Eradication strategy

• Azithromycin (preferred drug)
• Benzathine penicillin

• Total community treatment, where it is recommended to treat an entire endemic community initially, irrespective of the number of active clinical cases.
• Total targeted treatment, where it is recommended to treat all active clinical cases and their contacts (household, school, and playmates).

• Identifying populations at risk.
• In-country mapping of endemic foci.
• Training of health workers and community agents.
• Information, Education and communication (IEC), advocacy and social mobilization.
• Case-finding (active and passive).
• Treatment of cases and contacts based on new treatment policies.
• Surveillance (clinical and serological).
• Supervision, monitoring and evaluation.
• Operational research.
• Standardized reporting and recording systems.
• Building national and international partnerships.
• Monitoring and evaluation.

• The number of new cases reported monthly from a community.
• The coverage of treatment.
• The serological prevalence in children aged 1-5 years once zero cases are reached.