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1st Year Review NIGER

A comprehensive review of the 2015 SMC campaign in Niger, including achievements, issues, lessons learned, and upcoming activities. Details on distribution methods, training, pharmacovigilance, and partner support.

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1st Year Review NIGER

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  1. 1st Year ReviewNIGER Dr Ouba Ibrahim DjiadaFocal Point NMCP January 2016

  2. Campaign Summary 2015 Planned 1 2 3 4 5 6 11 7 9 8 10 Actual 1 2 5 6 3 4 7 8 9 10 11 • Meeting Dakar • Official Country Launch • Detailed Planning • Train the Trainers Training of Health Workers Training of Distributors / Transporters 7-10. SMC Implementation 11. Lessons Learned Accomplishments Remaining and Upcoming Activities

  3. 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 2nd cycle we commenced redeployment of teams. • Site Numbers: 350 and in the 4th cycle 145 teams were used for the door-to-door experiment in that district.

  4. Composition of Distribution Teams (by Method) • 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

  5. Training and Tools (I)

  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 • Trainer’s Practical Manual • 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)

  8. Administrative Coverage Summary (II)

  9. Stock Summary

  10. Pharmacovigilance Summary

  11. 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 1st 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

  12. 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

  13. Key Achievements • Data Collection Coverage • Referral of malaria cases to the Integrated Health Centres • Management of side-effects • Good SMC coverage

  14. Key Issues • End of cycle report submission • Observing the delay between 2 cycles • The limited number of sites • Payment of relay persons • Transfer of Funds • Liquidation of funds transferred

  15. Support from Other Partners (List the partners/results on 1 page)

  16. 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

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