Implementing the integrated control and management of skin neglected tropical diseases

In the context of skin NTDs, integration is defined as the implementation of two or more activities simultaneously in the same communities in order to optimize the use of limited resources.

Rationale for integration

• Skin NTDs are often co-endemic in many countries, districts, and communities. They may have same common manifestations and approaches to detection. Examination of the skin therefore serves as an opportunity to identify multiple conditions in a single intervention and also to improve case detection. For example, post-kala-azar dermal leishmaniasis can be detected during leprosy case detection campaigns, or vice versa.
• Skin NTDs are often underreported or are not included in routine surveillance systems. An integrated approach offers opportunities for active screening in communities and in schools.
• Combined activities to control skin NTDs improves understanding of their total related burden and of the need for greater advocacy and optimal and efficient use of human, material and financial resources.

Factors underlying successful integration

The following factors could support the successful integration of skin NTDs:

• Sustained WHO advocacy and simple technical guidance (skin NTD manual, online course and integrated data collection/analysis tool, mobile app).
• Cooperation and support of donors and partners of vertical programmes, combining mapping, training,  social mobilization and case detection.
• Integration into the primary healthcare system and collaboration with other public health programmes to expand services.