| Summary: | This article documents the process of implementation of Intermittent Preventive Treatment, a strategy for preventing malaria whose administration is coupled to Extended Programme of Immunization in health services, feedback from providers, populations and their explanatory factors. The results show that the lack of adequate knowledge about IPT did not prevent its appropriation by communities, to the extent that perceptions give it practical value and include it in the felt needs. This is why children have received, in the vast majority, administered drugs. Some shift in attitudes can be explained more by constraints, shortcomings of the health and immunization system than a refusal. Among care providers, information was more available amongst state-recruited nurses. However, diversion processes and attitudes of indifference were more visible in the latter. Ultimately, the utility found in the measure, the constraints of professional and social environments in which providers operate, have determined the types of behaviors or practices of the latter. This shows that therapeutic innovation, beyond its biomedical and technological dimensions, is, once subjected to application in health services, embedded in professional, individual realities that influence the conditions and modalities for its implementation and its appropriation by providers and beneficiaries.
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