Integrated delivery of oral rehydration solution and zinc with seasonal malaria chemoprevention in Chad

Communities in Moulkou health district, south-western Chad, face barriers to accessing effective treatment for diarrhoea. Malaria Consortium and Clear Solutions are evaluating the integrated delivery of oral rehydration salts plus zinc (ORSZ) through the seasonal malaria chemoprevention (SMC) platform in Moulkou health district.

Malaria Consortium and Clear Solutions will test a community-based model for delivering co-packaged ORSZ alongside routine SMC delivery, targeting 13,000 children aged 0–59 months across all nine health facility catchment areas in Moulkou health district. The project aims to assess both feasibility and impact of the integrated model. Project implementation will take place in two phases. An operational test will be conducted in one catchment area during SMC cycle 1 to test feasibility, identify operational challenges and gather feedback from community distributors and caregivers. Then, a refined, district-wide rollout will be implemented in the remaining areas during SMC cycle 4. Training, messaging, supervision and logistics will be adjusted based on learnings from the first phase to improve delivery and strengthen community engagement.