Interventions for Viral Hepatitis

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Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on transmission and prevention for hepatitis B and C, safe sex practices, condom use, harmful traditional practices, sharing of sharp objects, tattoos, IV drug use and needle sharing] Promote testing for Hepatitis B and C Provision of IEC/BCC materials Mass awareness campaigns through such days as World Hepatitis Day and World immunization Week	Abstinence Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms Referral of sick children and adolescents by CHWs to health facilities		Clinical assessment for early recognition of need for referral
Primary Care
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Abstinence Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms		History and physical examination for viral hepatitis Condition specific counselling Point of care testing Oral antipyretics for acute hepatitis infection Oral hydration for acute viral hepatitis Intravenous fluids Clinical assessment for early recognition of need for referral.
Referral Facility: General
counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use	Abstinence Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms Post exposure prophylaxis Hep B Vaccination of high-risk population groups Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Basic imaging e.g., ultrasound Condition specific counselling Oral antipyretics Oral hydration Intravenous fluids Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure
Referral Facility: Specialist
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms Post exposure prophylaxis Hep B Vaccination of high-risk population groups Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Ultrasound Condition specific counselling Oral antipyretics Oral hydration Intravenous fluids Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on transmission and prevention for hepatitis B and C, safe sex practices, condom use, harmful traditional practices, sharing of sharp objects, tattoos, IV drug use and needle sharing] Promote testing for Hepatitis B and C Provision of IEC/BCC materials Mass awareness campaigns through such days as World Hepatitis Day and World immunization Week	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms		Clinical assessment for early recognition of need for referral
Primary Care
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms		History and physical examination for viral hepatitis Condition specific counselling Oral antipyretics for acute hepatitis infection Oral hydration for acute viral hepatitis Intravenous fluids Clinical assessment for early recognition of need for referral.
Referral Facility: General
counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms Post exposure prophylaxis Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Basic imaging e.g., ultrasound Condition specific counselling Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure
Referral Facility: Specialist
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms Post exposure prophylaxis Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Basic imaging e.g., ultrasound Condition specific counselling Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure Management of liver failure

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on transmission and prevention for hepatitis B and C, safe sex practices, condom use, harmful traditional practices, sharing of sharp objects, tattoos, IV drug use and needle sharing] Promote testing for Hepatitis B and C Provision of IEC/BCC materials Mass awareness campaigns through such days as World Hepatitis Day and World immunization Week	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms		Clinical assessment for early recognition of need for referral
Primary Care
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Pentavalent vaccine Consistent and correct use of condoms		History and physical examination for viral hepatitis Condition specific counselling Oral antipyretics for acute hepatitis infection Oral hydration for acute viral hepatitis Intravenous fluids Clinical assessment for early recognition of need for referral.
Referral Facility: General
Counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms Post exposure prophylaxis Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Basic imaging e.g., ultrasound Condition specific counselling Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure
Referral Facility: Specialist
Provision of IEC/BCC materials Promote testing for Hepatitis B and C Sensitization of the community on preventive measures on hepatitis B and C	Avoiding harmful traditional practices including sharing needles and unsafe tattoo Vaccination: Hepatitis B Consistent and correct use of condoms Post exposure prophylaxis Safe blood transfusion practice		History and physical examination for viral hepatitis Point of care testing Basic laboratory tests Advanced laboratory tests Basic imaging e.g., ultrasound Condition specific counselling Oral antivirals for HBV Vaccination: HBIG Oral pan genotypic antivirals for HCV cure Management of liver failure