Control of the Neglected Tropical Diseases in sub-Saharan Africa: the unmet needs.

The neglected tropical diseases (NTDs) are widespread in sub-Saharan Africa with several infecting many millions of individuals. Various integrated control programmes against up to seven NTDs are now being implemented in a few countries in sub-Saharan Africa, but the total coverage is estimated to be only a quarter of the population in need of treatment. We estimate that approximately $200+ million per year is needed to fully implement the proposed integrated NTD control programmes in the rural populations in all the countries in sub-Saharan Africa, and an annual sum for 5-7 years would be needed to reduce morbidity to below public health importance. To date, the Bill & Melinda Gates Foundation, the United States Agency for International Development, the British Government, Geneva Global (an international philanthropic organisation) and other donors have committed some funds for NTD control; however, more effort is needed from a broader spectrum of donors to reach our targets. Unless more funds are committed and concerted actions are taken across all the sub-Saharan African countries, NTDs will be controlled in some but still be a major public health problem for the foreseeable future in the majority of countries.