@article{102671,
  keywords = {Integration, Mainstreaming, Mass drug administration, Neglected tropical diseases (NTDs), Primary Health Care, strengthening health systems, Universal health coverage},
  author = {Downs P and Tate A and Harvey D and Baker M},
  title = {The changing neglected tropical disease landscape in Africa: implications for policy, practice, and strengthening health systems.},
  abstract = {<p><strong>Introduction</strong></p>

<p>Mass drug administration (MDA) has reached up to 1 billion people annually to combat neglected tropical diseases (NTDs). This study explores the evolving NTD landscape in Africa amid shifting disease patterns, funding cuts, and universal health coverage goals.</p>

<p><strong>Methods</strong></p>

<p>We analyzed data from ESPEN and Sightsavers databases to assess historical trends and forecast future treatment needs.</p>

<p><strong>Results</strong></p>

<p>By 2027, few or no MDAs for lymphatic filariasis and trachoma will be required and MDAs for onchocerciasis dropped sharply after 2024. In contrast, schistosomiasis and soil-transmitted helminths continue to require widespread MDA.</p>

<p><strong>Conclusion</strong></p>

<p>To secure elimination gains, remaining MDAs must be completed and broader health systems approaches adopted.</p>
},
  year = {2025},
  journal = {Health affairs scholar},
  volume = {3},
  pages = {1-4},
  month = {07/2025},
  issn = {2976-5390},
  url = {https://pmc.ncbi.nlm.nih.gov/articles/PMC12311265/pdf/qxaf136.pdf},
  doi = {10.1093/haschl/qxaf136},
  language = {eng},
}