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1st Year Review
[BURKINA FASO]
[Yacouba SAVADOGO]
[Lessons Learned]
[26/12/2015]
1
Campaign Summary 2015
Mar 2015
April 2015
May 2015
June 2015
Juiy 2015
Aug 2015
Sept 2015
Oct 2015
Nov 2015
Dec 2015
Jan 2016
Planned
1
2
3
4
5
6
7
9
8
11
10
Actual
1
2
3
5
4
6
7
8
1.
Meeting Dakar - March 2015
5. Health Workers training - July
2.
Official Country Launch – February
6. Rellay / distributors training - July
3.
Micro-planning- March
7-10. SMC Cycles - August- November
4.
Training of Trainers - June
11. Lessons Learned - January 2016
Achievements
9
10
11
Remaining and Upcoming Activities
Number of Trainers Trained : 8 Master Trainers and 39 national
trainers
Number of Health workers trained : approx 66 CHWs trained
and 671 FS workers
General Review of lessons learned
TBD
TBD
TBD
Number of volunteers trained : Approx 6497
Maximum number of children treated : 702 379
Legend of key steps
Grey
Initial Planning
Green
Completed on time
Yellow
Acceptable delay
Red
Excessive delay
2
Distribution Methods and Approaches
• Door to door / Fixed points / mobile sites / mixed approaches
 Door to door
 Fixed sites
• Number of teams / sites
 1 or 2 teams per site
• Composition of distribution teams (by type of approach)
 2 people per team
• Absence / presence of Health workers (nurses or others)
 Fixed site teams are essentially composed of health workers
Training and Tools (I)
Training
People Trained [listed by category]
Number of Master Trainers : 8
Number of National Trainers: 39
Number of Health Center Managers + other Health Workers : 671
Number of DMT members trained : Approx 66
Number of community distributors trained : Approx 6497
Tools distributed (communications material, training manuals, posters, etc.) [listed by category]
 Communications Material
- Posters
 Training Manuals
- Trainer’s Manual
- Supervisor’s Manual
- CD manual
- Job-aid for CD
4
Tools and Training (II)
Training
Distributed tools (communication materials, training manuals, posters, etc.) [listed by category]
 Supervision Tools
- Supervision grid : central, RHD, HD and SF level
- Monitoring framework
 Reporting Tools
- Tally Sheet
- Register
- Record Cards
- Daily Monitoring and Summary Sheet
- Input Mask
 Stock management tools
- Delivery and Receipt Slips
- Inventory Movement Books
5
Training and Tools (III)
• Were the manuals and tools effectively utilised
 The various tools were effectively utilised at different levels
• Were they useful (if only certain ones, then which)
 All tools have been useful, but the content and presentation of
the register should be reviewed to facilitate its filling and
utilisation.
• Changes considered for 2016 (reductions / modifications)
 Revision and adaptation of the tools for the 2016 campaign in
light of lessons learned.
6
Administrative coverage summary (I)
DISTRICT/REGION
Barsalogho
Boulsa
Kaya
Centre-North
Bogandé
Diapaga
Fada
Gayéri
Manni
Pama
East
Ziniaré
Zorgho
Plateau-Central
Total
TARGET
37,145
77,535
103,361
218,040
66,614
86,923
76,331
20,788
33,661
21,107
305,423
53,694
72,537
126,230
649,694
1st Cycle
Treated Covered
36,709
98.83%
78,914
101.78%
102,525
99.19%
218,148
100.05%
67,569
101.43%
86,092
99.04%
75,431
98.82%
20,989
100.97%
34,357
102.07%
21,025
99.61%
305,463
100.01%
53,224
99.13%
71,455
98.51%
124,679
98.77%
648,290
99.78%
2nd Cycle
Treated Covered
39,961
107.58%
79,390
102.39%
107,884
104.38%
227,235
104.22%
67,877
101.90%
87,957
101.19%
79,443
104.08%
21,366
102.78%
35,216
104.62%
22,197
105.17%
314,056
102.83%
54,420
101.35%
76,474
105.43%
130,894
103.69%
672,185
103.46%
3rd Cycle
Treated Covered
40,411
108.79%
89,936
115.99%
112,312
108.66%
242,659
111.29%
68,740
103.19%
90,752
104.41%
82,581
108.19%
22,057
106.10%
36,281
107.78%
22,735
107.72%
323,146
105.80%
56,043
104.38%
77,029
106.19%
133,072
105.42%
698,877
107.57%
4th Cycle
Treated Covered
40,511
109.06%
91,706
118.28%
110,565
106.97%
242,782
111.35%
70,013
105.10%
91,871
105.69%
80,169
105.03%
22,193
106.76%
36,017
107.00%
22,823
108.13%
323,086
105.78%
56,746
105.68%
79,765
109.96%
136,511 108.14%
702,379
108.11%
Administrative coverage summary (II)
110
100
107.97
104.99
99.78
101.85
90
Reached
80
Target
70
60
50
Cycle 1
Cycle 2
Cycle 3
Cycle 4
Stock Summary
DISTRICT /REGION
Barsalogho
Boulsa
Kaya
Centre-North
Bogandé
Diapaga
Fada
Gayéri
Manni
Pama
East
Ziniaré
Zorgho
Plateau-Central
Total
Medicines Received
170865
356659
475460
1,002,985
306429
399844
351121
95625
154839
97090
1,404,948
246991
333669
580,660
2,988,593
Medicines
Administered
157,592
339,946
433,286
930,824
274,199
356,672
317,624
86,605
141,871
88,780
1,265,751
220,433
304,723
525,156
2,721,731
Losses
(2nd
doses)
1854
3346
3859
Remaining
(theoretical)
11419
13367
38315
9,059
63,102
1710
2189
3041
426
1097
703
30520
40983
30456
8594
11871
7607
9,166
130,031
3600
4075
22958
24871
8,031
26,256
47,473
240,606
Pharmacovigilance Summary
DISTRICT /REGION
Barsalogho
Boulsa
Kaya
Centre-North
Bogandé
Diapaga
Fada
Gayéri
Manni
Pama
East
Ziniaré
Zorgho
Plateau-Central
TOTAL
Vomiting
14
1487
5
Skin Reactions
2
2
1
1,506
5
2
48
6
1
7
325
Adverse Reactions
Drowsiness
1
0
3
Abdominal Pain
0
2
2
Other
1
4
4
4
4
9
1
8
3
0
1
1
0
6
1
0
0
2
1
4
1
0
0
0
0
5
0
0
0
0
389
14
9
6
5
30
19
10
4
8
7
4
2
10
8
49
1,944
14
33
15
28
6
16
18
32
Pharmacovigilance (II)
(max one page)
• Did all health facilities have a copy of PV guidelines?
 Each HSPC had the PV guidelines incorporated into training modules, along with
copies of pharmacovigilance sheets;
 However filling in the pharmacovigilance sheets, along with their transmission
was not always systematic;
 There were also some shortcomings in the reporting of cases of vomiting
because many regurgitation cases were reported as cases of vomiting.
• Have there been cases of severe adverse reactions?
 No cases of serious side effects were reported, however there's been a case of
facial puffiness, which was identified during the first cycle and kept under
observation and not classified as a severe adverse reaction. The outcome of the
case was favorable.
IEC/BCC Approaches
• Key approaches used (media, tools, targeted audiences)
 Opinion Leaders (political, traditional and religious)
 The mobiliser ‘relays’ / town criers;
 The media;
 The CDs;
 The health workers.
• The most effective approaches identified
 The relay mobilisers / town criers;
 The DCs.
• Changes considered for 2016
 Drafting harmonised key messages for all town criers to use
3 Key Successes
• Cascade training of SMC implementing actors at all levels
(central, RHD, HD, SF, CDs, Mobilisers) before the start of the
campaign along with training some supervisors during the
campaign;
• The availability of drugs in the districts before the start of each
cycle;
• Good administrative coverage of the target through adhesion
and mobilisation of beneficiaries and stakeholders at all levels
3 Key Problems
• Estimation and identification of the target. Not taking into account
additional targets during the campaign (hence running out of some
inputs such as sugar, SMC cards ...);
• The administration of the drug. The drug formulation (nondispersible) makes its application difficult (necessity to adjust the
dosage depending upon the age and size of the child, risk of loss of
drugs administered in excess….
• The dosage adherence (non-compliance with times for taking the
second and third doses at home or completely forgetting).
Support by Other Partners
(List the partners /résults on 1 page)
 Zone covered by the World Bank
DISTRICT
Boussé
Tougan
Séguénega
Garango
TOTAL
TARGET
30699
48455
39070
34752
152976
1st Cycle
Treated
Covered
29623 96.49%
48375 99.83%
43725 111.91%
33412 96.15%
155135 101.41%
2nd Cycle
Treated
Covered
30883 100.60%
49164 101.46%
47375 121.26%
35850 103.16%
163272 106.73%
3rd Cycle
Treated
Covered
30472 99.26%
52144 107.61%
48518 124.18%
37563 108.09%
168697 110.28%
4th Cycle
Treated
Covered
31101 101.31%
51907 107.12%
49347 126.30%
38733 111.46%
171088 111.84%
 Zone covered by UNICEF
DISTRICT
Dori
Sebba
TOTAL
1st Cycle
Treated Coverage
60785
65303 107.43%
37387
43298 115.81%
98173
108601 110.62%
TARGET
2nd Cycle
Treated Coverage
67619 111.24%
42944 114.86%
110563 112.62%
3rd Cycle
Treated Coverage
64179 105.58%
42102 112.61%
106281 108.26%
4th Cycle
Treated Coverage
68427 112.57%
42392 113.39%
110819 112.88%
 In these 2 zones it is the State who purchased the
medicines
Role of NMCP / Min. of Health
• Policies: Is SMC part of national policies / strategies of health programmes and
health development plans?
 SMC has been adopted by Burkina Faso as an effective
intervention for reducing malaria morbidity.
• Resource Mobilisation: Is the Government increasing funding for SMC?
 The Government ensured the purchase of SMC drugs in 6
health districts in 2015;
 It has already secured a loan from the World Bank to cover 20
health districts in 2016.
• Are funds for SMC coming form the State budget?
 Yes, funds will be mobilised by the State to cover the remaining
health districts in 2016.
 MERCI DE VOTRE AIMABLE ATTENTION
THANK YOU FOR YOUR ATTENTION

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