Seasonal malaria chemoprevention (SMC)
A free preventive treatment, given door to door, to protect children aged 3 to 120 months during the high-transmission season.
Reference year: 2025. Source: Annual epidemiological bulletin 2025.
Why this intervention
- Protect children during the period of high malaria transmission.
- Ensure all three doses are actually taken, through directly observed treatment (DOT).
- Match the number of rounds to the length of the transmission season in each district.
Who it is for
- Children aged 3 to 120 months, in three age groups: 3 to 11 months, 12 to 59 months and 60 to 120 months.
- Districts in five regions in 2025: Kolda, Kédougou, Tambacounda, Diourbel and Kaolack.
How it works
- 1
Door to door
Community health workers visit households and give sulfadoxine-pyrimethamine and amodiaquine (SP + AQ) free of charge.
- 2
Three observed doses
Since 2019, community workers have directly observed all three doses being taken (DOT1, DOT2, DOT3).
- 3
3 to 5 rounds
Depending on the district, 3 to 5 rounds are organised between June and October, together with pharmacovigilance and social mobilisation.
What the campaign achieved
- 706,109 children treated at DOT3, out of 732,518 children registered.
- Actual DOT3 coverage of 96.4% across all rounds.
- SMC data fully digitised in the 15 target districts.
- Campaign implemented with support from CRS and PATH.
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