Guinea-Bissau

Areas eligible for SMC and areas where SMC is implemented in 2019

Photo: NMCP Guinea-Bissau

Cycle

Children 3 - 59 months targeted

Children 3 - 59 months reached

Efficiency

Cycle 1

92900

93141

100%

Cycle 2

92900

89457

96%

Cycle 3

92900

86364

93%

Cycle 4

92900

75467

81%

Surveillance de la couverture, la conformité et l'efficacité pendant la campagne du CPS 2020

Photo: Toby Madden / MMV

Monitoring from coverage

  • Coverage is monitored from the third full dose

Monitoring for compliance

  • Direct supervision of distribution teams
  • External evaluation

Evaluating effectiveness

  • Effectiveness is evaluated by monitoring for the decrease in malaria cases in children 3-59 months during the SMC period

Successes, opportunities, challenges and proposed solutions in the 2019 SMC season

Successes

  • Transition of the implementation of SMC conducted by international NGOs and UNDP to the Ministry of Health and regional directorates 
  • Change of strategy from the fixed point (using health technicians) to door-to-door with the participation of community health workers
  • The implementation time was reduced from 3 weeks per month to 5 days per month

Action steps

  • Dispatch of drugs and products for 4 cycles to health regions before the start of the campaign
  • More than 90% of payments  to be made via MoMo and Orange mony
  • External monitoring of the implementation process and its results

Challenges

Planning:

  • Population denominator to use: lack of recent population census, data (INASA / INE) makes it difficult to adequately represent the reality on the ground
  • Respecting the deadline for the disbursement of funds
  • Reaching special population coverage (nomads)
  • Communication and effective social mobilization
  • Geographical extension of SMC

Implementation:

  • Control of the taking of the 2nd and 3rd dose
  • Distribution of the card taking into account the number of targets by the distribution team

Proposed solutions

Planning:

  • Prepare micro-planning well in advance and share with the different actors
  • Coordination between actors
  • Define the strategy that allows access for special populations
  • Shout out the correct communication mechanism
  • Funding for other targeted regions

Implementation:

  • Administration of 2 and 3 doses of drug by the ASC
  • Delivery of cards and drugs by Community Health Workers according to the target of each distribution team.

Research priorities for 2020

  • Extension of the SMC tracker (individual data tracking) with barcode
  • Extension of SMC for > 5 years and over

Partners

  • Bandim Health Project (PSB)