Mali

Successes

• Commitment and involvement of authorities administrative at all the levels  
• Involvement of leaders opinions and leaders community
• Adaptation of SMC manual to the COVID-19 context
• Development and adaptation of communication tools to COVID-19 context
• Organization of training sessions and remote microplanning

Actions put in place to achieve success

• Endowment of all SMC actors with COVID-19 protection equipment
• Contribution from all community members 
• Enthusiasm and strong support for SMC from the population
• Coupling of the SMC with other community interventions
• Technical and financial support of partners
• Conducting quality evaluation surveys

Challenges

• Production and transportation disruption of SMC drugs by COVID-19 pandemic
•  Barriers hindering microplanning of SMC
• Limitation in the number of participants that can be trained due to social distancing measures
• Not maintaining information days and SMC launch events
• Rumors saying SMC drugs are COVID-19 vaccine
• Mistrust of some parents due to false rumors 
• Restriction on the holding of coordination meetings and monitoring of programme due to pandemic by COVID-19
• Delay in delivery of SMC drugs to different levels
• Difficulties in access at some localities due to insecurity
• Under - estimating SMC target due to lapse in data
• Non-observance of the administration of the 2nd and 3rd dose from AQ at home by some parents
• Lack of monitoring mechanism of the 2nd and 3rd dose of AQ at home

Actions to be adopted to address challenges

• Lack of essential support for the management SMC medicines
• Under - notification of adverse drug reactions from SMC
• Insufficiency in the support for data collection by agents of administration
• Insufficiency in supervision at level community