Chad

SMC implementation areas in Chad in 2021

Photo: SMC implementation areas - Chad

Chad SMC 2021 season

# of children targeted

# of children reached

Coverage

Cycle 1

2,565,550

2,528,357

99%

Cycle 2

2,568,295

2,491,162

97%

Cycle 3

2,546,199

2,511,839

99%

Cycle 4

2558200

2515679

98%

Cycle 5

97762

95,355

98%

Children receiving at least 4 cycles

2113671

2035086

96%

Monitoring for coverage, compliance and effectiveness for the 2020 SMC season

Photo: Kathyrn Malhotra /PMI Impact

Monitoring for coverage completeness

  • Coverage was assessed by the percentage of children who received a full course of at least three doses.
  • The last coverage survey was conducted in 2021.

Monitoring for compliance

  • Compliance was measured through an analysis of the general coverage of the campaign, the perception of the parents of children who received SMC, the mobilization of parents of children during the distribution and the number of case refusals of SMC by the parents of children.
  • Directly observed therapy was also done through a door-to door campaign.

Evaluating effectiveness

  • Effectiveness was evaluated on the basis of the number of cases of children of the eligible age group recorded in the health facilities during and after the course of the SMC campaign and this on the basis of the consultation registers and the testimony of the parents.
  • Monitoring during supervision and conducting a coverage survey.

Successes, opportunities, challenges and solutions in the 2021 SMC season

Successes

  • Strong parental support
  • Involvement of administrative and political authorities and community leaders in the distribution,
  • Availability of the right quantity of medicines,
  • Acceptance of SMC by parents
  • Good coverage
  • Few cases of refusal

Perspectives

  • Involve administrative authorities more; politicians, community leaders, women's organizations, etc. in the mobilization of parents of children for the SMC
  • Multiply communication campaigns through community radios and other communication channels at the local level

Challenges

  • Limited nomadic population coverage
  • Lack of population data,
  • How to ensure second and third take per cycle
  • Non-payment within the deadline of the actors,
  • Lack of harmonization of data collection tools
  • Lack of harmonization of tracking methods between partners to determine children who have taken at least three treatment cycles during the campaign

Actions to be carried out

  • Conduct a study to determine the strategy for distributing SP-AQ to nomadic children
  • Count the children of the target population
  • Conduct a survey to ensure the effectiveness of the second and third take,
  • Explore other payment methods,
  • Harmonize social and behavioural change data collection tools
  • Adopt a unique method of tracking target children

Research priorities

  • SMC eligibility study in the Sudanian zone,
  • SMC feasibility study of in a nomadic environment,
  • Social and behavioural change impact assessment


Partners

Liverpool School of Tropical Medicine, NMCP, Université de Ndjamena