01246nas a2200205   4500000000100000008004100001260003400042653005700076653001600133653001300149653001300162100001500175700001300190700001300203700001900216700001300235245010100248520066600349022002501015       2025                            d  bOxford University Press (OUP)10aSkin-related neglected tropical diseases (skin NTDs)10aIntegration10aBarriers10aPakistan1 aFastenau A1 aWillis M1 aChahal P1 aSchlumberger F1 aNadeem B00aThe Challenges of Integrating Skin NTDs in Pakistan: A Gap Between Recommendations and Realities3 a<jats:p>The integration of skin neglected tropical diseases (NTDs) such as leprosy, cutaneous leishmaniasis (CL), and scabies into public health programs offers promising opportunities to improve diagnosis and treatment in endemic regions. However, in Pakistan, practical challenges such as geographical non-co-endemicity, drug shortages, stigma, and fragmented healthcare systems hinder the implementation of integrated strategies. This perspective highlights the critical gaps between global recommendations and local realities, proposing context-specific solutions to enhance the integration and management of skin NTDs in resource-limited settings.</jats:p>  a0307-6938, 1365-2230