Supply and Treatment SMC Campaign 2015 What Have

Supply and Treatment SMC Campaign 2015 What Have We Learned? Chad Presented by: Adama Sanogo Title: Projects and Operations Coordinator Date: 18 June 2016 3

Presentation Outline o o o o Logistics Procurement Stock Management Distribution and Results Composition and Effectiveness of Teams Demographic Questions Pharmacovigilance 4

Description, observations Description. docx 5

Analytical Factors : thoughts, difficulties Facteurs analytiques (---). docx 6

Lessons Learned - Perspectives Leçons apprises_Perspectives. docx 7

Treatment 8

Identification and access to HH HHs scattered across the settlement Ensure adequate transport means for CHW Religious blockages for male CHW Consider gender in recruiting/assigning CHW Difficult to locate some HHs Proper mapping of the settlement Similarity in family names Recruiting local CHW Limitation in marking HH Consider literacy level of CHW

Installation and Introduction • Inadequate setting up of treatment scheme – Operation – Hygiene – Attractiveness • HH member not clear about the visit objective and process and their roles • To ensure an efficient treatment, time effective and hygienic, CHW must have clear role share. They should dispose drugs and other materials in a logical procedure style. Much time and emphasis should be allocated to practice during the training sessions

Installation and Introduction • HH member not clear about the visit objective and process and their roles • Formal (competence) training of CHW should be completed with more performance building to ensure thorough treatment. Population will adhere when they are well informed on the practicalities of the treatment. CHW generally underestimate these proceedings.

Preparation of drugs • More time is spent to grind the drugs and losses are observed. • Children (12 -59) are anxious to see the preparation • Creativity of CHW is important to ensure quick and efficient preparation. • In the absence of dispersible drugs, adapted tools can be designed and provided to CHW. • Mental preparedness of children (emphasis on sugar) can reduce their unwillingness to drink take the drugs.

Drug Administration Who should give the drug to the child? Reason for more children to be less receptive is the unknown – the CHW. We could avoid much loss of drug due to vomiting/spitting by assigning the mother to ensure this task. 4859 month children can drink by themselves: Create confidence!

Drug Administration Hygiene measures not fully respected during administration of drugs The use of one cup/glass for 3 -5 children cause other health issues. 2 to 3 glasses can solve this problem. There could be enough time to wash the other glass with soap.

Filling in the forms • Complaint about number • Review forms for of forms to fill in. possible merging, keeping in mind probable loss of data. • Pre cycle refreshing on tools and their importance

Distribution Vs. Treatment in Words and Practice ? !