01819nas a2200313 4500000000100000008004100001653001300042653003100055653001200086653002300098100001400121700001300135700001100148700001300159700001700172700001200189700001500201700001200216700001400228700001400242700001400256700001500270700001600285245012300301856008800424300000900512490000600521520097800527 2008 d10aTrachoma10aNeglected tropical disease10aMalaria10aIntegrated control1 aEmerson P1 aNgondi J1 aBiru E1 aGraves P1 aEjigsemahu Y1 aGebre T1 aEndeshaw T1 aGenet A1 aMosher AW1 aZerihun M1 aMessele A1 aRichards F1 aSchachter J00aIntegrating an NTD with one of “the big three”: Combined malaria and trachoma survey in Amhara Region of Ethiopia. uhttp://journals.plos.org/plosntds/article/asset?id=10.1371/journal.pntd.0000197.PDF ae1970 v23 a

The “big three” killer diseases are malaria, HIV/AIDS, and tuberculosis; control programs for these diseases are usually well developed and financed. The neglected tropical diseases (NTDs) are a group of ancient afflictions that are frequently sidelined by planners and are under-resourced. Opportunities of integrating the big three with NTDs have been talked about but not widely acted upon. There is potential synergy for an integrated trachoma and malaria control program since control of both diseases is community-based. The first step in accessing these synergies has been an integrated malaria prevalence and indicator and trachoma prevalence and risk factor survey. This has been achieved at the incremental cost of one additional staff member per field team. The results give unprecedented precision for the calculation of intervention targets for the integrated program and demonstrate that it is possible to integrate NTDs with the “big three.”