Interventions for Schistosomiasis

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Age Cohort: Pregnancy and newborn
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Hygiene
  • IEC for all age cohorts
  • Schistosomiasis,
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers, or women in their domestic tasks, to entire communities living in endemic areas
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Vector control
  • Treatment
  • Praziquantel 40 mg/kg body weight
Primary Care
  • IEC for all age cohorts
  • schistosomiasis,
  • Hygiene
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers, or women in their domestic tasks, to entire communities living in endemic areas
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements.
  • Microscopic examination of stool and urine samples for parasites Treatment
  • Praziquantel 40 mg/kg body weight
  • Diagnosis
Referral Facility: General
Referral Facility: Specialist
 
Age Cohort: < 5 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Health education to parents, families and communities on NTDs prevention measures such as personal hygiene as well as proper disposal of human faeces including children fecal matter
  • Observation of good hygiene practices in food preparation
  • Provision of portable water to homes and communities
  • Early recognition of danger signs by the family members
  • Early health seeking behaviour
  • Mass drug administration
  • Identification of features/signs indicative
  • Relief of any abdominal pain
  • Oral rehydration with oral fluids,
  • Nutritional support (proper nutrition)
  • Administer treatment for prevalent NTDs
  • Referral to health facility for definitive diagnosis and treatment
Primary Care
  • Health education to parents, families and communities on NTDs prevention measures such as personal hygiene as well as proper disposal of human faeces including children fecal matter
  • Periodical deworming to eliminate infecting worms,
  • Health education to prevent re-infection,
  • Access to safe water, adequate sanitation and hygiene
  • Mass drug administration (MDA) for lymphatic filariasis (LF), onchocerciasis, schistosomiasis, trachoma, soil-transmitted helminth (STH) infections (ascariasis, hookworm, and trichuriasis)
  • Monitor adverse events during MDA
  • Counselling on to clean and disinfect commonly used surfaces
  • Confirm diagnosis with laboratory tests
  • Relief of any abdominal pain
  • Nutritional support (proper nutrition) * Administer treatment for prevalent NTDs
  • Follow up and prevention of complications e.g. anaemia
  • Referral to hospital for management of complications
Referral Facility: General
  • Health education to parents, families and communities on NTDs prevention measures such as personal hygiene as well as proper disposal of human faeces including children fecal matter and protection from insect bites
  • Periodical deworming to eliminate infecting worms,
  • Health education to prevent re-infection,
  • Improved sanitation to reduce soil contamination with infective eggs. * Preventive chemotherapy students including the whole community residing
  • Counselling on to clean and disinfect commonly used surfaces
  • Integrated vector control
  • Antigen detection (ICT) or microfilaria detection (microscopy) in whole blood, for LF
  • Nodule detection using rapid techniques and skin snip for onchocerciasis
  • Detection of eggs in urine or stool
  • Eyelid examination for follicular inflammation (TF)
  • Relief of any abdominal pain
  • Oral rehydration with oral fluids,
  • Nutritional support (proper nutrition)
  • Administer treatment
  • Follow up and prevention of complications e.g., anaemia
  • Referral to hospital for management of complications
Referral Facility: Specialist
  • Health education to parents, families and communities on NTDs prevention measures such as personal hygiene as well as proper disposal of human faeces including children fecal matter
  • Periodical deworming to eliminate infecting worms,
  • Health education to prevent re-infection,
  • Improved sanitation to reduce soil contamination with infective eggs.
  • Mass drug administration to infected community
  • Antigen detection (ICT) or microfilaria detection (microscopy) in whole blood, for LF
  • Nodule detection using rapid techniques and skin snip for onchocerciasis
  • Detection of eggs in urine or stool
  • Eyelid examination for follicular inflammation (TF)
  • Oral rehydration with oral fluids,
  • Nutritional support (proper nutrition) Administer treatment for NTDs
  • Prevention and management of any complications
  • Follow up for children including those who may have cognitive delays
  • Surgical interventions for complications,
 
Age Cohort: 5 - 11 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements.
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers, or women in their domestic tasks, to entire communities living in endemic areas
  • Treatment
  • Praziquantel 40 mg/kg body weight
Primary Care
  • IEC for all age cohorts
  • Schistosomiasis,
  • Hygiene
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers,women in their domestic tasks, to entire communities living in endemic areas
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements.
Referral Facility: General
Referral Facility: Specialist
 
Age Cohort: 12 - 24 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Large-scale treatment of at-risk population groups
  • Access to safe water
  • Improved sanitation and hygiene
  • Education and behaviour change
  • Snail control
  • Environmental management.
  • Recognition of schistosomiasis signs and symptoms
  • Antispasmodics
  • Analgesics
  • Nutritional support (proper nutrition)
  • Referral to health facility for definitive diagnosis and treatment
Primary Care
  • IEC for all age cohorts
  • Schistosomiasis,
  • Hygiene
  • Mass drug administration with praziquentel
  • History
  • Physical examination
  • Microscopic examination of stool for eggs
  • Microscopic examination of urine for eggs
  • Anthelminthic praziquantel
  • Antispasmodics
  • Analgesics
Referral Facility: General

History

  • Physical examination
  • Microscopic examination of stool for eggs
  • Microscopic examination of urine for eggs
  • Antibodies and/or antigen tests
  • Radiography
  • Ultrasound
  • Anthelminthic praziquantel
  • Antispasmodics
  • Analgesics
Referral Facility: Specialist

History

  • Physical examination
  • Microscopic examination of stool for eggs
  • Microscopic examination of urine for eggs
  • Antibodies and/or antigen tests
  • Radiography
  • Ultrasound
  • Anthelminthic praziquantel
  • Antispasmodics
  • Analgesics
 
Age Cohort: 25 - 59 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers, or women in their domestic tasks, to entire communities living in endemic areas
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements
Primary Care
  • IEC for all age cohorts
  • Schistosomiasis,
  • Hygiene
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers, or women in their domestic tasks, to entire communities living in endemic areas
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements
  • Medication --use of Praziquantel
  • Microscopic examination of stool and urine samples for parasites eggs
  • Physical and clinical examination
Referral Facility: General
Referral Facility: Specialist
 
Age Cohort: 60+ years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Preventive chemotherapy with Praziquantel (PZQ) `* Vector control
  • Treatment
  • Praziquantel 40 mg/kg body weight
Primary Care
  • IEC for all age cohorts
  • Schistosomiasis,
  • Hygiene
  • Improvement in community Water Sanitation and Hygiene (WASH)
  • Preventive chemotherapy with Praziquantel (PZQ)
  • Preventive chemotherapy with Praziquantel (PZQ) for 12 -14-year olds and for those above, only for persons at risk whicjh may include groups with occupations involving contact with infested water, such as fishermen, farmers, irrigation workers or women in their domestic tasks, to entire communities living in endemic areas
  • Vector control
  • It is recommended that pre-school children should be treated for schistosomiasis within child-health services where their weight is monitored, they are immunized, dewormed and given micronutrient supplements
  • Medication --use of Praziquantel
  • Microscopic examination of stool and urine samples for parasites eggs
  • Blood serologic tests
  • Physical and clinical examination
Referral Facility: General
Referral Facility: Specialist