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

Linaza, Rocio Villacorta; Garner, T. G. P.; Genovezos, Chantelle

doi:10.1093/trstmh/trab068

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…In NTD drug supply chain management, drugs for PC-NTDs are received through vertical donation programs. Recent assessments to address this capacity gap found PLOS NEGLECTED TROPICAL DISEASES that integrating NTD supply chains into national health supply chain networks contributes to building in-country supply chain capacity, strengthens integration with other NTD and health sectors, improves forecasting of medicine demand, and most importantly, improves access to and demand for NTD services [39].…”

Section: Discussionmentioning

confidence: 99%

Towards a shared understanding of sustainability for neglected tropical disease programs

Glenn

Adams²,

Sankar

et al. 2021

PLoS Negl Trop Dis

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Background Sustainability within neglected tropical disease (NTD) programs is a complex and challenging issue. The need for a shared understanding about what sustainability means for NTD programs is more important than ever as stakeholders are currently realigning for the next decade of NTD programming with the launch of WHO’s new NTD roadmap for 2012–2030. The aim of this paper is to assess different perspectives to generate a working definition of sustainability for NTD programs. Methodology/Principal findings This study surveyed affiliates of the NTD NGO Network (NNN) about their definitions of sustainability and then analyzed the data using an inductive and deductive process. The research team drafted a sustainability statement based on the survey findings and then solicited and incorporated feedback on the statement from a diverse group of expert reviewers. The final statement includes a working definition of sustainability for NTD programs that highlights three key essential components to sustainability: domestic commitment, responsive resource mobilization, and accountability. Conclusions/Significance This research resulted in a sustainability statement, based on a survey and extensive consultation with stakeholders, that represents a starting point for shared understanding around the concept of sustainability for NTD programs. Future collaborative work should build off this definition and seek to incorporate indicators for sustainability into programmatic decision-making.

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Section: Discussionmentioning

confidence: 99%

Towards a shared understanding of sustainability for neglected tropical disease programs

Glenn

Adams²,

Sankar

et al. 2021

PLoS Negl Trop Dis

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“…Availability of medications scored the lowest in terms of overall indicators corroborating the fact that stockouts are a known challenge and there is a need for improved supply chain management as part of overall health systems strengthening [14]. One noted challenge discussed is that health facilities may feel as though LF patients should be treated with medicines and commodities that have been provided by the NTD Program, and do not consider those patients as part of the general patient population.…”

Section: Discussionmentioning

confidence: 97%

Evaluating the availability and quality of services for lymphatic filariasis morbidity in Ghana

Edmiston

Atinbire

Mensah³

et al. 2023

PLoS Negl Trop Dis

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Background and methodology In districts where lymphatic filariasis (LF) is endemic, the goal is to provide 100% geographical coverage of the essential package of care. Additionally, countries seeking elimination status must document the availability of services for lymphoedema and hydrocele in all endemic areas. To do this, the WHO recommends conducting assessments of the readiness and quality of services provided to identify service delivery and quality gaps. This study used the recommended WHO Direct Inspection Protocol (DIP), which consists of 14 core indicators related to LF case management, medicine and commodities, staff knowledge and patient tracking. The survey was administered in 156 health facilities across Ghana designated and trained to provide LF morbidity management services. Patient and health provider interviews were also conducted to assess challenges and feedback. Principal findings The highest performing indicators across the 156 surveyed facilities were related to staff knowledge; 96.6% of health workers correctly identified two or more signs and symptoms. The lowest scoring indicators concerned medication availability, with the two lowest scoring indicators in the survey being availability of antifungals (26.28%) and antiseptics (31.41%). Hospitals performed best with an overall score of 79.9%, followed by health centers (73%), clinics (67.1%) and CHPS compounds (66.8%). The most commonly reported challenge from health worker interviews was lack of medications and supplies, followed by a lack of training or poor motivation. Conclusions and significance The findings from this study can help the Ghana NTD Program identify areas of improvement as they seek to achieve LF elimination targets and continue to improve access to care for those with LF-related morbidity as part of overall health systems strengthening. Key recommendations include prioritizing refresher and MMDP training for health workers, ensuring reliable patient tracking systems, and integrating lymphatic filariasis morbidity management into the routine healthcare system to ensure medicine and commodity availably.

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“…Therefore, initiatives aimed at building capacity of healthcare providers in relation to NTDs should involve all types of health professionals. 12 …”

Section: Discussionmentioning

confidence: 99%

Knowledge of tropical diseases and response capabilities of healthcare providers in Kaduna State, Nigeria

Adje

Dambo²

2023

International Health

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Background The public health impact of neglected tropical diseases (NTDs) is quite substantial. The objective of this study was to assess the knowledge and response capability of health professionals regarding NTDs in Kaduna State, Nigeria. Methods A pre-tested questionnaire with a Cronbach's α coefficient of 0.716 was administered to 350 health professionals. The questionnaire assessed the knowledge, resource availability and capacity to handle NTD cases. Results Only 38 (12.6%) respondents were familiar with the World Health Organization's definition of NTDs. Although self-reported knowledge was highest for physicians (37 [82.2%]), there was no statistically significant knowledge disparity between cadres of health professionals. Only 12 (46.2%) practitioners in private health facilities reported adequate knowledge. The tier of practice was significantly associated with management of NTDs (χ2 = 10.545; df 2; p = 0.005). Only 24 (47.1%) medical laboratory scientists and 18 (40.0%) physicians had adequate clinical resources for management of NTDs. Nearly three-quarters (211 (70.1%)] of respondents had never been trained in the management of NTDs. More than half (177 [58.8%]) of facilities lacked pharmaceuticals or standard operating procedures for management of NTDs. Conclusions Self-reported knowledge of NTDs was suboptimal. Physical and clinical resources for the diagnosis and treatment of NTDs were inadequate. Targeted training, increased funding and provision of adequate resources are needed in order to ameliorate the situation.

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

Cited by 6 publications

References 3 publications

Towards a shared understanding of sustainability for neglected tropical disease programs

Towards a shared understanding of sustainability for neglected tropical disease programs

Evaluating the availability and quality of services for lymphatic filariasis morbidity in Ghana

Knowledge of tropical diseases and response capabilities of healthcare providers in Kaduna State, Nigeria

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