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How can we better integrate the prevention, treatment, control and elimination of neglected tropical diseases with other health interventions? A systematic review
Version 2 2023-06-12, 08:07
Version 1 2023-06-10, 01:14
journal contribution
posted on 2023-06-12, 08:07 authored by Gift Treighcy Banda, Kebede Kassaye, Gail DaveyGail DaveyBackground 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.
Funding
The Global Atlas of Podoconiosis; G1974; WELLCOME TRUST; 201900/Z/16/Z
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- Published
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- Published version
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BMJ Global HealthISSN
2059-7908Publisher
BMJ Publishing GroupExternal DOI
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6Page range
1-12Article number
a006968Department affiliated with
- Global Health and Infection Publications
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- Yes
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- Yes
Legacy Posted Date
2021-10-01First Open Access (FOA) Date
2021-10-19First Compliant Deposit (FCD) Date
2021-10-01Usage metrics
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