1st Year Review NIGER 1 Dr Ouba Ibrahim Djiada Focal Point NMCP January 2016

2 Planned Actual Campaign Summary AccomplishmentsRemaining and Upcoming Activities Number of Trainers Trained: 34 Number of Health Workers Trained: 350 Number of Volunteers Trained : 4443 Maximum Number of Children Treated: TBD 1.Meeting Dakar 2.Official Country Launch 3.Detailed Planning 4.Train the Trainers 5.Training of Health Workers 6.Training of Distributors / Transporters SMC Implementation 11. Lessons Learned 11 Key MilestonesGreyInitial PlanningGreenCompleted on ScheduleYellowAcceptable DelayRedExcessive Delay Mar 2015Apr 2015May 2015June 2015July 2015Aug 2015Sep 2015Oct 2015Nov 2015Dec 2015Jan

Methods and Approaches to Distribution Fixed Points, but we experimented with door-to-door in an urban district in the 4th cycle. Also in the 2 nd cycle we commenced redeployment of teams. Site Numbers: 350 and in the 4 th cycle 145 teams were used for the door-to-door experiment in that district.

4 A Site Manager : organises running the site and administers RDTs to children with fever; A Registrar and Selector: Selects the children, fills in the register and gives record cards; Two Drug Administrators (one for each age group): Administer the relevant products to children according to age group; Hygienist: ensures site safety, washes the distribution cups and cleans children if there are cases of vomiting; Task Officer to manage side-effects and referrals for fever: Manages cases of side-effects and provides the reference for non-eligible children Security Officer: Provides order (Orderly queuing and respect of the steps necessary in the distribution chain) Presence / absence of Health Worker (nurses or otherwise): Health workers are present during distributions Composition of Distribution Teams (by Method)

5 Training and Tools (I) Training People Trained [Listed by Category] The Experts (CRS and NMCP) The Nationals (CRS – NMCP) The Regional Health District Staff + Malaria Coordinators Health District Officials the District Management Team Integrated Health Centre (IHC) and Health Cadres Distributed tools (communication materials, training manuals, posters, etc.) Trainer’s Practical Manual (Central, Region, District) Supervisor’s Practical Manual (Central, Region, District and IHC) Community Health Worker’s Manual (CHW) Job-aid for CHW with key messages (relay) A3 posters The pre-test and post test

6 Training and Tools (II) Have the manuals and tools actually been used Not all manuals and tools are used List of tools and manuals used 1.Trainer’s Practical Manual 2.Supervisor’s Practical Manual Changes considered for 2016 (reductions / modifications ) Summarise the manuals and tools and focus on data collection, referrals and pharmacovigilance

7 Administration Coverage Summary (I) RegionDistrict1 st 2 nd 3 rd 4 th Maradi Aguié82,07%92,65%88,29%79,06% Maradi7,19%11,44%13,63%87,88% Mayahi83,90%82,93%88,19%82,96% Tahoua Madaoua65,78%80,30%78,31%73,60% Bouza76,27%90,69%101,37%101,67% Zinder Mirriah52,62%71,19%65,71%76,22% Matameye97,93%103,44%104,04%104,90% Zinder25,30%37,68%49,48%57,81% Total57,53%69,68%72,20%80,13%

Administrative Coverage Summary (II)

Stock Summary

Pharmacovigilance Summary

Pharmacovigilance (II) Do all Health Facilities have a copy of the PV guidelines? All Health facilities were given copies of PV guideleines Do we have reporting forms? All Health facilities had enough reporting forms Were they completed? (what proportion?) Not all health facilities completed these in the 1 st cycle Have there been cases of severe adverse reactions It seems that there has been a suspected case, related to ASAQ, but the investigation is ongoing to confirm the case Have there been cases of admission? Death? It appears that there may have been a death, but the confirmation investigation is ongoing How were they reported? Through notification forms and telephone calls How many reports have been submitted? 216

IEC/BCC Methods Key methods used (media, tools, targeted audiences) Social mobilisation, awareness (radio/television and community), Advocacy for local authorities and religious leaders The most effective approaches identified Social mobilisation, awareness (radio/television and community), Advocacy for local authorities and religious leaders Changes Considered for 2016 In 2016 the desire is to increase the number of community relays per village and to increase their daily per diem from 1000f to 2500f / day. Also T- shirts for supervisors, distributors and relay mobilisers will be provided. The authorities will be involved in the process throughout the campaign

Key Achievements 1.Data Collection Coverage 2.Referral of malaria cases to the Integrated Health Centres 3.Management of side-effects 4.Good SMC coverage

Key Issues 1.End of cycle report submission 2.Observing the delay between 2 cycles 3.The limited number of sites 4.Payment of relay persons 5.Transfer of Funds 6.Liquidation of funds transferred

Support from Other Partners (List the partners/results on 1 page) Districts Targets Coverage Rate SMC 1 Coverage Rate SMC 2 Coverage Rate SMC 3 Coverage Rate SMC 4 Implementin g Partners Schedule 3-59 Months G_Roumdji ,04%109,03%102,44%111,90% MSF BELGIQUE Madarounfa ,51%104,70%89,24%74,52%MSF FRANCE Magaria ,25%96,61%85,77%0,00%MSF SUISSE Mainé Soroa ,62%0,00% Not achievedUNICEF

Role of NMCP/ Min. of Health Policies: Is SMC part of the national policies/strategies of Health Programme Strategies and Health Development Plans? YES Resources Mobilisation: what is the Government putting in place to increase funding for SMC? Advocacy with Partners Loan from WB to finance SMC in 10 Health Districts (BOBOYE, GAYA, ILLELA, TAHOUA, FILINGUE, KOLLO,OUALLAM, SAY, TERA, TILLABERY ) Are there any funds coming from the State budget allocated to SMC? No