1. Year 1 update The Gambia Olimatou Kolley SMC Focal Person
18th January 2016

2. 2015 Round Summary Key Accomplishments Upcoming Outstanding Activities
Apr 2015
May 2015
Jun 2015
Jul 2015
Aug 2015
Sep 2015
Oct 2015
Nov 2015
Dec 2015
Jan 2016
Planned 7 1 2 4 5 6 8 3 9 10 11
Actual 1 2 3 4 5 6 7 8 9 10 11
Training of health workers
Training of distributors
SMC cycles
11. Lessons learned
Dakar meeting
Official kickoff in-country
Micro-planning
ToT
Key Accomplishments
Upcoming Outstanding Activities
Number of trainers trained: 13
Number of health staff trained: 49
Number of volunteers trained: 148 in CRR & 143 in URR
Peak number of children reached: 84,298
TBD
Key Milestones Legend
Grey
Originally planned
Green
Completed as planned
Yellow
Acceptable delay
Red
Excessive delay

3. Delivery methods & approaches
Door-to-door strategy
143 distribution teams in URR and 148 in CRR
Distribution team consist of two: Data collector and drug distributor (CHW)
CHNs, PHOs and OICs were used for the different levels of supervision

4. Training and materials (I)
There were four levels of training:
13 National Trainers
91 Supervisors (team, district & regional)
49 Health Facility Workers
148 in CRR and 143 in URR CHWs and data collectors (on SMC as well as the use of the iPad)
Campaign materials distributed:
91000 Job aid for mothers
350 Job aid for CHWs
500 Q&A Key messages
1000 Posters ( for health centres and distribution sites)
2 Banners (for the launching)
91000 Distribution cards
1000 T-Shirts

5. Training and materials (II)
Training manuals developed by MC for the different levels of training were used for the SMC training
Training materials:
Pens
Notepads
Flip chart and Markers
supervisory forms
End of cycle health facility reporting forms

6. Admin Coverage Summary (I)

7. Admin Coverage Summary

8. Stock Summary

9. Pharmacovigilance Summary

10. Pharmacovigilance (II)
PV guideline yet developed
All Health facilities received PV forms
400 PV forms were distributed to health facilities and 50 forms were filled and sent back (12.5% )
There was one case of severe adverse reactions (involuntary muscle movement of the face and neck, blinking of eyes and finger spasms)
Child was hospitalized and later recovered
There was no death

11. IEC/BCC approaches 300 community members sensitized
100 religious and influential leaders sensitized
65 CHNs and 291 CHWs sensitized
2112 radio spots were aired and TV spots aired twice a week
Using all approaches mentioned above was found to be very effective
The same approaches will be used for 2016

12. 3 Key Success
The use of the iPad for on spot data collection at community level
Use of pill crusher was found to be relatively cheap, simple to use, fast in crushing, requiring minimal energy to crush, light to carry from door to door and protects against wastage during crushing
Strong political commitment and good collaboration between CRS & MOH&SW enhanced implementation and acceptance of SMC

13. Key Issues
Heavy rains and flooding resulting in damaged and impassable roads in both implementing regions.
Inadequate allocation of days for first cycle (both registration and distribution took place in first cycle)
Over estimation of the targeted number of children in some districts. This made it impossible to meet the target in those districts
Unavailability of some community members due to farming activities.

14. Support by other partners
SMC in the Gambia was not supported by other partners

15. Role of NMCP / MoH
SMC was adopted as a strategy in 2012 and included as part of the national policy in 2013
A task force has been set up and a meeting is planned to discuss resource mobilization for SMC
Funding for SMC is not currently coming from the national health budget