Bibliographic information

GuidelineWHO recommendations on maternal and newborn care for a positive postnatal experience.
Year of Publication2022
Issuing InstitutionWorld Health Organization

Recommendation

Maintained

In endemic communities with Schistosoma spp. prevalence of less than 10%, WHO suggests one of two approaches based on the programmes’ objectives and resources: (i) where there has been a programme of regular preventive chemotherapy, continuing preventive chemotherapy at the same or a reduced frequency towards interruption of transmission; and (ii) where there has not been a programme of regular preventive chemotherapy, a clinical approach of test-and-treat, instead of preventive chemotherapy targeting a population.

Context specific recommendation

Only in specific contexts

Notes and Remarks

Remarks

  • These recommendations have been adapted and integrated from the 2022 WHO guideline on control and elimination of human schistosomiasis (84). Recommendation 16a for settings with prevalence above 10% was considered a strong recommendation based on moderate-certainty evidence. Recommendation 16b was considered a conditional recommendation based on low to very low-certainty evidence.
  • The source guideline notes that, in endemic communities with Schistosoma spp. baseline prevalence of 10% or higher that demonstrate a lack of appropriate response to annual preventive chemotherapy despite adequate coverage (≥ 75%), WHO suggests biannual instead of annual preventive chemotherapy, in coordination with the interventions stated in Recommendation 3: Conditional recommendation (very lowcertainty evidence).

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

WHO guideline on control and elimination of human schistosomiasis.

Year2022
InstitutionWHO