Community Level Interventions

• Community awareness on prevention and control methods of meningitis

• Frequent hand washing
• Vaccination: pneumococcal conjugate
• Vaccination: haemophilus influenzae type b (Hib)
• Vaccination: meningococcal

• Isolate child suspected with meningitis
• Immediate transfer to a higher-level health care facility

• Psychological and emotional support for meningitis sequel

• Community awareness on prevention and control methods of meningitis

• Frequent hand washing
• Vaccination: pneumococcal conjugate
• Vaccination: haemophilus influenzae type b (Hib)
• Vaccination: meningococcal

• Isolate child suspected with meningitis
• Immediate transfer to a higher-level health care facility

• Home-based physical rehabilitation

• Community awareness on prevention and control methods of meningitis

• Frequent hand washing
• Vaccination: pneumococcal conjugate
• Vaccination: haemophilus influenzae type b (Hib)
• Vaccination: meningococcal

• Isolate child suspected with meningitis
• Immediate transfer to a higher-level health care facility

• Linkage with rehabilitation centres for deafness, learning impairment or behavioural problems

• Psychological and emotional support for meningitis sequel

• Community awareness on prevention and control methods of meningitis

• Frequent hand washing
• Vaccination: pneumococcal conjugate
• Vaccination: haemophilus influenzae type b (Hib)
• Vaccination: meningococcal

• Isolate child/adolescents suspected with meningitis
• Immediate transfer to a higher-level health care facility

• Linkage with rehabilitation centres for deafness, learning impairment or behavioural problems

• Psychological and emotional support for meningitis sequel

• Create awareness on meningitis including prevention measures (IPC)
• Distribution of IEC materials

• Advocacy for proper sanitation and good housing Vaccination: meningococcal

• Counselling on seeking early treatment for meningitis * Isolate individuals suspected with N. meningitis Clinical assessment for early recognition of need for referral

• Physiotherapy services for adults with meningitis complications who may be referred back to communities from health facilities

• Psychosocial support

• Community health workers sensitization on meningitis including recognition of meningitis features among the elderly
• Create awareness to the elderly persons, their families and communities on meningitis and prevention measures
• Information/creation of awareness on healthy living for the elderly
• Awareness on good nutrition
• Provision of IEC materials
• Promote good hygiene practices including hand hygiene for the elderly

• Practice good hygiene practices including cough, sneezing etiquette Hand washing with soap and water
• Hand washing with soap and water
• Limit the elderly contact with persons with meningitis

• Recognition of danger signs of meningitis in the elderly which include, stiff neck, headache, neck and/or back pain, fever.
• Proper feeding
• Supportive therapy to an elderly person if immediate referral is not possible i.e. give fluids,Proper feeding,- Manage fever with medicine for fever such as paracetamol
• Urgent referral of elderly persons suspected to have meningitis to a health facility

• Physiotherapy services for the elderly persons with meningitis complications who may be referred back to communities from health facilities

• Psychosocial support
• counselling

• Strengthen mothers, families and community-based awareness on whooping cough including transmission and prevention measures
• Create knowledge among family members and communities on importance of vaccination and the vaccination schedule
• Knowledge on the importance of timely uptake of vaccine dose
• Strengthen community health workers knowledge on whooping cough

• Good hygiene Practices including hand hygiene
• Cough and sneezing etiquette
• Avoiding close contact with people with whooping cough
• Community Reporting systems on whopping cough

• Recognition of features of whooping cough which include features of common cold:(i.e Runny nose, Nasal congestion, Red, watery eyes, Fever)

• uncontrollable coughing

• Vomiting

• high-pitched "whoop" sound during breathing

• Home remedies when immediate referral is not possible Hydration for the mother resting practicing proper hand hygiene Advice on meals/eating frequent small meals to avoid vomiting advise on avoiding coughing triggers, such as smoke, strong chemicals, and allergens Relieve fever

• Immediate referral for mothers and new-borns to hospitals

• Community-based awareness on prevention and control of VPDs
• Community education on proper nutrition for young children

• Good hygiene practices including hand hygiene
• Stay at home if any symptoms of whooping cough
• Avoiding close contact with patient
• Pertussis-containing vaccination

• Antipyretics
• Hydration
• Feeding
• Immediate transfer to a higher-level health care facility

• Psychosocial support
• counselling for parents and families
• spiritual support

• Community-based awareness on prevention and control of VPDs
• Community education on proper nutrition for young children

• Pertussis-containing vaccination
• Good hygiene practices including hand hygiene
• Stay at home if any symptoms of whooping cough
• Avoiding close contact with patient

• Antipyretics
• Hydration
• Feeding
• Immediate transfer to a higher-level health care facility

• Strengthen families and community-based awareness on whooping cough including prevention measures
• Create knowledge among family members and communities on importance of vaccination and the vaccination schedule
• Knowledge on the importance of timely uptake of vaccine dose
• Strengthen community health workers knowledge on whooping cough

• Vaccination

• One dose of Tdap for adults who have never received the vaccine.

• Good hygiene practices including hand hygiene
• Avoiding close contact with people with whooping cough
• Cough and sneezing etiquette
• Community Reporting systems on whopping cough
• Referrals to health facilities

• Recognition of features of whooping cough - which include:
• features of common cold:(i.e Runny nose
• Nasal congestion, Red
• watery eyes, Fever)
• uncontrollable coughing
• Vomiting
• A high-pitched "whoop" sound during breathing
• Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens
• Monitoring for any worsening of the patient condition
• Referrals to health facilities

• Strengthen families and community-based awareness on whooping cough including prevention measures
• Create knowledge among family members and communities on importance of vaccination and the vaccination schedule.
• Knowledge on the importance of timely uptake of vaccine dose
• Strengthen community health workers knowledge on whooping cough

• Vaccination

• One dose of Tdap for adults who have never received the vaccine

• Good hygiene practices including hand hygiene
• Cough and sneezing etiquette
• Community Reporting systems on whopping cough
• Avoiding close contact with people with whooping cough

• Recognition of features of whooping cough - which include:

• features of common cold:( i.e. Runny nose, Nasal congestion, Red, watery eyes, Fever), uncontrollable coughing)
• Vomiting
• A high-pitched "whoop" sound during breathing

• Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens
• Monitoring for any worsening of the patient condition
• Referrals to health facilities

• Strengthen community-based awareness on whooping cough including prevention measures
• Create knowledge among family members and communities on importance of vaccination and the vaccination schedule
• Knowledge on the importance of timely uptake of vaccine dose
• Strengthen community health workers knowledge on whooping cough

• Booster vaccine
• Good hygiene practices including hand hygiene
• Avoiding close contact with people with whooping cough 
• Cough and sneezing etiquette
• Community Reporting systems on whopping cough

• Recognition of features of whooping cough- which include:

• features of common cold: (i.e. Runny nose, Nasal congestion, Red, watery eyes, Fever,uncontrollable coughing
• Vomiting
• A high-pitched "whoop" sound during breathing

• Good nutrition eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens
• Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene
• Monitoring for any worsening of the patient condition
• Referrals to health facilities.

• Mothers and families on encephalitis and prevention measures
• Information on ANC attendance
• Information on the importance of immunization for children
• Information/creation of awareness on healthy living
• Awareness on good nutrition

• Encourage ANC attendance

• Recognition of features indicative of encephalitis including headaches, fever, nausea, vomiting,light sensitivity, mental confusion, muscle weakness, and stiff neck
• Supportive and symptomatic management for encephalitis as referral is awaited including
• Adequate Bed rest
• Provision of Plenty of fluids
• Use of Anti-inflammatory drugs
• Management of fever - sponging, use of anti pyretics such as paracetamol
• Management of pain using pain mediaction such as paracetamol
• Referral of child suspected to have encephalitis to the nearest health facility

• Community based rehabilitation
• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills

• Psycho-social support for pregnant women with encephalitis and their families
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills

• Create awareness to families and communities on the disease and prevention measures
• Information to the communities on the importance of immunization for children
• Information/creation of awareness on healthy living
• Awareness on good nutrition
• Provision of IEC materials
• Awareness/education on animal handling and animal health e.g. Dogs (rabies)

• Childhood vaccinations against diseases-measles, mumps, rubella
• Vectors/mosquitos control (as a carrier for some of the virus arbovirus)
• Parasites such as * Parasites such as Ticks control

• Community based rehabilitation
• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills
• Speech therapy

• Psycho-social support for parents/families of children with encephalitis
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills

• Create awareness to families and communities on the disease and prevention measures
• Information/creation of awareness on healthy living
• Awareness on good nutrition
• Provision of IEC materials
• Information to the communities on the importance of immunization for children
• Awareness/education on animal handling and animal health e.g. dogs (rabies)
• Community health workers training on encehaplitis including on prevention measures

• Vectors/mosquitos control (as a carrier for some of the virus arbovirus)
• Parasites such as Ticks control

• Recognition of features indicative of encephalitis including Fever, Aches in muscles, weakness, fits (Seizures), Muscle weakness,
• Supportive and symptomatic management for school age children suspected to have encephalitis awaiting referral through:
• Bed rest
• Plenty of fluids
• Use of Anti-inflammatory drugs
• Management of fever-sponging, use of anti pyretics
• Relieve pain/aches with analgesics such as paracetamol
• Urgent Referral of patient suspected to have encephalitis to the nearest health facility

• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills
• Community based rehabilitation
• Speech therapy

• Psycho-social support for school going age children with encephalitis and their families
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills

• Create awareness to families and communities on the disease and prevention measures
• Information/creation of awareness on healthy living
• Information provision to the communities on the importance of immunization for children
• Awareness creation on good nutrition
• Provision of IEC materials
• Awareness creation/education on animal handling and animal health e.g. dogs (rabies)
• Community health workers training on encehaplitis including on prevention measures

• Vectors/mosquitos control (as a carrier for some of the virus arbovirus)
• Parasites such as Ticks control

• Recognition of features indicative of encephalitis including Fever, Aches in muscles, weakness, fits (Seizures), Muscle weakness
• Supportive and symptomatic management for adolescents suspected to have encephalitis awaiting referral
• Supportive and symptomatic management for mild encephalitis - Bed rest - Plenty of fluids - Use of Anti-inflammatory drugs - Management of fever-sponging, use of anti pyretics - Relieve pain/aches with analgesics such as paracetamol
• Refer to the nearest health facility

• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills
• Community based rehabilitation
• Speech therapy

• Psycho-social support for adolescents and Youth with encephalitis and their families
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills
• Spiritual support

• Create awareness to families and communities on the disease and prevention measures
• Information/creation of awareness on healthy living
• Awareness creation on good nutrition
• Provision of IEC materials
• Awareness creation/education on animal handling and animal health e.g. dogs (rabies)
• Information provision to the communities on the importance of immunization for children
• Community health workers tarining on encehaplitis including on prevention measures

• Vectors/mosquitos control (as a carrier for some of the virus arbovirus)
• Parasites such as Ticks control

• Recognition of features indicative of encephalitis including Fever, Aches in muscles,weakness,fits (Seizures),Muscle weakness,
• Supportive and symptomatic management for the elderly suspected to have encephalitis awaiting referral including:
  • Encourage plenty of rest- Bed rest
  • Provision of Plenty of fluids
  • Use of Anti-inflammatory drugs -
  • Management of fever-sponging, use of anti pyretics -
  • Relieve pain/aches with pain medicines such as paracetamol
• Urgent Referral of a patient suspected to have enephalitis to the nearest health facility

• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills
• Community based rehabilitation
• Speech therapy

• Psycho-social support for adults with encephalitis and their families
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills
• Spiritual support

• Create awareness to families and communities on the disease and prevention measures
• Information/creation of awareness on healthy living
• Awareness creation on good nutrition
• Provision of IEC materials
• Awareness creation/education on animal handling and animal health e.g. dogs (rabies)
• Community health workers tarining on encehaplitis including on prevention measures

• Vectors/mosquitos control (as a carrier for some of the virus arbovirus)
• Parasites such as Ticks control

• Recognition of features indicative of encephalitis including Fever; Aches in muscles, weakness, fits (Seizures), Muscle weakness,
• Supportive and symptomatic management for the elderly suspected to have encephalitis awaiting referral including:
  • Encourage plenty of rest- Bed rest
  • Provision of Plenty of fluids
• Use of Anti-inflammatory drugs -
• Management of fever-sponging, use of anti pyretics -
• Relieve pain/aches with pain medicines such as paracetamol
• Urgent Referral of patients suspected to have encephalitis to the nearest health facility

• Continued Rehabilitation at community level and follow up of patients referred backwards from the health facilities (those who may have had complications)
• Physical therapy to improve motor coordination
• Occupational therapy to develop everyday skills
• Community based rehabilitation Speech therapy

• Psycho-social support for elderly persons with encephalitis and their parents and families encephalitis
• Counselling
• Psycho- therapy to learn coping strategies and new behavioral skills
• Spiritual support

• Health education on measles
• Information and health education to women,families and community on measles
• Information and health education to women,families and community on immunization
• Educate mothers on well baby clinics
• Good nutrition for the mother
• knowledge of vaccination schedule
• Importance of timely uptake of vaccine dose
• Community health workers training on measles including prevention and recognition of measles in pregnant women

• Timely attendance to ANC clinic

• Recognition of features of measles in pregnant women i.e. fever,fatigue,cough,runny nose,itchy or red eyes, white lesions on the inner cheek) and a raised rash
• Home based care for pregnant women with measles
• Supportive management for pregnant women with measles including;-
• Provision of plenty of fluids to the pregnant women with measles
• Plenty of rest for the pregnant women with measles
• Proper nutrition for the pregnant women with measles
• Monitoring and recognition for any features of worsening of measles in pregnant women including:-
• shortness of breath
• coughing up blood
• drowsiness
• confusion
• Referral to health facilities of pregnant women with features of worsening of measles

• community-based awareness on VPDs including transmission and prevention measures * Community education on proper nutrition for young children

• Routine on schedule vaccination
• Good hygiene practices including hand hygiene
• Stay at home if any symptoms of measles
• Avoiding close contact with measles cases

• Psychological and emotional support for meningitis sequel

• Home-based physical rehabilitation

• Psycho social support/counseling to the parents/families of young children with complications of measles e.g. deafness, blindness.

• Community-based awareness on measles and other VPDs including transmission and prevention measures * Community education on proper nutrition for young children

• Routine on schedule vaccination
• Good hygiene practices including hand hygiene
• Stay at home if any symptoms of measles
• Avoiding close contact with measles cases

• Antipyretics
• Hydration
• Proper nutrition
• Immediate transfer of unresponsive or sever cases to a higher-level health care facility

• Adolescents and Families education on transmission and prevention of measles
• Community education on proper nutrition for adolescents
• Proper sanitation
• Promoting planning especially in urban areas to avoid over-crowding through multi sectoral approach
• Community health workers training on measles including prevention and recognition of signs of measles in adolescents

• Contact tracing
• Quarantine for contacts

• Recognition of features of measles in adolescents including cold-like symptoms such as;-
• a runny nose,sneezing and a cough
• Sore, red eyes that may be sensitive to light
• Fever
• Small greyish-white spots on the inside of the cheeks
• Watery eyes
• Swollen eyelids
• Body aches and pains
• Relieve Headcheas/pain with paracetamol or Ibuprofen
• Relieve fever-administer anti-pyretics when there is fever (paracetamol or brufen)
• Proper nutrition for the adolescents with measles
• Home based care
• Supportive management for adolescents with measles including;
• Provision of plenty of fluids to the adolescents
• Encourage the adolescents with measles to rest
• Monitoring and recniognition for any features indicating worsening of measles in adolescents and referral. The features include;-
• Shortness of breath
• Coughing up blood
• Drowsiness
• Confusion
• Fits (convulsions)
• Referral to the health facilities

• Families and community education on transmission and prevention of measles
• Education on proper nutrition for adults
• Health education on Proper sanitation
• Promoting proper planning especially in urban areas to avoid over-crowding
• Community health workers training on measles including prevention and recognition of measles in adults

• Contact tracing
• Quarantine for contacts

• Recognition of features of measles in adults including cold-like symptoms, such as;-
• a runny nose, sneezing and a cough
• Sore, red eyes that may be sensitive to light
• Fever
• Small greyish-white spots on the inside of the cheeks
• Watery eyes
• Swollen eyelids
• Body aches and pains
• Home based care
• Supportive management for adults with measles including;-
• Provision of plenty of fluids to the adults
• Encourage the adults with measles to rest
• Proper nutrition for the adults with measles
• Relieve fever-administer anti-pyretics when there is fever (paracetamol or brufen
• Relieve aches/pain with paracetamol or Ibuprofen
• Monitoring and recognition for any features indicating worsening of measles in adults and referral the features include;-
• Shortness of breath
• Coughing up blood
• drowsiness
• confusion
• Fits (convulsions)
• Referral to the health facilities

• Information to Families and community education on transmission and prevention of measles
• Proper sanitation
• Promoting proper planning especially in urban areas to avoid over-crowding
• Community education on proper nutrition for the elderly
• Community health workers training on measles including prevention and recognition of measles in the elderly

• Contact tracing
• Quarantine for close contacts

• Recognition of features of measles in the elderly including cold-like symptoms, such as;-
• a runny nose, sneezing and a cough
• Sore, red eyes that may be sensitive to light
• Fever
• Small greyish-white spots on the inside of the cheeks
• Watery eyes
• swollen eyelids
• Body aches and pains
• Home based care
• Supportive management for elderly patients with measles:-
• Provision of plenty of fluids and Plenty of rest
• Proper nutrition Management of fever-administer anti-pyretics for fever
• Monitor for any worsening of measles in the elderly patient and refer
• Referral of elderly persons with severe measles to the health facilities

• Education for high risk reproductive age women on regular condom use with non-regular partners
• Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur

• Education for high risk reproductive age women on regular condom use with non-regular partners
• Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur

• Referral of pregnant women with persistent vaginal discharge to next level of care for investigation and treatment
• Home based supervision of women with confirmed Trichomoniasis infection to comply with treatment

• Adolescent centered education on delaying sexual debut and safe sex practices School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• School age children education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Screening of female adolescents for sexual abuse during home visits by Community Health Workers
• Referral of suspected cases of sexual abuse for management

• Referral of female adolescents with persistent vaginal discharge to next level for examination and treatment
• Home based supervision of adolescents with confirmed
• Trichomoniasis diagnosis for treatment compliance

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Referral of women with persistent vaginal discharge to next level for examination and treatment
• Home based supervision of women with confirmed
• Trichomoniasis diagnosis for treatment compliance<

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Referral of women with persistent vaginal discharge to next level for examination and treatment
• Home based supervision of women with confirmed
• Trichomoniasis diagnosis for treatment compliance

• Advocay for TB
• Health Education on TB to pregnanct women/families/communities
• Distribution of IEC materials
• Social behaviour change and communication (SBCC)
• Education on good hygiene parctices eg Promotion of cough etiquette,
• General public education on TB symptoms, cough etiquette, TB treatment and actions to take after contact with a suspected TB case
• Advise to Pregnant women to avoid contact with people with persistent cough
• General public education on good nutrition
• Promotion of multi-sectoral approach in improving housing and saniation to combat TB
• community Health workers training on TB including prevention measures

• Community Health workers training on TB including prevention measures
• Isolation for TB confirmed cases
• Pregnant women to avoid contacts with persons with TB
• Sceening for TB
• TB active case finding
• TB contact tracing TB awreness creation TB notification

• Directly Observed Therapy (DOTs) to promote adherence to medication
• Referral of pregnant women with persistent cough to next level for investigation
• Referral of people living with a suspected case of TB for investigation and possible preventive treatment

• Home based rehabilitation
• Physical exercises/Physiotherapy

• Counselling
• Linkage to TB support groups
• Psycho-social and psychological support
• Spiritual support

• Social and behavioural change communication for parents
• Promote cough etiquette and cough hygiene

• BCG vaccination
• Contact tracing, screening and management
• TB Prevention Therapy (TPT)
• Isolation of confirmed or presumptive adult TB cases

• Directly Observed Therapy (DOTs)
• Referral of presumptive TB
• TB drugs refill
• Trace and follow defaulters

• Home-based self-management rehabilitation

• Social and behavioural change communication for parents
• School health education
• Promote cough etiquette and cough hygiene

• Contact tracing, screening and management
• TB Prevention Therapy (TPT)
• Isolation of confirmed or presumptive adult TB cases

• Directly Observed Therapy (DOTs)
• Self-administrative therapy (SAT) to those with good adherence
• Referral of people with presumptive TB to next level
• Referral of people living HIV for regular screening and possible TPT * TB drugs refill for SAT
• Trace and follow up of defaulters

• Home-based self-management rehabilitation

• Contact tracing, screening and management
• Isolation of confirmed or presumptive TB cases

• Institute the following measures in homes where there is a suspected or confirmed TB case
• Adequate ventilation Education on cough etiquette Isolation of confirmed or suspected case if feasibleAdvise confirmed or suspected case to spend as much time outdoors Spend as little time as possible on public transport while smear positive Spend as little time as possible in crowded places when smear positive
• Sputum collection and transportation for TB suspects
• Isolation of confirmed TB patients at community level if possible
• Screening for TB at the community level
• Active TB case finding
• TB contacts tracing
• Referral of contacts of a confirmed TB case who have symptoms to next level for preventive treatment
• Referral of contacts of confirmed TB case who are HIV positive to next level for preventive treatment.

• Directly Observed Therapy (DOTs)
• Referral of people with presumptive TB to next level
• Referral of people living HIV for regular screening and possible TPT * Trace and follow up of defaulters Primary level

• Home-based self-management rehabilitation

• Psychosocial support
• Linkage with support groups

• Social and behavioural change communication
• Promote cough etiquette and cough hygiene

• Contact tracing, screening and management
• Isolation of confirmed or presumptive TB cases

• Directly Observed Therapy (DOTs)
• Referral of people with presumptive TB to next level
• Referral of people living HIV for regular screening and possible TPT * Trace and follow up of defaulters

• Home-based self-management rehabilitation

• Social and behavioural change communication
• Promote cough etiquette and cough hygiene

• Contact tracing, screening and management
• TB Prevention Therapy (TPT)
• Isolation of confirmed or presumptive TB cases

• Referral of people with presumptive TB to next level
• Referral of people living HIV for regular screening and possible TPT
• Direct observation of patients
• Trace and follow up of defaulters

• Social and behavioural change communication for parents
• Community awareness on the risks and prevention of sexual abuse of children

• Primary prevention of syphilis in adolescents and women of child bearing ages
• Safe sexual practice including condom use

• Referral to the next higher level

• Education of parents on the risks and prevention of sexual abuse of children

• Home based supervision of girls with confirmed Syphilis infection to comply with treatment and follow-up instructions

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practicesEducation on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Screening of female adolescents for sexual abuse during home visits by Community Health Workers
• Referral of suspected cases of sexual abuse to appropriate authorities

• Home based supervision of adolescents with confirmed Syphilis infection to comply with treatment and follow-up instructions
• Referral of adolescents with genital ulcers for syphilis screening

• Physiotherapy support for people with residual neurological effects of neurosyphilis

• Pain relief with non-opioid analgesics for patients with late or tertiary syphilis

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• Home based supervision of men and women with confirmed Syphilis infection to comply with treatment and follow-up instructions
• Referral of men and women with genital ulcers for syphilis screening

Physiotherapy support for people with residual neurological effects of neurosyphilis

Pain relief with non-opioid analgesics for patients with late or tertiary syphilis

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partne

• Home based supervision of men and women with confirmed Syphilis infection to comply with treatment and follow-up instructions
• Referral of men and women with genital ulcers for syphilis screening

Physiotherapy support for people with residual neurological effects of neurosyphilis

Pain relief with non-opioid analgesics for patients with late or tertiary syphilis

• Education for high risk reproductive age women on regular condom use with non-regular partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Education for high risk reproductive age women on regular condom use with non-regular partners
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Home based supervision of women with confirmed sexually transmitted infections to comply with treatment and follow-up
• Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment

• Education of parents on the risks and prevention of sexual abuse of children

Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms post-exposure prophylaxis (PEP) for STIs Vaccination: human papillomavirus (HPV) Vaccination: hepatitis B Risk assessment with sexual history and risk factors

Early recognition of need for referra

• Adolescent centered education on delaying sexual debut and safe sex practices School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Sensitization of traditional healers and community leaders.
• promote substance use cessation
• Promote early health seeking behaviour distribute IEC materials,
• promote condoms use to prevent STIs
• Educate communities on sex and sexual education for guidance to prevent risk factors
• Promotion of stigma reduction
• Training of community Health Workers on STI

• Screening of female adolescents for sexual abuse during home visits by Community Health Workers
• Adolescent centered education on delaying sexual debut and safe sex practices* School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Referral of suspected cases of sexual abuse to appropriate authorities

• Home based supervision of adolescents with confirmed STI diagnosis for treatment compliance
• Referral of female adolescents with STI symptoms to next level for examination and treatment
• Referral of male adolescents with urethral discharge or other STI symptoms to next level for examination and treatment

• Education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Promote early health seeking behaviour distribute IEC materials,
• Promote condoms use to prevent STIs
• Promotion of stigma reduction

Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms Vaccination: hepatitis B Risk assessment with sexual history and risk factors

Early recognition of need for referral

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Sensitization of traditional healers and community leaders.
• promote substance use cessation
• Promote early health seeking behaviour
• distribute IEC materials,
• promote condoms use to prevent STIs
• Educate communities on sex and sexual education for guidance to prevent risk factors
• Promotion of stigma reduction
• Training of community Health Workers on STI

• General public education on condom use and maintaining one sexual partner

• Home based supervision of men and women with confirmed STI diagnosis for treatment compliance
• Referral of women with STI symptoms to next level for examination and treatment
• Referral of males with urethral discharge or other STI symptoms to next level for examination and treatment

• Health education
• Create mass awareness on STIs /HIV/AIDs
• Sensitization on comprehensive sexuality education
• Health education on risk factors for STIs /HIV /AIDs
• Social and behavioural change communication
• Promote Condom use
• Promote early health seeking behaviour
• Promotion of stigma reduction
• Information Education Communication (IEC) materials distribution
• Condom and lubricants demonstration and distribution
• Strengthen CHWs and health workers knowledge on STIs/HIV/AIDs through trainings
• Training on support for GBV Including first line support at community level

• Referral of pregnant women who test positive for HIV to next level for management
• Home based supervision of HIV positive women for compliance to antiretroviral therapy
• Refills /Supply of antiretroviral therapy by trained HIV community workers

• Referral of people with signs and symptoms of opportunistic infections to hospital for treatment

• Early testing for HIV exposed infants
• Support treatment adherence to ARV for HIV infected children
• Refills /Supply of antiretroviral
• Trace loss to follow-ups

• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage with support groups

• Social and behavioural change communication for parents
• School health education
• Community awareness on the risks and prevention of sexual abuse of children

• Primary prevention of HIV in adolescents and women of child bearing ages
• Screening pregnant women for HIV
• Community outreach HIV testing

• Adherence support
• Refills /Supply of antiretroviral
• Trace loss to follow-ups

• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage with adolescent support groups

• Social and behavioural change communication
• School-based HIV education
• Peer-based HIV education
• Comprehensive sexuality education (CSE) for AGYW and adolescent boys
• Mass media on HIV awareness
• Condom social marketing
• Structural interventions (policy, legal, Cash transfers and incentives)

• Safe sexual practice including condom use
• Avoiding harmful traditional practices including sharing needles
• Community-based outreach and testing

• Support treatment adherence to ARV for HIV infected children
• Refills /Supply of antiretroviral
• Trace loss to follow-ups

• Symptomatic relief for patients with untreatable advanced HIV diseases
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage with community based support groups

• Social and behavioural change communication
• Peer-based HIV education
• Health education and risk reduction counselling
• Mass media on HIV awareness
• Condom social marketing
• Structural (policy, legal) interventions

• Safe sexual practice including condom use
• Avoiding harmful traditional practices including sharing needles
• HIV Testing including HIV self-test

• Support treatment adherence
• Refills/Supply of antiretroviral
• Trace loss to follow-ups

• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families

• Social and behavioural change communication

• Safe sexual practice including condom use
• Avoiding harmful traditional practices including sharing needles
• HIV Testing including HIV self-test

• Adherence support
• Refills /Supply of antiretroviral
• Trace loss to follow-ups

• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families

• Education at ANC and CWC on symptoms of Gonococcal eye infection in neonates and what to do if such symptoms occur
• Education for high risk reproductive age women on regular condom use with non-regular partners

• Home based supervision of women with confirmed Gonococcal infection to comply with treatment
• Referral of newborns with purulent conjunctivitis to hospital for investigation and treatmentHome based supervision of treatment of newborns with Gonococcal conjunctivitis
• Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment

Education of parents on the risks and prevention of sexual abuse of children

• Home based supervision of girls with confirmed Gonococcal diagnosis for treatment compliance
• Referral of girls with offensive vaginal discharge to next level for examination and treatment

• Adolescent centered education on delaying sexual debut and safe sex practices School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Home based supervision of adolescents with confirmed Gonococcal diagnosis for treatment compliance
• Referral of female adolescents with offensive vaginal discharge to next level for examination and treatment
• Referral of male adolescents with mucopurulent urethritis to next level for examination and treatment

• Referral of women and men with infertility to hospitals for investigation and treatment
• Referral of men with suspected urethral stricture to hospitals

Psychological support for people with infertility

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• Home based supervision of men and women with confirmed Gonococcal diagnosis for treatment compliance
• Referral of women with offensive vaginal discharge to next level for examination and treatment
• Referral of males with mucopurulent urethritis to next level for examination and treatment

• Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment
• Referral of men with suspected urethral stricture to hospitals

Psychological support for people with infertility

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• General public education on condom use and maintaining one sexual partner

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Home based supervision of men and women with confirmed Gonococcal diagnosis for treatment compliance
• Referral of women with offensive vaginal discharge to next level for examination and treatmentReferral of males with mucopurulent urethritis to next level for examination and treatment

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Education for high risk reproductive age women on regular condom use with non-regular partners

• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Education for high risk reproductive age women on regular condom use with non-regular partners

• Home based supervision of women with confirmed genital herpes to comply with treatment
• Referral of pregnant women with genital or perianal vesicles or ulcers to next level of care for investigation and treatment

• Education of parents on the risks and prevention of sexual abuse of children

• Screening of children for sexual abuse during home visits by Community Health Workers
• Referral of children suspected to be victims of sexual abuse to the next level for examination and needed treatment
• Referral of suspected cases of sexual abuse to appropriate authorities

• Home based supervision of women with confirmed genital herpes to comply with treatment
• Referral of pregnant women with genital or perianal vesicles or ulcers to next level of care for investigation and treatment

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms Screening of female adolescents for sexual abuse during home visits by Community Health Workers
• Referral of suspected cases of sexual abuse to appropriate authorities

Home based supervision of adolescents with confirmed genital herpes diagnosis for treatment compliance Referral of adolescents with genital/perianal vesicles/ulcers to next level for examination and treatment

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Home based supervision of men and women with confirmed genital herpes treatment compliance
• Referral of people with genital/perianal vesicles/ulcers to next level for examination and treatment

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Home based supervision of men and women with confirmed genital herpes treatment compliance
• Referral of people with genital/perianal vesicles/ulcers to next level for examination and treatment

• Community-based awareness campaign
• Mass media based awareness
• Community mobilisation for routine immunisation

• Breastfeeding
• Good sanitation and hygiene practices
• Safe water supply
• Danger signs recognition
• Preventive zinc supplements
• Vaccination: rotavirus

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods including breast feeding
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Community-based awareness campaign
• Mass media based awareness
• Community mobilisation for routine immunisation

• Breastfeeding
• Good sanitation and hygiene practices
• Safe water supply
• Danger signs recognition
• Preventive zinc supplements
• Vaccination: rotavirus

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods including breast feeding
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Community-based awareness campaign on sanitation, hygiene, and safe water supply
• Community mobilisation for routine immunisation

• Good sanitation and hygiene practices
• Safe water supply
• Danger signs recognition
• Preventive zinc supplements

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Community-based awareness campaign on sanitation, hygiene, and safe water supply
• Community mobilisation for routine immunisation

• Good sanitation and hygiene practices
• Safe water supply
• Danger signs recognition
• Preventive zinc supplements

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods including
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Community-based awareness campaign
• Mass media based awareness

• Good sanitation and hygiene practices
• Safe water supply

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Community-based awareness campaign
• Mass media based awareness

• Good sanitation and hygiene practices
• Safe water supply
• Danger signs recognition
• Preventive zinc supplements

• Oral rehydration salts (ORS) solution
• Oral sugar-salt solution
• Nutrient-rich foods
• Zinc supplements
• Immediate transfer of severe cases to a higher-level health care facility

• Education for high risk reproductive age women on regular condom use with non-regular partners
• Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur
• Community health workers sensitization on chlamydia including prevention measures

• Education for high risk reproductive age women on regular condom use with non-regular partners
• Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur

• Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment
• Home based supervision of women with confirmed chlamydia infection to comply with treatment
• Referral of newborns with purulent conjunctivitis to hospital for investigation and treatment
• Home based supervision of treatment of newborns with chlamydia conjunctivitis

• Referral of infants with purulent conjunctivitis to hospital for investigation and treatment

• Education of parents on the risks and prevention of sexual abuse of children
• Community health workers sesnistization on chlamydia including prevention measures

• Screening of children for sexual abuse during home visits by Community Health Workers
• Referral of children suspected to be victims of sexual abuse to the next level for examination and needed treatment
• Referral of suspected cases of sexual abuse to appropriate authorities

• Referral of girls with offensive vaginal discharge to next level for examination and treatment
• Home based supervision of girls with confirmed Chlamydia diagnosis for treatment compliance

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Community health wrkers sensitization on chlamydia including prevention measures

• Adolescent centered education on delaying sexual debut and safe sex practices
• School-based education on sexuality and safe sex practices
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Screening of female adolescents for sexual abuse during home visits by Community Health Workers
• Referral of suspected cases of sexual abuse to appropriate authorities

• Referral of female adolescents with offensive vaginal discharge to next level for examination and treatment
• Referral of male adolescents with mucopurulent urethritis to next level for examination and treatment
• Home based supervision of adolescents with confirmed Chlamydia diagnosis for treatment compliance

• Referral of women and men with infertility to hospitals for investigation and treatment (adolescent)
• Referral of men with suspected urethral stricture to hospitals (adolescent)

• Psychological support for people with infertility

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Community health workers sensitization on chlamydia including prevention measures

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Referral of adult women with offensive vaginal discharge to next level for examination and treatment
• Referral of adult males with mucopurulent urethritis to next level for examination and treatment
• Home based supervision of adult men and women with confirmed Chlamydia diagnosis for treatment compliance

• Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment (adult)
• Referral of men with suspected urethral stricture to hospitals (adult)

• Psychological support for people with infertility

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
• Community health workers sensisitization on chlamydia including prevention measures

• General public education on condom use and maintaining one sexual partner
• Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms

• Referral of elderly women with offensive vaginal discharge to next level for examination and treatment
• Referral of elderly males with mucopurulent urethritis to next level for examination and treatment
• Home based supervision of elderly men and women with confirmed Chlamydia diagnosis for treatment compliance

• Community awareness and education On Dengue
• Proper solid waste disposal and improved
• use of mosquito repellents, mosquito bed nets, mosquito coils, protective clothing and regularly removing sources of stagnant water to prevent mosquito breeding

• Primary prevention through
• Vector control against the mosquito using Indoor Residual

• Community awareness and education On Dengue
• Proper solid waste disposal and improved

• Primary prevention through
• Vector control against the mosquito using Indoor Residual

• Community awareness and education On Dengue
• Proper solid waste disposal and improved

• Primary prevention through
• Vector control against the mosquito using Indoor Residual

• Community awareness and education On Dengue
• Proper solid waste disposal and improved

• Primary prevention through
• Vector control against the mosquito using Indoor Residual

• Water storage practices, including covering of containers to prevent access by egg-laying female mosquitoes are among methods that are encouraged through community-based programmes.

• Primary prevention through Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN)
• Environmental manipulation such as frequent emptying and cleaning, by scrubbing, of water-storage vessels, flower vases and desert room coolers, cleaning of gutters, sheltering stored tyres from rainfall, recycling or proper disposal of discarded containers and tyres, management of plants close to homes that collect water in the leaf axils, street cleansing and draining of drainage system
• Environmental modification such as installation of a reliable piped water supply to communities, including household connections
• Installing mosquito screening on windows, doors and other entry points, and using mosquito nets while sleeping during daytime.
• Use of larvicides, adulticides (2-3 times annually) use of Indoor residual spraying (IRS) and insecticide treated nets (ITN)
• Mosquito-proofing of water-storage containers
• Breeding and distribution of biological control organisms such as native larvivorous fish and predatory copepods, into water-storage containers, open freshwater wells, concrete irrigation ditches and industrial tanks, wells etc.

• Community awareness and education of families and communities on Lymphatic Filariasis
• To promote positive attitudes towards people with disabilities

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling - Occupational and physiotherapy

• Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling - Occupational and physiotherapy

• Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling - Occupational and physiotherapy

• Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities.

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling- Occupational and physiotherapy

• Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling
• Occupational and physiotherapy

• Community awareness and education of families and communities on Lymphatic Filariasis to promote positive attitudes towards people with disabilities

• Primary prevention through

• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Improvement in community Water Sanitation and Hygiene (WASH)
• Vector control against the mosquito using Indoor Residual Spraying (IRS) and use of Insecticide Treated Nets (ITN) Primary prevention through
• Community screening of patients with scrotal swelling. Either the patient himself or a community health worker identifies scrotal swelling and the patient is referred or reports to a level II facility
• Management of Acute dermatolymphangioadenitis with antibiotics, antipyretics, analgesics
• Management of Lymphoedema and elephantiasis through limb washing and improved hygiene practices, wound care, foot care, wearing of suitable footwear, physiotherapy and exercise, and the application of antibacterial creams and antifungal creams

• Tertiary prevention
• Counseling - Occupational and physiotherapy

• Information and health education to women, families and community on Diphtheria including prevention measures
• Provide Information to women, families, and community on;
  • Immunization
  • Educate mothers on well baby clinics
  • Good nutrition for the mother
• Community health workers education on Diphtheria

• Timely attendance to ANC clinic
• Routine vaccination for women and girls of childbearing age with Tdap

• Recognition of features of Diphtheria in pregnant women which include:

• sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice

• Supportive management for pregnant women suspected to have Diphtheria

• Plenty of rest

• Proper nutrition for a pregnant woman with diphtheria
• Referral to a health facility of pregnant women with suspected diphtheria

• Information and health education to parents, families and Communities on immunization including vaccination schedule for the young children
• Families and community education on transmission and prevention of Diphtheria
• Community education on proper nutrition for young children/under 5s
• Education on hygiene measures for young children
• Promoting proper planning especially in urban areas to avoid over-crowding through multi-sectoral approach
• Community health workers education on Diphtheria including recognition of signs and symptoms in children and on prevention measures

• Routine vaccination for diphtheria according to the national schedule

• (use of Diphtheria toxoid-vaccine combined with tetanus toxoid (Td) as well with other antigens such as pertussis (DTwP/DTaP/Tdap)

• Proper Nutrition for children under 5 years of age
• Defaulter tracing for children who are not fully immunize
• Identify trends of the disease in the community/Active surveillance and early detection of diphtheria
• Record keeping/reporting
• Contact tracing for those in contact with infected persons
• Quarantine suspected cases
• 0utreach services to the communities
• Recording and reporting of diphtheria cases through established reporting mechanisms

• Recognition of features of Diphtheria in under 5s which include: _ sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice
• Supportive management for children under 5 years of age with Diphtheria

• Breastfeeding for the infants - Plenty of rest - Proper nutrition for a child with diphtheria

• Referral to a health facility of the child with worsening condition due to suspected diphtheria

• Information/education on transmission and prevention of Diphtheria
• Education on proper nutrition for primary school age children - Proper sanitation - School health program
• Community health workers education on Diphtheria including recognition of signs and symptoms in primary school age children and on prevention measures

• Vaccination-booster doses of diphtheria toxoid-containing vaccine
• Contact tracing for primary school age children who have been in contacts with patients with Diphtheria
• Quarantine for contacts

• Recognition of features of worsening condition due to diphtheria – such as shortness of breath
• Supportive management for primary school age children with Diphtheria - Plenty of rest
• Proper nutrition for a child with diphtheria
• Recognition of features of Diphtheria in primary school age children which include: _ sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice
• Referral to a health facility of the child with suspected diphtheria

• Adolescents and Families education on transmission and prevention of Diphtheria
• Community education on proper nutrition for adolescents
• Proper sanitation
• Promoting proper planning especially in urban areas to avoid over-crowding through multi sector al approach
• Community health workers education on Diphtheria including prevention and recognition of signs of Diphtheria adolescents

• Recognition of features of Diphtheria in adolescents which include: _ sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice
• Supportive management for adolescents with Diphtheria - Plenty of rest
• Proper nutrition for adolescents with diphtheria
• Recognition of features of worsening condition due to diphtheria – such as shortness of breath
• Referral to a health facility of adolescent with suspected diphtheria

• Families and community education on transmission and prevention of
• Education on proper nutrition for adults
• Proper sanitation
• Promoting proper planning especially in urban areas to avoid over-crowding through multi sector al approach
• Community health workers education on diphtheria including prevention measure

• Vaccination-booster doses of diphtheria toxoid-containing vaccine for adolescents
• Contact tracing
• Quarantine for contacts

• Recognition of features of Diphtheria in adults which include: _ sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice
• Supportive management for adults with Diphtheria - Plenty of rest
• Recognition of features of worsening condition due to diphtheria –such as shortness of breath
• Proper nutrition for adult with diphtheria
• Referral to a health facility of adult with suspected diphtheria

• Information to Families and community education on transmission and prevention of diphtheria
• Awareness creation on hygiene measures
• Community education on proper nutrition for the elderly
• Proper sanitation
• Promoting proper planning especially in urban areas to avoid over-crowding
• Community health workers education on diphtheria including prevention measures

• Vaccination-booster doses of diphtheria toxoid-containing vaccine for adolescents
• Contact tracing
• Quarantine for contacts

• Recognition of features of Diphtheria in the elderly which include; _ sore throat, low fever and swollen glands in the neck, a thick coating in the throat or nose, hoarse voice
• Supportive management for the elderly with Diphtheria - Plenty of rest
• Proper nutrition for elderly with diphtheria
• Recognition of features of worsening condition due to diphtheria –such as shortness of breath
• Referral to a health facility of the elderly with suspected diphtheria

• Education and awareness creation on Hepatitis B including transmission and prevention measures
• Education on safe sex practices among the mothers
• Awareness creation on safer sex practices, including minimizing the number of partners and using barrier protective measures (condoms)
• Condom distribution
• Mass awareness campaigns such as World Hepatitis Day and World immunization Week
• Maternal counseling
• Promote ANC attendance
• Distribution of IEC materials on Hepatitis B
• Community health workers training on Hepatitis B,including prevention measures

• Hepatitis B vaccination
• Routine Maternal screening for Hep B.Encourage health-facility deliveries
• Follow up for infants born at home and link the mothers to the health facilities for vaccination

• Provision of high caloric diet
• Adequate of fluids
• Restricted physical activity
• Exclusive Breastfeeding for the newborn
• Referral to a health facility

• Community health workers training on Hepatitis B, including prevention measures among children
• Health Education to parents/families /communities on Heaptitis B
• Awareness creation among parents/communities on Hepatitis B including transmission and prevention measures
• Distribution of IEC materials on Hepatitis B
• Create awareness on the importance of Hepatitis B vaccination for the children
• Mass awareness campaigns such as World Hepatitis Day and World immunization Week
• Promote Child Welfare Clinics CWC attendance

• Catch-up immunization for older children who missed immunization as infants / ie hepatitis B vaccine for: Children not vaccinated at birth.
• Screening for Hepatitis B especially among under 5s at risk i.e those living with someone with Hepatitis B
• Linkage to health facilities

• Supportive management
• Relieve of pain
• Optimum fluid
• Healthy diet
• Promote breastfeeding
• Referral to the next level health facility

• Awareness creation on Hepatitis B including transmission and prevention measures
• Health Education on Hepatitis B
• Mass awareness campaigns through such days as World Hepatitis Day and World immunization Week
• Awareness creation on other risky behaviours such as illicit drugs and sharing needles and other sharp objects; no sharing personal items
• Distribution of IEC materials on Heaptitis B
• • Promote testing for HBV and for HIV/AIDs
• Provide Hepatitis B testing services.
• Community health workers training on Hepatitis B,including prevention measures

• Catch-up immunization for older children who missed immunization as infants /The hepatitis B vaccine for:the primary school age not vaccinated at birth
• Screening the children at high risk –I,e children living with persons infected with Hepatitis B
• Linkage to health facilities

• Recognition of features on Hepatitis B infection in primary school age children such as yellowing of the skin and eyes (jaundice), dark urine, tiredness, nausea, vomiting and abdominal pain.
• Supportive management
• Relieve of pain with painkillers such as paracetamol
• Provision of plenty of fluids
• Provision of Healthy diet to the child
• Promote breastfeeding
• Encourage plenty of sleep
• Encourage Exercises
• • Referral of a child suspected to have Hepatitis B to a health facility

• Awareness creation on Hepatitis B including transmission and prevention measures
• Health Education on Hepatitis B
• Mass awareness campaigns through such days as World Hepatitis Day and World immunization Week
• Awareness creation on safer sex practices, including minimizing the number of partners and using barrier protective measures (condoms),
• Awareness creation on other risky behaviours such as illicit drugs and sharing needles and other sharp objects; no sharing personal items
• Distribution of IEC materials on Heaptitis B
• condom distribution
• Promote testing for HBV and for HIV/AIDs
• Provide Hepatitis B testing services.
• Community health workers training on Hepatitis B,including prevention measures

• Hepatitis B vaccination for adolescents not vaccinated at birth
• Screening the adolescents at high Risk. - Adolescents living with someone who has hepatitis B - Those with a sexually transmitted infection, including HIV - Gay adolescents - Adolescents with multiple sexual partners. - Those who inject illegal drugs or share needles and syringes - Adolescents planning to travel to an area of the world with a high prevalence of Hep B

• Recognition of features on Hepatitis B infection in adolescents such as yellowing of the skin and eyes (jaundice), dark urine, tiredness, nausea, vomiting and abdominal pain.
• Supportive management F adolescents with Hepatitis B
• Relieve of pain with painkillers
• Provision of Healthy diet to the adolescents.
• Plenty of fluids.
• Encourage Exercises.
• Encourage the adolescent with suspected Hepatitis B to have Enough sleep/rest
• Referral to a health facility

• Community awareness creation on Hepatitis B transmission, prevention measures and treatment

• Safer sex practices,
• Barrier protective measures (condoms)
• Avoiding harmful traditional practices and blood contaminated sharp objects

• Provision of high caloric diet
• Adequate of fluids
• Restricted physical activity
• Referral to next level health facility

• Community awareness creation on Hepatitis B transmission, prevention measures and treatment

• Provision of high caloric diet
• Adequate of fluids
• Restricted physical activity
• Referral to next level health facility

• Create awareness to mothers and families on Hepatitis A including risk factors
• Families and community education on proper hygiene measuresSensitize communities on use of clean, safe waterEducation families on proper human waste disposal -including for children
• Community health workers training/sensitization on Hepatitis A including prevention measure

• Observation of personal hygiene practices such as;
• Regular hand-washing before meals and after going to the bathroom
• Proper disposal of human waste within communities
• Proper food hygiene including proper cooking/heating
• Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant

• Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes
• Supportive Home remedie ;
• Plenty of rest
• Plenty of fluids/hydration
• Referral to a health facility if symptoms worsen

• Create awareness to mothers and families/communities on Hepatitis A including risk factors
• Families and community education on proper hygiene measuresSensitize communities on use of clean, safe waterEducation families on proper human waste disposal -including for children
• Community health workers training/sensitization on Hepatitis A including prevention measure

• Reduce chances of infections and transmission to others through advice and sensitization on Observation of personal hygiene practices such as;
• Regular hand-washing before meals and after going to the bathroom
• Proper disposal of human waste within communities
• Proper food hygiene including proper cooking/heating
• Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant

• Recognition of features of Hepatitis A in children under 5 years of age including yellowing of the skin and whites of the eyes N/B Most children under 6 don’t usually experience noticeable symptoms, and only 10% develop jaundice.
• Supportive Home remedies;
• Plenty of rest
• Plenty of fluids/hydration
• Breastfeeding for the infants
• Referral to a health facility if symptoms worsen

• Create awareness through schools and communities on Hepatitis A including risk factors;-
• Individuals education on the need for strict enteric precautions especially for individuals with HAV
• Schools and community education on proper hygiene measures; Advice on Improved sanitation.
• Sensitize through schools and families on use of clean, safe water
• Community health workers training/sensitization on Hepatitis A including prevention measure
• Sensitization of teachers and school communities on Hepatitis A and prevention measures

• School health programs
• Reduce chances of infections and transmission to others through advice and sensitization on;-
• Proper hand hygiene
• Proper food hygiene including;
• proper cooking/heating
• Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant .

• Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes
• Supportive Home remedies;
• Plenty of rest
• Plenty of fluids/hydration
• Referral to a health facility if symptoms worsen

• Create community awareness on Hepatitis A including risk factors:
• Individuals and families education on the need for strict enteric precautions especially for individuals with HAV
• Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals, families and community education on proper hygiene measures
• Advice on Improved sanitation
• Sensitize communities on use of clean, safe water
• Community health workers education/sensitization on Hepatitis A including prevention measure

• Reduce chances of infections and transmission to others through Observation of personal hygiene practices such as;
• Regular hand-washing before meals and after going to the bathroom
• Proper disposal of human waste within communities
• Proper food hygiene including proper cooking/heating
• Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant

• Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes
• Referral to a health facility if symptoms worsen
• Supportive Home remedies;
• Plenty of rest
• Plenty of fluids/hydration
• Advise on avoidance of alcohol as these can worsen the effects of HAV on the liver
• Referral to a health facility if symptoms worsen

• Create awareness on the benefits of immunization, particularly in high-risk individuals
• Individuals and families education on the need for strict enteric precautions especially for individuals with HAV
• Individuals, families and community education on proper hygiene measuresAdvice on Improved sanitation
• Sensitize communities on use of clean, safe water
• Community health workers training/sensitization on Hepatitis A including prevention measure

• Reduce chances of infections and transmission to others through Observation of personal hygiene practices such as,
• Regular hand-washing before meals and after going to the bathroom
• Proper disposal of human waste within communities
• Proper food hygiene including proper cooking/heating
• Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant

• Recognition of possible features of Hepatitis A including fever, malaise,loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes
• Referral to a health facility if symptoms worsen
• Supportive Home remedies;
• Plenty of rest
• Plenty of fluids/hydration
• Advice on avoidance of alcohol as these can worsen the effects of HAV on the liver

• Create community awareness on Hepatitis A including risk factors;
• Individuals and families education on the need for strict enteric precautions especially for individuals with HAV
• Create awareness on the benefits of immunization, particularly in high-risk individuals
• Individuals, families and community education on proper hygiene measuresAdvice on Improved sanitation
• Sensitize communities on use of clean, safe water
• Community health workers education/sensitization on Hepatitis A including prevention measure

• Reduce chances of infections and transmission to others through
• Observation of personal hygiene practices such as, - Regular hand-washing before meals and after going to the bathroom - Proper disposal of human waste within communities
• Proper food hygiene including proper cooking/heating - Use clean safe water for drinking
• Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected
• Proper cleaning of Contaminated surfaces/with disinfectant

• Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes.
• Supportive Home remedies;
• Plenty of rest
• Plenty of fluids/hydration
• Advice on avoidance of alcohol as these can worsen the effects of HAV on the liver
• Referral to a health facility if symptoms worsen

• Create awareness to mothers and families on Hepatitis E including risk factors
• Families and community education on proper hygiene measures Sensitize communities on consumption of clean, safe waterEducation families on proper human waste disposal -including for children.
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Proper disposal of human waste/feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools - proper nutrition - Adequate rest - relieving fever through use of pain killers
• Supportive treatment including
• Referral to a health facility for further management if symptoms worsen

• Create awareness to mothers and families/communities on Hepatitis A including risk factors
• Families and community education on proper hygiene measuresSensitize communities on use of clean, safe waterEducation families on proper human waste disposal -including for children.
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Monitoring and Proper record keeping/reporting especially in out breaks situation
• Proper disposal of human waste/feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools
• Supportive treatment including; - proper nutrition - Adequate rest
• Relieving fever through use of pain killers/tepid sponging
• Referral to a health facility in case symptoms worsens

• Create awareness on Hepatitis E disease the transmission mode and preventive measures
• Education on good hygiene practices

• Improve access to clean and safe drinking water - Water sources protection e g. protection of wells

• Strategies to address poverty especially for resource poor areasImprove access to good sanitation/including safe human waste disposal in communities including in congregate populations
• Improve access to health servicesStrategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Monitoring and Proper record keeping/reporting especially in out breaks situation
• Proper disposal of human waste /feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools
• Relieving fever through use of pain killers/tepid sponging
• Supportive treatment including, - proper nutrition - Adequate rest
• Referral to a health facility in case symptoms worsens

• Create awareness on Hepatitis E disease, the transmission mode and preventive measures
• Education on good hygiene practices
• Improve access to clean and safe drinking water
• Strategies to address poverty especially for resource poor areas Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations
• Improve access to health services
• Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Monitoring and Proper record keeping/reporting especially in out breaks situation.
• Proper disposal of human waste /feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools ( Hepatitis E—Most common in this age group)
• Supportive treatment including; - proper nutrition - Adequate rest
• Relieving fever through use of pain killers
• Referral to a health facility in case symptoms worsens (hepatitis E—Most common in this age group)

• Create awareness on Hepatitis E disease,the transmission mode and preventive measures
• Education on good hygiene practicesImprove access to clean and safe drinking waterStrategies to address poverty especially for resource poor areas
• Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations
• Improve access to health services
• Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Intersect oral collaboration to address social determinants of health e.g. Sanitation
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Maintaining quality standards for public water supplies
• Monitoring and Proper record keeping/reporting especially in out breaks situation.
• Proper disposal of human waste /feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow colour of the skin and whiteness of the eyes, with dark urine and pale stools
• Supportive treatment including - proper nutrition - Adequate rest - Relieving fever through use of pain killers
• Referral to a health facility in case symptoms worsens

• Create awareness on Hepatitis E disease, the transmission mode and preventive measures Education on good hygiene practicesImprove access to clean and safe drinking water
• Strategies to address poverty especially for resource poor areas
• Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations
• Improve access to health services
• Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challengesIntersectoral collaboration to address social determinants of health e.g. Sanitation
• Community health workers education/sensitization on Hepatitis E including prevention measures

• Maintaining quality standards for public water supplies
• Monitoring and Proper record keeping/reporting especially in out breaks situation.
• Proper disposal of human waste /feaces
• Maintaining individual hygiene practices
• Consumption of clean safe water
• Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases

• Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow colour of the skin and whiteness of the eyes,with dark urine and pale stools
• Supportive treatment including; - proper nutrition - Adequate rest
• Relieving fever through use of pain killers/tepid sponging
• Referral to a health facility in case symptoms worsens

• Create awareness on diabetes including prevention measures
• Create awareness on health diets for the pregnant women
• Education to pregnant women, Families and communities on importance of physical exercise
• Creation of awareness on avoidance risk factors such as avoidance of tobacco use and harmful use of alcohol.
• Distribution of IEC materials
• Community Health workers training on diabetes including prevention measures

• Periodic screening for diabetes
• Guidance on health lifestyle including
• A healthy diet to achieve or maintain normal body weight
• Advice on regular physical activity e.g. walking
• Advise to Overweight mothers should be advised maintaining a healthy weight
• Advice on avoidance of tobacco use and harmful use of alcohol.

• Recognition of symptoms indicative of diabetes including thirst, frequent urination, blurring of vision and fatigue
• Referral to a health facility for pregnant women suspected to have diabetes
• Encourage the mothers with per-existing diabetes to eat a healthy balanced diet
• Encourage the pregnant women with pre-existing diabetes to have regular daily physical activity
• Recognition of features indicative of acute diabetic complications which include -headache,- hunger - irritability, anxiety - sweating, - trembling, - difficulty in speaking, - confusion, coma
• Adherence to medication for pre-existing diabetes -in pregnant
• Give glucose to the patient with signs of acute diabetic complications if the patient can swallow - before referral) - Frequent Blood sugar monitoring
• Emergency Referral to a health facility for pregnant women suspected to have  acute diabetes emergencies

• Community rehabilitation services for persons with diabetic complications (physical, occupational and speech rehabilitation to help with mobility, speech and cognitive impairments related to diabetes)

• Psycho social support to incorporate total quality of life in diabetics including behavioral, mood, attitude, and emotional support and also to improve adherence to treatment
• Enrollment to support groups

• Create awareness to parents, families and communities on type 1 diabetes
• Awareness creation on measures to prevent complications of type 1 diabetes among children
• Awareness creation on healthy diets for children, physical activity
• Community health workers education on diabetes including type 1 diabetes and its management

• Interventions to prevent complications for type 1 diabetes including
• Helping the child maintain good blood sugar control
• Teaching the child the importance of eating a healthy diet and participating in regular physical activity
• Scheduling regular check ups for the child with the health workers -including eye check up

• Recognition of signs that are indicative of diabetes in children including Increased thirst, Frequent urination, (possibly bed-wetting in a toilet-trained child), extreme hunger, Unintentional weight loss, Fruity-smelling breath
• Referral of child suspected to have diabetes to a health facility for definitive diagnosis and management
• Adherence to medication/administration of insulin injection for the child with type I diabete
• Giving the child healthy foods
• Encouraging and helping the child to Exercise regularly
• Frequent blood sugar monitoring
• Management of suspected low blood sugar in the child (with a fast-acting carbohydrate, such as fruit juice, glucose tablets, hard candy, soda
• Recognition of signs of acute diabetic emergencies (low blood sugar and high blood sugar)
• Emergency referral to a health facility

• Community based rehabilitation services - physical speech rehabilitation to help with mobility, speech impairments related to diabetes

• Psychosocial support to incorporate total quality of life in diabetics including behavioral, mood, attitude, and emotional support and also to improve adherence to treatment
• Enrollment to support groups

• Educate community to create awareness to identify diabetes symptoms early

Integrated counselling on healthy diet, physical activity, Encourage compliance with medications, and regular clinical check-ups and prevention of complications

• Immediate transfer of suspected diabetes cases to a higher-level health care facility

• Self-management education
• Physical activity counselling and exercise training

• Emotional and psychosocial support to patients and family members

• Educate community to create awareness to identify diabetes symptoms early

• Physical activity/exercises for weight control
• Achieve and maintain a healthy body weight
• Eating healthy diets, e.g. avoiding sugar and saturated fats
• Avoidance of tobacco use – smoking increases the risk of diabetes and cardiovascular disease.

• Immediate transfer of suspected diabetes cases to a higher-level health care facility

• Home-based self-management rehabilitation
• Physical activity counselling and exercise training

• Psychosocial support
• Behavioural, mood, attitude, and emotional support to patients and family members
• Enrolment to support groups

• Community engagement/sensitization on risk factors for diabetes mellitus and preventive measures such as weight control, regular exercise, healthy diet, and stress management

• Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise.
• Screen blood sugar through community screening services

• Lifestyle management
• Self-monitoring of blood glucose
• Immediate transfer of suspected diabetes cases to a higher-level health care facility

• Home-based self-management rehabilitation
• Physical activity counselling and exercise training

• Psychosocial support
• Behavioural, mood, attitude, and emotional support to patients and family members
• Enrolment to support groups

• Community engagement/sensitization on risk factors for diabetes mellitus and preventive measures such as weight control, regular exercise, healthy diet and stress management

• Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise.
• Screen blood sugar through community screening services

• Lifestyle management
• Self-monitoring of blood glucose
• Immediate transfer of suspected diabetes cases to a higher-level health care facility

• Home-based self-management rehabilitation
• Physical activity counselling and exercise training

• Psychosocial support
• Behavioural, mood, attitude and emotional support to patients and family members
• Enrolment to support groups

• Awareness creation on rabies and prevention measures including preventing dog bites
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites and immediate care measures after a bite
• Community Health workers training on rabies ,prevention measures and its management

• Eliminating rabies in dogs- through Vaccinating dogs (multi-sectoral approach with veterinary departments )
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include:if the biting mammal is a known rabies reservoir or vector species; the exposure occurs in a geographical area where rabies is still present,the animal looks sick or displays abnormal behavior,a wound was contaminated by the animal’s saliva,the bite was unprovoked, the animal has not been vaccinated,The vaccination status of the suspect animal is questionable
• First aid for the pregnant woman following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent, and /or anti septic’s such povidone iodine
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility for PEP and further management
• Report/alert the veterinary services to remove the biting animal from the community /quarantined

• Awareness creation on rabies and prevention measures including preventing dog bites
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites and immediate care measures after a bite
• Community Health workers training on rabies , prevention measures and its management

• Eliminating rabies in dogs- through Vaccinating dogs (multi-sectoral approach with veterinary departments)
• Advice and Referral to hospitals for Immunization consideration for children living in, high rabies exposure risk areas ( As they play with animals, they may receive more severe bites,may not report bites.)
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include:if the biting mammal is a known rabies reservoir or vector species, the exposure occurs in a geographical area where rabies is still present, the animal looks sick or displays abnormal behavior, a wound was contaminated by the animal’s saliva, the bite was unprovoked, the animal has not been vaccinated. The vaccination status of the suspect animal is questionable
• First aid to a child following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent/anti septic’s such povidone iodine
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility
• Report/alert the veterinary services to remove the biting animal from the community/quarantined

• Awareness creation on rabies and prevention measures including preventing dog bites
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites, immediate care measures after a bite.
• Community Health workers training on rabies ,prevention measures and its management

• Eliminating rabies in dogs-through Vaccinating dogs (multi-sectoral approach with veterinary departments)
• Advice and Referral to hospital for Immunization consideration for children living in, high rabies exposure risk areas ( As they play with animals, they may receive more severe bites, or may not report bites)
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include:if the biting mammal is a known rabies reservoir or vector species, the exposure occurs in a geographical area where rabies is still present, the animal looks sick or displays abnormal behavior, a wound was contaminated by the animal’s saliva, the bite was unprovoked, the animal has not been vaccinated. The vaccination status of the suspect animal is questionable
• First aid to a child following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent,anti septic’s such povidone iodine
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility for PEP vaccination and further management
• Report/alert the veterinary services to remove the biting animal from the community/quarantined

• Awareness creation on rabies and prevention measures including preventing dog bites.
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites, immediate care measures after a bite.
• Community Health workers education on rabies ,prevention measures and its management

• Eliminating rabies in dogs- through Vaccinating dogs. (multi-sectoral approach with veterinary departments)
• Advice and Referral to hospital for Pre-exposure immunization for adolescents in high-risk occupations such as, laboratory workers handling live rabies and rabies-related (lyssavirus) viruses; and adolescents whose profession brings them direct contact with animals e.g. wildlife rangers
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include:if the biting mammal is a known rabies reservoir or vector species; the exposure occurs in a geographical area where rabies is still present, the animal looks sick or displays abnormal behaviour, a wound was contaminated by the animal’s saliva, the bite was unprovoked, the animal has not been vaccinated. The vaccination status of the suspect animal is questionable
• First aid to an adolescent following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent/anti septic’s such povidone iodine
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility
• Report/alert the veterinary services to remove the biting animal from the community/quarantined

• Awareness creation on rabies and prevention measures including preventing dog bites.
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites and immediate care measures after a bite.
• Community Health workers education on rabies ,prevention measures and its management

• Eliminating rabies in dogs- through Vaccinating dogs
• Advice and Referral to hospital for Pre-exposure immunization for adults in high-risk occupations such as, laboratory workers handling live rabies and rabies-related (lyssavirus) viruses and those whose profession brings them direct contact with animals e.g. wildlife rangers
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include:if the biting mammal is a known rabies reservoir or vector species; the exposure occurs in a geographical area where rabies is still present, the animal looks sick or displays abnormal behavior, a wound was contaminated by the animal’s saliva, the bite was unprovoked, the animal has not been vaccinated, The vaccination status of the suspect animal is questionable
• First aid to an adult following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e Thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent/anti septic’s such povidone iodin
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility
• Report/alert the veterinary services to remove the biting animal from the community/quarantined

• Awareness creation on rabies and prevention measures including preventing dog bites.
• Education on dog behavior and bite prevention
• Increasing awareness of rabies prevention and control in communities including education and information on responsible pet ownership, how to prevent dog bites, and immediate care measures after a bite.
• Community Health workers training on rabies ,prevention measures and its management

• Eliminating rabies in dogs- through Vaccinating dogs
• Advice and Referrals to hospitals for Pre-exposure immunization for elderly in high-risk occupations such as; laboratory workers handling live rabies and rabies-related (lyssavirus) viruses, and elderly whose profession brings them direct contact with animals e.g. wildlife rangers
• Joint contact tracing by veterinary and public health services to identify additional suspected rabid animals and human bite victims, with the goal to apply preventive measures accordingly
• Record keeping and reporting to the public health departments and veterinary departments

• Recognition of animal bite exposures categorized as carrying a risk of developing rabies which include: if the biting mammal is a known rabies reservoir or vector species; the exposure occurs in a geographical area where rabies is still present, the animal looks sick or displays abnormal behavior, a wound was contaminated by the animal’s saliva, the bite was unprovoked, the animal has not been vaccinated, The vaccination status of the suspect animal is questionable
• First aid to the elderly following a deep bite or scratch from an animal suspected to have rabies, through extensive wound washing—i.e; Thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent/anti septic’s such povidone iodine
• Relive any pain with pain killers such as paracetamol
• Immediate Referral to a health facility
• Report/alert the veterinary services to remove the biting animal from the community/to quarantine the animal

• Education and awareness creation on yellow fever including transmission and prevention measures
• Education on the need for yellow fever vaccination
• Education on vector/mosquito control measures
• Distribution of IEC materials
• Community health workers training on yellow fever including prevention measures

• Promote vaccination with yellow fever vaccine for pregnant women during yellow fever out breaks when the risk of infection is high
• Recognition and control of outbreaks using mass immunization in high-risk areas where vaccination coverage is low
• Requirement for travelers to provide certificate of yellow fever vaccine in line with the International Health Regulations
• Eliminating potential mosquito breeding sites to reduce risk of yellow fever transmission in urban area
• Vector surveillance targeting Aedes aegypti and other Aedes species to inform where there is a risk of an outbreak and hence inform vector control activities, human disease surveillance an
• Personal preventive measures such as clothing minimizing skin exposure and repellents to avoid mosquito bites
• Recording and reporting on yellow fever to health departments

• Recognition of features indicative of yellow fever including fever, headache, yellowing of the skin and eyes, muscle pain, nausea, vomiting and fatigue
• Relieve symptoms through
• Relieve fever through use medicines such as paracetamol
• Relieve pain through use of painkillers such as paracetamol
• Give fluids to the patient
• Referral to a health facility for further management

• Education and awareness creation on yellow fever including transmission and prevention measures
• Awareness creation on yellow fever vaccination
• Education on vector/mosquito control measures
• Distribution of IEC materials on Yellow fever
• Mass awareness campaigns on yellow fever
• Community health workers training on yellow fever including prevention measures

• Promote Vaccination of children for life-long protection against yellow fever disease through
• Promote Routine infant immunization
• mass vaccination campaigns designed to increase coverage in countries at risk
• Promote vaccination for travelers going to yellow fever endemic areas
• Prompt recognition and control of outbreaks using mass immunization in high-risk areas where vaccination coverage is low
• Eliminating potential mosquito breeding sites to reduce risk of yellow fever transmission in urban areas
• Vector surveillance targeting Aedes aegypti and other Aedes species to inform where there is a risk of an outbreak and hence inform vector control activities, human disease surveillance and testing
• Personal preventive measures such as clothing minimizing skin exposure and repellents to avoid mosquito bites.
• Recording and reporting on yellow fever to health departments

• Recognition of features indicative of yellow fever including fever, headache, yellowing of the skin and eyes, muscle pain, nausea, vomiting and fatigue
• Relieve symptoms through * Relieve fever through use medicines such as paracetamol
• Relieve pain through use of painkillers such as paracetamol * Give fluids to the patient
• Referral to a health facility for further management

• Strengthen families and community-based awareness on Yellow Fever including transmission and prevention measures * Information and health education to parents, families and Communities on immunization including vaccination schedule for young children

• Integrated vector control management (ITN, IRS, larva source management, etc.) * Vaccination: Yellow fever and other routine on schedule vaccination
• Personal protective measures (mosquito repellent, long sleeved clothes)

• Recognition of Yellow Fever symptoms
• Supportive care (e.g., fever reduction, hydration, feeding, etc.)
• Referrals to a health facility if symptoms worsen

• Education and awareness creation on yellow fever including transmission and prevention measures
• Awareness creation on yellow fever vaccination
• Education on the need for yellow fever vaccination
• Education on vector/mosquito control measures
• Distribution of IEC materials
• Community health workers training on yellow fever including prevention measures

• Promote Vaccination for life-long protection against yellow fever disease through
• Mass vaccination campaigns designed to increase coverage in countries at risk
• Promote vaccination for travelers going to yellow fever endemic areas
• Prompt recognition and control of outbreaks using mass immunization in high-risk areas where vaccination coverage is low
• Eliminating potential mosquito breeding sites to reduce risk of yellow fever transmission in urban areas
• Vector surveillance targeting Aedes aegypti and other Aedes species to inform where there is a risk of an outbreak and hence inform vector control activities, human disease surveillance and testing
• Personal preventive measures such as clothing minimizing skin exposure and repellents to avoid mosquito bites.
• Recording and reporting on yellow fever to health departments

• Recognition of features indicative of yellow fever including fever, headache, yellowing of the skin and eyes, muscle pain, nausea, vomiting and fatigue
• Relieve symptoms through
• Relieve fever through use medicines such as paracetamol
• Relieve pain through use of painkillers such as paracetamol
• Give fluids to the patient
• Referral to a health facility for further management

• Strengthen families and community-based awareness on Yellow Fever including transmission and prevention measures * Information and health education to parents, families and communities on Yellow Fever vaccination

• Integrated vector control management (ITN, IRS, larva source management, etc.) * Vaccination: Yellow fever
• Personal protective measures (mosquito repellent, long sleeved clothes)

• Recognition of Yellow Fever symptoms
• Supportive care (e.g., fever reduction, hydration, feeding, etc.)
• Referrals to a health facility if symptoms worsen

• Education and awareness creation on yellow fever including transmission and prevention measures
• Education on the need for yellow fever vaccination
• Education on vector /mosquito control measures
• Distribution of IEC materials
• Community health workers training on yellow fever including prevention measures

• Promote Vaccination for life-long protection against yellow fever disease through
• Mass vaccination campaigns designed to increase coverage in countries at risk
• Promote vaccination for travelers going to yellow fever endemic areas
• Prompt recognition and control of outbreaks using mass immunization in high-risk areas where vaccination coverage is low.
• Requirement for travelers to provide certificate of yellow fever vaccine in line with the International Health Regulations (IHR)
• Eliminating potential mosquito breeding sites to reduce risk of yellow fever transmission
• Vector surveillance targeting Aedes aegypti and other Aedes species to inform where there is a risk of an outbreak and hence inform vector control activities, human disease surveillance and testing
• Personal preventive measures such as clothing minimizing skin exposure and repellents to avoid mosquito bites.
• Recording and reporting on yellow fever to health departments

• Recognition of features indicative of yellow fever including fever, headache, yellowing of the skin and eyes, muscle pain, nausea, vomiting and fatigue
• Relieve symptoms through - Relieve fever through use medicines such as paracetamol
• Relieve pain through use of painkillers such as paracetamol
• Give fluids to the patient
• Referral to a health facility for further management

• Create awareness to pregnant women on Hepatitis C including transmission, risk factors and prevention measures
• Mass awareness campaigns during health days such as World Hepatitis Day
• Education to mothers on safe sex practices
• Community health workers training/sensitization on Hepatitis C, including transmission & prevention measures

• Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Safe handling and disposal of sharps and waste;
• Safe sex practices
• Prevention of exposure to blood during sex;
• Promotion of Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Proper nutrition, fluids; rest and relieve pain
• Referral to a health facility if symptoms worsens

• Create awareness to parents and families on Hepatitis C including transmission, risk factors and prevention measures
• Mass awareness campaigns during health days such as World Hepatitis Day
• Community health workers training/sensitization on Hepatitis C, including

• Guidance to children on primary prevention measures including
• Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Guidance to children on safe handling and disposal of sharps and waste
• Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Recognition of features indicative of Hepatitis C in children under 5 years of age including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes
• Supportive Home therapies for Children with Hepatitis C including; - proper nutrition - Plenty of fluids - plenty of rest - relieve pain
• Referral to a health facility if symptoms worsens

• Create awareness to school age children on Hepatitis C including transmission, risk factors and prevention measure
• Mass awareness campaigns during health days such as World Hepatitis DayAwareness campaigns through schools
• Community health workers sensitization on Hepatitis C, including transmission & prevention measures
• school communities sensitization on Hepatitis C, including transmission & prevention measures

• Guidance to children on Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Guidance to children on safe handling and disposal of sharps and waste
• Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Recognition of features indicative of Hepatitis C in school children including fever, nausea, vomiting, abdominal pain, and yellowing of skin and the whites of the eyes
• Supportive Home therapies for school children with Hepatitis C including - proper nutrition - Plenty of fluids - plenty of rest - relieve pain
• Referral to a health facility if symptoms worsens

• Create awareness to adolescents and families on Hepatitis C including transmission, risk factors and prevention measures
• Mass awareness campaigns during health days such as World Hepatitis Day
• Education to adolesents on Hepatitis C
• Education to adolescents on safe sex practices
• Distribution of IEC materials
• Community health workers sensitization on Hepatitis C, including transmission & prevention measures

• Guidance to adolescents on Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Guidance to adolescents on Safe handling and disposal of sharps and waste
• Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Recognition of features indicative of Hepatitis C in adolescents including fever, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes
• Supportive Home therapies for adolescents with Hepatitis C including - proper nutrition - Plenty of fluids - plenty of rest - relieve pain
• Referral to a health facility if symptoms worsens

• Community Rehabilitation centers for adolescent at risk e.g for provision comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence

• Create awareness to adults and families on Hepatitis C including transmission, risk factors and prevention measures
• Mass awareness campaigns during health days such as World Hepatitis Day
• Provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Health education on hepatitis C
• Education on safe sex practices
• Distribution of IEC materials
• Community health workers sensitization on Hepatitis C, including transmission & prevention measures

• Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers)
• Safe handling and disposal of sharps and waste
• Safe sex practices -prevention of exposure to blood during sex
• Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Recognition of features indicative of Hepatitis C in adults including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes
• Supportive Home therapies for adults with Hepatitis C including; proper nutrition - Plenty of fluids - plenty of rest - relieve pain
• Referral to a health facility if symptoms worsens

• Community Rehabilitation centers for Adults at risk e.g for provision comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence

• Create awareness to the elderly and families on Hepatitis C including transmission, risk factors and prevention measures
• Mass awareness campaigns during health days such as World Hepatitis Day
• Provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence
• Health education on hepatitis C - Education on safe sex practices - Distribution of IEC materials
• Community health workers sensitization on Hepatitis C, including transmission & prevention measures

• Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) - Safe handling and disposal of sharps and waste - Safe sex practices -prevention of exposure to blood during sex
• Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver
• Screening for Hepatitis C infection

• Recognition of features indicative of Hepatitis C in the elderly including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes
• Referral to a health facility if symptoms worsens
• Supportive Home therapies for the elderly persons with Hepatitis C including; proper nutrition - Plenty of fluids - plenty of rest - relieve pain
• Referral to a health facility if symptoms worsens

• Community Rehabilitation centers for elderly at risk e.g for provision comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence.

• Strengthening patient and community awareness of leprosy
• Community Health education to raise suspicion of leprosy by the community members
• Demand creation for community to seek early diagnosis and treatment
• Community Capacity building on basic facts about leprosy, signs and symptoms and mode of transmission will improve early diagnosis and treatment
• Community knowledge that leprosy disease is curable will reduce stigma and discrimination
• Involving communities in actions for improvement of leprosy services
• Multi-sectoral approach in addressing leprosy
• Community Health workers sensitization on Leprosy

• Guidance on :
• Avoidance of close and frequent contacts with persons with untreated leprosy
• Community screening to identify presumptive leprosy cases
• Early case detection through active case finding
• Contact tracing
• Strengthening surveillance for leprosy
• Guidance on prompt start and adherence to treatment
• Strengthening the reporting system for leprosy (health information systems for program monitoring and evaluation)

• Identification of a presumptive leprosy case based on signs including presence of pale (lighter than normal skin) or Hypo pigmented skin patches, Numbness in the hands and feet; Weakness and difficulty in normal movement of fingers/thumb/wrist/toes/ankles or eyelid, Painless injuries, blisters, burns or ulcers in hands and feet, presence of deformities such as clawing of fingers/thumb, clawing of toes or inability to close eyes properly
• Guidance/Advice to the mother with leprosy on self-care including; Care of Eyes - care of hands and feet - guidance on voluntary muscle testing and sensory testing - use of correct footwear
• supportive management
• Referral of a patient suspected to have Leprosy to a health facility for management
• Supporting a known leprosy patient to Ensure adherence to medicines

• Promoting societal inclusion by addressing all forms of discrimination and stigma
• Empowering persons affected by leprosy and strengthening their capacity to participate actively in leprosy services
• Promoting coalition-building among persons affected by leprosy including self care groups such groups encourage each other on self-care needs
• Supporting community-based rehabilitation for people with leprosy-related disabilities
• Working towards abolishing discriminatory laws and promote policies facilitating inclusion of persons affected by leprosy through multi sectoral approach

• Psychological social support and counseling services for pregnant women affected by leprosy and their families

• Strengthening patient and community awareness of leprosy
• Community Health education to raise suspicion of leprosy by the community members
• Demand creation for community to seek early diagnosis and treatment
• Community Capacity building on basic facts about leprosy, signs and symptoms and mode of transmission will improve early diagnosis and treatment
• Community knowledge that leprosy disease is curable will reduce stigma and discrimination
• Involving communities in actions for improvement of leprosy services
• Multi-sectoral approach in addressing leprosy
• Community Health workers sensitization on Leprosy

• Avoidance of close and frequent contacts with persons with untreated leprosy
• Community screening to identify presumptive leprosy cases
• Early case detection through active case finding
• Contact tracing
• Guidance on prompt start and adherence to treatment
• Strengthening surveillance for leprosy

• Identification of a presumptive leprosy case based on signs including presence of pale (lighter than normal skin) or Hypo pigmented skin patches, Numbness in the hands and feet; Weakness and difficulty in normal movement of fingers/thumb/wrist/toes/ankles or eyelids, Painless injuries, blisters, burns or ulcers in hands and feet; presence of deformities such as clawing of fingers/ thumb, clawing of toes or inability to close eyes properly
• Guidance/Advice to the parents/families on care for a child with leprosy including

• Care of Eyes,care of hands and feet, guidance on voluntary muscle testing and sensory testing,use of correct footwear

• supportive managemnet
• Referral of a patient suspected to have Leprosy to a health facility for management
• Supporting a known leprosy patient o Ensure adherence to medicines

• Promoting societal inclusion by addressing all forms of discrimination and stigma
• Empowering persons affected by leprosy and strengthening their capacity to participate actively in leprosy services
• Promoting coalition-building among persons affected by leprosy including self care groups –such groups encourage each other on self care needs
• Supporting community-based rehabilitation for people with leprosy-related disabilities
• Working towards abolishing discriminatory laws and promote policies facilitating inclusion of persons affected by leprosy through a multi sectoral approach

• Provide psycho social and counseling support services for families/parents of children affected by leprosy

• Health education to pregnant women/families on ascariasis and prevention measures
• Pregnant women/families/Community education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach wastewater treatment before use for irrigation due to food grown in contaminated soil.
• Community Health workers teaining on ascariasis including prevention measures

• Proper cleaning and cooking of food
• proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human feacal matter
• Proper waste disposal/ not passing stool in the soil or outdoors
• Wash, peel, or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Proper/good nutrition for pregnant women

• Education and social mobilization for successful prevention and control of ascariasis
• Community-led total sanitation with market approaches (CLTS+), promotion of hygiene, building of latrines, and related SBC.

• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human faecal matter
• Community-based deworming campaigns

• Antispasmodics
• Analgesics
• Nutritional support
• Referral to health facility for definitive diagnosis and treatment

• Education and social mobilization for successful prevention and control of ascariasis
• Community-led total sanitation with market approaches (CLTS+), promotion of hygiene, building of latrines, and related SBC.

• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human faecal matter
• Community-based deworming campaigns

• Antispasmodics
• Analgesics
• Nutritional support (proper nutrition)
• Referral to health facility for definitive diagnosis and treatment

• Health education for adolescents on ascariasis and prevention measures
• Adolescents education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach wastewater treatment before use for irrigation due to food grown in contaminated soil
• Community Health workers education on ascariasis including prevention measures

• Proper cleaning and cooking of food
• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human feacal matter
• Proper waste disposal/not passing stool in the soil or outdoors
• Wash, peel, or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for adolescents

• Identification of features/signs indicative of ascariasis including, history of passage of a live worm in faeces, abdominal pain while others may have cough, difficulty in breathing, fever
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition)
• Referral to health facility for definitive diagnosis and treatment

• Health education to adults and communities on ascariasis and prevention measures
• Community,adult persons education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach wastewater treatment before use for irrigation due to food grown in contaminated soil
• Community Health workers training on ascariasis including prevention measures

• Proper cleaning and cooking of food
• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human feacal matter
• Proper waste disposal/ not passing stool in the soil or outdoors
• Wash, peel, or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for adults

• Identification of features/signs indicative of ascariasis including; history of passage of a live worm, in faeces, abdominal pain while others may have cough, difficulty in breathing,fever
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition)
• Referral to health facility for definitive diagnosis and treatment

• Health education to elderly persons/families and communities on ascariasis and prevention measures
• Community,family and elderly persons education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach effective sewerage disposal and wastewater treatment before use for irrigation due to food grown in contaminated soil
• Community Health workers education on ascariasis including prevention measures

• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human faecal matter
• Community-based deworming campaigns

• Antispasmodics
• Analgesics
• Nutritional support (proper nutrition)
• Referral to health facility for definitive diagnosis and treatment

• Awareness Creation among mothers and families on Tetanus and preventive measures
• Education and awareness creation on safe delivery to the mothers
• Creation of awareness on importance of infant/child vaccination and on vaccination schedule
• Health education activities to increase community awareness of the importance of tetanus immunization
• Distribution of IEC materials
• Training the community Health workers on tetanus, including prevention measures/on vaccination, detection of tetanus

• Advice on need for Regular ANC attendance
• Maternal immunization with Tetanus (Tetanus toxoid vaccination) to prevent neonatal tetanus
• Advise on the need to deliver in health facilities to ensure clean delivery practices
• Proper care for minor Wounds in mothers -thorough cleaning of the wound and covering to prevent infections advise and guidance to mothers on cord care
• Effective neonatal tetanus surveillance to identify areas or populations at high risk of neonatal tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards and maternal health records.
• Routine immunisation of mothers (outside of pregnancy) to prevent tetanus
• Outreach activities in order to increase ANC and TT immunization coverage

• Recognition of symptoms of neonatal tetanus which include muscle spasms, often preceded by the newborn’s inability to suck or breastfeed, and excessive crying
• Recognition of symptoms indicative of tetanus in the mothers including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility for mother or neonate suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Awareness Creation among communities/families on Tetanus and preventive measures
• Creation of awareness on importance of child vaccination and on vaccination schedule
• Health education activities to increase community awareness of the importance of tetanus immunization
• Distribution of IEC materials on Tetanus
• Training the community Health workers on tetanus, including prevention measures/on vaccination including schedules/detection of Tetanus

• Immunization with tetanus-toxoid-containing vaccines (TTCV), which are included in routine immunization programmes
• Advise to parents/families on proper wound care
• Proper care for minor Wounds in children-thorough cleaning of the wound and covering to prevent infections
• Effective surveillance to identify areas or populations at high risk of tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards
• Outreach activities in order to increase TT immunization coverage

• Recognition of symptoms indicative of tetanus in a child including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility for a child suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Awareness Creation among communities and families on Tetanus and preventive measures
• Creation of awareness on importance of school age children vaccination (booster) and on vaccination schedule
• Health education activities to increase community awareness of the importance of tetanus immunization
• School health programs
• Distribution of IEC materials on Tetanus
• Training the community Health workers on tetanus including prevention measures/on vaccination, detection of tetanus

• Immunization with tetanus-toxoid-containing vaccines (TTCV), which are included in routine immunization programmes (booster vaccination)
• Advice to school age child/parents/families on proper wound care
• Proper care for minor Wounds-thorough cleaning of the wound and covering to prevent infections
• Effective surveillance to identify areas or populations at high risk of neonatal tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards

• Recognition of symptoms indicative of tetanus in school age children including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility for a child suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Awareness Creation communities on Tetanus and preventive measures
• Health education activities to increase community awareness of the importance of tetanus immunization including vaccination schedules Distribution of IEC materials
• Training the community Health workers on tetanus, including prevention measures/on vaccination, detection of tetanus

• Advice to adolescents on proper wound care
• Proper care for minor Wounds-thorough cleaning of the wound and covering to prevent infections
• Effective surveillance to identify areas or populations at high risk of neonatal tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards

• Recognition of symptoms indicative of tetanus in the adolescents including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility for adolescents suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Awareness Creation among communities on Tetanus and preventive measures
• Health education activities to increase community awareness of the importance of tetanus immunization
• Distribution of IEC materials
• Training the community Health workers on tetanus, including prevention measures/on vaccination/vaccination schedules/detection

• Advice to adults on proper wound care
• Proper care for minor Wounds-thorough cleaning of the wound and covering to prevent infections
• Effective surveillance to identify areas or populations at high risk of neonatal tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards

• Recognition of symptoms indicative of tetanus in adults including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility of adults suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Awareness Creation among communities on Tetanus and preventive measures
• Health education activities to increase community awareness of the importance of tetanus immunization
• Distribution of IEC materials
• Training the community Health workers on tetanus, including prevention measures/on vaccination/vaccination schedules/detection

• Advice to elderly on proper wound care
• Proper care for minor Wounds-thorough cleaning of the wound and covering to prevent infections
• Effective surveillance to identify areas or populations at high risk of neonatal tetanus
• Effective tetanus vaccination monitoring system including immunization register, personal vaccination cards

• Recognition of symptoms indicative of tetanus in the elderly including jaw cramping or the inability to open the mouth (lock jaw), muscle spasms often in the back, abdomen and extremities, sudden painful muscle spasms often triggered by sudden noises, trouble swallowing, seizures, Headache, fever and sweating
• Immediate referral to a health facility for an elderly person suspected to have tetanus

• Home based/community based physical therapy rehabilitation for muscle movements

• Psycho social support and counseling
• Linkage to patient support groups

• Health education to pregnant women/families on Trichuriasis and prevention measures
• Pregnant women/families/Community education on personal hygiene as well as proper
• Community awareness on effective sewerage disposal systems disposal of human faeces
• Community Health workers education on trichuriasis including prevention measures

• Proper cleaning and cooking of food
• Practicing proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoiding consuming and avoidance of contact with soil that may be contaminated with human feacal matter
• Proper waste disposal-Not passing stool in the soil or outdoors
• Wash, peel, or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for the pregnant women

• Identification of features/signs indicative of trichuriasis including frequent, painful passage of stool that contains a mixture of mucus, water, and blood,abdominal pain The diarrhea typically has an pungent smell
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition
• Referral to health facility for definitive diagnosis and treatment

• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human faecal matter
• Mass drug administration with albendazole
• Deworming

• Anthelmintic
• Antispasmodics
• Analgesics

• Community engagement on the importance of clean water and safe sanitation and waste disposal
• Education and social mobilization for the prevention and control of trichuriasis

• Proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of consuming or contact with soil that may be contaminated with human faecal matter
• Mass drug administration with albendazole
• Deworming

• Anthelmintic
• Antispasmodics
• Analgesics

• Health education for adolescents on trichuriasis and prevention measures
• Adolescents education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach wastewater treatment before use for irrigation due to food grown in contaminated soil
• Community Health workers training on trichuriasis including prevention measures

• Proper cleaning and cooking of food
• Practicing proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoiding consuming soil that may be contaminated with human feacal matter
• Proper waste disposal-Not passing stool in the soil or outdoors
• Avoidance of contact with soil that may be contaminated with human faeces
• Wash, peel or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for adolescents

• Identification of features/signs indicative of trichuriasis including frequent, painful passage of stool that contains a mixture of mucus, water, and blood, abdominal pain the diarrhea typically has a pungent smell
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition
• Referral to health facility for definitive diagnosis and treatment

• Health education to adults and communities on trichuriasis and prevention measures
• Community/adult persons education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach wastewater treatment before use for irrigation due to food grown in contaminated soil.
• Community Health workers training on trichuriasis including prevention measures

• Proper cleaning and cooking of food
• Practicing proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoiding consuming soil that may be contaminated with human feacal matter
• Proper waste disposal-Not passing stool in the soil or outdoors
• Avoidance of contact with soil that may be contaminated with human faeces
• Wash, peel or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for adults

• Identification of features/signs indicative of trichuriasis including frequent, painful passage of stool that contains a mixture of mucus, water, and blood, abdominal pain The diarrhea typically has a pungent smell
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition)
• Referral to health facility for definitive diagnosis and treatment

• Health education to elderly persons/families and communities on trichuriasis and prevention measures
• Communitt/family and elderly persons education on personal hygiene as well as proper disposal of human faeces
• Community awareness on effective sewerage disposal systems
• Promote through multi sectoral approach effective sewerage disposal and wastewater treatment before use for irrigation due to food grown in contaminated soil
• Community Health workers education on trichuriasis including prevention measures

• Proper cleaning and cooking of food
• Practicing proper handwashing/good hand hygiene practices before handing food and after handling soil/manure
• Avoidance of contact with soil that may be contaminated with human faeces
• Avoiding consuming soil that may be contaminated with human feacal matter
• Proper waste disposal-Not passing stool in the soil or outdoors
• Wash, peel or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure
• Taking safety precautions like wearing gloves when handling soil/manure
• Promoting good nutrition for the elderly

• Identification of features/signs indicative of trichuriasis including frequent, painful passage of stool that contains a mixture of mucus, water, and blood, abdominal pain the diarrhea typically has a pungent smell
• Supportive therapy including relieve of any abdominal pain with painkillers, nutritional support (proper nutrition
• Referral to health facility for definitive diagnosis and treatment

• Educate pregnant women on the need for facility births attended by a skilled birth attendant

• Promote Good maternal nutrition
• Promote early initaion of breastfeeding
• Promote ANC attendance
• promote good maternal nutrition/including nutrition supplementation
• • Infection prevention cand control practices
• Encourage mothers to delier at health faclitiees
• • Timely referall for mothers

• Full assessment of any community births with Apgar scores
• Refer neonates with Apgar score less than 7 to next level for assessment

• Follow up neonates treated for birth asphyxia to detect any signs of neurologic dysfunction such as delayed developmental milestones
• Linkage with rehabilitation centres eg for physical rehabilation, speech atc

• Health Education to pregnant women to create awareness on birth asphyxia
• Health education to pregnant women on the need for regular ANC follow up and skilled birth attendance
• Promote early health seeking behaviour
• Strengthen health workers knowledge on birth asphyxia including management

• Educate pregnant women on the need for facility births attended by a skilled birth attendant

• Full assessment of any community births with Apgar scores Refer neonates with Apgar score less than 7 to next level for assessment Complete examination of neonates for evidence of birth trauma
• Confirm spontaneous movement of all limbs and exclude the presence of any head swelling or skull depression

• Refer neonates with suspected birth trauma to next level for further assessment

• Follow up neonates with residual effects of birth trauma with any needed home based physiotherapy support

• Psychological support for families whose neonates with birth trauma including those who have developed permanent nerve injuries

• Follow up children with residual effects of birth trauma with any needed home based physiotherapy support
• Referral of children with permanent nerve injuries to hospital for specialist assessment and advice on further management

• Psychological support to parents of babies with birth-related complications
• Follow up neonates treated for birth trauma to detect any signs of neurologic dysfunction such as delayed developmental milestones
• Linkage with rehabilitation centres for physical rehabilitation, speech, etc

• Education of pregnant women on infant and child feeding

• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
• Refer pregnant women with goiters or signs and symptoms of hypothyroidism to hospital for further assessment and management

• Educate mothers and families on ways of providing nutritious diets for children
• Educate on the benefits of cooking with iodized salt

• Education of proprietors of pre-school facilities on adding provision of one healthy meal to children in their facilities
• Educate on the benefits of cooking with iodized salt
• Examine children during home visits for signs of goiter and other signs of iodine deficiency

• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
• Refer children with suspected iodine deficiency next level for further assessment and management

• School-based education on nutritious diets
• Education of proprietors of schools on adding provision of one healthy meal to children in their facilities

• School-based education on nutritious diets
• Education of proprietors of schools on adding provision of one healthy meal to children in their facilities
• Examination during home visits for presence of goiter and signs of hypothyroidism

• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
• Refer children with suspected iodine deficiency to next level for further assessment and management

• Education on nutritious and healthy eating

• Refer people with suspected iodine deficiency next level for further assessment and management
• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice

• Education on nutritious and healthy eating

• Education on nutritious and healthy eating
• Examination during home visits for presence of goiter and signs of hypothyroidism

• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
• Refer people with suspected iodine deficiency next level for further assessment and management

• Education on nutritious and healthy eating

• Education on nutritious and healthy eating
• Examination during home visits for presence of goiter and signs of hypothyroidism

• Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
• Refer people with suspected iodine deficiency next level for further assessment and management

• Education on good nutrition for women and importance of antenatal care when pregnant

• Education on need for early Antenatal clinic registration
• Education of pregnant women and their family members on the need for facility delivery attended by a skilled birth attendant Refer all pregnant women to next level for antenatal care registration
• Monitor blood pressure, urine protein and haemoglobin of pregnant women during home visits
• Monitor pregnant women to ensure compliance with antenatal advice and antenatal medications Provide pregnant women with Insecticide Treated nets and monitor use Perform an obstetric examination with auscultation of fetal heart sounds for pregnant women from 24 weeks and above
• Examine women who deliver in community to ensure that blood pressure is normal and that delivery was not associated with excessive bleeding or any other obstetric complication
• Monitor postnatal women in community during home visits to identify early signs of postnatal complications
• Provide appropriate community based postpartum family planning services

• Refer pregnant women with abnormal findings during home visit examination to next level for assessment and further management Administer sublingual Nifedipine to pregnant women with diastolic blood pressure above 90mmHg before referral to next level
• Refer women who deliver in community with suspected obstetric complications to next level for assessment and management
• Refer postnatal women with suspected postnatal complications to next level for assessment and management

• Follow up women who developed obstetric complications after they have been discharged home to ensure compliance with medication and advice from hospital

• Education on good nutrition for women and importance of antenatal care when pregnant
• Education on importance of regular medical checkups to ensure that women are in good health before embarking on a pregnancy

• Education on good nutrition for women and importance of antenatal care when pregnant
• Education on importance of regular medical checkups to ensure that women are in good health before embarking on a pregnancy

• Educate mothers/fathers and caregivers on signs and symptoms of neonatal infection using job aides
• Educate mothers/fathers and community on importance of facility delivery, exclusive breastfeeding good hygienic practices, care of the umbilical cord and avoidance of harmful traditional birth practices

• Early initiation and exclusive breastfeeding of neonates
• Appropriate cord care
• Emphasis on the need for early referral to health facility for every sick young infant

• Early Referral to the next level for neonates suspected with neonatal sepsis
• Keeping baby warm all times including on the way to hospital

• Education of pregnant women on infant and child feeding

• Examine children during home visits for signs of protein energy malnutrition and advise parents accordingly
• Education of proprietors of pre-school facilities on adding provision of one healthy meal to children in their facilities

• Community-based therapeutic feeding
• Immediate transfer of sever cases to a higher-level health care facility

• Education of families on healthy nutrition for the elderly

• Education of families on healthy nutrition for the elderly

• Follow up cases of protein energy malnutrition being managed at home to ensure compliance with treatment and advice

• Education of pregnant women on importance of early registration for antenatal care
• Education of pregnant women on signs and symptoms of labor
• Education of pregnant women on what to do when signs and symptoms of labor occur
• Education on Kangaroo mother care and Kangaroo Father care

• Education of pregnant women on dangers of alcohol, smoking and use of recreational drugs during pregnancy
• Referral of pregnant women to next level for early dating of pregnancy
• Education of pregnant women and their families on birth preparation and complication readiness
• Urgent Referral of pregnant women with signs of premature labour to a health facilty for management

• Examination of all babies delivered in the community for signs of prematurity, especially when gestational age is unknown
• Referral of babies delivered preterm and those suspected to be preterm to next level for assessment and management

• Follow up of babies delivered preterm who have been discharged home for monitoring of neurodevelopmental milestones
• Education of mothers on care of preterm neonates including Kangaroo Mother Care

• Psychosocial support of mothers with premature births and their families
• Counselling
• Spiritual support

• Follow up of babies delivered preterm who have been discharged home for monitoring of neuro-developmental milestones

• Education of pregnant women on infant and child feeding

• Examine children during home visits for signs of Vitamin A deficiency and advise parents accordingly
• Education of proprietors of pre-school facilities on adding provision of one healthy meal to children in their facilities Vitamin A supplementation for children under 5

• Recognition of symptoms that may be indicative of vitamin A defficeincy eg Dry and rough skin.; Eye inflammation affecting the eyelids, surrounding tissues, and even eyes
• Guidance to mother on eating viatmin A rich foods eg eg, liver, beef, oily fish, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes and leafy green vegetables.
• Vitamin A supplemnts
• Refer children with suspected Vitamin A deficiency next level for further assessment and management
• Follow up cases of Vitamin A deficiency being managed at home to ensure compliance with treatment and advice
• Vitamin A treatment for children and infants with complicated measles

• Educate mothers and families on ways of providing nutritious diets for children and whole family using locally available foods with emphasis on Vitamin A rich foods

• Examine children during home visits for signs of Vitamin A deficiency and advise parents accordingly
• Education of proprietors of pre-school facilities on adding provision of one healthy meal to children in their facilities Vitamin A supplementation for children under 5

• Recognition of symptoms that may be indicative of vitamin A defficeincy eg Dry and rough skin.; Eye inflammation affecting the eyelids, surrounding tissues, and even eyes
• Guidance to parents/families on feeding child with viatmin A rich foods eg eg, liver, beef, oily fish, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes and leafy green vegetables.
• Vitamin A supplemnts
• Refer people with suspected Vitamin A deficiency next level for further assessment and management
• Follow up cases of Vitamin A deficiency being managed at home to ensure compliance with treatment and advice
• Vitamin A treatment for children and infants with complicated measles

• Community awareness on appropriate and timely complementary feeding and healthy infant and young child nutrition
• Counselling on good hygiene practices including hand hygiene and quitting smoking
• Community engagement on Infant and Young Child Nutrition IYCN

• Adequate dietary intake of vitamin A during and after weaning
• Good hygiene, sanitation practice
• Deworming for preschool children * Immunization
• Micronutrient supplementation including Vit. A

• Counselling on use of therapeutic and supplementary foods

• Education on nutritious and healthy eating

• Education on nutritious and healthy eating

• Recognition of symptoms that may be indicative of vitamin A defficeincy eg Dry and rough skin.; Eye inflammation affecting the eyelids, surrounding tissues, and even eyes
• Guidance to adolescents on eating viatmin A rich foods eg eg, liver, beef, oily fish, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes and leafy green vegetables.
• Vitamin A supplemnts
• Refer people with suspected Vitamin A deficiency next level for further assessment and management
• Follow up cases of Vitamin A deficiency being managed at home to ensure compliance with treatment and advice

• Education on nutritious and healthy eating

• Recognition of symptoms that may be indicative of vitamin A defficeincy eg Dry and rough skin.; Eye inflammation affecting the eyelids, surrounding tissues, and even eyes
• Guidance to adult on eating viatmin A rich foods eg eg, liver, beef, oily fish, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes and leafy green vegetables.
• Vitamin A supplemnts
• Refer people with suspected Vitamin A deficiency next level for further assessment and management
• Follow up cases of Vitamin A deficiency being managed at home to ensure compliance with treatment and advice

• Education on nutritious and healthy eating

• Education on nutritious and healthy eating

• Recognition of symptoms that may be indicative of vitamin A defficeincy eg Dry and rough skin.; Eye inflammation affecting the eyelids, surrounding tissues, and even eyes
• Guidance to elderly on eating viatmin A rich foods eg eg, liver, beef, oily fish, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes and leafy green vegetables.
• Vitamin A supplemnts
• Refer people with suspected Vitamin A deficiency next level for further assessment and management
• Follow up cases of Vitamin A deficiency being managed at home to ensure compliance with treatment and advice

• Community engagement [community sensitization on increasing dietary fibre and reducing red and processed meat consumption and alcoholic drinks as well as regular physical exercise
• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Healthy life style: Healthy diet (high fibre, low saturated fats), physical activity, weight management, and avoiding alcohol and tobacco use

• Self-management education
• Exercise and physical activity
• Nutritional support

• Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Community engagement [community sensitization on increasing dietary fibre and reducing red and processed meat consumption and alcoholic drinks as well as regular physical exercise
• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Healthy life style: Healthy diet (high fibre, low saturated fats), physical activity, weight management, and avoiding alcohol and tobacco use

• Recognition of danger symptoms and signs for early referral

• Public education about dangers of smoking and alcohol use

• Public education about dangers of smoking and alcohol use
• Referral of people with neck masses (cervical lymph node swelling) to hospital for further examination
• Referral of people with increasing hoarseness of voice to hospital for further assessment

• Psychosocial support for people who have received treatment
• Ensuring that treated people comply with follow up regime
• Support of treated people in smoking and alcohol cessation

• Non-opioid pain relief for people with advanced disease

• Public education about dangers of smoking and alcohol use

• Public education about dangers of smoking and alcohol use
• Referral of people with neck masses (cervical lymph node swelling) to hospital for further examination
• Referral of people with increasing hoarseness of voice to hospital for further assessment

• Psychosocial support for people who have received treatment
• Ensuring that treated people comply with follow up regime
• Support of treated people in smoking and alcohol cessation

• Non-opioid pain relief for people with advanced disease

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Immediate transfer of suspected cancer cases to a higher-level health care facility

• Psychosocial support for people diagnosed with the disease
• Supervision of people diagnosed with the condition for compliance with management

• Community and home-based care for providing pain relief
• Psychosocial support to patients and their families

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Immediate transfer of suspected cancer cases to a higher-level health care facility

• Psychosocial support for people diagnosed with the disease
• Supervision of people diagnosed with the condition for compliance with management

• Community and home-based care for providing pain relief
• Psychosocial support to patients and their families

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Immediate transfer of suspected cancer cases to a higher-level health care facility

• Psychosocial support for people diagnosed with the disease
• Supervision of people diagnosed with the condition for compliance with management

• Community and home-based care for providing pain relief
• Psychosocial support to patients and their families

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Psychosocial support for people diagnosed with the disease
• Supervision of people diagnosed with the condition for compliance with management

• Home-based end of life care
• Non-opioid pain relief

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Refer people with anaemia or easy bruising and bleeding or recurrent infection to next level for assessment

• Psychosocial support for people diagnosed with the disease
• Supervision of people diagnosed with the condition for compliance with management

• Home-based end of life care
• Non-opioid pain relief

• Public education about dangers of alcohol use Public education on symptoms of liver disease

• Ensuring that people with diagnosis of liver cancer comply with follow up regime

• Psychosocial support for people who are being managed for liver cancer
• Ensuring that people with diagnosis of liver cancer comply with follow up regime

• Non-opioid pain relief for people with advanced disease
• Provision of home-based end of life care

• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits

• Family or caregiver educational training

• Non-opioid analgesia for effective control of mild to moderate pain
• Symptomatic non-pharmacological treatment
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care*

• Community awareness on risk factors (smoking) and occupational and environmental exposure (e.g., goal mining, cement factories, etc.)
• Mass media campaigns that educate the public about the harms of smoking/tobacco use and second hand smoke
• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Not starting smoking, or to quitting smoke and avoiding second hand smoke.
• Healthy diet

• Self-management education
• Physical exercise
• Nutritional support

• Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Community awareness on risk factors (smoking) and occupational and environmental exposure (e.g., goal mining, cement factories, etc.)
• Mass media campaigns that educate the public about the harms of smoking/tobacco use and second hand smoke
• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Not starting smoking, or to quitting smoke and avoiding second hand smoke.
• Healthy diet

• Support smoking cessation
• Early identification of symptoms and referral

• Self-management education
• Physical exercise
• Nutritional support

• Educate pregnant women with skin moles on need to monitor change in size and colour of mole during pregnancy

• Refer pregnant women with changes in skin moles to hospital for assessment

• Home based follow up of treated people for monitoring of recurrence

• Educate people with skin moles on need to monitor change in size and colour of mole

• Educate people with skin moles on need to monitor change in size and colour of mole

• Home based follow up of treated people for monitoring of recurrence

• Educate people with skin moles on need to monitor change in size and colour of mole

• Educate people with skin moles on need to monitor change in size and colour of mole

• Home based follow up of treated people for monitoring of recurrence

• Home-based end of life support

• Refer people with non-sickle cell bone pain or pathological fractures to hospital for assessment

• Monitoring of people being managed with disease to ensure treatment compliance
• Psycho social support for people being managed with the disease

• Home-based end of life support

• Refer people with non-sickle cell bone pain or pathological fractures to hospital for assessment

• Monitoring of people being managed with disease to ensure treatment compliance
• Psycho social support for people being managed with the disease

• Public education about ENT symptoms and need to report for examination with such symptoms

• Public education about ENT symptoms and need to report for examination with such symptoms
• Referral of people with neck masses (cervical lymph node swelling) to hospital for further examination
• Referral of people with ENT symptoms to next level for assessment

• Psychosocial support for people who have received treatment for nasopharynx cancer
• Ensuring that treated people comply with follow up regime

• Non-opioid pain relief for people with advanced disease

• Public education about ENT symptoms and need to report for examination with such symptoms

• Public education about ENT symptoms and need to report for examination with such symptoms
• Referral of people with neck masses (cervical lymph node swelling) to hospital for further examination
• Referral of people with ENT symptoms to next level for assessment

• Psycho social support for people who have received treatment for nasopharynx cancer
• Ensuring that treated people comply with follow up regime

• Non-opioid pain relief for people with advanced disease

• Public education about dangers of smoking and alcohol use

• Public education about dangers of smoking and alcohol use
• Referral of people with neck masses (cervical lymph node swelling) to hospital for further examination
• Referral of people with difficulty swallowing to hospital for further assessment

• Psycho social support for people who have received treatment
• Ensuring that treated people comply with follow up regime
• Support of treated people in smoking and alcohol cessation

• Non-opioid pain relief for people with advanced disease

• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits

• Physical exercise
• Nutritional support

• Opioid analgesia for effective control of moderate-to-severe pain
• Symptomatic non-pharmacological treatment
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Referral of patients with weight loss and gastrointestinal symptoms to hospital for assessment

• Psycho social support for people who have received treatment
• Ensuring that treated people comply with follow up regime

• Non-opioid pain relief for people with advanced disease
• Provision of home-based end of life care

• Referral of patients with weight loss and gastrointestinal symptoms to hospital for assessment

• Ensuring that treated people comply with follow up regime
• Psycho social support for people who have received treatment

• Non-opioid pain relief for people with advanced disease
• Provision of home-based end of life care

• Educate people on need for hospital follow up for skin lesions and non-healing skin ulcers

• Refer people with skin lesions on non-healing skin ulcers to next level for assessment

• Home based follow up of treated people for monitoring of recurrence

• Educate people on need for hospital follow up for skin lesions and non-healing skin ulcers

• Refer people with skin lesions on non-healing skin ulcers to next level for assessment

• Home based follow up of treated people for monitoring of recurrence

• Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits

• Physical exercise
• Nutritional support

• Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits

• Physical exercise
• Nutritional support

• Opioid analgesia for effective control of moderate-to-severe pain
• Symptomatic non-pharmacological treatment
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Encourage exclusive breastfeeding in first 6 months and breastfeeding for a minimum of 1

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Health and Wellness education on diet management, regular exercise, weight management, reduced exposure to radiation, reducing alcohol intake and avoiding exposure to tobacco smoke
• Pursue intersectoral collaborations, with Ministry of Agriculture and its agencies, that make nutritious food sources available and affordable
• Pursue intersectoral collaborations with Ministry of Environment, that reduce exposure to sources of radiation
• Parents education on need for breastfeeding (exclusive for 6 months and breastfeeding at least upto 2 years

• Health Education on Breast Cancer–symptoms, risk factors, available treatment, need for prevention, early detection and early reporting for management

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centers

• Health and Wellness education on diet management, regular exercise, weight management, reduced exposure to radiation, reducing alcohol intake and avoiding exposure to tobacco smoke
• Pursue intersectoral collaborations, with Ministry of Agriculture and its agencies, that make nutritious food sources available and affordable
• Pursue intersectoral collaborations with Ministry of Environment, that reduce exposure to sources of radiation

• Health Education on Breast Cancer–symptoms, risk factors, available treatment, need for prevention, early detection and early reporting for management

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Health and Wellness education on diet management, regular exercise, weight management, reduced exposure to radiation, reducing alcohol intake and avoiding exposure to tobacco smoke
• Pursue intersectoral collaborations, with Ministry of Agriculture and its agencies, that make nutritious food sources available and affordable
• Pursue intersectoral collaborations with Ministry of Environment that reduce exposure to sources of radiation

• Teach Self Breast
• Teach Self Breast Examinations at schools, community gatherings, religious gatherings and through the print and electronic media

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Community awareness on symptoms of breast cancer, importance of screening with regular breast exams and mammography
• Community engagement and empowerment on cancer awareness and avoiding harmful traditional practice for breast cancer treatment
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Keep a healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits
• Breasts self-examination

• Physical exercise
• Nutritional support

• Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Community awareness on symptoms of breast cancer, importance of screening with regular breast exams and mammography
• Community engagement and empowerment on cancer awareness and avoiding harmful traditional practice for breast cancer treatment
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Keep a healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits
• Breasts self-examination

• Non-opioid analgesia for effective control of mild to moderate pain
• Symptomatic non-pharmacological treatment
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Health and Wellness education on diet management, regular exercise, weight management, reduced exposure to radiation, reducing alcohol intake and avoiding exposure to tobacco smoke
• Reproductive health education on the benefit of reduced sexual partners and use of condoms
• Pursue intersectoral collaborations, with Ministry of Agriculture and its

• Guidance on primary prevention measures incluing :
• Absitence from sex for the aldolesents or safe sex practices (use of condom)
• avoidance of smoking (benzyenes are known to damage the cervix)
• Guidance on self observance and taking note of any unusual symptoms eg bleeding between periods, abnormal discharge
• Human Papilloma Virus (HPV) Vaccination through outrteaches to community level

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Safe sexual practice
• Correct and consistent use of condoms
• HPV vaccination at earlier age

• Physical exercise
• Nutritional support

• Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
• Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
• Linkage to address financial well-being of patients and family members
• End-of-life care

• Community engagement and empowerment on cancer awareness and early health-seeking behaviour
• Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care

• Early recognition of need for referral

• Encourage exclusive breastfeeding in first 6 months and breastfeeding for a minimum of 1 year

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Health Education on Endometrial Cancer – symptoms, risk factors, available treatment, need for prevention, early detection and early reporting for management

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle
• Promotion of manufacturing of prosthetics, post-Surgical treatment

• Set up publicly owned-and-run hospices
• Promote private sector participation in setting up hospices and palliative care centres

• Community mobilization and engagement in malaria prevention and control activities
• Mass media on malaria prevention measures

• Insecticide-treated nets (ITNs)
• Indoor residual spraying (IRS)
• Larvicidal activities
• Environmental management
• Perennial malaria chemoprevention (PMC)

• Oral antimalarial treatment
• Pre-referral artesunate rectal suppository
• Immediate transfer of severe or unresponsive cases to a higher-level health care facility