@article{fdi:010072723, title = {{I}mplementation, coverage and equity of large-scale door-to-door delivery of {S}easonal {M}alaria {C}hemoprevention ({SMC}) to children under 10 in {S}enegal [+ {C}orrection d'auteur {S}cientific {R}eports - {N}ature.2018, vol. 8, art. no 7088 ]}, author = {{B}a, {E}. {H}. and {P}itt, {C}. and {D}ial, {Y}. and {F}aye, {S}. {L}. and {C}airns, {M}. and {F}aye, {E}. and {N}diaye, {M}. and {G}omis, {J}. {F}. and {F}aye, {B}. and {N}diaye, {J}. {L}. and {S}okhna, {C}heikh and {G}aye, {O}. and {C}isse, {B}. and {M}illigan, {P}.}, editor = {}, language = {{ENG}}, abstract = {{SMC} has been introduced widely in the {S}ahel since its recommendation by {WHO} in 2012. {T}his study, which provided evidence of feasibility that supported the recommendation, included school-age and pre-school children. {S}chool-age children were not included in the 2012 recommendation but bear an increasing proportion of cases. {I}n 2006, consultations with health-staff were held to choose delivery methods. {T}he preferred approach, door-to-door with the first daily-dose supervised by a community-health- worker ({CHW}), was piloted and subsequently evaluated on a large-scale in under-5's in 2008 and then in under-10's 2009-2010. {C}overage was higher among school-age children (96%(95% {CI} 94%, 98%) received three treatments in 2010) than among under 5's (90%(86%, 94%)). {SMC} was more equitable than {LLIN}s (odds-ratio for increase in coverage for a one-level rise in socioeconomic-ranking (a 5-point scale), was 1.1 (0.95,1.2) in 2009, compared with {OR} 1.3 (1.2,1.5) for sleeping under an {LLIN}. {E}ffective communication was important in achieving high levels of uptake. {C}ontinued training and supervision were needed to ensure {CHW}s adhered to treatment guidelines. {SMC} door-to-door can, if carefully supervised, achieve high equitable coverage and high-quality delivery. {SMC} programmes can be adapted to include school-age children, a neglected group that bears a substantial burden of malaria.}, keywords = {{SENEGAL}}, booktitle = {}, journal = {{S}cientific {R}eports - {N}ature}, volume = {8}, numero = {}, pages = {art. 5489 [15 ] + correction art. no 7088 [1 p.]}, ISSN = {2045-2322}, year = {2018}, DOI = {10.1038/s41598-018-23878-2}, URL = {https://www.documentation.ird.fr/hor/fdi:010072723}, }