DMDI Working Group

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DISEASE MANAGEMENT, DISABILITY and INCLUSION (DMDI)
For Neglected Tropical Diseases

Background

Neglected Tropical Diseases (NTDs) lead to significant morbidity and chronic disability and may trap individuals, their families and communities in a cycle of poverty. Crucial global WHO-led efforts in prevention and elimination of NTDs address distinct public health and patient care dimensions for those already affected. However, systematic consideration of the cross-NTD person-focussed dimensions that are captured under the “Disease Management, Disability and Inclusion” (DMDI) umbrella is lacking or relatively weak in most NTD programmes. The DMDI concept includes and actively supports Morbidity Management and Disability Prevention (MMDP) as one important component of the comprehensive “continuum of care” required by many persons affected by NTDs. However, DMDI expands the concept of MMDP to include aspects like social participation, stigma, mental wellbeing and the human rights side of inclusion.

Approach

The DMDI approach promotes equitable and inclusive quality patient care reflecting the cross-cutting features of NTDs. DMDI may be defined as “an approach that encompasses the medical treatment of NTD complications, the prevention and (self-)management of disabilities, promotion of mental wellbeing, reduction of stigma and promotion of other interventions and approaches that facilitate inclusion in society, such as human rights, participation of affected persons and communities, and livelihood”.

For more information on the approach, purpose, operations and achievements of the DMDI working group, please see the linked document below: Introduction to Disease Management, Disability and Inclusion (DMDI) for Neglected Tropical Diseases.