Abstract
BackgroundGlobally, 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.ObjectiveThis systematic review aimed to evaluate how integration is being conducted and how we can improve it.MethodsPubMed, 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.ResultsDatabase 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.ConclusionThe 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 numberThe study protocol was registered with PROSPERO number, CRD42020167358.
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference67 articles.
1. Uniting to Combat NTDs . Powering our partnership to fight all 20 neglected tropical diseases [Internet], 2018. Available: http://unitingtocombatntds.org/resource/london-declaration [Accessed cited 2020 Aug 24].
2. CDC . Which diseases are considered neglected tropical diseases? [Internet. Centers for Disease Control and Prevention, 2019: 1. https://www.cdc.gov/globalhealth/ntd/diseases/index.html
3. WHO . The neglected tropical diseases: a rags-to- riches story: ten years in public health. World Health Organisation, 2017: 1–9. https://www.who.int/publications/10-year-review/ntd/en/
4. WHO . Report of the who strategic and technical Advisory group for neglected tropical diseases. World Health Organization, 2019: 1. http://www.who.int/neglected_diseases/NTD_STAG_report_2015.pdf?ua=1
5. Neglected tropical diseases: epidemiology and global burden;Mitra;Trop Med Infect Dis,2017
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献