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Understanding the local dynamics of this disease is crucial for effectively planning interventions to eliminate urogenital schistosomiasis as a public health concern. This study, conducted in southern Togo, aimed to comprehensively describe the epidemiology of\n                      <jats:italic>Schistosoma haematobium<\/jats:italic>\n                      infection among school-aged children after more than a decade of control using preventive chemotherapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study was conducted from July to August 2022 among children aged 5 to 14 years in selected villages across three districts of the Plateaux region of Togo. Coordinates of each surveyed household were recorded, and sociodemographic data were gathered using a pre-tested questionnaire. Urine samples were visually examined for macrohematuria and tested for microhematuria. Urine filtration was performed to quantify\n                      <jats:italic>S. haematobium<\/jats:italic>\n                      eggs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 3146 households were enrolled, and 6400 school-aged children provided urine samples. The overall prevalence of macrohematuria was 4.48% (95% CI [4.21\u20134.75]) and of microhematuria was 16.11% (95% CI [15.65\u201316.57]), while 15.0% (95% CI [14.55\u201315.45]), of children were\n                      <jats:italic>S. haematobium<\/jats:italic>\n                      egg-positive. Prevalence varied across villages and districts, with Ogou district exhibiting the highest prevalence by all three indicators. The prevalence of heavy-intensity infection ranged from 0.92% (95% CI [0.69\u20131.15]) in the Est-Mono district to 12.91% (95% CI [12.3\u201313.52]) in the Ogou district, averaging 3.40% (95% CI [2.95\u20133.85]) in the Ani\u00e9 district.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This study highlights geographic variability in the distribution of\n                      <jats:italic>S. haematobium<\/jats:italic>\n                      , even after more than a decade of PC. The detailed data provided can support the development of more targeted treatment strategies, focusing on areas where\n                      <jats:italic>S. haematobium<\/jats:italic>\n                      remains prevalent. This approach may accelerate progress toward achieving the WHO goal of eliminating schistosomiasis as a public health concern.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1186\/s13071-026-07357-6","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:04:42Z","timestamp":1773835482000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spatial distribution of urogenital schistosomiasis in school-aged children in Togo: an oversampling survey in three districts in 2022"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0233-5619","authenticated-orcid":false,"given":"Essoham","family":"Ataba","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiali Ayawa","family":"Lack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne Eya","family":"Kamassa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Smaila","family":"Alidou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kossi","family":"Yakpa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona M.","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efoe","family":"Sossou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manani","family":"Hemou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maw\u00e8k\u00e9","family":"Tchalim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gbati","family":"Datagni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Seim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piham","family":"Gnossike","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penelope","family":"Vounatsou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Pullan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Gass","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ameyo M.","family":"Dorkenoo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"7357_CR1","doi-asserted-by":"publisher","first-page":"2253","DOI":"10.1016\/S0140-6736(13)61949-2","volume":"383","author":"DG Colley","year":"2014","unstructured":"Colley DG, Bustinduy AL, Secor WE, King CHTL. 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