African Programme for Onchocerciasis Control (APOC)

APOC’s objectives

Primary objective

APOC’s primary objective is to establish effective and self-sustainable community-directed ivermectin treatment programmes throughout the endemic areas within the geographic scope of the Programme, and, if possible, in selected and isolated foci, to eradicate the vector by using environmentally safe methods.

Phasing-out strategy

APOC’s mandate will end in 2015, by which time the Programme aims to complete the transfer of full responsibility for onchocerciasis control to ministries of health of affected countries, and encourage the ministries to provide ongoing financial support.

The overall goal of APOC’s phasing-out strategy is to establish a country-led system capable of eliminating onchocerciasis as a public health problem in all endemic countries in Africa. In order to achieve this goal, APOC has defined six specific objectives.

Objective 1

To establish sustainable national onchocerciasis programmes in all endemic African countries.

Objective 2

To co-implement onchocerciasis control activities with other interventions (such as distribution and use of treated bednets, home-based management of fever in children, vitamin A supplements and anti-worm medicines).

Objective 3

To determine when and where to stop ivermectin treatment.

Objective 4

To reduce the risk of transmission of onchocerciasis from ex-OCP (Onchocerciasis Control Programme in West Africa) countries.

Objective 5

To ensure that governments ultimately take full responsibility for onchocerciasis control.

Objective 6

To cease all APOC operations without jeopardizing past achievements and investments.