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

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

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)