Guinea

Areas eligible for SMC and areas where SMC is implemented in 2021

Photo: Guinea SMC map

 

Guinea: SMC 2021 season

# of children targeted

# of children reached

Coverage

Cycle 1

1,103,060

1,087,623

99%

Cycle 2

1,103,060

1,119,775

102%

Cycle 3

1,103,059

1,153,167

105%

Cycle 4

1103059

1131587

103%

Cycle 5

44518

41140

92%

Children receiving at least 4 cycles

1103059

1023165

93%

Monitoring of coverage completeness

Photo: Toby Madden / MMV

Monitoring for coverage

 

Geographic coverage and administrative office of the SMC is controlled by :

  • The participatory approach with the community through meetings advocacy (local elected officials, leaders, etc.);
  • Close supervision;
  • Monitoring during and after the campaign;
  • Interactive broadcasts through radio stations;
  • Independent coverage survey at the end of the campaign;
  • The triangulation of data through the daily verification of the number of children treated per team;
  • The data quality control survey by cycle;
  • Data synthesis and validation meeting at the district;
  • A coverage survey was also carried out in 2020

Monitoring for compliance

  • Prefectural and sub-prefectural advocacy meetings before each visit;
  • Monitoring during and after each passage / independent monitors and campaign supervisors;
  • Community survey by supervisors at all levels
  • Organization of interactive radio broadcasts;
  • 2021 post-campaign coverage survey

Monitoring for effectiveness

  • Monitoring of malaria morbidity and mortality in children under 5 in SMC areas vs non-SMC areas;
  • Collection of community opinions on the effectiveness of SMC during household surveys and monitoring.

Successes, opportunities, challenges and solutions

Successes

  • Adaptation of key messages of SMC to COVID 19 context;
  • Achieving the programmatic objectives of SMC by cycle (Macro and microplanning);
  • Capacity building of stakeholder Implementation ;
  • Administration of SP + AQ by mothers / caregivers;
  • Provision of actors with protection kits against COVID - 19;
  • Community buy-in;
  • Sufficient availability of inputs and on time;
  • Establishment of case management committees to manage delays ;
  • The involvement and motivation of all stakeholders involved;
  • The combination of SMC with other interventions.

Actions to take

  • The scaling up of ICT4D digital technology;
  • Supervise the taking of the last two doses of AQ;
  • Extend SMC to other eligible districts;
  • Institutionalize the association of other interventions (vaccinations, IPT, LLINs, case management) to the SMC campaign. 

Challenges

  • High workload of distribution teams in the context of pooling
  • Staffing of agents with pooling inputs
  • Challenges in ensuring quality implementation of SMC 22 with CD LLIN 22
  • Avoid interference during SMC campaigns
  • Improve the process of payment of actors by OM to avoid delays in payment

Proposed solutions

  • Support for a third agent in each team
  • Plan the consumption of pooling inputs in orders from health centers
  • Prioritize SMC areas in Part 1 of the Milda campaign scheduled for May 2022
  • Revitalize the consultation framework with the other programs and communicate the dates of passages in time
  • Strengthen the pooling of other interventions and SMC
  • Increase the number of staff for the rapid processing of requests
  • Ensure good planning
  • Send payment documents at least 7 days

Research priorities for 2021

 
  • Ethnographic study on the determinants of SMC in Siguiri and Kankan
  • Impact and cost-effectiveness study of a 5th visit to Dabola
  • Evaluation of the impact of SMC on malaria morbidity and mortality indicators

Partners

  • The Global Fund
  • Catholic Relief Services
  • The London of Hygiene and Tropical Medicine
  • KOICA