Guinea-Bissau

Successes

• Adoption of the door-to-door strategy and observed doses;
• Timely planning and adapted to the Covid-19 context;
• Engagement of religious, traditional and community leaders, ASC, RAS and DRS/ERS;
• Introduction of “tablets” in health areas to collect individual data in eligible regions.

Action steps

• Carry out a study on the impact assessment of SMC in the regions of Bafatá and Gabú;
• Implement Real Time Monitoring (RTM) during the SMC campaign;
• Extend SMC to other health regions with eligibility criteria.

Challenges

• Reinforcement of interpersonal and mass communication;
• Strengthening advocacy with traditional and religious administrative authorities;
• Intensification of the application of drug surveillance;
• Good coordination at all levels; Extend SMC strategies to other eligible regions;
• Correct management of adverse reaction cases by ASCs;
   

Proposed solutions

• Issue awareness messages through media and ASC before and during the SMC campaign;
• Intensify meetings with community, religious, and administrative leaders;
• Equip health structures with medicines to deal with cases of adverse reactions.
• Briefing the campaign situation at all levels;
• Advocate with technical and financial partners;
• Train ASC on how to properly manage adverse reaction cases.