The Covid-19 pandemic is jeopardizing the end of the regional project for the Strengthening of disease surveillance systems (Redisse). The high rate of budget consumption induced by the health crisis in 2020 suggests resource difficulties for the next three years.
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The budgeted annual work plan (Ptab 2020) of the regional project for the Strengthening of disease surveillance systems (Redisse) had to be updated in the context of the health emergency induced by the Covid-19 pandemic. Indeed, the project was heavily requested for activities stemming from the contingency plan of response against the new coronavirus.
The point made during the assessment session of the National Council for the fight against HIV / AIDS, tuberculosis, malaria, hepatitis, sexually transmitted infections and epidemics (Cnls-Tp), Thursday, June 10 in Cotonou, indicates that on the financial plan, the amount authorized for the year 2020 was 13 031 207 880 F Cfa. The amount actually disbursed is
11 969 472 816 F CFA, i.e. a disbursement rate of 91.9%. The expenses incurred are 12,452,779,192 F Cfa, i.e. a financial execution rate of 95.6%, details
Dr Melchior Aïssi, executive secretary of Cnls-Tp.
The state of disbursements since the entry into force of the project in 2019 shows that on the basis of the five years of the project, the consumption rate at the end of 2020, due to the Covid-19 pandemic, reached 85.93% of the entire project budget. This state of affairs suggests resource difficulties to finalize the project, worries
Dr Melchior Aïssi.
In managing the health crisis induced by Covid, the project made it possible to acquire equipment, rapid detection tests and consumables, hygiene and sanitation inputs, inputs (human vaccines and immunoglobulins , coolers, syringes, dewormers, muzzles, etc.) for rabies prevention and control campaigns, freezers, refrigerators, equipment for commissioning the laboratories of the Army Training Hospital (Hia) and the Parakou Information, Prospects and Advice Center (Cipec).
In effect since October 2018, the project is scheduled to end on March 31, 2024. The challenge is to mobilize additional resources to continue the implementation of the project and achieve the indicators over the remaining three years. To do this, the executive secretary of the Cnls-Tp recommends advocacy towards the government, the World Bank which is the donor, the West African Health Organization (Ooas) which ensures regional coordination, and ‘other technical and financial partners.
As a reminder, Benin benefits from the Redisse project, like eleven ECOWAS countries and Mauritania. Funded by the World Bank at 50% loan and 50% donation for an amount of $ 30 million or approximately 16.08 billion F CFA, it is intended to better equip these countries to face epidemics and emergency situations. public health.
Acquis
In 2020, out of the 90 activities approved in the plan, 76 were fully implemented, i.e. a physical execution rate of 84.44% compared to 18.68% in 2019.
In addition to response actions to the Covid-19 pandemic, a capacity building program for health professionals was organized for the benefit of 60 medical biologists trained in good laboratory practices and the diagnosis of diseases under epidemiological surveillance.
Hygiene and sanitation officers, health center managers have been trained, as well as those of the environmental police, municipal technical services and private companies, umbrella organizations of NGOs on the management of hazardous waste.
Integrated training was also organized for 90 actors in human, animal and environmental health during the Help course with the aim of mastering disaster management and especially the management of public health aspects before, during and after disasters.
In addition, the authorities and executives identified were made aware of communication on risks during epidemics. Some 376 members of rapid response teams are equipped to manage epidemics.
The supervision of major events (identity celebrations, pilgrimages, etc.) and the organization of vaccination campaigns against rabies, throughout the national territory, also marked 2020. To this must be added the logistical support in response to epidemics, particularly cholera in Cotonou and the surrounding area, the organization of a reactive vaccination campaign against epidemic meningitis in the commune of Banikoara.
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