01123nas a2200157   4500000000100000008004100001260003400042100001500076700001300091700001300104700001900117700001300136245013100149520066000280022002500940       2025                            d  bOxford University Press (OUP)1 aFastenau A1 aWillis M1 aChahal P1 aSchlumberger F1 aNadeem B00aThe challenges of integrating neglected tropical diseases of the skin in Pakistan: a gap between recommendations and realities3 a<jats:p>The integration of neglected tropical diseases (NTDs) of the skin, such as cutaneous leishmaniasis, leprosy and scabies, into public health programmes offers 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