May 14,2012

CWW: More Than a Deworming Program

School Children in CameroonBreaking the cycle of STH reinfection requires both treatment and prevention activities. Learn how CWW has included both types of activities for a more comprehensive approach to STH control.


Since its inception in 2006, the strategic focus of Children Without Worms (CWW) has been to promote comprehensive STH control to break the cycle of reinfection. This comprehensive approach includes both treatment and prevention activities. Four years later, CWW remains committed to making a sustainable impact by integrating deworming with programs that improve access to potable water and latrines and that promote positive behavior change.

During its Technical Assistance Workshops for African and Asian recipient countries, CWW asked participants for their recommendations on how to promote and institutionalize sustainable and comprehensive STH control policies. CWW then put the same question to its Mebendazole Advisory Committee (MAC) members. Some of the conclusions and recommendations of the recipient countries and MAC members are listed below:

  1. The field of STH control is "siloed." Deworming programs need to find ways to identify and work effectively with organizations working in the Water and Sanitation and Hygiene (WATSAN or WASH) sectors.
  2. The most important requirement for a successful partnership is to develop a shared, overriding goal.
  3. CWW needs a roadmap to advocate for its strategic approach on the global stage.
  4. Recipient countries need assistance to advocate for comprehensive STH control and promote coordination among stakeholders.
  5. Data are needed for effective advocacy. Areas of weakness regarding data include baseline data collection, treatment data collection, data validation, and impact assessment.
  6. CWW should advocate for including neglected tropical disease (NTD) evaluation components (e.g., numbers treated) in WATSAN projects sponsored by Development Banks.

Over the next few months, CWW will continue to work with its recipient countries and MAC members to incorporate these recommendations in its 5-year strategic plan for 2011-2015. CWW will also call upon many of its partners for additional input so that together, they can work to achieve the shared vision.

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