Burkina Faso

SMC implementation areas in Burkina Faso in 2020

Photo: Burkina Faso SMC eligible zones and areas implemented

Cycle

Children 3 - 59 months targeted

Children 3 - 59 months reached

Efficiency

Cycle 1

3861352

3952686

102%

Cycle 2

3948738

4064900

103%

Cycle 3

4046998

4217680

104%

Cycle 4

4165325

4308902

103%

Data from the NMCP of Burkina Faso

Coverage and compliance monitoring for the 2020 SMC season

Photo: Toby Madden / MMV

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 count targets per cycle;
  • Taking into account children who enter the countryside and adjustment of the cycles taking into account the movement of children between cycles;
  • Micro planning by structure (PNLP, DRS, DS) on the basis of the resource quantification file (human, material);
  • Optimization of campaign activities in all DS and DRS;
  • Signature of agreements between each structure and the support partners;
  • Accountability of each structure in the progress of activities;
  • Since 2018, there has been screening of children who are moderately and severely malnourished 
  • Severely malnourished children or children with malaria are referred to health centres.

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

  • Availability of COVID-19 protective equipment during SMC campaign cycles;
  • Planning and implementation of SMC as per stratification plans taking into account the epidemiology, rainfall, and seasonality (4 cycles, 5 cycles)
  • Extension of SMC to others vulnerable groups vulnerable (such as children aged 5 -9 years)
  • Compliance with the intake of 3 doses by the children
  • Effective management of malaria and malnutrition cases during SMC cycles.

Solution proposed / put in place

  • Putting in place a system for the effective management of malaria and malnutrition cases during SMC cycles.

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

Partners

Centre national de recherche et de formation en paludisme de Nanoro