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Areas with SMC in 2019

OPT SMC

The OPT-SMC project supports national malaria control programmes in West and Central Africa to conduct implementation research on Seasonal Malaria Chemoprevention by providing grants and technical assistance, and facilitates sharing of information and expertise between countries.

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About

The project is a partnership between the national malaria control programmes in 13 countries, Benin, Burkina Faso, Cameroun, Chad, The Gambia, Ghana, Guinea, Guinea Bissau, Mali, Niger, Nigeria, Senegal, Togo, and the University of Thiès in Senegal, the UNDP/UNICEF/World Bank/WHO Special Program for Research and Training in Tropical Diseases (TDR), Medicines for Malaria Venture (MMV), and the London School of Hygiene and Tropical Medicine (LSHTM).   

OPT-SMC: Optimizing the impact of SMC
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Malaria continues to be a major public health challenge, with an estimated 405,000 deaths from malaria in 2018. The most intense malaria transmission occurs in West and Central Africa during and shortly after the rainy season. Seasonal Malaria Chemoprevention (SMC) is a proven strategy developed specifically for these areas, which was first introduced in 2012. Its use was rapidly expanded through the ACCESS-SMC project, which showed that there were marked reductions in the number of malaria cases, severe cases, and deaths in hospital malaria due to malaria, when SMC was introduced.

The drugs (sulfadoxine-pyrimethamine plus amodiaquine, given to children once a month for a few months each year) don’t give complete protection but the benefits are clearly visible, and the strategy has been welcomed by communities. In 2019, 85 million treatments were administered in 13 countries reaching a total of about 22 million children, and this year, SMC programmes are targeting 30 million children.

The challenge now is to ensure that within the areas where SMC is being implemented, it is done effectively, and all children are being reached and are receiving all their monthly treatments.

Very high coverage is possible thorough door to door campaigns, but this is not being achieved everywhere. The reasons vary, and operational research is needed to understand the local challenges and the steps needed to address them. In some areas, four monthly cycles are not enough to cover the high risk period and the number of cycles needs to be increased. There is an urgent need to close these gaps and to optimize SMC delivery to protect all eligible children. The OPT-SMC project aims to contribute to this goal by strengthening capacity of national programmes to conduct implementation research to improve SMC delivery and impact.

SMC in 2019
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  • A total of 85million treatments were administered in 2019 in 13 countries.
  • An estimated 22million children were reached
  • 73% of the current target population of 30.3million
  • Leaving a gap of about 8.3million children
OPT-SMC map
OPT-SMC map 2

 Credits: The data for these maps comes from:

  • the SMC Working Group
  • the Malaria Atlas Project under Creative Commons Attribution 3.0 Unported license
  • WorldPop - School of Geography and Environmental Science, University of Southampton; Department of Geography and Geosciences, University of Louisville; Departement de Geographie, Universite de Namur) and Center for International Earth Science Information Network (CIESIN), Columbia University (2018). Global High Resolution Population Denominators Project - Funded by The Bill and Melinda Gates Foundation (OPP1134076). https://dx.doi.org/10.5258/SOTON/WP00674
SMC Training Videos
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This year, efforts are being made to ensure the COVID19 pandemic does not disrupt malaria control. Steps can be taken to deliver SMC safely, these include adjusted messaging to keep the community informed, and respecting social distancing during training and during door-to-door delivery. OPT-SMC is working with countries to monitor SMC delivery during this year. The project has also produced training videos with Alternative View Studies. The videos can be shared via Whatsapp as a job aid for drug distributors and to show how to deliver SMC safely during the COVID pandemic.

Delivering Seasonal Malaria Chemoprevention (SMC) - English

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Delivering Seasonal Malaria Chemoprevention (SMC) - French

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Delivering Seasonal Malaria Chemoprevention (SMC) - Hausa

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Delivering Seasonal Malaria Chemoprevention (SMC) - Portuguese

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Partners
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SMC working group meeting

SMC Working Group meeting, Accra, 25-27 Feb 2020

Our partners

University of Thiès, Senegal 

University of Thiès, Senegal logo

UNDP/UNICEF/World Bank/WHO Special Program for Research and Training in Tropical Diseases (TDR), Switzerland

WHO TDR logo

Medicines for Malaria Venture (MMV), Switzerland 

Medicines for Malaria Venture (MMV), Switzerland

Burkina Faso, Programme National de Lutte contre le Paludisme 

Burkina Faso logo

Republique du Benin, Programme National de Lutte contre le Paludisme du Benin 

Republique du Benin logo

Cameroon National Malaria Control Programme 

Cameroon National Malaria Control Programme logo

République du Tchad: Programme National de Lutte contre le Paludisme du Tchad 

République du Tchad logo

Republic of The Gambia, National Malaria Control Programme

Republic of The Gambia logo

Ghana, National Malaria Control Programme

Ghana, National Malaria Control Programme logo

République du Guinea, Programme National de Lutte contre le Paludisme

République du Guinea, Programme National de Lutte contre le Paludisme logo

Guinea Bissau, Programa Nacional de Luta contra o Paludismo – PNLP

Guinea Bissau, Programa Nacional de Luta contra o Paludismo – PNLP logo

République du Mali, Programme National de Lutte contre le Paludisme

République du Mali, Programme National de Lutte contre le Paludisme logo

République du Niger, Programme National de Lutte contre le Paludisme du Niger

République du Niger, Programme National de Lutte contre le Paludisme du Niger

Federal Republic of Nigeria, National Malaria Elimination Programme 

National Malaria Elimination Programme logo

République du Senegal, Programme National de Lutte contre le Paludisme  

République du Senegal, Programme National de Lutte contre le Paludisme logo

République du Togo, Programme National de Lutte contre le Paludisme 

République du Togo logo