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There is about 30% visible goiter in the area. Polio remains endemic<br />

in spite of a consistent 50% overall immunization coverage for<br />

children under one. About 20% of the people have access to tubewell<br />

water and 30% have sanitary latrines.<br />

3 In addition, the villagers have started to give up their land and<br />

migrate to towns, mostly to Tudu and Pasina. Farmers are also<br />

sending their children to town, especially the girls, to earn their<br />

living there and send some money home.<br />

4 With regard to animal husbandry practiced by the farmers and<br />

the livestock of the nomads, one can say that there is an obvious<br />

lack of veterinary services in the whole region. The curative care is<br />

inadequate and there are no systematic preventative treatments.<br />

Epidemic controls are insufficient even though 60% of the farmers'<br />

livestock are attacked by some kind of epidemic. There is no sign of<br />

disease transfer from the animal to human population, however.<br />

5 Concerning the clashes between the nomads and farmers, it has<br />

become clear that the Banbili refuse to negotiate with the Silbili<br />

about grazing rights. Their refusal is based partly on religious<br />

differences and partly on their mistaken belief that the diseases of<br />

the Silbili flocks cause both crop and human diseases.<br />

In consideration of the above situation, the Ministry of Health and the<br />

Governor of Southern Province have asked for support. But its outreach<br />

service to the people is not strong. There is a lack of well-educated<br />

personnel. However, there are two well-established hospitals in the<br />

region, one run by a foreign missionary group and one run by an<br />

international non-governmental organization. Both have extensive field<br />

staff and a solid training programme. UNICEF has been asked to<br />

develop an integrated health development project which would service<br />

both the human and animal populations. An appraisal mission has<br />

been sent in to study the area and to hold participatory workshops in<br />

order to design the project. The mission must:<br />

1 Make a systematic overview of the essential problems and their<br />

inter-relationship and causes: basic, underlying and immediate.<br />

2 Carry out a participation analysis: the role of all actors in the<br />

problem area.<br />

3 Establish a systematic overview of the overall goal and objectives<br />

involved in addressing the problems, including targets.<br />

4 Formulate a suitable project design which aims at a real increase<br />

in health and nutritional status of both tribes, outlining the main<br />

strategies and tasks to be carried out and the time frame involved.<br />

* Adapted from ZOPP, GTZ.<br />

CASE STUDIES<br />

149

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