Box 1: Summary of MDA distribution activities

Fixed site distribution  Organizing the site prior to distribution  Verifying eligibility to take MDA  Screening of women of reproductive age for pregnancy  Registration of individuals receiving the study drug  Distribution of blisters with 1st dose under DOT  Tally sheet completed after medicine has been dispensed  Monitoring for serious adverse events or Adverse events for at least 30 min and Referral of all ill people to the nearest health facility

Door-to-door distribution  Verification of household members  Explaining of objectives for the campaign  Obtained consent/assent  Checking for eligibility  Screening for pregnancy among women of reproductive age  Distribution of blisters appropriate for the age category  Give instruction for taking the remaining Doses on days two and three  Mark the tally sheet  Mark the completed house hold

Mix of two approaches  Organizing the sites to have facilities like, pit latrines, tables, chairs, drinking water, shelter or waiting shades  Identification and verification of village members  Consenting and/or assenting  Screening for eligibility  Testing for pregnancy  Dispensing of drugs  All ill people referred to health facilities  Door-to-door follow up using tracking logs to identify people who should be mobilized  To go to the site for day 1 dose under DOT  Monitored the taking of 2nd or 3rd doses  Inquired about adverse events