02446nas a2200301 4500000000100000008004100001260001200042653001900054653001600073653003900089100001600128700002200144700001300166700001300179700001400192700001500206700001900221700001500240700001200255700001600267700001400283245010100297856007500398300000800473490000700481520164200488022001402130 2026 d c02/202610aHealth systems10aIntegration10aNeglected tropical diseases (NTDs)1 aRozendaal N1 aBassabi-Alladji M1 aBishaw T1 aOmondi W1 aTolotra A1 aBatchiri S1 aNshimiyimana L1 aGnossike P1 aJones C1 aMubangizi A1 aRebollo M00aStrengthening health systems through NTD integration: Key insights from a multi-country webinar. uhttps://pmc.ncbi.nlm.nih.gov/articles/PMC12928560/pdf/pntd.0013628.pdf a1-80 v203 a
The integration of Neglected Tropical Disease (NTD) control and elimination into national health systems is a strategic imperative, driven by shifting global health priorities and evolving funding landscapes. A webinar hosted by the Global Onchocerciasis Network for Elimination (GONE) taken place on 8 July 2025 synthesizes nine country experiences demonstrating innovative models for embedding NTD interventions within established platforms, ranging from integrating mass drug administration (MDA) into maternal and child health weeks in Rwanda to leveraging national polio vaccination campaigns in Madagascar. These integrated models yielded significant, quantifiable benefits, including enhanced operational efficiency and greater national ownership. Evidence from Rwanda demonstrates the potential for achieving treatment coverage above 90% and 100% geographical coverage. Moreover, integration produced substantial cost savings, with Madagascar's integration of MDA with polio vaccination reducing expenses by up to 89%. However, implementation is not without challenges. Common obstacles include increased workloads for health workers, gaps in health information systems, which often lack specific indicators for tracking MDA activities, and the persistent need for sustained domestic resource mobilization. Despite these hurdles, the webinar concludes that strategic, well-planned integration is a vital pathway for amplifying the impact of NTD programs. This approach not only strengthens the resilience of national health systems but also contributes meaningfully to the advancement of universal health coverage for all.
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