How can we better integrate the prevention, treatment, control and elimination of neglected tropical diseases with other health interventions? A systematic review

Banda, Gift Treighcy, Deribe, Kebede and Davey, Gail (2021) How can we better integrate the prevention, treatment, control and elimination of neglected tropical diseases with other health interventions? A systematic review. BMJ Global Health, 6. a006968 1-12. ISSN 2059-7908

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Abstract

Background
Globally, about 1.7 billion people living in poverty are affected by one or more of a group of disabling, disfiguring and poverty-promoting conditions known as neglected tropical diseases (NTDs). Major global health actors, like the WHO, have endorsed a shift from vertical to integrated NTD management.

Objective
This systematic review aimed to evaluate how integration is being conducted and how we can improve it.

Methods
PubMed, Medline, Cochrane library, Web of Science, Trip, Embase, Global Health and Google Scholar were searched from 1 April to 22 July 2020.We included peer-reviewed articles published between 1 January 2000 and 22 July 2020 in English.

Results
Database searches produced 24 565 studies, of which 35 articles met the inclusion criteria. Twenty of these articles were conducted in sub-Saharan Africa. Twenty articles were also published between 2015 and 2020. Literature revealed that NTDs have been integrated—among themselves; with water, sanitation and hygiene programmes; with vector control; with primary healthcare; with immunisation programmes; and with malaria management. Integrated mass drug administration for multiple NTDs was the most common method of integration. The three complex, yet common characteristics of successful integration were good governance, adequate financing and total community engagement.

Conclusion
The dataset identified integrated management of NTDs to be cost effective and potentially to increase treatment coverage. However, the identified modes of integration are not exclusive and are limited by the available literature. Nonetheless, integration should urgently be implemented, while considering the programmatic and sociopolitical context.

PROSPERO registration number
The study protocol was registered with PROSPERO number, CRD42020167358.

Item Type: Article
Keywords: Integrated management, Health system integration, Integration facilitators, neglected tropical diseases, neglected tropical disease control
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 01 Oct 2021 09:38
Last Modified: 02 Mar 2022 12:33
URI: http://sro.sussex.ac.uk/id/eprint/102022

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