Schistosomiasis (SCH) is a parasitic disease caused by flatworms and transmitted by infected freshwater snails. People can become infected with SCH by bathing, working, washing, fishing, swimming, playing or walking in contaminated bodies of water. SCH is present in every country in the Act | West portfolio, and over 51 million school-age children (SAC) are at risk for SCH across the 11 countries. SCH can affect the urinary tract or the intestines, causing pain, diarrhea, and bloody stools or urine, and in children, poor growth and learning problems. Left untreated, it can lead to spleen or liver enlargement, liver damage, kidney failure, infertility, bladder cancer.

More than 51 million school-age children are at risk for SCH as of FY21 and more than 50 million school-age children have been treated for SCH with USAID funding since FY12 (to FY21)

Act | West Support

Act | West provides financial and technical support to national MOH to treat SAC and certain at-risk adults periodically with medicines that treat SCH and STH and control their spread. In FY12–FY21, over 163 million and 350 million SCH and STH treatments, respectively, were delivered to over 116 million and over 179 million SAC in Act | West countries with USAID support. Act | West also supports technical data reviews and in Mali and Burkina Faso, multi-sectoral  national technical committees.  In addition, Act | West supports national efforts to develop partnerships for NTD sustainability as well as for programmatic co-implementation with other health programs.

Schistosomiasis Lifecycle Diagram

Schistosomiasis lifecycle diagram

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