SMC implementation areas in Burkina Faso in 2020
|
Burkina Faso |
# of children targeted |
# of children reached |
Coverage |
|
Cycle 1 |
870913 |
921313 |
106% |
|
Cycle 2 |
4074994 |
4227478 |
104% |
|
Cycle 3 |
4176404 |
4398248 |
105% |
|
Cycle 4 |
4295129 |
4498912 |
105% |
|
Cycle 5 |
4405326 |
4557932 |
103% |
|
Children receiving at least 4 cycles |
4227478 |
3,916,450 |
93% |
Data from the NMCP of Burkina Faso
Coverage and compliance monitoring for the 2020 SMC season
Monitoring for coverage
- Daily data collection and transmission by structure :
- health facility level: summary of data from field teams
- District level: data entry for each field team in the SMC input column
- DRS level: summary of district data in the SMC input column
- Central level: reconciliation of the data from the regions with the data of districts;
- Supervision and rapid survey
- Supervision is carried out by teams at all levels (CSPS, Districts, Regions, Central).
- The different teams check the effectiveness of the campaign implementation and coverage of all areas.
- Independent monitoring is done in the form of a household survey carried out in each district. This makes it possible to ensure that the various concessions have been effectively visited by the DC and that the targeted children have had the drugs.
Monitoring for compliance
- Adherence to treatment is assessed through the rapid survey and household survey:
- The rapid survey is carried out from the 2nd day of each visit by the teams of supervision of each level (CSPS, district, regional and central) in 10 concessions of the locality. This makes it possible to check the taking of the drugs of the 2nd and 3rd day.
- The household survey is carried out by independent monitors after the 1st and the fourth pass. It makes it possible to check the taking of medicines at home by the children for the different passages through the filling of cards, the presence of empty platelets
- In the 23 DS supported by MC, this monitoring (LQAS survey) is performed 3 times after each cycle.
- In 2020, 10 experienced districts 3 outlets supervised by distributors community. If done well, it solves the problem of compliance by mothers.
Monitoring of efficacy
- The effectiveness of SMC is assessed through routine data and surveys:
-routine data collected and entered weekly or monthly, making it possible to follow the evolution of malaria cases and deaths in time - Prevalence surveys make it possible to locate the level of the prevalence of malaria in the country through population data in community
Successes and challenges for the 2020 SMC season
Successes
- Quantification of inputs (SP+AQ) taking into account targets per pass;
- Consideration of children entering during the campaign;
- Adjustment of platelets, taking into account shifts from the 3-11 month age group to the 12-59 month age group between rounds;
- Micro plan by structure (PNLP, DRS, DS) based on a resource quantification file (human, material);
- Optimal harmonization of campaign activities in all DS and DRS;
- Signature of agreements between each structure and the support partners;
- Accountability of each structure in the conduct of activities;
- Consensual annual review of SMC tools taking into account adaptations to the current context;
- Consideration of new data on COVID both in training modules and in tools for supervision, survey, data collection, supply, communication…;
- Availability of harmonized and consensual tools in all districts;
- Development of a COVID contingency plan;
- Consideration of the adaptation of SMC strategies to the COVID context (training, meetings, drug administration, supervision, communication, community surveys, etc.);
- Securing the implementation of the campaign in the COVID context (protection of actors and populations);
Actions taken
- Consensual annual review of SMC tools taking into account the adaptations to the context of the moment;
- Take into account new data on COVID-19 both in the training modules and in supervision tools, survey, data collection, supply, communication;
- Availability of harmonized and consensual tools in all districts;
- Development of a COVID-19 contingency plan;
- Taking into account the adaptation of SMC strategies to the COVID-19 context (training, meetings, medication administration, supervision, communication, community surveys, etc.);
- Securing the implementation of the campaign in the COVID context (protection of actors and populations)
Challenges
- Internally Displaced Populations (IDPs);
- Effective administration of doses to children in areas under permanent threat from armed men;
- Coordination of the effective implementation of the campaign in areas where health facilities are closed.
Solution proposed / put in place
- Consideration of internally displaced populations in the planning and implementation of the campaign;
- Development of strategies for adapting the implementation of the campaign in the context of insecurity.
Research priorities for 2020
- Boost the impact of SMC through screening and simultaneous processing of displaced children in Burkina Faso
- Evaluation of a combined strategy SMC + supplementation of Plumpy’DozTM and Vitamin A coupled with zinc for the prevention of malaria and malnutrition in Burkina Faso
- Improving SMC coverage by identifying and taking into account the determinants of low performance in Burkina Faso.
- Increase in the coverage of Intermittent Preventive Treatment using Sulfadoxine-Pyrimethamine in pregnant women through the SMC channel
Partners
- CRSN
- Centre national de recherche et de formation en paludisme de Nanoro