Adaptation of rapid multi-objective LQAS surveys in Burkina Faso, Chad, Nigeria, Mozambique and Togo to drive improvements in SMC delivery

Authors: Sol Richardson, Azoukalne Moukenet, Taiwo Ibinaiye, Adaeze Aidenagbon, Benoît Sawadogo, Cheick Compaore, Junica Martinho De Macedo Alface, Albertino Zunza, Pedro Aide, Kevin Baker, Christian Rassi, Helen Counihan, Arantxa Roca-Feltrer

Lot quality assurance sampling (LQAS) was successfully used to rapidly improve data use and improve decision-making for programmes in SMC-implementing countries.

Malaria Consortium supports the delivery of seasonal malaria chemoprevention (SMC) to children 3–59 months during the rainy season in countries where transmission is highly seasonal. This involves four monthly doses of sulfadoxine-pyrimethamine plus amodiaquine and has been shown to provide effective protection against clinical Plasmodium 
falciparum malaria cases. We adapted the lot quality assurance sampling method for end-of-cycle SMC monitoring surveys in Burkina Faso, Chad, Nigeria, Togo and Mozambique to measure quality of delivery across 16 indicators. Surveys took place after cycles 1–3 in 2020 and 2021 to facilitate local assessment of programme performance at the supervision area level using hypothesis tests to determine whether indicator standards had been met. We aimed to promote rapid use of data from monitoring surveys to drive ongoing improvements in SMC delivery within a given SMC round.

This poster was presented at the 70th annual meeting of the American Society of Tropical Medicine and Hygiene.