Togo

Areas eligible for SMC and areas where SMC is implemented in 2020

Togo SMC implementation map

Cycle

Children 3 - 59 months targeted

Children 3 - 59 months treated

Efficiency

Cycle 1

465218

459033

99%

Cycle 2

493028

486393

99%

Cycle 3

506379

499596

99%

Cycle 4

509845

501841

98%

Monitoring for coverage and compliance in the 2020 SMC season

Photo: Child at the back of mother

Monitoring of coverage

  • Data collection is daily.
  • Field workers send their data to the health facility which is summarized by team to ensure completeness
  • The health facilities send their summary to the district team, who compiles the data by structure to ensure completeness
  • Synthesis at the central level is done by district
  • Rapid assessment and coverage survey

Monitoring compliance

  • Eligibility assessment in the household during supervisions
  • Rapid assessment immediately after treatment in households (cluster method )
  • Coverage survey

Monitoring efficacy

  • Monitoring the evolution of malaria cases through monthly reports from health facilities
  • National health information system (DHIS2)

Successes, opportunities, challenges and solutions in the 2020 SMC season

Successes

  • All the districts targeted were covered
  • Timely acquisition of medication (SPAQ)
  • Development of a contingency plan for covid - 19
  • Acquisition of sufficient equipment for the prevention of covid - 19
  • Implementation of 4 cycles
  • Respecting intervals between cycles
  • Fewer adverse unwanted effects

Follow up actions

  • Community involvement
  • Using video for assisting with the debriefing of community agents
  • Satisfactory coverage of intervention
  • Adaptation of tools and sensitization of stakeholders and beneficiaries on covid-19

Challenges

  • Mobilization of resources for the acquisition of COVID-19 protection equipment ( The Global Fund, UNICEF and Malaria Consortium)
  • Timely adaptation of communication methods (fewer meetings and more use of radio, public town criers, WhatsApp, etc)
  • Starting treatment on time
  • Implementation of survey pre- and post treatment (measuring impact)

Follow-up actions

  • Maintaining COVID-19 safety measures and preventing the transmission of COVID-19.

 

Research priorities for 2020

  • Observational study on the efficacy of SMC since its inception (2013-2020)

Financing

  • NMCP, Université de Lyon (France); Laboratoire EPIMOD and LBBE de Lyon (France)