1. Lessons Learnt from the Integrated Measles – Malaria Campaign in Sierra Leone By Dr Lynda Foray Coordinator, Measles – Malaria Campaign

2. Planning/Coordination Adequate lead time provide adequate time for review of component of the campaign in collaboration with partners. Adequate lead time provide adequate time for review of component of the campaign in collaboration with partners. Daily update were needed by the coordinating bodies of both the EPI and Malaria Programs (Interagency Coordinating Committee and the Country Coordinating Mechanism respectively). The Minister of Health is Chair to both committees Daily update were needed by the coordinating bodies of both the EPI and Malaria Programs (Interagency Coordinating Committee and the Country Coordinating Mechanism respectively). The Minister of Health is Chair to both committees

3. Planning/Coordination Central coordinating team created for data/ support but not efficient due to the fact that team leaders come in late with data due to implementation issues/terrain Central coordinating team created for data/ support but not efficient due to the fact that team leaders come in late with data due to implementation issues/terrain Teleconferences facilitated by both WHO and the Canadian Red Cross Society Teleconferences facilitated by both WHO and the Canadian Red Cross Society Milestone set for activities and proper monitoring and supervision done by the technical committee Milestone set for activities and proper monitoring and supervision done by the technical committee

4. Logistics Early pre – positioning of LLINs and other logistic items made implementation efficient Early pre – positioning of LLINs and other logistic items made implementation efficient Cold chain maintained nationwide Cold chain maintained nationwide Involvement of local leaders/NGOs for support Involvement of local leaders/NGOs for support

5. Social Mobilization and Advocacy National and international consultant involved. National and district activities done. National and international consultant involved. National and district activities done. Appropriate message dissemination is key: - Town criers/town meetings/foot ball marches/religious groups/drama/skits/radio jingles - Town criers/town meetings/foot ball marches/religious groups/drama/skits/radio jingles - involvement of parliamentarians/councils/market women/ schools - involvement of parliamentarians/councils/market women/ schools

6. Trainings No training is too small or too much No training is too small or too much Trainings were supervised supportively by the National Supervisors and members of the technical committee Trainings were supervised supportively by the National Supervisors and members of the technical committee

7. Implementation Group control was a big challenge and was complemented by implementing partners (Latter – day Saints/CRC/SLRC Group control was a big challenge and was complemented by implementing partners (Latter – day Saints/CRC/SLRC Plans were not done for stuck – outs but with good partnership and leadership, net were got from other partners Plans were not done for stuck – outs but with good partnership and leadership, net were got from other partners Social mobilization teams on site eased the tension of parents and vaccination teams after stock – out. Therefore, the role of the social mobilizers cannot be over – emphasised. Social mobilization teams on site eased the tension of parents and vaccination teams after stock – out. Therefore, the role of the social mobilizers cannot be over – emphasised.

8. Lessons learnt Leadership and partnership plays a key role in the success of the campaign. Leadership and partnership plays a key role in the success of the campaign. Early planning and coordination made implementation more effective and efficient. Early planning and coordination made implementation more effective and efficient. Involving district councils gave them a sense of ownership and commitment to the campaign. Involving district councils gave them a sense of ownership and commitment to the campaign. Establishment of a coordinating mechanism facilitated better planning Establishment of a coordinating mechanism facilitated better planning Detailed logistics plan and early and appropriate social mobilisation activities contributed to the success of the campaign Detailed logistics plan and early and appropriate social mobilisation activities contributed to the success of the campaign Integrating the two programs was cost effective as it involved four interventions which achieved their set targets. Integrating the two programs was cost effective as it involved four interventions which achieved their set targets.

9. I thank you for your attention. I thank you for your attention.