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      Building supply chain capacity for neglected tropical diseases: experience from the Ascend West and Central Africa programme

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          Abstract

          The Ascend West and Central Africa programme, funded by the UK Foreign, Commonwealth and Development Office (FCDO) is supporting integrated preventative chemotherapy for up to five neglected tropical diseases (NTDs), including intestinal worms, lymphatic filariasis, river blindness, trachoma and schistosomiasis. The programme is implemented across 13 countries by a consortium of four leading international development partners: Sightsavers, Liverpool School of Tropical Medicine, Schistosomiasis Control Initiative Foundation and Mott Macdonald. This paper presents messages learnt from country assessments that took place prior to the global outbreak of coronavirus disease 2019 (COVID-19). These messages remain relevant post-COVID-19, with greater priority being given to the challenges for national NTD programmes in continuing to deliver mass drug administration (MDA) during the pandemic. Stakeholder coordination from the earliest stages of the pandemic has occurred at two levels: in the first mile with global partners of the NTD Supply Chain Forum and in the last mile with implementing partners in each country. This has been instrumental to manage delayed MDA, including the impact delays have on the shipment of NTD donated drugs and the distribution of stock held in country. The Ascend West and Central Africa programme is supporting countries with the resumption of MDA through a risk assessment and mitigation action (RAMA) process.

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          Ending the neglect to attain the Sustainable Development Goals – A road map for neglected tropical diseases 2021–2030

          (2020)
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            Integrated Implementation of Programs Targeting Neglected Tropical Diseases through Preventive Chemotherapy: Identifying Best Practices to Roll Out Programs at National Scale

            In 2006 the U.S. Agency for International Development (USAID) established the Neglected Tropical Disease (NTD) Control Program to support national governments in developing successful, cost-efficient NTD programs that integrate disease-specific programs into coordinated national initiatives, in accord with the World Health Organization recommendations. A 3-stage “roll-out package” has been developed for effectively integrating and scaling up such programs to full-national scale. Stage-1 lays the groundwork—identifying NTD leadership within the Ministry of Health, conducting a national Situation Analysis, formulating a multiyear Plan of Action, and undertaking a funding gap analysis. Stage-2 focuses on scaling up the integrated NTD program—convening national stakeholder meetings, developing annual work plans, carrying out disease mapping, and establishing monitoring and evaluation activities. Stage-3 aims at ensuring effective management—identifying clear roles and responsibilities for partners, and creating a central coordinating mechanism. Assessment and reassessment of these complex NTD programs that target literally billions of people are essential to establish “best practice” strategies for long-term public health success.
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              Ending the neglect to attain the sustainable development goals: a sustainability framework for action against neglected tropical diseases 2021–2030

              (2021)
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                Author and article information

                Contributors
                Journal
                Trans R Soc Trop Med Hyg
                Trans R Soc Trop Med Hyg
                trstmh
                Transactions of the Royal Society of Tropical Medicine and Hygiene
                Oxford University Press
                0035-9203
                1878-3503
                15 May 2021
                : trab068
                Affiliations
                Department of Tropical Disease Biology, Liverpool School of Tropical Medicine , Pembroke Place, L3 5QA, UK
                Department of Tropical Disease Biology, Liverpool School of Tropical Medicine , Pembroke Place, L3 5QA, UK
                Hypha Group Limited , 320 Firecrest Court Centre Park, Warrington, UK, WA1 1RG, UK
                Author notes
                Corresponding author: Tel: +44 151 702 9423; E-mail: Rocio.VillacortaLinaza@ 123456lstmed.ac.uk
                Article
                trab068
                10.1093/trstmh/trab068
                8194841
                33991417
                d2c33e88-5423-4050-80f5-9aabfb676b76
                © The Author(s) 2021. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 November 2020
                : 30 March 2021
                : 22 April 2021
                Page count
                Pages: 6
                Funding
                Funded by: Department for International Development, DOI 10.13039/501100000278;
                Award ID: 205249
                Categories
                Lessons from the Field
                AcademicSubjects/MED00860
                AcademicSubjects/MED00290
                Custom metadata
                PAP

                Medicine
                capacity building,health systems,ntd supply chain,pharmacists,preventative chemotherapy,reverse logistics

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