Upcoming activities requiring COVID protocols. Two Act | East Nepal staff will attend the NIS Regional Training Workshop in Jakarta, Indonesia from January 9-13. Act | East Indonesia will also host a Mf Microscopy Study Tour for four participants from Act | East Nepal from January 16-18, including a one-day session at the Laboratory of the Medical Faculty of the University of Indonesia. • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the MOHP. • TAS 2 in Ilam and Panchthar districts in January-February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change activity. • Videography of LF MDA in one district (still to be selected) in February 2023. COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/searo/country/np National: xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA Act | East Partner: RTI, The Xxxxxx Center Total population: 207.8 million COP: [Redacted] Districts (LGAs): 774 RTI HQ Team: [Redacted] Endemic diseases: LF (553), OV (449), SCH (691), STH (415), Trachoma (143) TABLE: Activities supported by USAID in FY23 LF OV SCH STH Trachoma MDA 0/36 districts (RTI/TCC) 0/36 districts (RTI/TCC) 0/55 districts (TCC) 0/135 districts (TCC) 0/135 districts (TCC) DSAs (#EUs) Pre-TAS : 1/1 (RTI) TAS 1 : 0/54 (TCC) TAS 2 : 0/7 (RTI) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis of NTD Targeted Interventions in Cross River State Summary and explanation of changes made to table above since last month: • Completed Pre-TAS in Yala LGA of CRS Highlights: RTI • Act | East participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS in Yala LGA of CRS. The official FMOH report is pending, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with the DOH and USAID Philippines, alongside Act | East consultant [Redacted]. The purpose of these meetings was to discuss priorities for the national NTD program and how Act | East support will factor into the newly integrated DOH structures. • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.

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Upcoming activities requiring COVID protocols. ~~Two~~ The Joint Application Package (JAP) review meeting is planned in Dodoma region from 4th – 6th April 2022, following by the quarterly program review meeting in Dodoma on 8th April 2022. • Act | East ~~Nepal staff~~ and NTDCP will ~~attend the NIS Regional Training Workshop~~ conduct supportive supervision for IVM MDA in ~~Jakarta~~9 district councils of Morogoro and Tanga regions. The supervision will cover pre-MDA activities, ~~Indonesia from January 9-13~~MDA activities and post MDA activities and will start few days prior to MDA. Act | East ~~Indonesia~~ is also planning to increase the number of national supervisors to enhance MDA supervision by deploying four additional supervision teams (two per region). • Trachoma microplanning for 9 districts (10 evaluation units) is planned to start on 19th April 2022 with an orientation of the national team. Microplanning meetings will ~~also host a Mf Microscopy Study Tour for four participants~~ take place from 25th April – 6th May. Each field team will be comprised of 2 national facilitators and one district participant. • Act | East ~~Nepal from January 16-18, including a one-day session at~~ will conduct training of trainers for regional and district NTD coordinators in the ~~Laboratory of the Medical Faculty of the University of Indonesia~~9 districts implementing trachoma MDA on April 23rd. • ~~World NTD Day~~ Act | East will ~~be celebrated with events at~~ support NTDCP to review IEC/BCC materials and messages during a series of technical meetings from 25th April – 6th May. The meetings will involve Act | East, the ~~central and/or provincial level at the end of January. Details are still being decided with the MOHP~~MOH health promotion section, government communication unit and representatives from regions and districts. • TAS 2 in Ilam and Panchthar districts in January-February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change ~~activity. • Videography of LF MDA~~ council level implementation in ~~one district~~ Arusha (~~still to be selected~~Monduli and Longido councils) ~~in February 2023~~is planned starting 19th April 2022. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info March 2022 ~~NIGERIA~~ UGANDA Act | East Partner: RTI, The Xxxxxx ~~Center~~ Center, WI-HER, R4D, Save the Children Total population: ~~207.8 million~~ 41,740,474 (2019) COP: [Redacted] ~~Districts (LGAs): 774~~ Districts: 134 RTI HQ Team: [Redacted] Endemic diseases: LF (~~553~~64), TRA (51), OV (~~449~~32), SCH (~~691~~92), STH (~~415), Trachoma (143~~134) TABLE: Activities supported by USAID in ~~FY23~~ FY22 LF OV SCH STH Trachoma MDA ~~0/36~~ 9/9 districts (~~RTI/TCC~~R1) ~~0/36~~ 0/11 districts (~~RTI/TCC~~R2) ~~0/55~~ 5/5 districts (~~TCC~~Oct 2021) ~~0/135~~ 0/2 districts (~~TCC) 0/135 districts (TCC~~Sept 2022) DSAs (#EUs) ~~Pre-TAS~~ TAS3: ~~1/1~~ 5/16 EUs XXXXX Trachoma coverage evaluation survey (~~RTI~~CES) ~~TAS 1 : 0/54~~ in 3 districts (~~TCC~~completed) TAS 2 : 0/7 (RTI) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis of NTD Targeted Interventions in Cross River State Summary and explanation of changes made to table above since last month: • Completed Pre-TAS in Yala LGA of CRS Highlights: RTI • Act | East participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF Data quality assessment in ~~LF-OV co-endemic LGAs that have stopped OV~~ Moroto NTD data management training using DHIS2. HSS Develop national NTD program advocacy strategy (in progress) Targeted cost analysis National and district funds flow analysis Finalize and institutionalize GESI MDA ~~o That Partners support States to implement MMDP activities. o Both Cameroon~~ training curriculum Develop national SBC packages for NTDs and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS GESI GESI behavior change activity in Yala LGA of CRS. The official FMOH report is pending, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) two districts SCH/STH ~~(82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D)~~ partner mapping exercise Summary and explanation of changes made to table above since last month: None Highlights: • ~~[Redacted]~~ Training for scaling up GESI behavior change activity: Act ǀ East provided financial and ~~[Redacted] traveled~~ technical support to ~~Manila in December 2022~~ expand the GESI behavior change activity to ~~meet~~ Amudat and Nabilatuk. During the training, feedback on the previous MDA was shared with district officials to help them identify the ~~DOH and USAID Philippines, alongside Act | East consultant [Redacted]. The purpose of these meetings was to discuss priorities~~ right target group for the ~~national NTD program~~ behavior change activity and ~~how Act | East support will factor into~~ develop GESI Action Plans to guide behavior change activity set-up. Save the newly integrated DOH structures. • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.Children

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Upcoming activities requiring COVID protocols. ~~Two~~ Act | East ~~Nepal staff~~ will ~~attend the NIS Regional~~ support NTDCP to conduct TAS2 in 4 EUs and TAS3 in 3 EUs. Training ~~Workshop~~ will be conducted in ~~Jakarta, Indonesia~~ Dar es Salaam on March 10-11th followed by fieldwork from ~~January 9~~March 12-1325th. • Act | East ~~Indonesia~~ will ~~also host a Mf Microscopy Study Tour for four participants~~ support NTDCP to conduct re-pre-TAS in 2 district councils of Mtama DC and Mtwara- Mikindani MC. Training will be conducted in Lindi on March 10-11th, followed by fieldwork from March 12-17th. • The NTDCP and Act | East ~~Nepal from January 16~~technical teams will conduct a visit to the districts of Dar es Salaam City Council, Kinondoni City Council and Temeke MC to select sites for the planned re-18pre-TAS in March. • In collaboration with NTDCP, ~~including~~ Act | East is planning to conduct the OV pre-stop MDA survey in Tanga focus in March. • In collaboration with NTDCP, Act | East is planning to hold a ~~one~~trachoma MDA electronic data collection (EDC) training at national, regional, district and sub-~~day session at~~ district levels. The national level training will be conducted on 24th March 2023 and remaining level’s training will be conducted in Arusha, Longido DC and Ngorongoro DC the ~~Laboratory~~ week of 27th March. Trachoma MDA will take place in early April. • Trachoma MDA will take place starting the week of March 27th. • Act | East will support NTDCP to finalize the M&E plan for the Master and Sustainability Plans through a validation workshop and will also support them to hold the SWAp stakeholders’ collaboration workshop in March. • R4D is supporting a draft concept note and timeline for the development of an NTD financial strategy. • Act | East will work with the NTDCP to begin preparations towards development of the Medical Faculty of the University of Indonesia. • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the MOHP. • TAS 2 in Ilam national schistosomiasis strategy and Panchthar districts in January-February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change activity. • Videography of LF MDA in one district (still to be selected) in February 2023action plan. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info February 2023 UGANDA Act | East Partner: RTI, The Xxxxxx ~~Center~~ Center, WI-HER, R4D, Save the Children Total population: ~~207.8 million~~ 46,205,893 (2022) COP: [Redacted] ~~Districts (LGAs): 774~~ Districts: 136 RTI HQ Team: [Redacted] Endemic diseases: LF (~~553~~66), TRA (41), OV (~~449~~43), SCH (~~691~~91), STH (~~415), Trachoma (143~~136) TABLE: Activities supported by USAID in FY23 LF OV ~~SCH STH~~ Trachoma MDA ~~0/36~~ N/A 3/11 districts (~~RTI/TCC~~R1) ~~0/36~~ 0/11 districts (~~RTI/TCC~~R2) ~~0/55~~ 2/2 districts (~~TCC~~Jan 2023) ~~0/135~~ 0/5 districts (~~TCC) 0/135 districts (TCC~~June 2023) DSAs (#EUs) ~~Pre-~~TAS 2: ~~1/1 (RTI)~~ 0/8 Eus TAS 1 3: ~~0/54 (TCC) TAS~~ 0/3 EUs N/A TSS+: 2 EUs Confirmatory mapping: ~~0/7 (RTI) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis of NTD~~ 2 districts XXXXX Targeted Interventions in Cross River State Summary and explanation of changes made to table above since last month: • Completed Pre-TAS in Yala LGA of CRS Highlights: RTI • Act | East participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS in Yala LGA of CRS. The official FMOH report is pending, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mopfollow-up ~~treatment was carried out~~ investigation in ~~Nkanu East LGA~~ two districts of ~~Enugu State notably~~ Nabilatuk and Buliisa Data quality assessment (DQA) in ~~Amagunze, Amechi Idodo, Eziama, Nomeh, Nara~~ Buliisa district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting Finalize and ~~Nkerefi axes on 15 – 16 December 2022~~institutionalize GESI MDA training curriculum Finalize integration of GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • RTI ▪ Breakfast meeting to commemorate the World NTD Day and launch of the NTD Master Plan (2023- 2027): A breakfast meeting to commemorate the World NTD Day and launch the NTD Master Plan was held at Hotel Africana on 22nd February 2023. The meeting was organized by the Ministry of Health with support from partners. The meeting was presided over by the Minister of Health who lobbied for domestic resources from the Members of Parliament. She also launched the Master Plan having noted that it will guide implementation for the next 5 years. ▪ FAA Meeting with District leaders: Act | East staff including the CoP and the R4D consultant traveled to the district of Buliisa to discuss the FAA process with the district leadership. The district reiterated their willingness to support the FAA process and MDA implementation. They also noted that there are systems already in place to facilitate the FAA process. ▪ MDA AAR: RTI staff held an internal MDA AAR with MoH and the partners (WI-HER and StC) that were involved in the MDA process. The district FPs and DHOs were also invited. It was agreed that the MDA process was well planned and executed. The involvement of the Turkana county team ensured that the Turkana migratory population were treated. Key recommendations from the AAR were the need for continuous engagement of the Turkana county leadership to ensure that their population that have settled within Uganda are treated; to change the social mobilization strategy for multi media campaigns to in-person meetings; involvement of One Health in current program implementation to ensure that more people are reached and for future sustainability of the gains made. ▪ Confirmatory mapping in Kween and Bulambuli: Teams traveled to the districts of Kween and Bulambuli for confirmatory mapping, which is ongoing. The exercise was preceded by training and certification of the teams conducted by [Redacted] and [Redacted~~] traveled~~ ]. ▪ Candidates were selected for the HSS and HR position with both due to ~~Manila in December 2022 to meet with the DOH and USAID Philippines, alongside Act | East consultant~~ start early March. ▪ [Redacted]] is the HSS specialist on the Uganda team from RTI HQ. WI-HER ▪ Supported Moroto, Nabilatuk and Amudat district GESI teams to conduct check-in meetings with root agents and behavior change teams in 10 sub-counties. The purpose ~~of these meetings~~ was to ~~discuss priorities for~~ collect updates on the ~~national NTD program~~ MDA coverage among the cohorts directly engaged by influencers as well as coverage in the villages where the influencers were operational. Solutions to barriers regarding face cleanliness and ~~how Act | East support will factor~~ environmental improvements were also discussed. A total of 141 people took part in these meetings. ▪ Engaged Amudat district GESI team to review data on the FY22 MDA coverage to inform the selection of new villages to scale up GESI behavior change. ▪ Continued coordination with Save the Children on the integration of key barriers to face cleanliness and environmental improvements in WI-HER's behavior change work / root cause analysis into StC's community dialogues. ▪ Attended the newly integrated DOH structures. • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • MOH-organized World NTD ~~Day will be celebrated with events at~~ commemoration and launch of the ~~central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi~~new NTD Master plan (2023-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,6952027); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.

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Upcoming activities requiring COVID protocols. ~~Two Act | East Nepal staff~~ In June 2021, IMA and TZNTDCP will: • Conduct a joint trachoma and LF Dossier Development meeting. A local consultant will ~~attend~~ be engaged to combine and compile the NIS Regional Training Workshop in Jakarta, Indonesia from January 9-13. Act | East Indonesia will also host a Mf Microscopy Study Tour for four participants from Act | East Nepal from January 16-18, including a one-day session at dossier information and update the ~~Laboratory of the Medical Faculty of the University of Indonesia~~dossier narrative document. • ~~World NTD Day will be celebrated with events at the central and/or provincial level at the end~~ Conduct community sensitization in nomadic and cross-border districts of ~~January. Details are still being decided with the MOHP~~Kiteto, Simanjiro, Longido, and Ngorongoro. • ~~TAS 2~~ Conduct advocacy meetings for 6 districts on Trachoma elimination. • Coordinate advocacy meetings with new leaders in ~~Ilam and Panchthar~~ 9 districts in ~~January-February 2023, pending FAA approval~~3 Regions. • ~~TAS~~ Conduct refresher training for trachoma graders and recorders conducting the Trachoma Impact Surveys in 3 EUs and Trachoma Surveillance Surveys in ~~Sindhuli district in January-February 2023, pending FAA approval~~7 EUs. • LF Conduct supportive supervision during Trachoma impact surveys in 3 EUs and Trachoma surveillance survey in 7 EUs. • Conduct pre-MDA activities ~~in 15 districts~~ (~~Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali~~ District strategic and ~~Rasuwa) in January-March 2023, including~~ planning meetings, ~~social mobilization support~~Training of Trainers, ~~MDA supervision~~Training of FLHW, training of CDDs, and ~~GESI behavior change activity~~registration and community sensitization) and actual Zithromax MDA and supportive supervision in 4 TRA districts: Kongwa, Chamwino, Ngorongoro and Kiteto. • ~~Videography of LF~~ Conduct high-level leader and influential people advocacy meeting with high-level leaders and influential people who will eventually sensitize the community on twice OV MDA in ~~one district~~ 9 districts (~~still~~ in 2 regions of Tanga and Morogoro). • Begin Oncho exclusion mapping in 7 districts. • Deliver MDA supplies (dose poles, PZQ tapes, flyers, registers, brochures, posters, banners, training manuals and summary data forms) to ~~be selected~~34 districts planned for August MDA. • In collaboration with Medical Stores Department (MSD), IMA is working to deliver Praziquantel tabs and Zithromax to districts for school MDA and Trachoma MDA in June 2021. • IMA and TZNTDCP will conduct Coverage Evaluation Surveys for 4 Trachoma districts (Kongwa, Chamwino, Kiteto and Ngorongoro) in ~~February 2023~~June/July 2021. Other upcoming activities: • Working with the Government Procurement Services Agency (GPSA) to clear Zithromax tabs and Zithromax POS from the port of Trachoma Community MDA in June 2021. • Working with Tanzania Medicines and Medical Devices Authority (TMDA) to obtain an import permit for Filariasis Test Strips (FTS) in June 2021. • HSS activities: o IMA and TZNTDCP will coordinate the review of Master Plan and alignment with NTD 2030 Roadmap and HSSP V in June 2021. o IMA and TZNTDCP will coordinate the integration of NTDCP into the Sector Wide Approach (SWAp) in June-July 2021. o IMA and TZNTDCP will coordinate the development of a targeted NTD advocacy strategy (Develop SMART objectives, budget and workplan) in June-July 2021. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info May 2021 UGANDA Act | East Partner: RTI, The Xxxxxx Center Total population: ~~207.8 million~~ 41,740,474 (2019) COP: [Redacted] ~~Districts (LGAs): 774~~ Districts: 134 districts RTI HQ Team: [Redacted] Endemic ~~diseases:~~ diseases (# ever endemic districts): LF (~~553~~64), TRA (57), OV (~~449~~41), SCH (~~691~~90), STH (~~415), Trachoma (143~~134) TABLE: Activities supported by USAID in ~~FY23~~ FY21 LF OV SCH STH Trachoma MDA ~~0/36 districts (RTI~~N/~~TCC) 0/36 districts (RTI~~A 9 districts, November 2020 and April 2021 N/~~TCC) 0/55 districts (TCC) 0/135 districts (TCC) 0/135 districts (TCC)~~ A N/A 2 districts, September 2021 DSAs (#EUs) ~~Pre-TAS~~ PreTAS: ~~1/1~~ 0 TAS1: 7 EUs TAS2: 5 EUs TAS3: 14 Eus N/A N/A N/A TIS: 3 EUs, July 2021 TSS: 5 EUs, March and July 2021 XXXXX CES in Moroto (~~RTI~~completed November 2020) Failed DSA investigation in Amudat (planned for July 2021) TAS ~~1 : 0/54~~ planned for the week of 14th July 2021. Feedback meeting in Amudat planned for 7th July 2021. Trachoma quarterly review and dossier meeting planned for July 2021 HSS SCH/STH expert committee meeting (~~TCC~~June 2021) ~~TAS 2 : 0/7~~ Launch of NTDCP program sustainability plan (~~RTI~~Feb 2021) ~~Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis~~ Development of GESI package for NTD ~~Targeted Interventions in Cross River State~~ program Summary and explanation of changes made to table above since last month: • ~~Completed Pre~~TIS in Nebbi and Buliisa EUs were rescheduled from April to July to better prepare for the surveys. but the pre-TAS in Yala LGA of CRS Highlights: RTI • Act | East participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS in Yala LGA of CRS. The official FMOH report is pending, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA visit was done in the ~~five border LGAs of Edo state from 14th to 21st December 2022~~two districts 4-7 May 2021. • ~~Training~~ TSS results indicate that Amudat is above treatment threshold, with TF prevalence between 5-9.9%, and therefore the district will require one round of ~~FLHWs and CDDs was done in Ika Northeast LGA in Delta~~MDA as per WHO guidelines, ~~14th~~ planned for September 2021. Prior to ~~23rd December 2022. • Mop-up treatment was~~ the MDA, a DSA investigation will be carried out in ~~Nkanu East LGA of Enugu State notably~~ Amudat in ~~Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022~~July 2021. • ~~Data verification~~ TSS in Nakapiripirit and ~~entry for the 4 LGAs of Ebonyi State~~Xxxxxxxxx will happen from 14-28 July 2021. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activitiesHighlights: • Act | East ~~will provide support to FMOH~~ held a virtual/in-person hybrid work planning meeting May 25-27, 2021. Participants included the Assistant Commissioner vector borne and ~~CRS MOH~~ NTDs, program managers and senior staff of the NTD program, delegates from districts that are targeted for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 MDA and TIS/TSS – Moroto, Amudat, Nebbi and Buliisa; USAID/Uganda mission; USAID/DC; RTI HQ ~~Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support~~ staff, WHO and other partners including R4D, WI-HER, TCC, Save the Children, ASCEND, Sightsavers, World Vision and SCI. Priority activities for ~~LF planning~~ FY22 funding presented and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with the DOH and USAID Philippines, alongside Act | East consultant [Redacted]. The purpose of these meetings was to discuss priorities for the national NTD program and how Act | East support will factor into the newly integrated DOH structuresdiscussed. • Act | East ~~HQ began reviewing applications~~ Uganda country team held its annual retreat on 5-6 May to review program performance, determine areas of improvement, particularly around modalities of operation in the context of COVID-19, and prepare for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOHFY22 annual planning meeting. • The Act | East ~~will~~ team and NTDCP brought together consultants assigned to provide technical ~~and logistical~~ support to ~~a Multi-Disease Elimination Plan (MDEP) writeshop~~ the ~~week~~ MOH in the areas of ~~February 7th~~heath financing, GESI and development of the NTD advocacy strategy. The purpose of the meeting was to ~~take place in Baguio City~~ensure understanding of the TOR for all the teams and identify areas of collaboration during the execution of the different consultancy work. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 BangladeshConsultants made presentations of the TORs and their work plans which were discussed by the NTD program team led by the Ag. Asst. Commissioner, ~~Lao PDR, Viet Nam~~ Program Managers and the Act | East ~~Partner:~~ team. This was an important meeting to ensure effective coordination of the different consultancies. • RTI, ~~FHF~~ WI-HER, and XXX finalized the plan and budget for the GESI Behavior Change pilot for Moroto. Actual activity will start in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1)July 2021. TCC • TCC trained CDDs in 7 districts of Kasese, ~~SCH (17); Viet Nam LF (4)~~Adjumani, ~~STH (63)~~Moyo, ~~TRA (15)~~Amuru, Pader, Lamwo, and Nwoya. ~~TABLE: Activities supported by USAID~~ • TCC regional coordinators and XXX completed MDA and data validation in ~~FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT~~10 targeted districts. Treatment reports have not yet been submitted. • TCC is completing community meetings in sub-~~only: 0/4 XXXXX Bangladesh~~counties where low treatment coverages was noted, ~~Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made~~ in order to ~~table above since last month: • Updated completed surveys in Viet Nam.~~decide to make decisions about using mop up to reach higher treatment coverages. Upcoming activities:

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Upcoming activities requiring COVID protocols. ~~Two Act | East Nepal staff~~ In May 2021, IMA and TZNTDCP will ~~attend the NIS Regional Training Workshop in Jakarta, Indonesia from January 9~~conduct pre-13. Act | East Indonesia will also host a Mf Microscopy Study Tour for four participants from Act | East Nepal from January 16-18, including a one-day session at the Laboratory of the Medical Faculty of the University of Indonesia. • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the MOHP. • TAS 2 in Ilam and Panchthar districts in January-February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities ~~in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali~~ district strategic and ~~Rasuwa) in January-March 2023, including~~ planning meetings, ~~social mobilization support~~training of trainers, ~~MDA supervision~~training of FLHWs, training of CDDs, and ~~GESI behavior change activity~~registration and community sensitization) and Zithromax MDA and supportive supervision in 4 TRA districts: Kongwa, Chamwino, Ngorongoro and Kiteto (Under XXXx). • ~~Videography~~ In May / June 2021, IMA and TZNTDCP will conduct refresher training for trachoma graders and recorders who will then conduct the Trachoma Impact Surveys in 3 EUs and Trachoma Surveillance Surveys in 7 EUs. • IMA and TZNTDCP will conduct supportive supervision during TIS in 3 EUs and TSS in 7 EUs in May / June 2021. • HSS activities (small group meetings): o IMA and TZNTDCP will coordinate the review of Master Plan and alignment with NTD 2030 Roadmap and HSSP V in May 2021. o IMA and TZNTDCP will coordinate the integration of NTDCP into the Sector Wide Approach (SWAp) in May 2021. o IMA and TZNTDCP will coordinate the development of a targeted NTD advocacy strategy (Develop SMART objectives, budget and workplan) in May 2021. o GESI Pilot review and finalization of GESI materials and tools will be conducted in June. o Develop intervention packages to address identified GESI issues in June (Integrated into Coverage survey). • IMA and XXXXXXX will engage a consultant and conduct a joint trachoma & LF dossier development meeting and will engage the consultant in June 2021. The local consultant will be engaged to combine and compile the dossier information and update the dossier narrative document. • In June 2021, IMA and TZNTDCP will conduct community sensitization in nomadic and cross-border districts of Kiteto, Simanjiro, Longido, and Ngorongoro. • In June 2021, IMA and TZNTDCP will conduct an advocacy meeting for 6 districts on trachoma elimination. • IMA and TZNTDCP will conduct the quarterly Program Review Meetings in June 2021. • IMA and TZNTDCP will coordinate advocacy meetings with new leaders in 9 districts in 3 regions in June 2021. • In June 2021, IMA and TZNTDCP will advocacy meetings with high-level leaders and influential people who will eventually sensitize the community on twice yearly OV MDA in ~~one district~~ 9 districts (~~still to be selected~~in 2 Regions of Tanga and Morogoro). • In June 2021, IMA and TZNTDCP will conduct OV exclusion mapping in 7 districts. • IMA and TZNTDCP will conduct Coverage Evaluation Surveys for 4 trachoma districts (Kongwa, Chamwino, Kiteto and Ngorongoro) in ~~February 2023~~June/July 2021. Other upcoming activities: • Working with the GPSA to clear Zithromax tabs and Zithromax POS from the port in time for Trachoma Community MDA in May 2021. • In collaboration with Medical Stores Department (MSD), IMA is working to deliver Praziquantel and Zithromax to districts for school MDA and Trachoma MDA in May 2021. • Working with Tanzania Medicines and Medical Devices Authority (TMDA) to obtain an import permit for Filariasis Test Strips (FTS) in May 2021. • Delivery of MDA supplies (dose poles, PZQ tapes, flyers, registers, brochures, posters, banners, training manuals and summary data forms) to 34 districts planned for August MDA in May 2021. • IMA and TZNTDCP will coordinate and conduct the virtual Annual Joint Review and Planning Meeting (AJPM) in June 2021. • IMA and TZNTDCP will coordinate and conduct Virtual Technical Working Group Meetings for LF+OV, as well as Trachoma and STH+SCH in June 2021 • IMA and TZNTDCP will coordinate and conduct the Virtual SCH/STH Expert Committee Meeting and Tanzania Onchocerciasis Expert Advisory Committee (TOEAC) in June 2021. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info April 2021 UGANDA Act | East Partner: RTI, The Xxxxxx Center Total population: ~~207.8 million~~ 41,740,474 (2019) COP: [Redacted] ~~Districts (LGAs): 774~~ Districts: 134 RTI HQ Team: [Redacted] Endemic ~~diseases:~~ diseases (# ever endemic districts): LF (~~553~~64), TRA (57), OV (~~449~~41), SCH (~~691~~90), STH (~~415), Trachoma (143~~134) TABLE: Activities supported by USAID in ~~FY23~~ FY21 LF OV SCH STH Trachoma Mapping N/A 9 districts, November 2020 and April 2021 N/A N/A 2 districts, September 2021 MDA ~~0/36 districts (RTI~~PreTAS: 0 TAS1: 7 EUs TAS2: 5 EUs TAS3: 14 Eus N/~~TCC) 0/36 districts (RTI~~A N/~~TCC) 0/55 districts (TCC) 0/135 districts (TCC) 0/135 districts (TCC)~~ A N/A TIS: 2 EUs, June 2021 TSS: 5 EUs, March and June 2021 DSAs (#EUs) ~~Pre-TAS : 1/1~~ N/A 9 districts, November 2020 and April 2021 N/A N/A 2 districts, September 2021 XXXXX CES in Moroto (~~RTI~~completed November 2020) ~~TAS 1 : 0/54~~ DQA in Moroto (~~TCC~~planned June 2021) ~~TAS 2 : 0/7~~ Failed DSA investigation in Amudat (~~RTI) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI~~Planned for June 2021) HSS ~~Costing Analysis~~ SCH/STH expert committee Launch of NTDCP program sustainability plan Development of GESI package for NTD ~~Targeted Interventions in Cross River State~~ program Summary and explanation of changes made to table above since last month: • ~~Completed Pre~~TIS in Nebbi and Buliisa EUs were rescheduled from April to June to better prepare for the surveys. • TSS was completed in Karenga, Kaabong and Amudat in March. Amudat results were above treatment threshold, with TF prevalence between 5-~~TAS~~ 9.9%, and the district will require one additional round of MDA as per WHO guidelines, planned for September 2021. Prior to the MDA, a DSA investigation will be carried out in ~~Yala LGA of CRS~~ Amudat. Highlights: • The Zithromax application for MDA in Amudat was prepared and submitted to ITI. An approval was granted, and the drug is expected in the country in June. • TCC provided support to the NTD program to complete CDD training for OV MDA in Gulu, Omoro, and Kitgum, and health education was completed in all the districts. • TCC supported OV MDA, which began in late April and is expected to be completed in all districts by early June. Regional coordinators conducted supervision for OV MDA in Nwoya, Omoro, Amuru, Gulu, Pader, Kitgum and Lamwo. • The RTI HQ and Uganda teams completed the evaluation process for a consultancy to develop the Uganda NTD program advocacy strategy and selected an organization. The strategy development will take place May through July 2021. • WI-HER and RTI completed the GESI NTD MDA training in coordination with the MOH. • In preparation for the review and update of the Uganda NTD Master plan (2017-2022), a task force led by the Assistant Commissioner of Vector Borne Diseases and comprising NTD program managers and key partners (including Act | ~~East participated~~ East) held a two-day retreat in Jinja in April to finalize the protocol that will guide the review and ~~presented at~~ update process. WHO provided overall technical guidance during the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, retreat while Act | East provided ~~financial~~ financial, logistical, and additional technical ~~support to FMOH and CRS to conduct Pre-TAS in Yala LGA of CRS~~support. The ~~official FMOH report is pending~~team agreed on modalities for carrying out the entire exercise including finalization of the protocol, setting timelines, and ~~results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents~~ developing a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry draft budget for the ~~4 LGAs of Ebonyi State~~process. ~~• Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in~~ A working committee was put together to finalize all the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in preparatory work for the ~~eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: •~~ review on which the Act | East HSS advisor will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with represent the ~~DOH and USAID Philippines, alongside Act | East consultant [Redacted]~~project. The purpose of these meetings was to discuss priorities for the national NTD program and how Act | East support will factor into the newly integrated DOH structures. • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming Upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.

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Upcoming activities requiring COVID protocols. ~~Two~~ MDA: Act | East ~~Nepal staff~~ will ~~attend the NIS Regional Training Workshop~~ support re-MDA in ~~Jakarta~~eight districts (Macossa, ~~Indonesia from January 9~~Tambara, Guro, Erati, Liupo, Ilha de Mogincual, Moma, and Memba) September 12-1316, 2022. • TIS: Act | East ~~Indonesia~~ will ~~also host a Mf Microscopy Study Tour for~~ support TIS in four ~~participants from~~ districts in September 2022 in Cabo Xxxxxxx province, depending on improvements in the security situation of targeted districts. • Coverage Evaluation Survey (CES): Act | East ~~Nepal from January 16-18~~will support a CES in Guro district, ~~including~~ Manica province in September 2022. • Steering committee meeting: Act | East will support a ~~one~~2-day ~~session at~~ meeting in Maputo in September 2022 for the ~~Laboratory~~ participants of the ~~Medical Faculty~~ 11 provinces and NTD partners, where program performance will be reviewed. • TT smartphone tool testing: The protocol was approved by the ethical committee. RTI will support the testing of the ~~University~~ tool in two districts (Chemba district, Sofala province and Guro district, Manica province) in FY23. COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/mz / National: xxxxx://xxx.xxxxx.xxx.xx/ August 2022 NEPAL Act | East Partner: RTI Total population: 30,201,100 COP: [Redacted] Districts: 77 RTI HQ Team: [Redacted] Endemic diseases: # ever endemic districts: LF (63), Trachoma (20) & STH (77) TABLE: Activities supported by USAID in FY22 LF DSAs (#EUs) Re-Pre-TAS: 5/10 districts TAS1 : 2/7 districts TAS2 : 16/16 districts TAS3 : 0/13 districts HSS Domestic Resource Mobilization Case Study: ongoing GESI Behavior Change Activity: June 2022- September 2022 Summary and explanation of ~~Indonesia~~changes made to table above since last month: None Highlights: • Vector Born Disease Research and Training Center (VBDRTC) conducted TAS3 district and municipal level orientation in five districts—Kathmandu, Lalitpur, Bhaktapur, Siraha and Sunsari—ahead of the upcoming surveys. Act| East Nepal provided technical support to these surveys during supervisory monitoring visits. • ~~World~~ Nepal-based WI-HER consultant conducted a GESI assessment findings dissemination meeting with officials and elected xxxx chairpersons of Nepalgunj Sub-Metropolitan city in the presence of deputy mayor and district LF focal person of Banke district. Participants agreed for the next step- a social mobilization behavior change activity- to be conducted in Xxxx 3 of Nepalgunj Sub- Metropolitan. Upcoming activities requiring COVID protocols: • NTD ~~Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the MOHP~~domestic resource mobilization case study data collection in provincial, district and municipalities offices in Sept-Oct 2022. • Implementation of TAS 2 3: o September 2022 in ~~Ilam and Panchthar~~ 5 districts: Saptari, Siraha, Bhaktapur, Lalitpur Urban, Kathmandu o October/November 2022 in 8 districts ~~in January-February 2023,~~ (timing pending FAA approval~~. • TAS 3 in Sindhuli district in January-February 2023~~): Okhaldhunga, ~~pending FAA approval. • LF MDA activities in 15 districts (Jhapa~~Kaski, ~~Xxxxxx~~Argakhachi, ~~Dhanusha~~Pyuthan, ~~Mohattari~~Rolpa, ~~Sarlahi~~Rukum East, ~~Rautahat~~Rukum West, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change activity. • Videography of LF MDA in one district (still to be selected) in February 2023. Salyan COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/searo/country/np National: xxxxx://xxxxx00.xxxx.xxx.xx/ ~~December~~ August 2022 NIGERIA Act | East Partner: RTI, The Xxxxxx Center Total population: 207.8 million COP: [Redacted] Districts (LGAs): 774 RTI HQ Team: [Redacted] Endemic diseases: LF (553), OV (449), SCH (691), STH (415), Trachoma (143) TABLE: Activities supported by USAID in ~~FY23~~ FY22 LF OV SCH STH Trachoma MDA ~~0/36~~ 23/40 districts (22/39 TCC, 1/1 RTI~~/TCC~~) ~~0/36 districts (RTI/TCC) 0/55~~ 22/83 districts (TCC) ~~0/135~~ 18/90 districts (TCC) ~~0/135~~ 18/120 districts (TCC) DSAs (#EUs) Pre-TAS : ~~1/1~~ 34/35 (~~RTI~~TCC 34/35, RTI 0/1) TAS 1 : ~~0/54~~ 1/38 (~~TCC) TAS 2 : 0/7 (RTI~~TCC 0/37, RTI 0/1) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS ~~Costing Analysis of NTD Targeted Interventions in~~ Cross River State health financing assessment- Draft report of Fund Flow Analysis completed Summary and explanation of changes made to table above since last month: • ~~Completed Pre~~TT-~~TAS~~ only survey in ~~Yala LGA~~ EZZA North LGA, Ebonyi State completed. • TCC completed OV/LF MDA in 16 additional LGAs for a total of ~~CRS~~ 22 of 83 LGAs. • TCC completed SCH/STH MDA in 18 LGAs. Highlights: RTI • Act | East ~~participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held~~ supported FMOH to conduct Trachomatous Trichiasis-only survey in ~~Abuja~~ Ezza-North LGA of Ebonyi State from ~~7th~~ 10th to ~~9th December~~ 29th of August 2022. ~~Key highlights~~ Training was conducted for 5 Graders, 5 Recorders and 2 Supervisors to carry out the survey in 30 sampled clusters of communities in Ezza-North LGA. FMOH is working to finalize the data and share the outcome of the ~~meeting include: o~~ survey with Act | ~~East~~ East, as it will inform future program intervention to ~~proceed with Onchocerciasis River prospection~~ ensure trachoma elimination in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment in LFEzza-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS in Yala North LGA of CRS. The official FMOH report is pending, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with the DOH and USAID Philippines, alongside Act | East consultant [Redacted]. The purpose of these meetings was to discuss priorities for the national NTD program and how Act | East support will factor into the newly integrated DOH structures. • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.

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Upcoming activities requiring COVID protocols. ~~Two~~ Note: As of December 23rd, the USAID Mission in Tanzania has placed a pause on all in-person activities in Tanzania through the month of January. Activities initially planned in January will be rescheduled to February or later as discussions evolve. • In preparation for the MDA cascade trainings for February SCH/STH and OV MDAs, an orientation of national trainers/facilitators was planned for the third week of January 2022. This orientation prepares facilitators for the subsequent regional and district ToT training to 13 regions and 52 districts conducting MDA. • Pre-MDA activities including regional and district TOT training, training of FLHWs, teachers and CDDs, social mobilization, and drug transport were planned for January – February 2022. These activities are now on hold. • Act | East ~~Nepal staff will attend~~ planned to implement the ~~NIS Regional Training Workshop~~ GESI behavior change activity in ~~Jakarta, Indonesia~~ 2 oncho-endemic councils alongside MDA from January 9– February 2022. • Trachoma DSA outcome investigation, which includes qualitative data collection in Monduli DC, Mpwapwa DC and Kalambo DC, was scheduled for January 2022. • NTDCP had planned to launch the NTD sustainability plan and master plan during an in-13person World NTD Day event on January 30th, 2022, in which the Minister of Health was invited to attend. Act | East ~~Indonesia will also host a Mf Microscopy Study Tour~~ is in discussion with NTDCP to make alternate plans for ~~four participants from Act | East Nepal from January 16-18, including a one-day session at~~ the ~~Laboratory of~~ launch and understand what virtual activities the ~~Medical Faculty of the University of Indonesia~~project may support for World NTD Day. • ~~World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details~~ Pre-TAS in Pangani DC and TIS in Ngorogoro DC are ~~still being decided with the MOHP. • TAS 2 in Ilam and Panchthar districts in January-~~scheduled for February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change activity. • Videography of LF MDA in one district (still to be selected) in February 20232022. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info December ~~2022 NIGERIA~~ 2021 UGANDA Act | East Partner: RTI, The Xxxxxx ~~Center~~ Center, WI-HER, R4D, Save the Children Total population: ~~207.8 million~~ 41,740,474 (2019) COP: ~~[Redacted] Districts (LGAs): 774~~ Xxxxxxxx Xxxxxxx Districts: 134 RTI HQ Team: ~~[Redacted]~~ Xxxxx Xxxxxxx, Xxx Xxxxxxxxx, Xxxxxx Xxxxxx, Xxxxxxxxx Xxxxxxxx, Xxxxxxx Xxxxxxx, Xxxxxx Xxxxxxxx Endemic diseases: LF (~~553~~64), TRA (51), OV (~~449~~32), SCH (~~691~~92), STH (~~415), Trachoma (143~~134) TABLE: Activities supported by USAID in ~~FY23~~ FY22 LF OV SCH STH Trachoma MDA ~~0/36~~ N/A 9/9 districts (~~RTI/TCC~~R1) ~~0/36~~ 0/11 districts (~~RTI~~R2) N/~~TCC) 0/55~~ A N/A 5/5 districts (~~TCC~~Oct 2021) ~~0/135~~ 0/2 districts (~~TCC) 0/135 districts (TCC~~Sept 2022) DSAs (#EUs) ~~Pre-TAS~~ TAS3: ~~1/1~~ 0/17 EUs N/A N/A N/A TIS: 0/3 districts XXXXX Trachoma coverage evaluation survey (~~RTI~~CES) ~~TAS 1 : 0/54~~ in 3 districts (~~TCC~~completed) ~~TAS 2 : 0/7~~ Data quality assessment in Moroto NTD data management training using DHIS2 HSS Develop national NTD program advocacy strategy (~~RTI~~in progress) ~~Epi~~Targeted cost analysis National and district funds flow analysis Finalize and institutionalize GESI MDA training curriculum Develop national SBC packages for NTDs and GESI GESI behavior change activity in two districts SCH/~~Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis of NTD Targeted Interventions in Cross River State~~ STH partner mapping exercise Summary and explanation of changes made to table above since last month: • ~~Completed Pre-TAS~~ Trachoma CES was completed in ~~Yala LGA of CRS~~ 3 districts in December 2021. Highlights: ~~RTI~~ • Act | East participated and presented at the 15th National Onchocerciasis Elimination Committee (NOEC) Meeting held in Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after Following completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ash. The four States are to commence Post Treatment Surveillance (PTS) when LF treatment stops. o That FMoH prioritize LF assessment trachoma MDA in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-195 districts, Act | East supported the retrieval and quantification of unused medicines. Medicines with a short shelf life were retained for utilization by the respective districts. Balances of Azithromycin tablets were retrieved from the districts and brought back to the VCD stores at the MOH to avoid misuse at the district level. These will be kept until the next round of MDA. • CES was conducted in December in Buliisa, Nabilatuk, and Amudat districts to assess reported coverage of the trachoma MDA. In Amudat district, the CES involved an oversample of 10 additional clusters to ascertain coverage amongst mobile and nomadic populations especially those that were treated during targeted outreach in neighboring Kween and Bulambuli districts. Act | East, working closely with the MOH team, developed the survey protocol, provided ~~financial~~ logistical and technical support during training of survey teams, and participated in supervision of field work. • The NTD Secretariat meeting that brings together partners and other stakeholders was held on December 17th, 2021. Among the agenda items were program specific updates and discussion of the draft NTD advocacy strategy. • With financial support from Sightsavers, MoH held a two-day retreat from December 7-8th to ~~FMOH~~ review the implementation status of Uganda’s NTD Master Plan; a process that is expected to lead to the update of the new NTD Master Plan in line with the current NTD elimination trajectory in Uganda and ~~CRS~~ the WHO 2030 roadmap. • R4D presented the findings of the assessment of NTD financial and programmatic records and NTD stakeholder mapping at the NTD Master Plan review retreat on 7th December 2021. The timing of this activity aligned well with the ongoing review of the NTD Master Plan, and it was agreed that some of the findings of this assessment would be included. • Save the Children worked with district NTD focal persons and health educators to conduct ~~Pre-TAS~~ two radio talk shows in ~~Yala LGA of CRS. The official FMOH report is pending,~~ Moroto (Ateker FM) and ~~results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states~~ Nakapiripirit (~~Benue & Ebonyi~~Heritage FM) presents a risk for cross-border transmission. The need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted. TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities requiring COVID protocols: RTI TCC • OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with the DOH and USAID Philippines, alongside Act | East consultant [Redacted]districts. The purpose of these ~~meetings~~ talk shows was to ~~discuss priorities for~~ inform community members including the ~~national NTD program~~ nomadic populations about the ongoing trachoma F&E component of the broader SAFE strategy and ~~how~~ other SBCC interventions to be implemented by Save the Children in FY22. • Save the Children conducted inception meetings in the four trachoma-endemic districts of Karamoja region (Amudat, Moroto, Nabilatuk, and Nakapiripit). The aim was to inform the district leadership about Save’s FY22 activities planned through Act | ~~East support will factor into~~ East. The meetings were conducted at departmental level through paying courtesy visits to both technical and political leadership of the ~~newly integrated DOH structures~~district local governments. Upcoming activities requiring COVID-19 protocols: RTI • Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin in January 2023 and will continue until a suitable candidate is found. Other upcoming activitiesData Quality Assessment: ~~• World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. •~~ Act | East will ~~provide technical~~ support Ministry of Health to conduct DQA in Moroto District. VHTs will be interviewed to assess their ability to complete the registers and ~~logistical support~~ summarize the data on a tally sheet. This activity is scheduled to ~~a Multi-Disease Elimination Plan (MDEP) writeshop~~ begin in the last week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet NamJanuary 2022.

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Upcoming activities requiring COVID protocols. ~~Two~~ Trachoma MDA in 4 districts (Kiteto DC, Kongwa DC, Chamwino DC and Ngorongoro DC) will take place the first week of July 2021. • Trachoma and LF Dossier Meeting, with virtual and in-person participation, will take place from July 1-4, 2021 at the national level. • Master Plan Alignment Workshop will take place in-person in July, to continue and complete the HSS work supported by Act | East ~~Nepal staff will attend~~ to align to HSSP V and the NIS Regional Training Workshop in Jakarta, Indonesia from January 9-13. Act | East Indonesia will also host a Mf Microscopy Study Tour for four participants from Act | East Nepal from January 16-18, including a one-day session at the Laboratory of the Medical Faculty of the University of IndonesiaNTD 2030 roadmap. • ~~World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the MOHP~~Trachoma Surveillance Survey in 3 EUs (Chemba DC, Mpwapwa DC North and Mpwapwa DC North) in July 2021. • ~~TAS~~ Community Sensitization in 9 districts that receive twice-annual Oncho MDA, in 2 Regions (Tanga & Morogoro) in ~~Ilam and Panchthar districts in January-February 2023, pending FAA approval~~July 2021. • ~~TAS~~ Advocacy Meetings in 9 districts for new district leaders, in 3 Regions (Manyara, Tangam and Morogoro) in ~~Sindhuli district in January-February 2023, pending FAA approval~~July 2021. • ~~LF MDA activities~~ Coverage Evaluation Survey Trachoma in 15 4 districts (~~Jhapa~~Kiteto North, ~~Xxxxxx~~Ngorongoro, ~~Dhanusha~~Chamwino South, ~~Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa~~Kongwa North) in ~~January-March 2023~~July 2021. Other upcoming activities: HSS activities planned for July 2021: • Conduct detailed analysis of financial and programmatic records. • Customized training on how to process, ~~including planning meetings~~analyze, ~~social mobilization support, MDA supervision~~account for, and ~~GESI behavior change activity~~package NTD data. • ~~Videography of LF MDA in one district~~ Launch Master Plan and Sustainability and GESI Action Plan. • Advocacy Strategy Implementation: 1 National-level virtual meeting (~~still to be selected~~1st meeting) ~~in February 2023.~~ COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np~~ xxxxx://xxxxx00.xxx.xxx/region/afro/country/tz National: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA~~ xxxxx://xxx.xxx.xx.xx/en/covid-19-info June 2021 UGANDA Act | East Partner: RTI, The Xxxxxx Center Total population: ~~207.8 million~~ 41,740,474 (2019) COP: [Redacted] ~~Districts (LGAs): 774~~ Districts: 134 districts RTI HQ Team: [Redacted] Endemic ~~diseases:~~ diseases (# ever endemic districts): LF (~~553~~64), TRA (57), OV (~~449~~41), SCH (~~691~~90), STH (~~415), Trachoma (143~~134) TABLE: Activities supported by USAID in ~~FY23~~ FY21 LF OV SCH STH Trachoma MDA ~~0/36 districts (RTI~~N/~~TCC) 0/36 districts (RTI~~A 9 districts, Nov 2020 and Apr 2021 N/~~TCC) 0/55 districts (TCC) 0/135 districts (TCC) 0/135 districts (TCC)~~ A N/A 2 districts, Sep 2021 DSAs (#EUs) ~~Pre-TAS~~ PreTAS: ~~1/1~~ 0 TAS1: 7 EUs TAS2: 5 EUs TAS3: 14 Eus N/A N/A N/A TIS: 3 EUs, Completed (~~RTI~~Jun 2021) ~~TAS 1~~ TSS: ~~0/54~~ 5 EUs, Completed (~~TCC~~Mar and Jun 2021) ~~TAS 2 : 0/7~~ XXXXX CES in Moroto (~~RTI~~completed Nov 2020) ~~Epi/Ento surveys:~~ Failed DSA investigation in Amudat (~~RTI 0/15~~planned for Jul 2021) ~~TT-only survey : 1/1~~ Feedback meeting in Amudat (~~RTI~~planned for Jul 2021) HSS ~~Costing Analysis~~ SCH/STH expert committee meeting (Jun 2021) Launch of NTDCP program sustainability plan (Feb 2021) Development of GESI package for NTD ~~Targeted Interventions in Cross River State~~ program Summary and explanation of changes made to table above since last month: • ~~Completed Pre-TAS~~ TIS in ~~Yala LGA~~ Nebbi and Buliisa EUs and TSS in Nabilatuk and Nakapiripirit EUs were completed in June 2021. Buliisa failed TIS and will require one round of ~~CRS~~ MDA. Xxxxxxxxx and Nakapiripirit failed TSS and will require one round and three rounds of MDA respectively. Highlights: ~~RTI~~ • TIS and TSS were carried out by the trachoma team with technical and financial support from Act | East. TIS was carried out in Nebbi (split into two EUs, East ~~participated~~ and ~~presented at the 15th National Onchocerciasis Elimination Committee (NOEC~~West) ~~Meeting held~~ and Buliisa while TSS was carried out in ~~Abuja from 7th to 9th December 2022. Key highlights of the meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS~~ Nakapiripirit and present the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to AshNabilatuk. The ~~four States are~~ three districts of Buliisa, Nakapiripirit and Nabilatuk with require additional round(s) of MDA. The trachoma program team reached out to ~~commence Post Treatment Surveillance (PTS) when LF treatment stops~~ITI and received approval for medicines to support these additional MDA rounds in September 2021. ~~o That FMoH prioritize LF assessment in LF~~• Preparatory meetings have been held with MoH and Amudat officials to prepare for the DSA failure investigation. Xxx informant interviews and focus group discussions tools have been prepared. • MoH-OV co-endemic LGAs that have stopped OV MDA o That Partners support States to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings NTDCP, with ~~Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided~~ financial and technical support from Act| East, held the inaugural Schisto/STH expert committee meeting on 1-2 June 2021. [Redacted] from Makerere University, School of Public Health was elected as Chair and [redacted] of Act I East and [redacted] of SCIF as co-chairs. Three major next steps were recommended during the meeting; 1- Reviewing and refining the goals, objectives, and indicators for SCH and STH programming; 2-Refining the country map to ~~FMOH~~ indicate endemicity rates by district and ~~CRS~~ sub district levels to ~~conduct Pre~~facilitate targeted planning, and 3- District Health Officers to mobilize technical support to help health facilities collect and analyze data for use by the program. • An inaugural meeting for the development of the NTD advocacy strategy was held between the consultant hired by Act | East and MoH-~~TAS in Yala LGA of CRS~~NTDCP. The ~~official FMOH report is pending,~~ meeting planned the advocacy training for NTDCP and ~~results~~ district staff that will ~~be reflected in~~ take place on 8-9 July 2021 and orientation of the ~~TAS tracker~~advocacy subcommittee that will take place on 14-15 July 2021. ~~However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents~~ • The health financing consultant held a ~~risk~~ meeting with the MoH-NTDCP to plan for ~~cross-border transmission~~the session on mapping key decision making spaces for NTD programming. The ~~need for collaboration with State and Partners in Ebonyi and Benue for targeted treatment at the border communities was noted~~activity will start on 13 July 2021. TCC • ~~Supervision of~~ OV MDA ~~was done~~ completed in ~~the five border LGAs of Edo state from 14th to 21st December 2022~~Kasese (123,467 people treated – 99% coverage), Gulu (131,189 – 96%), Omoro (161,384 – 94%), Amuru (218,622 – 96%), Pader (174,079 – 96%), Kitgum (88,867 – 96%), Lamwo (130,643 – 96%), and Nwoya (149,553 – 96%). MDA data compilation is being finalized in Adjumani district. • ~~Training~~ In non-Act | East funded M&E activities, a total of ~~FLHWs~~ 673 crabs were caught in Nyagak Bondo focus and ~~CDDs~~ none was ~~done in Ika Northeast LGA in Delta, 14th to 23rd December 2022~~found with immature stages of S. neavei. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concluded. Upcoming activities: Upcoming activities requiring COVID protocols: ~~RTI TCC~~ • ~~OV River Prospection in CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo,~~ Amudat TSS results meeting - the MoH Trachoma team and Ohaozara LGAs of Ebonyi state continues in January 2023 • Supervision of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities COVID-19 data monitoring sources: WHO: xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES Act | East Partner: RTI Total population: 114,861,989 Districts: 82 RTI HQ Team: [Redacted] Endemic diseases: LF (47) SCH (29) STH (82) TABLE: Activities supported by USAID in FY23 LF HSS Health financing technical support for LF planning and budgeting at national and provincial level (R4D) Summary and explanation of changes made to table above since last month: None Highlights: • [Redacted] and [Redacted] traveled to Manila in December 2022 to meet with Amudat officials in the ~~DOH and USAID Philippines, alongside Act | East consultant [Redacted]. The purpose~~ 2nd week of ~~these meetings was~~ July to discuss ~~priorities for~~ the ~~national NTD program~~ TSS results. This will help the district team understand the implications of a failed TSS and what needs to be done in the upcoming MDA especially how ~~Act | East support will factor into~~ to improve treatment coverage by applying local resources to the ~~newly integrated DOH structures~~exercise. • ~~Act | East HQ began reviewing applications for the Technical Advisor role that will replace the Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin~~ DSA failure investigation in ~~January 2023 and will continue until a suitable candidate is found. Other upcoming activities~~Amudat: ~~• World NTD Day~~ A DSA failure investigation will be ~~celebrated with events at~~ carried out in Amudat in July 2021 following a resurgence of Trachoma as confirmed by the ~~central and/or provincial level at~~ results of the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam.

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Upcoming activities requiring COVID protocols. ~~Two~~ Training of surveyors and supervisors for the pre-MDA census in Cabaret and Arcahaie (West Department) is planned the first week of January 2022. This is a community-based activity; a house- to-house census to collect population data for MDA and future surveys. Surveyors chosen from their community will meet with household members to collect demographic data as well as some data on MDA acceptability and social mobilization. • The Act | East ~~Nepal~~ Haiti team will hold a staff retreat December 11th to xxxxxx team building, strengthen collaboration and improve communication across the new team. Other upcoming activities: • The national LF Pause and Reflect meeting will ~~attend~~ be held virtually from December 13-15th and will include participation from the ~~NIS Regional Training Workshop in Jakarta~~MSPP, ~~Indonesia from January 9-13. Act | East Indonesia will also host a Mf Microscopy Study Tour for four participants from Act | East Nepal from January 16-18~~MENFP, ~~including a one-day session at the Laboratory of the Medical Faculty of the University of Indonesia~~implementing partners, donors, and PAHO/WHO. • ~~World NTD Day will be celebrated with events~~ MDA safety workshop is scheduled for January 2022; this is a pivotal activity aiming at ~~the central and/or provincial level~~ increasing acceptability by improving quality of management of side effects at the end of January. Details are still being decided with the MOHP. • TAS 2 in Ilam and Panchthar districts in January-February 2023, pending FAA approval. • TAS 3 in Sindhuli district in January-February 2023, pending FAA approval. • LF MDA activities in 15 districts (Jhapa, Xxxxxx, Dhanusha, Mohattari, Sarlahi, Rautahat, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke, Kailali and Rasuwa) in January-March 2023, including planning meetings, social mobilization support, MDA supervision, and GESI behavior change activity. • Videography of LF MDA in one district (still to be selected) in February 2023commune level. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/searo/country/np National~~Haiti covid-19 updates MSPP: ~~xxxxx://xxxxx00.xxxx.xxx.xx/ December 2022 NIGERIA~~ SurveillancedelaCOVID-19, Haiti, 2020-2021 November 2021 INDONESIA Act | East Partner: ~~RTI, The Xxxxxx Center~~ RTI Total ~~population~~Population: ~~207.8 million~~ 274,859,094 COP: ~~[Redacted] Districts (LGAs): 774~~ Xxx Xxxxxxx Districts: 514 RTI HQ Team: ~~[Redacted]~~ Xxxxxx Xxxxx, Xxxxxxx Xxxxxx, Xxxxx Xxxxxx, Xxxxx Xxxxx Endemic diseases: # ever endemic districts LF (~~553), OV (449~~236), SCH (~~691~~2), STH (~~415), Trachoma (143~~514) TABLE: Activities supported by USAID in ~~FY23~~ FY22 LF ~~OV SCH STH Trachoma MDA 0/36 districts (RTI/TCC) 0/36 districts (RTI/TCC) 0/55 districts (TCC) 0/135 districts (TCC) 0/135 districts (TCC)~~ DSAs (#EUs) Pre-TAS : ~~1/1 (RTI)~~ 8/12 EUs TAS2 : 1/17 EUs TAS3 : 2/6 EUs Mini-TAS 1 : ~~0/54 (TCC) TAS 2 : 0/7 (RTI) Epi/Ento surveys: (RTI 0/15) TT-only survey : 1/1 (RTI) HSS Costing Analysis of NTD Targeted Interventions in Cross River State~~ 0/1 Eus Summary and explanation of changes made to table above since last month: • ~~Completed~~ Updated number of surveys completed during November 2021. Highlights: • Pre-TAS were organized in ~~Yala LGA~~ collaboration with the MOH in the districts of ~~CRS Highlights: RTI • Act | East participated~~ Bulungan from November 1-6; Sumba Barat from November 1-6; Manggari Timur from November 8-15; Mamberamo Tengah from November 18-22; and ~~presented at~~ in two Evaluation Units in Bogor from November 15-19 and November 22- 26. These surveys were all community-based, targeting children and adults 5-60 years old. Results for the ~~15th National Onchocerciasis Elimination Committee (NOEC) Meeting held~~ survey in ~~Abuja from 7th to 9th December 2022. Key highlights~~ Bulungan, Sumba Barat, and Manggari Timur are pending laboratory analysis of the ~~meeting include: o Act | East to proceed with Onchocerciasis River prospection in CRS and present~~ night blood samples by the outcome to NOEP/NOEC o Act| East to complete OV Epidemiological and Entomological Assessment to confirm the change of CRS from Tan (transmission suspected interrupted) to Ash (transmission interrupted). XXXX also confirmed that black fly collection be commenced after completion of entomological survey and be conducted for a period of 12 months. o Entomological survey results from Abia, Anambra, Enugu, and Xxx confirmed that the four states have successfully interrupted transmission and can be reclassified from Tan to Ashrelevant Regional Environmental Laboratory. The ~~four States~~ surveys in Mamberamo Tengah and Bogor used FTS. Bogor passed with 0 positives and a final report for Mamberamo Tengah is still forthcoming. • A school-based TAS3 was organized in one EU of Lebak district from November 1-12 in collaboration with the MOH, as well as a school-based TAS2 in Tasikmalaya from November 15-30. Both surveys used FTS among children aged 6 to 7 years old. Although schools are at 50% capacity due to ~~commence Post Treatment Surveillance (PTS) when LF treatment stops~~the COVID-19 pandemic, the survey teams worked with school administrations to ensure that eligible students were at schools on the days survey teams were visiting. ~~o That FMoH prioritize LF assessment in LF-OV co-endemic LGAs that have stopped OV MDA o That Partners support States~~ No major adaptations to implement MMDP activities. o Both Cameroon and Benin Republic be invited early to NOEC meetings o That FMOH to organize cross border meetings for bordering States where OV transmission has been interrupted and present at the next NOEC meeting. o That CRS consider conducting cross border meetings with Cameroon and states bordering CRS (Akwa Ibom, Benue, Ebonyi and Abia) • From December 10-19, Act | East provided financial and technical support to FMOH and CRS to conduct Pre-TAS in Yala LGA of CRSregular survey methodology were required. The ~~official FMOH report is pending~~TAS3 in Lebak included samples from 1648 students from 40 schools, and results will be reflected in the TAS tracker. However, it was noted that close interaction between community members in Yala and bordering communities in other states (Benue & Ebonyi) presents a risk for cross-border transmissionwith no positive results. The ~~need for collaboration~~ TAS2 in Tasikmalaya sampled 1731 students from 45 schools, with ~~State and Partners in Ebonyi and Benue for targeted treatment at~~ 4 positive cases which was below the ~~border communities was noted~~critical cut off value. ~~TCC • Supervision of MDA was done in the five border LGAs of Edo state from 14th~~ Both surveys are considered to 21st December 2022. • Training of FLHWs and CDDs was done in Ika Northeast LGA in Delta, 14th to 23rd December 2022. • Mop-up treatment was carried out in Nkanu East LGA of Enugu State notably in Amagunze, Amechi Idodo, Eziama, Nomeh, Nara and Nkerefi axes on 15 – 16 December 2022. • Data verification and entry for the 4 LGAs of Ebonyi State. • Continued retrieval of training and treatments data in Plateau, Nasarawa and Ebonyi States. • Monitoring and tracking of immigrants in the border LGAs were carried out in Plateau and Nasarawa States. • Oncho post elimination surveillance radio jingles were aired in Plateau and Nasarawa States • Data retrieval in 21 LGA in Imo State and all 17 LGAs of Abia State has been concludedhave passed. Upcoming activities requiring COVID protocols: ~~RTI TCC~~ • ~~OV River Prospection~~ Pre-TASs are tentatively planned in ~~CRS • OV Epidemiological Assessment in CRS in February 2023 • LF TAS-2 in CRS by January 2023 • Treatment data retrieval in Afikpo North, Ebonyi, Ikwo, and Ohaozara LGAs~~ three Evaluation Units within the district of ~~Ebonyi state continues in January 2023 • Supervision~~ Bogor during the month of MDA in Ika Northeast LGA of Delta state in January 2023 • Data collation in the eight supported states in January 2023 • Retrieval of mop-up treatment data in January 2023 • DQA in 2 LGAs each in Edo and Ebonyi states in January 2023 Other upcoming activities: • Act | East will provide support to FMOH and CRS MOH for World NTD Day activities December 2021. COVID-19 data monitoring sources: WHO: ~~xxxxx://xxxxx00.xxx.xxx/region/afro/country/ng December 2022 PHILIPPINES~~ xxxxx://xxxxx00.xxx.xxx/region/searo/country/id National: Beranda | Xxxxx00.xx.xx November 2021 MOZAMBIQUE Act | East Partner: RTI Total population: ~~114,861,989~~ 30,881,854 COP: Dr. Mawo Fall Districts: 82 161 RTI HQ Team: ~~[Redacted]~~ Xxxxx XxXxxxxxx, Xxxxxxx Xxxx, Xxxxxxxx Xxxx, Xxxxxxxxx Xxxxxxxxxxxxx, Xxxxx Xxxxx, Xxxxxxx Xxxx Endemic diseases: LF (~~47)~~ 113), OV (5), SCH (~~29)~~ 159), STH (82151), Trachoma (65) TABLE: Activities supported by USAID in ~~FY23 LF HSS Health financing~~ FY22 Trachoma MDA 0/8 districts DSAs (#EUs) TIS: 0/6 EUs XXXXX The Act | East data officer is regularly working with MISAU and ASCEND project to update all NTD data in the integrated database from 2017 to present. Tool completion and updates are presented during technical ~~support for LF planning and budgeting at national and provincial level (R4D)~~ meetings. Summary and explanation of changes made to table above since last month: None Highlights: • ~~[Redacted] and [Redacted] traveled to Manila in December 2022 to meet with the DOH and USAID Philippines, alongside~~ Act | East ~~consultant [Redacted]~~participated in the Mozambican Eye Care Coalition (MECC) meeting, hosted by Xxxxxxxxxxx. ~~The purpose of these meetings was to discuss priorities~~ Participants from RTI, Light for the World (LFTW), Olha do mundo, Occularis and MISAU ophthalmology program staff were present. Partners shared their major activities during FY21 and planned FY22 activities and discussed the status of the development of the national ophthalmology plan, the dates of the next MECC meeting, HMIS indicators and drug importation fees. • Act |East continues to work with MISAU staff, including the NTD ~~program~~ coordinator, finance team, and ~~how~~ health management provincial and districts teams of Manica and the concerned districts (Guro, Tambara and Macossa) on the fixed amount award (FAA) documents. • The Act | East ~~support will factor into~~ COP presented at the ~~newly integrated DOH structures~~ASTMH annual meeting on “The evolution of tools used to measure treatment for malaria and NTDs: achievements and gaps” as part of the session” Beyond the Campaign: Integration of Vertical Disease Control Programs Into Primary Care; Lessons Learned From NTDs and Malaria” on November 20th. • Act ~~| East HQ began reviewing applications~~ |East staff are coordinating with ITI and CMAM (Central de Medicamentos e Artigos Médicos (Center for Drugs and Medical Supplies)) to ship Zithromax to Mozambique in February 2022. Upcoming activities requiring COVID protocols: • FAA development: MDA FAA planning meetings with provincial and district staff in Nampula in December 2021. • TT smartphone tool testing: RTI will support the ~~Technical Advisor role that will replace~~ testing of the ~~Program Technical Support Manager previously occupied by [Redacted]. Interviews will begin~~ tool in two districts (Chemba district, Sofala province and Guro district, Manica province) in January 2023 and will continue until a suitable candidate is found. Other upcoming activities: • World NTD Day will be celebrated with events at the central and/or provincial level at the end of January. Details are still being decided with the DOH. • Act | East will provide technical and logistical support to a Multi-Disease Elimination Plan (MDEP) writeshop the week of February 7th, to take place in Baguio City. COVID-19 data monitoring sources: WHO: xxxxx://xxx.xxx.xxx/philippines/ National:xxxxx://xxx.xxxx.xxx/search?q=covid+tracker+philippnes&cvid=b368868aa4584b8498713f2 be9385525&aqs=edge..69i57j0.3720j0j1&pglt=547&FORM=ANSAB1&PC=DCTS xxxxx://xxx.xxx.xx/covid-19/case-tracker December 2022 Bangladesh, Lao PDR, Viet Nam Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (175,599,695); Lao PDR (7,320,249); Viet Nam (96,844,240) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) RTI HQ Team: [Redacted] Endemic diseases: Bangladesh LF (19) STH (64); Lao PDR LF (1) STH (1), SCH (17); Viet Nam LF (4), STH (63), TRA (15). TABLE: Activities supported by USAID in FY23 Trachoma DSA (#EUs) Viet Nam TSS: 2/2 completed Viet Nam TT-only: 0/4 XXXXX Bangladesh, Lao PDR, Viet Nam: Learning activity on dossier development models Summary and explanation of changes made to table above since last month: • Updated completed surveys in Viet Nam2022.

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