This website has now been archived and will no longer be updated as of 28/02/2018



Malaria Consortium

Catholic Relief Service

Interview with Mme Zara Al-Fadil: Head of Health Facility Mailao (Chad)

This year marks the end of SMC implementation in seven countries across the Sahel through the ACCESS-SMC project, funded by UNITAID. During the past two years Mme Zara Al-Fail, head of a health facility in Mailao, has witnessed first hand the impact the scale up of SMC has had. To mark this occasion and give our readers a different perspective, we sat down with midwife Zara Al-Fadil to interview her on her thoughts about SMC.

ACCESS-SMC: Where do you work?

Mme Al-Fadil:  Health Centre in Mailao.

ACCESS-SMC: How long have you worked here?

Mme Al-Fadil:  Two years.

ACCESS-SMC: What do your patients tell you about SMC?

Mme Al-Fadil: The acceptability is very high. Community members want it. Almost nobody refuses it, and when someone refuses it and I explain what SMC is and what it does, they accept it. People only refuse when they do not understand what SMC is.

ACCESS-SMC: Do you get many referrals during SMC cycles?

Mme Al-Fadil: We get very few referrals, and very few suspected Adverse Events and malaria cases.

ACCESS-SMC: You have experience of SMC with hard tablets (2015) and with dispersible (2016) – is there a difference do you think?

Mme Al-Fadil: There is a big difference. Dispersible is so much easier to administer, it is much faster and the children do not vomit.

ACCESS-SMC: Do you see a difference in cases at your health facility?

Mme Al-Fadil:  Yes, I see a big difference. We have smaller numbers of children with malaria. We also have smaller number of children with minor adverse events this year with dispersible – 12 cases compared to 40 in 2015.

ACCESS-SMC: What do you want to see for the future?

Mme Al-Fadil: I want SMC to continue, but please revise the age of eligibility so that we can protect children up to 10 as well. I would also like to have one glass, or container per child, and not one to share for the whole village.

This website has now been archived and will no longer be updated as of 28/02/2018