This summary outlines the burden of targeted diseases and program implementation outcomes in Rwanda. AFRICAN REGION LDC LIC

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1 Rwanda The control of neglected tropical diseases represents a major challenge to those providing healthcare services in the endemic countries. The purpose of this country profile is to provide public health professionals with the most recently available epidemiological information on diseases for which a strategy and tools to implement large-scale preventive chemotherapy exist. This summary outlines the burden of targeted diseases and program implementation outcomes in Rwanda. BASIC COUNTRY DATA Total population 1,277,212 Population 1 years (Pre-SAC) 1,365,87 Population 5 1 years (SAC) 2,69,913 Population female 15 9 years 2,58,6 Population requiring preventive chemotherapy (PC) Lymphatic filariasis (LF) - Schistosomiasis (SCH) * 1,27,721 Soil-transmitted helminthiasis (STH) - Pre-SAC 1,365,87 - SAC 2,69,913 Onchocerciasis (Oncho) - Trachoma Development status 1 Income status 2 School enrolment data Gross enrolment rate Girls enrolment ratio (gross) * Provisional estimates, to be refined LDC LIC SITUATION ANALYSIS OF PREVENTIVE CHEMOTHERAPY DISEASES AFRICAN REGION The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which WHO. All rights reserved Sources: Population data - United Nations, Population Division, The World Population Prospects - the 28 revision, New York, 29; Population requiring PC for STH - STH: estimates of the number of children needing preventive chemotherapy and number treated, 29. WER, N, 211, 86: Population requiring PC for LF - PELF; Population requiring PC for SCH - estimates based on L.Chitsulo et al. / Acta Tropica 77(2)1-51; Population requiring PC for Oncho - APOC; School enrolment data - UNESCO Institute of Statistics, 2 Assessment. 1 United Nations classification; 2 World Bank classification. PCT disease ity status (endemic/nonendemic) Disease distribution (Nationwide/ partial) Mapping status (/in progress/not done) Implementation status (/inprogress/not done) Lymphatic filariasis - Not required Schistosomiasis Partial In progress Soil-transmitted Partial In progress helminthiasis Onchocerciasis Trachoma Loa-loa Hypo- Non- Non- - Not required 1

2 Maps of infection/disease endemicity Lymphatic filariasis Onchocerciasis ity of LF ity of Oncho Non-endemic Hypo-endemic PREVENTIVE CHEMOTHERAPY AND TRANSMISSION CONTROL DEPARTMENT OF CONTROL OF NEGLECTED TROPICAL DISEASES Not required MDA 5 5 Schistosomiasis, S. mansoni Prevalence of SCH.m Non-endemic Less than 1% >=1% and <5% 5% and above Schistosomiasis S. haematobium is not present in this country 5 Soil-transmitted helminthiasis Prevalence of STH Non-endemic Less than 2% >=2% and <5% 5% and above Trachoma is not present in this country 2 5

3 Maps of preventive chemotherapy strategy required PC strategy required - ROUND 1 5 PC strategy required - ROUND 2 ROUND 1 No implementation T1 T3 ROUND 2 No implementation T1 T3 5 MDA1 (IVM+ALB), MDA2 (DEC+ALB), MDA3 (IVM), T1 (ALB or MBD + PZQ), T2 (PZQ), T3 (ALB or MBD) 3

4 Preventive chemotherapy implementation PREVENTIVE CHEMOTHERAPY IMPLEMENTATION MDA1 (IVM + ALB) ROUND 1 MDA2 (DEC + ALB) MDA3 (IVM) T1 (ALB or MBD + PZQ) T2 (PZQ) T3 (ALB or MBD) T1 (ALB or MBD + PZQ) PreSAC 1,15,87 1,193, % PreSAC 1,127,8 1,185, % SAC/Adults 21,116 PreSAC/SAC 3,895,51 3,58, % SAC 2,65 PreSAC/SAC,88,8 PreSAC/SAC,129,227 T2 (PZQ) ROUND 2 T3 (ALB or MBD) PreSAC 1,127,8 1,158, % SAC 2,9,3 - proportion (%) of endemic districts covered with preventive chemotherapy; - proportion (%) of individuals who were treated as per the programme target.

5 National disease-specific coverage LYMPHATIC FILARIASIS SCHISTOSOMIASIS * Millions SOIL-TRANSMITTED HELMINTHIASIS ** Pre-SAC Not required MDA Requiring PC Treated National coverage POPULATION ONCHOCERCIASIS AT-RISK OF SCH AND TREATED BY DEWORMING 8% 6% % 2% % SAC ** Number of children received at least one round of treatment. Millions Millions * SAC Requiring PC Treated National coverage Requiring PC Treated National coverage POPULATION AT-RISK OF ONCHO AND TREATED BY DEWORMING 8% 6% % 2% % 8% 6% % 2% % Not required MDA National disease-specific coverage - proportion (%) of individuals in the population requiring preventive chemotherapy for the specific disease (see Basic country data on page 1) that have been treated. 5

6 Monitoring decline of disease endemicity (in sentinel sites or periodic surveys) LYMPHATIC FILARIASIS 28 Cumulative number of IUs with base line mf>1% identified (of total) Percent of the IUs (with a baseline of >1%) which have Mf prev <1% in year No. of IUs where MDA discontinued after meeting epidemiological criteria SOIL-TRANSMITTED HELMINTHIASIS STH prevalence in pre-sac (range) STH prevalence in SAC (range) SCHISTOSOMIASIS S. haematobium prevalence (range) S. mansoni prevalence (range) ONCHOCERCIASIS Number of endemic communities Number of endemic communities with baseline >1% Number of endemic communities discontinued after meeting epidemiological criteria 1 (3) %- 28 %-69.5% For more detailed information, please contact: Preventive Chemotherapy and Transmission Control, Department of Control of Neglected Tropical Diseases World Health Organization, 2, avenue Appia, 1211 Geneva 27, Switzerland We would also like to be informed as soon as possible if we have made any errors in detailing your activities or if you have any other comments. Thank you for your collaboration. Our contact is pctdata@who.int 6 World Health Organization. All rights reserved. This document is not a formal publication of WHO and does not necessarily represent the decisions or the stated policy of the Organization. The presentation of maps contained herein does not imply the expression of any opinion whatwoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delineation of its frontiers or boundaries.