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Leaving no one behind in NTD programmes: lessons from implementing a risk assessment tool.
Danny Harvey1, Tom Milson1, Philip Downs1
1Sightsavers, 35 Perrymount Road, Haywards Heath, West Sussex, RH16 3BZ, UK.
International Health
|December 17, 2025
Summary
Sightsavers implemented a "leave no one behind" risk assessment tool to ensure marginalized communities receive neglected tropical disease interventions. The tool
Area of Science:
- Global health
- Public health interventions
- Neglected tropical diseases
Background:
- Marginalized communities face exclusion from neglected tropical disease (NTD) interventions.
- A 'leave no one behind' approach is crucial for equitable NTD control.
- Risk assessment tools can identify and address barriers to intervention access.
Purpose of the Study:
- To evaluate the implementation of a 'Leave No One Behind' risk assessment tool.
- To share lessons learned from the tool's rollout in diverse settings.
- To demonstrate the tool's impact on marginalized populations in NTD programs.
Main Methods:
- Rollout of a 'Leave No One Behind' risk assessment tool across various contexts.
- Qualitative analysis of implementation experiences and lessons learned.
- Case study from Cameroon's East Region detailing tool application and outcomes.
Main Results:
- The risk assessment tool was successfully implemented in different settings.
- Key lessons were identified regarding tool adaptation and integration.
- Actions generated from the tool demonstrated positive program outcomes for marginalized groups.
- A case study from Cameroon illustrated the tool's practical application and benefits.
Conclusions:
- The 'Leave No One Behind' risk assessment tool effectively improves program outcomes for marginalized populations.
- Implementing such tools is essential for achieving disease control and elimination goals.
- Equitable approaches are necessary to ensure no one is left behind in global health initiatives.
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