UniversityofPort-HarcourtTeachingHospital(UPTH)–SS,UniversityCollegeHospital,(UCH),Ibadan-SWandNationalHospitalAbuja(NHA)-NC•Five(5)nos.NationalExpertandonefromIAEA•TrainingVenue–AttheZone•Refreshment•DurationoftheTrainingCourse–5days•TrainingMaterialsfortheTrainingCourse•Logistics

FMOH 0 64,020,000

Procurementofdecontaminationequipment;•DecontaminationKits(2nos.foreachdesignatedhospital),Totalis2x6=12nos.•PersonalContaminationMonitor(2nos.foreachdesignatedhospital),Total=2x6=12nos•Gamma/betasurfacecontaminationmonitor(2nosforeachdesignatedhospital),Totalis2x6=12nos.

NNRA 27,187,200 27,187,200


160

•Betacountingmonitor(2nos.Foreachdesignatedhospital),Totalis2x6=12nos•Decontaminationtents(2nos.foreachdesignatedhospital),Totalis2x6=12nos.

Procurementofdetectionequipment;•HandheldradionuclideIdentifier(2nos.foreachdesignatedhospital),Total=2x6=12nos.•MicroSievertsMeter.2nos.foreachdesignatedhospital),Totalis2x6=12nos.•Radeye.2nos.foreachdesignatedhospital),Totalis2x6=12nos.•PenDosimeter.2nos.foreachdesignatedhospital),Totalis2x6=12nos.•PocketSurveymeter.2nos.foreachdesignatedhospital),Totalis2x6=12nos•PedestrianWalkthroughRadiationDetectorsateachoftheSix(6)emergencyUnit(designatedHospital)

NNRA 0 4,071,000

Procurementofpersonalprotectiveequipment;•Coverall-fullyencapsulated(LevelA)PPE(10nos.foreachdesignatedhospital),Totalis10x6=60nos.•SafetyBoot(10nos.foreachdesignatedhospital),Totalis10x6=60nos•Eyeprotectionequipment(10nosforeachdesignatedhospital),Totalis10x6=60nos.•FaceandNasalMask-Respirator(10nos.foreachdesignatedhospital),Totalis10x6=60nos.•Handgloves(20nos.foreachdesignatedhospital),Totalis20x6=120nos.

NNRA 13,200,000 52,800,000

RE.2:EnablingenvironmentisinplaceformanagementofRadiationEmergencies


2018-2019

Cost(N)

2018-2022


StrengtheningtheNNRAEmergencyResponseandCommunicationCentretobefullyequippedandavailable24/7.•Communicators-10nos•24/7telephonelines(fixed-3nos.Andmobile-5nos.)•Faxmachines-2nos•DedicatedComputerSystem(3-nos.Desktopand5-nosLaptops)

NNRA 1,985,000 1,985,000

ImprovecommunicationandcoordinationamongStakeholdersthroughregularyearlyMeetings•MaterialsfortheMeeting,•LogisticsfortheMeeting•DurationoftheMeeting–2-days•RefreshmentfortheMeeting•NumberofParticipantsfortheMeeting–50person•VenueoftheMeeting–ReizContinentalHotel,Abuja

NNRA 5,286,000 21,144,000

DesignationofFocalPointforeffectiveinformationexchangeandcoordinationamongkeystakeholdersand NNRA 0 0

StrengthentheNNRAEmergencyResponseandCommunicationcenter.

NNRA 0 12,032,000


20



JEEIndicators





JEEPriorityActions







21








policies



NCDC


NCDC


NCDC


NCDC


NCDC


FMARD


22







23


JEEIndicators



JEEPriorityActions










implementation





24




NCDC


NCDC









25


JEEIndicators


JEEPriorityActions







26























27



NCDC


FMARDNCDC


NCDC


NCDC


FMARD


NCDC


FMARD


NCDC


FMARD


NCDC


NCDC


NCDC


28


NCDC


FMARD




29


JEEIndicators


JEEPriorityActions





andstatelevels


30






zoonosisexist








FMARD



FMARD


FMARD


FMARD


31







32


JEEIndicators



JEEPriorityActions









NationalAssembly



33








2018 2019Q3 Q4 Q1 Q2 Q3 Q4


FMARDFMOH


FMOHFMARD







34



35


JEEIndicators




JEEPriorityActions








36











ONSA


ONSA







37



38






JEEIndicators


JEEPriorityActions




39










LGAandward)levels









40





41



JEEIndicators


JEEPriorityActions





42




















NCDC


NCDC



43


NCDC








44


JEEIndicators


JEEPriorityActions






45
















46



FMARDFMoH


NCDCFMARD


NCDC


FMARD



FMARD





47


JEEIndicators








48











ofhealthcareworkers



NCDC


NCDC


FMARD



49









50


JEEIndicators




JEEPriorityActions








51






SMOHandNCDC







NCDC


NCDC


NCDC


NCDC





52



53


JEEIndicators


JEEPriorityActions







54



















NCDC



55


NCDC


NCDC


NCDC


FMARD




56


JEEIndicators



JEEPriorityActions







57











ONSA


ONSA


ONSA







58



59


JEEIndicators


JEEPriorityActions











60


















61



NCDC


NCDC


NCDCNAFDAC


NCDC


NCDC


NCDC




62



63


JEEIndicators


JEEPriorityActions






64








NCDC


NCDC






65



66


JEEIndicators


JEEPriorityActions






67










FMoH


FMoH


FMoH


PHS


PHS


68






69


JEEIndicators


JEEPriorityActions






70



















71



FMoH


FMoH









72


JEEIndicators




JEEPriorityActions



focalpoint




73























74



NNRA


NNRA







61,461,410 300,717,534 120,422,970 120,422,970 120,422,970 723,447,854 2,374,296


40,598,284 584,256,400 27,183,000 6,725,000 6,725,000 665,487,684 2,184,075

Foodsafety 15,356,000 255,343,450 122,085,200 372,648,400 33,740,000 799,173,050 2,622,819


Immunization 13,100,796,656 34,941,010,214 12,001,822,276 10,700,605,629 9,866,215,056 80,610,449,830 264,556,777


Surveillance 184,696,400 3,074,573,240 2,173,540,800 640,702,000 590,702,000 6,664,214,440 21,871,396


1,009,135,607 5,717,063,801 1,535,827,307 1,556,144,807 1,535,827,307 11,353,998,829 37,262,878


33,845,200 45,985,200 31,446,000 31,446,000 31,446,000 174,168,400 571,606


5,665,000 82,811,600 23,543,050 57,632,000 15,784,000 184,715,650 606,221



Chemicalevents - 320,870,800 98,877,700 108,526,600 96,346,800 624,621,900 2,049,957


TOTAL 16,413,191,737 57,352,077,043 23,778,681,885 19,542,260,884 16,601,290,211 133,800,881,760 439,123,340


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Annex2:JEEResultsandPriorityActionsNigeria has made commendable progress in the broad area of prevent but will need additionalinvestmentstomovetoahigherlevel:

• A toppriority is to fast track the legislation, regulatoryandpolicy frameworks to support IHRimplementationattheFederal,State,andLocalGovernmentlevels

• AcriticalpieceoflegislationisthefinalizationofthelegislativeapprovalfortheNigeriaCentreforDiseaseControl(NCDC)

• Tosupport implementationof“theOnehealthapproach”there isaneedtoestablishamulti-sectoral,multi-disciplinarycoordinationmechanism(politicalandtechnical)atFG,StateandLGAlevels

Nigeriahasmadetremendousprogressinbio-surveillanceforverticaldiseasessuchaspolio,TB,HIV/AIDs,butwillneedadditionaleffortsto:

• Strengthenlaboratorycapacity,especiallyspecimenshipping,transportationandreferral• Scaleup,enhanceandsustainthe IDSRprogramnation-wideatall levels (FG,State,LGA,PHC

facilities),capitalizingonthepolioinvestments• Developandimplementacomprehensivepublichealthworkforcestrategy

NigeriahasmadetremendousprogressinresponsetoPHEs-Ebola,LassaFever,Meningitis,Choleraetc.butwillneedadditionaleffortsto:

• Formulate,cost,implement,monitorandevaluateanationalactionplanforhealthsecuritythatis alignedwith sector strategies, addresses all hazards and is based on a comprehensive riskassessmentandmapping

• EnhancetheEOC/IMSsystematfederallevelandstrengthensub-nationalRRTssupportedbyanallhazardriskcommunicationstrategy/plan

• Strengtheninter-sectoralcollaborationforemergencyresponseparticularlybetweenhumanandanimalhealth, theenvironmentalsectorsandsecurityagenciesunderpinnedonanallhazardsapproach

NigeriahasseveralPoEsthatarealreadydoingcommendableroutine(screening,haveholdingareas)&emergencyactions,etc.MajorsetbackisnotofficiallydesignatingthePoE:

• Designate,beforetheendof2017,afewPoEs-Airports,Portsandsomegroundcrossingso Airports

§ AbujaInternationalAirport§ LagosInternationalAirport§ KanoInternationalAirport

o LagosSeaPorto Highvolumegroundcrossings

§ Beninborder§ Camerounborder§ Nigerborder

• FinalisePHcontingencyplanforPoEsthatislinkedtothenationalplanforhealthsecurity• Establishandsustaincapacitiesforroutineandemergencypreparednessandresponseforthe

designatedPoEs


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Nationallegislation,policyandfinancing

P.1.1

Legislation,laws,regulations,administrativerequirements,policiesorothergovernmentinstrumentsinplacearesufficientforimplementationofIHR(2005)

1

P.1.2

TheStatecandemonstratethatithasadjustedandaligneditsdomesticlegislation,policiesandadministrativearrangementstoenablecompliancewithIHR(2005)

1


• ComprehensiveassessmentofexistinglegislativeandpolicyframeworkstoidentifygapsthatimpedecompliancewiththeInternationalHealthRegulations

• Advocateforrevisionoflegalinstrumentsandpoliciestoaddressexistinggapsandchallengeswithinthenationaladministrativeenvironment

• Completionofpendinglegislativeactions(NCDCBill,2017;PublicHealthBill,2013)inordertogivekeypublichealthinstitutions(e.g.NigeriaCentersforDiseaseControl)thelegalmandateneededtoaccomplishnationalgoals

• Nationalgovernmentshouldarticulatespecificpolicies,guidance,andguidelinestoStatesandLocalGovernorateAreasregardingobligations,rolesandresponsibilitiestoincreasetheirrespectiveownershipandimplementationoftheprovisionsoftheNationalHealthAct,andforaccountabilityinallocationandapplicationofresourcesforpublichealthinlinewiththeBasicHealthProvisionFund(2014)

• StreamlinerolesandresponsibilitiesinthevariousMinistriesandAgenciesthathaveresponsibilitiesinIHRimplementationtominimizeduplicationwithintheirrespectivemandates

IHRcoordination,communicationandadvocacy

P.2.1AfunctionalmechanismisestablishedforthecoordinationandintegrationofrelevantsectorsintheimplementationofIHR

2


• EstablishlegislativefoundationforNCDCasNationalFocalPoint• EstablishmentofanationalOneHealthplatformforintersectoral

collaborationofoutbreakresponsesthatinvolvethehumanhealth,animalhealthandenvironmentalsectors

• DevelopallhazardstandardoperationalproceduresforIHRcoordinationbetweenIHRNFPandstakeholders

Antimicrobialresistance

P.3.1 Antimicrobialresistancedetection 2

P.3.2 Surveillanceofinfectionscausedbyantimicrobial-resistantpathogens 2

P.3.3 Healthcare-associatedinfection(HCAI)preventionandcontrolprogrammes 2

P.3.4 Antimicrobialstewardshipactivities 2