Togo

Togo

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

Photo: Togo SMC map

Togo 2021 SMC season

# of children targeted

# of children reached

Coverage

Cycle 1

453,716

448,401

99%

Cycle 2

470,616

464,781

99%

Cycle 3

500,074

491,628

98%

Cycle 4

507896

499176

98%

Monitoring for coverage and compliance in the 2021 SMC season

Photo: Child at the back of mother

Monitoring of coverage

  • Door-to-door strategy with systematic registration of target children followed by treatment of eligible children
  • Daily reporting by distributor agents and transmission to higher levels
  • Daily monitoring at each level to assess completeness and coverage
  • Summary of activities at district and regional level

Monitoring compliance

  • Supervision of actors with convenience surveys in households
  • Rapid evaluation with the cluster method at the end of each cycle
  • Coverage survey

Monitoring efficacy

  • Monthly monitoring of the evolution of malaria cases and related deaths through the national health information system

Successes, opportunities, challenges and solutions in the 2021 SMC season

Successes

  • Revision of tools, taking into account the covid-19 aspect
  • Sufficient mobilization of personal protective equipment against covid-19
  • Training of actors
  • Video support
  • Starting SMC on time (June)
  • Observance of 28-day intervals between cycles
  • Administering 4 cycles

Follow up actions

  • Complete planning/micro-planning by the end of March
  • Digitization of the SMC linked to DHIS2
  • Timely acquisition of inputs and implementation tools
  • Impact study (pre and post treatment)
  • Study for the geographical extension of SMC
  • Carrying out studies as part of the OPT-SMC project

Challenges

  • Calendar conflicts
  • Acquisition of inputs on time (UNICEF)

Follow-up actions

  • Fixing of completion dates from microplanning with operational actors
  • Advocacy with UNICEF to involve the NMCP in the ordering process as well as in delivery and monitoring.
    • Currently, inputs from the Global Fund are used in all areas prior to reimbursement by UNICEF

Research priorities for 2021 and beyond

  • There were no research priorities for 2021. However, for 2022 and beyond, these priorities were planned:
    • Directly observed treatment (2022)
    • Impact of SMC on malaria morbidity and mortality in target regions (2023)

Financing

  • Malaria Consortium
  • OPT-SMC