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Annex D. Program and project data.

1. HIV/AIDS/STD and Behavioral Surveillance Data (Source: PNLS/MoPH Surveillance Data)
Table D-1. Evolution of Prevalence Rates in General and Specific
Populations derived from Seroprevalence Surveys 1997-2000

 Prevalence Rates

Year Geographic General Specific Prevalence
 Area Population Populations Rate

1989 Abeche 0%
 Sarh 0.5%
 Moundou 1.6%
 Bongor 0.6%
 N'Djamena 1.02%

1995 N'Djamena Prostitutes 14%
 N'Djamena Pregnant women using 2.1%
 prenatal services
 N'Djamena Military personnel 10.2%

1997 Abeche 2.1%
 Am-Timan 6.1%
 Sarh Prostitutes 26.4%
 Logone Migrants 7.93%
 Occidental/
 Moundou
 Moundou Military personnel 8.48%
 N'Djamena Military personnel 8.40%

2000 Sarh 8.84%
 Kelo 15.03%
 Lere 11.21%
 Lac 10.10%
 Moussoro 2.68%
 Bongor 6.5%

Source: Ministry of Health, National AIDS Program, drawing from a
series of seroprevalence studies during over the period 1989-2000.

Table D-2. Prevalence of HIV Among Blood Donors (percent), by Year

[number of people sampled]

 1999 2000 2001 2002
 (2nd half)

N'Djamena 27.8 8.1 2.8 4.8
 [1520] [2381] [1930] [1888]
Sarh 9.1 9.9
 [197] [2021
Moundou 25.4 8.3 5.0
 [1811 [591] [398]
Doba 2.43 16.7
 [411 [12]
Bongor 3.0 6.9 6.6
 13381 [577] [1017]
Kelo 0 0
 [251 [7]
Amtiman 0 0
 18 2
Kourma 0
 [21]
Abeche 0
 [10]
Ati 0
 [181
Average/ 23.5 7.8 4.5 5.3
Total [2039] 3651 3594 2090

Source: PNLS/M6PB

 1999
 (second 2000 2001 2002
 semester)

A. Urban Sentinel Sites
Abeche 5.2 2.6 3.4
 [172] [77] [353]
Bol 2.6 2.3 4.0 4.0
 [116] [130] [100] [349]
Mongo 1.2
 [331]
Bongor 3.9 3.8 8.9 5.3
 [464] [468] [492] [375]
Ndjamena 3.2 6.7 5.9 7.5
 [1264] [1960] [406] [399]
Moundou 10.5 11.1 11.9
 [421] [90] [396]
Sarh 5.3 9.0 7.9 8.3
 [849] [1128] [901] [400]
a. Average/subtotals 4.8 7.0 7.3 6.2
 [3286] [3776] [1976] [2603]

B. Rural Sentinel Sites

Massaguet 7.7
 [312]
Guelendeng 2.8
 [399]
Bah 3.2
 [391]
Dioli 8.3
 [326]
b. Average/subtotals 5.3
 [1428]
C. Average/total
 4.8 7.0 7.3 5.8
 [3286] [3776] [1976] [4031]

Table D-4 Prevalence of Syphilis among Pregnant Women Using Prenatal
Services by Sentinel Site and by Year

[number of people sampled]

 1999
 (second 2000 2001 2002
 semester)

A. Urban Sentinel Sites
Abeche 0.6 9.1 5.7
 [172] [77] [353]
Bol 6.8 5.4 5.0 20.6
 [116] [130] [100] [349]
Bongor 17.2 7.4 5.5 5.9
 [464] [468] [220] [375]
Mongo 2.4
 [331]
N'Djamena 3.0 5.3 5.2 15.3
 1264 [19601 T4061 [3991
Moundou 1.9 1.1 1.0 6.1
 [421] [90] [300] [396]
Sarh 5.7 6.0 2.3 4.0
 [849] [1128] [901] [400]
a. Average/subtotals 5.6 5.7 3.4 8.6
 [3286] [3776] [2004] [2603]

B. Rural Sentinel Sites
Massaguet 18.6
 [3121
Guelendeng 4.0
 [399]
Bah 7.2
 [391]
Djoli 3.1
 [326]
b. Average/subtotals 7.8
 [1428]
C. Total/Average
 5.6 5.7 3.4 8.3

Table D-5. HIV Prevalence among TB Patients by Hospital Facility

[number of people sampled]

City/Town 1999 2000

N'Djamena 26.2 20.7
 [477] [381]
Am-Timan 15.4
 [13]
Ati 9.5
 [95]
Koumra 60.0
 [120]
Total/Average 26.2 25.5
 [477] [636]

Table D-6. HIV Prevalence among STD Patients
[number of people sampled]

City/Town (Region) 1999 2000

Am-Timan 9.1
 [11]
Ati 0
 [21]
Biltine 0.7
 [139]
Bongor 22.7 5.2
 [44] [115]
Bol 23.1
 [13]
Faya 21.3 20.1
 [141] [194]
Mongo 0
 16]
Sarh 42.6
 [61]
Mao 21.1
 [61]
Total/Average 21.7 14.1
 [198] [608]

Table D-7. Sentinel Sites and Centers for Drawing Blood Samples for
Each Sentinel Site

Sentinel
Sites Town/City
(Prefecture or Centers for Drawing Blood
Department)

Urban Sites

1. Abeche (Ouaddai) Taiba Health Center Badawi Health Center

2. Mongo (Guera) Urban Health Center of Mongo

3. Bol (Lac) Urban Health Center of Bol
 Ngarangou Health Center

4. N'Djamena Assiam Vantou Center
(Chari-Baguirmi) Polyclinic No. 1
 National Reference Hospital Center/Maternity
 Liberie Hospital

5. Bongor (Mayo Kebbi) Urban Dispensary of Bongor
 Dispensary of Mairie

6. Moundou Family Planning Center
(Logone Occidental) * 15 Years Health Center

Rural Sites

8. B.ah(BarKoh) Bah Health Center
 Dowala-PESANA Health Center

9. Djoli Djoli Health Center
(Logon Occidental) Balmani Health Center
 Moulkou Health Center

11. Massaguet Massaguet Health Center
(Hadjar Lamis) Gredava Health Center

Note: Sample size is 400 blood tests for each site.

Source: MoH/National AIDS/STI Program statistics, 2003

Figure D-1. Evolution in Awareness and Behavior 1996/97, 2003

a. Percent of those surveyed declaring they have heard of AIDS

 1996/97

 Women Men

All 60.0 88.1
Urban 87.1 96.1
Rural 51.8 84.6

 2003

 Women Men

All 76.0 76.8
Urban 86.0 87.8
Rural 72.2 73.6

b. Percent of those who know condoms are a means of protection

 1996/97

 Women Men

All 11.1 21.2
Urban 21.2 41.1
Rural 6.0 13.5

 2003

 Women Men

All 60.1 65.1
Urban 63.4 70.5
Rural 57.8 59.9

c. Percent of those who know that fidelity is a means of protection

 1996/97

 Women Men

All 27.9 17.7
Urban 28.0 18.2
Rural 27.9 17.4

 2003

 Women Men

All 81.9 81.8
Urban 84.8 86.6
Rural 77.9 78.0

Source: DHS 1997 and Oumar 2003: KAP Study

Note: Table made from bar graph.


2. Reproductive Health Services
Table D-8. Utilization of Modern Methods of Contraception by Women Who
Are Married or in Consensual Unions, 2000

 Modern Methods

 Female
 sterilization Pills IUD Injections Condom

Residence
N'Djamena 1.8 5.9 0.3 0.7 0.3
Urban 1.4 4.4 0.1 0.4 0.2
Rural 0.4 0.1 0.0 0.1 0.0
Level of instruction
None 0.6 0.6 0.1 0.1 0.0
Primary 0.4 1.5 0.1 0.4 0.1
Secondary 1.3 8.9 0.0 1.2 0.8
Total 0.6 1.1 0.1 0.2 0.0

 Modern Methods Traditional Methods

 Diaphragm/ All Lactational Periodic
 gel Modern amenorrhea abstinence

Residence
N'Djamena 0.1 9.0 2.7 3.1
Urban 0.1 6.6 3.8 2.2
Rural 0.0 0.8 4.4 1.3
Level of instruction
None 0.0 1.4 4.6 1.6
Primary 0.3 2.8 3.9 0.5
Secondary 0.0 12.3 2.4 3.8
Total 0.1 2.0 4.3 1.5

 Traditional Methods

 Withdrawal Other All Modern and
 traditional Traditional

Residence
N'Djamena 0.0 0.0 5.9 14.9
Urban 0.1 0.1 6.2 12.8
Rural 0.0 0.0 5.8 6.5
Level of instruction
None 0.0 0.1 6.3 7.7
Primary 0.0 0.0 4.4 7.1
Secondary 0.0 0.0 6.3 18.6
Total 0.0 0.1 5.8 7.9

Table D-9. Distribution of Prenatal Services Provided to Women Giving
Birth in the Past Year of Type of Expert, 2000 (Percent)

 Type of staff providing services treatment

 Nurse/ Midwife Traditional Other/
 Doctor assistant assistant midwife ND

N'Djamena 2.3 64.1 1.4 5.5 0.0
Other cities 2.8 58.7 5.1 4.7 1.3
All urban 2.5 61.2 3.4 5.0 0.7
Rural 1.5 26.2 6.9 8.3 2.3
No schooling 1.6 27.3 5.6 8.9 1.9
Primary 1.9 55.6 9.6 3.5 2.7
Secondary & + 4.1 78.7 3.8 0.8 0.8
Total 1.7 33.8 6.1 7.6 1.9

 Prenatal No Number
 Services Prenatal of Women
 Delivered Care of Total in
 by All Any Kind Sample

N'Djamena 67.7 26.8 100.0 136
Other cities 66.5 27.5 100.0 161
All urban 67.1 27.2 100.0 297
Rural 34.5 54.8 100.0 1072
No schooling 34.5 54.7 100.0 1068
Primary 67.1 26.6 100.0 230
Secondary & + 86.6 11.8 100.0 45
Total 41.6 48.8 100.0 1369

Source: World Bank, Government of Chad, Joint Country Status Report
2004

Table D-10. Percentage of Women Giving Birth in the Past Year
Receiving Assistance during Delivery of Expertise of Assistance

 Personnel Assisting in Delivery

 Doctor Nurse/ Assistant Traditional Relative/
 Midwife midwife birth Friend
 attendant

N'Djamena 2.7 46.8 2.7 14.1 25.0
Other cities 1.9 32.8 5.9 27.5 25.4
All urban 2.3 39.2 4.5 21.4 25.2
Rural 0.2 5.9 2.0 46.0 36.3
No schooling 0.3 8.7 2.0 43.3 35.9
Primary 1.2 25.4 3.9 31.3 31.1
Secondary & + 4.9 55.0 8.2 12.0 17.0
Total 0.6 13.1 2.5 40.7 33.9

 Other/No Qualified No Sample
 specified Health assistance Total size
 Personnel

N'Djamena 2.7 52.4 6.0 100.0 136
Other cities 2.3 40.6 4.2 100.0 161
All urban 2.5 46.0 4.9 100.0 297
Rural 2.6 8.0 7.0 100.0 1072
No schooling 2.3 11.0 7.5 100.0 1068
Primary 3.6 30.5 3.5 100.0 230
Secondary & + 2.1 68.1 0.8 100.0 45
Total 2.6 16.2 6.6 100.0 1369

Source: World Bank, Government of Chad, Joint Country Status Report,
2004


3. Project Data
Table D-11. Planned Versus Actual Costs by Component (us$ million
equivalent)

Component Planned Actual Actual
 as % of
 Planned

Reinforcing the national capacity to 7.0 6.1 87%
implement the national population
policy

Strengthening the national capacity to 5.9 5.6 95%
contain the spread of HIV/AIDS and STDs

Putting in place a social marketing 6.4 6.9 109%
program for the promotion of condom use

Promoting the participation of the 5.5 5.6 102%
private sector and NGOs in population,
family planning and HIV/AIDS and STD
programs

Project Management -- 1.9

Total Base Costs 24.8 26.1

Physical contingencies 1.0 --

Price contingencies 1.4 --

Total Project Costs 27.2 26.1 96%

Source: PCT/MOPC, 2004

Table D-12. Planned Versus Actual Project Financing
(US$ million equivalent)

Financier Planned Actual

IDA 20.4 18.7
KfW 4.4 5.7
UNFPA 0.1 0.1
Government 1.3 0.7
Communities 1.0 0.9
Total 27.2 26.1

Note: Sources for actual data are as follows; IDA: World Bank
Disbursement records; KfW: AMASOT (equivalent of 12 million Deutsche
Marks during 1996-2001); Government (World Bank 2002); Communities
(calculation of 20% counterpart based on FOSAP grants).

Table D-13. Planned vs. Actual Counterpart Financing (in US$)

 Government

Component Planned Actual Actual as %
 of Planned

Population 611,000 372,653 61%
HIV/AIDS 524,600 269,633 51%
Social Marketing 142,400 30,791 22%
Social Fund
Total 1,278,000 673,077 53%

 Communities

Component Planned Actual Actual as %
 of Planned

Population
HIV/AIDS
Social Marketing
Social Fund 915,600 880,661 96%
Total 915,600 880,661 96%

Source: Project Coordination Team/Ministry of Plan, 2004

Table D-15. Evolution in condom sales, 1996-2002

 1996 1997 1998 1999

January -- 214,215 238,080 240,960
February -- 295,957 213,120 397,440
March -- 288,040 311,120 695,040
April -- 286,329 544,132 616,320
May -- 324,480 339,692 735,360
June -- 206,400 351,882 908,160
July -- 279,072 346,746 356,160
August -- 413,760 275,770 519,360
September 175,599 69,120 411,040 705,600
October 196,314 176,540 340,440 563,520
November 129,877 326,400 379,920 342,720
December 277,075 338,256 261,786 384,000
Total 778,865 3,218,569 4,013,728 6,464,640

 2000 200f 2002 2003

January 12,480 270,720 458,880 799,680
February 66,240 229,440 447,360 114,240
March 251,520 267,840 352,320 249,600
April 121,920 328,320 485,760 386,880
May 114,240 229,440 432,000 409,920
June 208,320 323,520 230,400 531,840
July 374,400 390,720 514,560 257,280
August 203,520 119,040 633,600 167,360
September 161,280 376,320 175,680 244,800
October 235,200 280,320 582,720 292,896
November 139,200 171,840 123,840 109,728
December 262,080 258,240 266,880 63,792
Total 2,150,400 3,245,760 4,704,000 3,628.016

Note: Quantities over 400,000 units were eliminated from these
statistics as this surplus is estimated to have been sold in
neighboring countries, due to much lower pricing of condoms in Chad.
Source: AMASOT 2004
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Title Annotation:PROJECT PERFORMANCE ASSESSMENT REPORT CHAD POPULATION AND AIDS CONTROL PROJECT (CREDIT NO. 2692) MARCH 7, 2005
Publication:Chad - Population and AIDS Control Project
Date:Mar 7, 2005
Words:2249
Previous Article:Annex C. Population and AIDS control project (Credit No. 2692)--presentation of project components.
Next Article:Annex E. Key targets and indicators supported under population and AIDS project.

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