Successes

• Commitment and involvement of administrative authorities at all levels
• Availability of drugs in sufficient quantity Involvement of opinion leaders and community leaders
• Support for technical and financial partners.
• Mobilization of TFP resources on time
• Timely implementation of SMC drugs at all levels

Actions put in place to achieve success

Strong financial and material contribution from some community leaders
Enthusiasm and strong support of the population for the SMC
Conducting SMC Quality Assessment Surveys
Integration of other community activities (immunization, malnutrition screening) into SMC
Adaptation of the SMC to the COVID-19 context
Provision of SMC agents with PPE

Challenges

• Disparity in SMC fund management procedures
• Inadequate training of actors
• Inadequate filling of SMC materials by distribution agents
• Inadequate local supervision
• Non-compliance with the administration of the 2nd and 3rd doses of AQ at home by some parents
• The underestimation of the SMC target due to the obsolete database
• Under-reporting of ADRs from SMC 
• Constraining COVID-19 barrier measures for the administration of SPAQ to children

Actions to be adopted to address challenges

• Harmonization of management procedures for all SMC funds
• Develop concise modules based on practical simulations for better training of community actors
• Regularly monitor and evaluate supervisors through the supervision grids put in place
• Use of population data from previous campaigns to estimate the target
• Continuous training of all actors on pharmacovigilance