Methods The Intervention Phase The study populations will consist of the caretakers and children under five years of age in the Control and the Intervention arms. Two CDDs in each village will be trained and given HOMAPAKs. In the Control Arm the CDDs will keep the HOMAPAKs and will only be distributed when the caretakers seek care for their children. In contrast in the intervention area, the CDDs will distribute the drugs to all homes with children < 5 years of age. The CDDs will only act as RELAY POINTS for the HOMAPAKs. All villages of the study parishes in either arm will be included.