Christoffel Blinden Mission(CBM)

Christoffel Blinden Mission (CBM) International is an International Christian Development Organization, committed to improving the quality of life of persons with disabilities in the poorest countries of the world. CBM provides grants sourced from private and institutional donors to local partners, who subsequently implement the grants on the basis of contracts signed with CBM detailing implementation, accounting, and reporting standards. In this set-up, CBM Country Offices (CO) perform control and monitoring procedures aimed at partner projects; control reports from implementing partners to CBM, including comparison with original source documents, project contract and cost plans; and ensure compliance with organizational and statutory requirements.

Terms of Reference

1. Summary of the feasibility study Program/Project,

Project Number

Comprehensive and Inclusive Eye Health Project for Jigawa

Partner Organisation

Health and Development Support Programme (HANDS)


Preparation for project application to the German Ministry of Economic Cooperation and Development (BMZ)

Commissioning organisation/contact person

CBM Nigeria Country office/ Bright Ekweremadu

Study duration

1 Month

2. Background CBM and Partner Background of CBM

CBM is an international Christian development organization, committed to improving the quality of life of people with disabilities. We work in partnership addressing disability as a cause and consequence of poverty so as to create an inclusive society for all. We recognize that this desire can only be achieved through systemic change, transforming communities and supporting others to make inclusion a reality. For further information, see:

Background of Health and Development Support Programme (HANDS):

Health and Development Support Programme (HANDS) formerly known as CBM Onchocerciasis Control programme is a non-governmental and a non-profit organization founded by CBM. It operates independently to support projects in Kano, Jigawa, Yobe states and Federal Capital Territory in Northern Nigeria. HANDS is statutorily registered and has a board of trustees, governing board, a programme management team and well experienced staff for programme implementation in the supported states. The vision of the organization is quality life with equal opportunity in an inclusive society, with a main focus on control and elimination of NTDs and provision of comprehensive eye care services. The organization has a good working relationship with CBM and has enjoyed steady funding and technical expertise of CBM in the supported states since 1995. HANDS also have a good working relationship with the governments and peoples of the supported states and other NGOs and CBOs which ensures smooth implementation of activities for the past 27 years.

3. Description of the problem which should be addressed by the project From a study conducted in Jigawa state, the prevalence of blindness is estimated to be 2.5% and available eye health services are provided at the secondary and tertiary levels which is poorly distributed. There is lack of adequate manpower and infrastructure for provision of eye care services in Jigawa State, poor referral system and poor integration of existing eye health services into the primary health care system. About 70% of the population pay for health services out-of-pocket which places majority of people accessing eye care services in the state at risk of impoverishment. This current situation will likely prevent vulnerable individuals, women, children, persons with disability and those living in underserved communities from accessing eye care service. This has led to increase in the rate of activities such as couching among rural dwellers in an attempt to restore vision.

The State government established eye care referral centers in the five emirate councils to clear the backlog of cataract and trachoma trichiasis, however these centers are poorly equipped with obsolete with nonfunctional equipment. Funding is through state drug revolving funds which is insufficient to provide the centers with essential eye care consumables and drugs.

4. The Project The Comprehensive Eye Health Project is aimed at preventing avoidable blindness and reducing the challenges of persons with disability, women, children and other vulnerable persons in Jigawa state, so that they can achieve their potential by providing comprehensive and inclusive eye health service.

The Inclusive Eye Health project aligns with the World Health Organization Global Action Plan 2013-2020, aimed at universal health coverage in Jigawa state, and aligns with CBM’s Inclusive Eye Health Initiative, with emphasis on inclusion, comprehensiveness and integration. The project is further aligning with the National Eye Health Strategic Plan of Nigeria.

The project aims to leverage on the learnings of previous projects and address these challenges through:

Advocacy and awareness raising for the prioritization of comprehensive and inclusive eye health within the health agenda at primary, secondary and tertiary levels.

Development of skilled manpower for the provision of comprehensive and inclusive eye health services.

Improving access to comprehensive and inclusive eye health through collaboration with relevant stakeholders.

Provide effective coordination, monitoring, evaluation and learning at all levels of project management.

Target Area

Jigawa State, Nigeria has an estimated population of 5.8million and is situated in the north-western part of the country between latitudes 11.00°N to 13.00°N and longitudes 8.00°E to 10.15°E. Kano and Katsina State border Jigawa to the west, Bauchi State to the east and Yobe State to the northeast. Jigawa shares an international border with the Republic of Niger that encourages cross-border trading activities. The socio-cultural situation in Jigawa State could be described as homogeneous: it is mostly populated by Hausa/Fulani. Life expectancy as at 2001 was about 52 years with an almost equal sex distribution male (50.8%) and female (49.2%). About 90% of the population reside in the rural areas with 49.0% of the population aged between 15 and 59 years. The population percentage living below the poverty line (


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