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Considerations for a sustainability framework for neglected tropical diseases programming.

Marcos Espinal1, Margaret E Kruk2, Madame Cisse Mariama Mohamed3

  • 1Department of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, World Health Organization, 525 23rd Street NW, Washington, DC 20037 USA.

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Integrating neglected tropical disease (NTD) programs into national systems is crucial for universal healthcare. Careful planning is needed to sustain progress in disease elimination and control efforts.

Keywords:
health financinghealth policyhealth systemsneglected tropical diseasessustainability

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Area of Science:

  • Public Health
  • Global Health
  • Health Policy

Background:

  • Neglected tropical diseases (NTDs) pose a significant barrier to achieving universal healthcare and Sustainable Development Goals.
  • While NTD programs are expanding, their full integration into national governance, financing, planning, and service delivery remains a challenge.

Purpose of the Study:

  • To outline a framework for the sustainability of NTD programs.
  • To guide governments in developing visions and multisectoral plans for NTD program integration.
  • To identify critical factors for successful integration without compromising disease control targets.

Main Methods:

  • Review of the World Health Organization's sustainability framework for NTD programs.
  • Analysis of key considerations for merging NTD program components into national health systems.
  • Synthesis of strategies to ensure continued progress in disease elimination and control.

Main Results:

  • Governments must establish clear visions and comprehensive multisectoral plans for NTD program sustainability.
  • Successful integration requires careful consideration of governance, financing, planning, and service delivery mechanisms.
  • A strategic approach is necessary to avoid undermining existing progress in NTD control and elimination.

Conclusions:

  • The sustainability of NTD programs hinges on their seamless integration into national health structures.
  • Effective national governance and multisectoral planning are essential for long-term NTD control.
  • Addressing critical factors during integration will safeguard progress towards NTD elimination goals.