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

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

5. Description, observations Description.docx 5

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

7. Lessons Learned - Perspectives Leçons apprises_Perspectives.docx 7

8. Treatment 8

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

10. 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

11. 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. Installation and Introduction

12. 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.

13. 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. 48- 59month children can drink by themselves: Create confidence!

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

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

16. Distribution Vs. Treatment in Words and Practice ?!