1. ICTC - Celebrating our ten year anniversary in 2014 DFID Global Trachoma Mapping Project (operational) Queen Elizabeth Diamond Jubilee Trust Trachoma Initiative (start-up) DFID SAFE Trachoma programme (planning) Coalition Programmes

2. ICTC - Celebrating our ten year anniversary in 2014 1,237 districts have completed mapping Representing a population of 178 million people 1.8 million people examined in 21 countries Over 36.5 million data items have been processed We are actively working with 19 different organisations 94% districts mapped were completed using GTMP methodology Original target will be achieved in September 6 months before the project end date Progress DFID has been awarded GTMP an overall A++ rating “outputs substantially exceeded expectation”

3. ICTC - Celebrating our ten year anniversary in 2014 Africa Asia & Pacific Eastern Mediterranean Engaged in Mapping Engaged in Final Planning Engaged in Early Stage Planning Number of Countries 13 8 8 Senegal Mozambique Zimbabwe Chad DRC South Sudan Kenya Zambia Cote d’ Ivoire CAR Vanuatu Nepal Laos Fiji Solomon Islands Egypt Sudan Yemen Jordan Algeria ( Including Colombia ) Afghanistan Pakistan Tunisia Djibouti Complete or concluding* Benin* Nigeria* Guinea* Cameroon Ethiopia Eritrea Malawi Tanzania* Uganda Somalia Cambodia 9 PNG India

4. ICTC - Celebrating our ten year anniversary in 2014

5. Collaboration USAID through ENVSION propose to fund trachoma baseline mapping in: Chad, Cote d’Ivoire and Zimbabwe An additional contribution of approximately £0.6m or $1 m This is in addition to: FHI 360 mapping in; Cambodia and Laos (and impact surveys in Vietnam) RTI mapping in; Benin, DRC, Guinea, Mozambique, Nepal, Senegal, Tanzania, and Uganda We’d like to thank RTI, FHI360 and USAID for their ongoing support and collaboration

6. ICTC - Celebrating our ten year anniversary in 2014 Collaboration We are exploring opportunities with the London School of Hygiene and Tropical Medicine to provide ophthalmic health workers in trachoma endemic countries with distance learning courses to build knowledge of trachoma and epidemiology The World Health Organisation are supporting work to co-ordinate trachoma and other disease mapping: Yaws mapping in Vanuatu (training to be held in October) Guinea worm mapping in Sudan and Gambella (Ethiopia) The World Health Organisation are working in collaboration with LSHTM and ITI to achieve Impact Assessment standardisation We’d like to thank all of our partners; Ministries of Health, ICTC, ITI, LSHTM, WHO and especially DFID for supporting and encouraging us to stretch our goals

7. ICTC - Celebrating our ten year anniversary in 2014 Working with ICTC members to build a legacy TT surgery: GTMP is committed to assisting Ministries of Health to develop strategies to operate on TT patients identified during GTMP surveys. (Currently; Laos, Cambodia, Zimbabwe, Eritrea, and Egypt have plans and/or donor commitments.) Scope of baseline mapping: GTMP will work with WHO HQ and WHO AFRO, to find and review ‘gaps’ where baseline mapping is required Protocol and application process for scientific access to data (after primary publication by countries): in progress. There is a recommendation to link funding to USAID’s funding and the NTD Support Center and to involve local researchers to build capacity. For example: GTMP will launch an RFA for a research group to overlay WASH and trachoma data. There is potential to start this work in Ethiopia

8. ICTC - Celebrating our ten year anniversary in 2014 Working with ICTC members to build a legacy Unit cost analysis: GTMP will review the cost drivers in different countries/regions to better understand relative costs of working in these areas Phones audit: we are conducting an android phone audit, to inform how these assets might be used by future programs

9. ICTC - Celebrating our ten year anniversary in 2014 Great progress to-date The end of mapping is in sight (but still a lot of hard work required over the next 6 months)

10. ICTC - Celebrating our ten year anniversary in 2014 The programme aims to eliminate blinding trachoma from Kenya and Malawi and make significant progress towards the elimination of trachoma in Uganda, Mozambique, and Katsina State (Nigeria) using the SAFE methodology over 5 years. 11 million people will receive treatment in their communities 160,000 surgeries will be performed.

11. ICTC - Celebrating our ten year anniversary in 2014 Great progress since April In all 5 countries: Proposals are approved Start up workshops held Implementation underway All contracts signed and first payment tranches sent Concept proposals for additional funding to support programmes in Tanzania submitted to the Trust and related donors

12. ICTC - Celebrating our ten year anniversary in 2014 Progress Training of trainers for refresher training to Trichiasis surgeons held in Kenya in July. Training included subjects such as Outreach management Counselling Use of HEADSTART as a training tool Attended by 2 surgeons from each of the 5 countries (3 from Uganda) First training to surgeons in Kenya held

13. ICTC - Celebrating our ten year anniversary in 2014 Country level launches planned for 4 countries Kenya – 1 st October Uganda – 14 th November Malawi - 16 th October Mozambique – 5 th November (tbc)

14. ICTC - Celebrating our ten year anniversary in 2014 F+E Planning Previously F+E aspects of proposals on hold ICTC WASH WG developed F+E Guiding Principles and F+E Planning Tool – shared with countries (Aug) F+E workshops being held to develop F+E section of the country proposal – Kenya w/c 8 th September – Malawi w/c 29 th September – Uganda w/c 6 th October

15. ICTC - Celebrating our ten year anniversary in 2014 Partnership with Unilever Aimed at supporting the facial cleanliness components of the program. Incorporates face washing into Unilever’s global hand washing campaign. Pilot in Turkana - launched on Monday 15th September by a representative of County Director of Education

16. ICTC - Celebrating our ten year anniversary in 2014 Next steps: Complete F+E workshops F+E proposals submitted Programmes launched in country Roll out of trainings to surgeons continued Outreach camps started MDAs in Malawi and Kenya Karamoja region – data analysed and programme approved M+E framework finalised 6 monthly reports submitted to the Trust

17. ICTC - Celebrating our ten year anniversary in 2014 We are on our way

18. ICTC - Celebrating our ten year anniversary in 2014 DFID Trachoma SAFE Implementation Program Program Update 23 September 2014 DFID–Sightsavers contract PO6396 signed 24 July 2014 Contract Period – 01 July 2014 to 30 June 2019 Contract Value - £39.4 million supporting Ministry-lead Trachoma Elimination Programs in Central African Republic, Chad, South Sudan, Ethiopia, Tanzania, and Zambia

19. ICTC - Celebrating our ten year anniversary in 2014 23Sep14 Program Update CAR and South Sudan are on hold due to security situation Sightsavers & DFID in regular communication to assess risks Sightsavers soliciting input from in-country ICTC members We will, however, invite them to participate in HEAD START Training of Trainers (ToT) scheduled for Dec14 CAR Proposed Scope of Work – 2 regions, 4 health districts 6,952 TT Cases Managed + 1.0 million people receiving AFE interventions South Proposed Sudan Scope of Work – 2 regions, 8 health districts 16,500 TT Cases Managed 885 thousand people receiving AFE interventions

20. ICTC - Celebrating our ten year anniversary in 2014 Chad, Ethiopia, Tanzania and Zambia conclude Inception Phase 30Sep14 23Sep14 Program Update Total Projected Scope of Work in 12 regions & 79 health districts 144,500 TT cases managed 8.6 million people receiving AFE interventions £29.1 million budget envelope Chad 4 regions, 11 HDs 29,400 TT Cases 2.5M people Ethiopia 4 regions, 51 HDs 89,400 TT Cases 5.0M people Tanzania 3 regions, 9 HDs 21,200 TT Cases AFE by others Zambia 1 region, 8 HDs 4,500 TT Cases 1.1M people CP - OPC IP - OPC CP - ORBIS IPs - TCC, The Fred Hollows Foundation, Light for the World CP - HKI IPs - KCCO, IMA, Sightsavers CP – Sightsavers IP - Sightsavers F&E Partners in all countries TBD CP – Coordinating Partner IP – Implementing Partner

21. ICTC - Celebrating our ten year anniversary in 2014 23Sep14 Program Update Key Issues We’re Focusing On… Harmonizing Delivery Approaches Rationalizing Cost Structures Recent & Robust Prevalence Data to Inform Decisions (scoping & baseline) Initiating & Sustaining “Benchmarking” among Partners & Countries methods, productivity, unit costs Key Issues We’ll Focus on as Part of Start-Up… Ironing Out Roles, Responsibilities & Communications (GM, CNGO, IPs, HQs) Defining & Rolling Out a Coherent MER Framework & Data Systems (& capacity to manage/use) F&E Planning, Partner Identification & Resource Allocations

22. ICTC - Celebrating our ten year anniversary in 2014 Coming Up ~ October through December 2014 23Sep14 Program Update Country Plans & Budgets to SSI SMT, PAC & ICTC ~ by 08Oct14 Country Plans & Budgets to DFID ~ by 17Oct14 SSI Contracts w/ CNGOs & IPs ~ Oct-Nov14 Meeting with CNGOs ~ 15-17Oct14 in Moshi Country Program Launch Events ~ dates TBD Country Start-Up Meetings ~ dates TBD Country F&E Planning Meetings ~ dates TBD HEAD START ToT – Francophone ~ early Dec14 in Ouaga - TBC HEAD START ToT – Anglophone ~ 12-15Nov14 in Addis Program Outputs as early as Nov-Dec14, but the bulk as of Jan15

23. ICTC - Celebrating our ten year anniversary in 2014 Better Together Global Mapping complete 300,000 Surgeries performed 22 million people treated with antibiotics and targeted with appropriate F&E interventions

24. ICTC - Celebrating our ten year anniversary in 2014 These programmes are underpinned by a consortium of expert and motivated people, governments and organisations who are working tirelessly together to take this important step towards the elimination of blinding trachoma. Thank you for all your collaboration and support