Leveraging the Seasonal Malaria Chemoprevention Platform to Address Malaria and Malnutrition

Inclusion Criteria

• •Children will be eligible for inclusion in the trial if they meet all of the following criteria:
• •Live in the study community
• •Eligible for SMC
• •No allergy to peanuts or cow's milk
• •Able to orally feed
• •Within the eligible age ranges:
• •* 6-59 months for passive surveillance
• •* 6-24 months for SQ-LNS provision
• •Written informed consent from at least one caregiver
• •Caregiver is at least 18 years of age
• •Children will be recruited during normal distribution (via door-to-door delivery) for SMC, which occurs monthly during the malaria season (July through October).
• •Children ages 3-6 months are eligible for SMC and will be included in nutritional screening and monitoring by default but will not be eligible for SQ-LNS, which is designed for children ages 6-24 months and will not be part of the passive surveillance.
• •A random sample of children ages 6-24 months during the first month of distribution will be asked to participate in an active surveillance cohort. These children will be followed biweekly for screening for malaria with a rapid diagnostic test and temperature and monthly for dried blood spot and anthropometric measurements.