GiveWell's summary of Malaria Consortium SMC Coverage Surveys [2019]
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Coverage
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2015-2017 average coverage
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Received at least 1 cycle92%
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Received at least 3 cycles72%
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Received all 4 cycles56%
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2015 ACCESS-SMC coverage survey results
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Burkina FasoChadGuineaMaliNigerNigeriaThe GambiaOverall
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Received at least 1 cycle (either using proxy of having an SMC card or directly measured)
96%96%94%87%82%77%94%87%
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Received at least 2 cycles (interpolated, not using explicit data)90%78%83%72%73%69%89%76%
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Received at least 3 cycles84%61%72%56%63%61%84%66%
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Received all 4 cycles69%23%54%38%45%42%56%46%
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ACCESS-SMC's 2015 target population (subset of 3-59 month olds) for SMC
649,693275,000210,047809,638595,901792,13390,9253,423,337
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Children 6-7yrs old who received SMC at least once82%85%82%17%-61%30%
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Sources
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Received X cycles
ACCESS-SMC private coverage information. "Coverage surveys that were later conducted by the LSHTM indicate that around 84% of eligible children received at least 3 cycles of SMC, 69% received all 4 cycles with the remainder each receiving two cycles or less." Pg. 37, ACCESS-SMC multi-country cost analysis, August 2016
ACCESS-SMC private coverage information. "However, coverage surveys conducted by LSHTM indicate that 82% of children received an SMC card (were reached), and around 60% of eligible children received at least 3 cycles and only 22.7% of the children (3 to 59 months) received the full four cycles, with the remainder each receiving three cycles or less." Pg. 41, ACCESS-SMC multi-country cost analysis, August 2016
ACCESS-SMC private coverage information
ACCESS-SMC private coverage information. "Coverage surveys that were later conducted by the LSHTM indicate that the reach of the SMC Programme in Mali has been good, with 86% of children having received an SMC card and at least one cycle of SMC; around 56% of eligible children received at least 3 cycles of SMC, 38% received all 4 cycles. Coverage of the first cycle appears to be highest at around 70%, with coverage at the final cycle in November having the lowest coverage at 50%. This implies that most children here received two cycles or less. This presumably shows that more children were reached than the coverage rate indicates but that many of them received less than the recommended four cycles." Pg. 51, ACCESS-SMC multi-country cost analysis, August 2016
ACCESS-SMC private coverage information. "Coverage surveys that were later conducted by the LSHTM indicate that fewer than 50% of the children received the full four cycles, with the remainder each receiving three cycles or less. This presumably shows that more children were reached than the coverage rate indicates but that many of them received less than the recommended four cycles...According to the LSHTM coverage survey, in Aguié, 45% of eligible children received four cycles of SMC. In Madaoua, 43% of children received four cycles of SMC. In Zinder, 7% of eligible children received four cycles of SMC. In Maradi, 4% of eligible children received four cycles of SMC." Pg. 56, ACCESS-SMC multi-country cost analysis, August 2016
See Pg. 1, ACCESS-SMC, Nigeria coverage summary report 2015.
ACCESS-SMC private coverage information. "Coverage surveys that were later conducted by the LSHTM indicate that the reach of the SMC Programme in the Gambia has been excellent, with around 95% of children having received an SMC card and at least one SMC cycle, over 84% of eligible children received at least 3 cycles of SMC and only 56% of the children received the full four cycles, with the remainder each receiving three cycles or less. This presumably shows that of the children reached, many of them received less than the recommended four cycles." Pg. 66, ACCESS-SMC multi-country cost analysis, August 2016
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ACCESS-SMC's 2015 target population
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2016
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2017
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2018
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2019
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2020
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2021
Source: Table 1, Pg. 16, ACCESS-SMC multi-country cost analysis, August 2022
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2015 ACCESS-SMC administrative coverage estimates
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Burkina FasoChadGuineaMaliNigerNigeriaThe Gambia
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Administrative coverage (% who received 4 cycles of those targeted)104.73%96.21%95.83%84.96%69.97%99.41%84.91%
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Average number of children treated680,433265,354201,283687,838416,973787,46777,208
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Population of children eligible for SMC, 20162,433,851-426,2792,982,0073,840,60011,198,59193,835
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Population targeted as % of children eligible27%-49%27%16%7%97%
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2016 ACCESS-SMC coverage survey results
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Burkina FasoChadGuineaMaliNigerNigeriaThe GambiaOverall
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Received 0 SMC cycles0.7%10.5%3.3%8.6%8.3%10.4%19.4%7%
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Received 1 SMC cycle0.7%22.7%3.2%5.0%5.7%18.8%6.1%9%
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Received 2 SMC cycles2.3%28.2%11.0%9.6%14.9%20.7%10.4%13%
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Received 3 SMC cycles5.1%23.3%9.5%19.9%22.7%20.3%20.8%17%
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Received 4 SMC cycles91.2%15.2%73.0%56.9%48.5%29.8%43.3%53%
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Received at least 1 cycle (either using proxy of having an SMC card or directly measured)
99.3%89.4%96.7%91.4%91.7%89.6%80.6%93%
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Received at least 2 cycles98.6%66.7%93.5%86.4%86.0%70.8%74.5%84%
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Received at least 3 cycles96.3%38.5%82.5%76.8%71.2%50.1%64.1%70%
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Received all 4 cycles91.2%15.2%73.0%56.9%48.5%29.8%43.3%53%
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Children 6-7yrs old who received SMC at least once81%57%79%53%43%62.8%15%
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Card available67%44%40%26%39%41%50%
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Slept under a bednet last night97%97%84%97%94%34%61%
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ACCESS-SMC's 2016 target population for SMC1,462,033591,072438,1241,479,3951,119,9701,783,88390,9256,965,402
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Sources
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All data
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Burkina_Faso.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Chad.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Guinea.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Mali.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Niger.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_Nigeria.pdf
http://files.givewell.org/files/DWDA%202009/Malaria%20Consortium/Malaria_Consortium_Coverage_survey_summary_2016_The_Gambia.pdf
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2017 ACCESS-SMC coverage survey results
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2017 post-round survey
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Burkina FasoChadGuinea BissauNigeria
Overall (weighted by target population where appropriate)
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Target population for SMC1,737,814634,40643,7842,107,8614,523,864
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Received 0 SMC cycles0.3%3.7%No results11.4%6.0%0
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Received 1 SMC cycle0.8%3.1%No results11.9%6.3%1
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Received 2 SMC cycles2.6%6.5%No results15.4%9.2%2
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Received 3 SMC cycles5.7%17.3%No results14.9%11.7%3
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Received 4 SMC cycles90.5%69.3%No results46.4%66.7%4
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Check sum to ~100%PASSPASS-PASSPASS
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Person-months of coverage6,692,3222,189,969143,0465,754,45914,779,796
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Received at least 1 cycle (either using proxy of having an SMC card or directly measured)
99.6%96.2%-88.6%93.9%
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Received at least 2 cycles98.8%93.1%-76.7%87.6%
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Received at least 3 cycles96.2%86.6%-61.3%78.4%
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Received all 4 cycles90.5%69.3%-46.4%66.7%
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Average % of children 6-7yrs old who received SMC per round7.7%56.1%-48.6%
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Card available87.9%44.0%-29.5%
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Slept under a bednet last night95.3%89.1%-66.8%
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Sources
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Target population for SMC
https://docs.google.com/spreadsheets/d/1i80mUD4ojT1ggeO9uy95tvGHmcIooD5mIoEygfTjhPQ/edit?usp=sharing
https://docs.google.com/spreadsheets/d/1i80mUD4ojT1ggeO9uy95tvGHmcIooD5mIoEygfTjhPQ/edit?usp=sharing
https://docs.google.com/spreadsheets/d/1i80mUD4ojT1ggeO9uy95tvGHmcIooD5mIoEygfTjhPQ/edit?usp=sharing
https://docs.google.com/spreadsheets/d/1i80mUD4ojT1ggeO9uy95tvGHmcIooD5mIoEygfTjhPQ/edit?usp=sharing
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SMC cycles
Table 28, p32, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Burkina_Faso_Coverage_surveys_2017.pdf
Table 32, p27, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Chad_Coverage_surveys_2017.pdf
-Table 31, p37, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Nigeria_Coverage_surveys_2017.pdf
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Average % of children 6-7yrs old who received SMC per round
Table 30, p33, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Burkina_Faso_Coverage_surveys_2017.pdf
Table 34, p28, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Chad_Coverage_surveys_2017.pdf-Table 33, p37, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Nigeria_Coverage_surveys_2017.pdf
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Card available
Table 31, p33, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Burkina_Faso_Coverage_surveys_2017.pdf
Table 28, p25, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Chad_Coverage_surveys_2017.pdf-Table 34, p38, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Nigeria_Coverage_surveys_2017.pdf
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Slept under a bednet last night
Table 33, p34, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Burkina_Faso_Coverage_surveys_2017.pdf
Table 37, p30, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Chad_Coverage_surveys_2017.pdf
-Table 36, p38, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Nigeria_Coverage_surveys_2017.pdf
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2017 post-cycle surveys
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Burkina FasoChadGuinea BissauNigeria
Overall (weighted by target population)
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Cycle 1 coverage94.6%78.0%No results72.5%81.9%
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Cycle 2 coverage95.8%84.7%No results73.0%83.5%
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Cycle 3 coverage94.8%93.0%No results60.1%78.2%
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Cycle 4 coverage95.9%83.0%No results60.1%77.2%
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Person-months of coverage6,622,8092,148,521140,4575,600,58514,512,373
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Difference in person-months of coverage between post-cycle and post-round
1.05%1.93%1.84%2.75%
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Sources
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All data
Table 4, p16, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Burkina_Faso_Coverage_surveys_2017.pdf
Table 28, p25, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Chad_Coverage_surveys_2017.pdf-Table 4, p18, files.givewell.org/files/DWDA%202009/Malaria%20Consortium/SMC_in_Nigeria_Coverage_surveys_2017.pdf
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Comparing 2017 post-cycle and post-round surveys
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Person-months of coverage (post-round survey)14,779,796
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Person-months of coverage (post-cycle surveys)14,512,373
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Difference1.84%
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