Centre for Global Health Research, Brighton and Sussex Medical School, Brighton BN1 9PX, UK.
Department of Disease Control, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Trans R Soc Trop Med Hyg. 2023 Feb 1;117(2):132-138. doi: 10.1093/trstmh/trac086.
Skin-presenting neglected tropical diseases (skin-NTDs) impose large burdens on affected people, families and communities. The NTD Roadmap 2021-2030 presents a strategic plan to guide collaborative, multisectoral action to overcome these burdens, defining targets to control, eliminate and/or eradicate skin-NTDs by 2030. One of its targets is for 40 countries to adopt integrated skin-NTD strategies. Despite this high-level support for integration, only four countries were implementing integrated skin-NTD strategies in 2020.
We hosted workshops at the 2021 annual meeting of the Coalition for Operational Research on NTDs, to discuss the operationalisation of Roadmap goals into national strategies and interventions for skin-NTD control. Speakers included NTD Programme Managers from NTD-endemic countries, technical experts and researchers of different aspects of skin-NTDs.
Challenges include community perceptions of interventions, demonstrating the cost-effectiveness of integrated care, availability and accessibility of community-based and primary healthcare services, the quality of data on skin-NTD morbidity and changes to operational structures required for integration. Research priorities included the identification of optimal case detection platforms, evaluation of integrated care, understanding the impacts of integration on community members and community health staff and development of point-of-care diagnostics.
The operational research priorities are intended to support the scale-up of integrated skin-NTDs programmes.
皮肤表现型被忽视的热带病（skin-NTDs）给患者、家庭和社区带来了沉重负担。《2021-2030 年被忽视的热带病路线图》提出了一项战略计划，以指导协作、多部门行动，以克服这些负担，确定到 2030 年控制、消除和/或消灭 skin-NTDs 的目标。其目标之一是 40 个国家通过综合 skin-NTD 战略。尽管对整合有如此高的支持，但 2020 年只有四个国家在实施综合 skin-NTD 战略。
我们在 2021 年运营研究合作组织（Coalition for operational Research on NTDs）年会上举办了研讨会，讨论将路线图目标转化为国家战略和干预措施，以控制 skin-NTD。演讲者包括来自 NTD 流行国家的 NTD 项目经理、不同 skin-NTD 方面的技术专家和研究人员。
面临的挑战包括社区对干预措施的看法、展示综合护理的成本效益、社区和初级保健服务的可用性和可及性、skin-NTD 发病率数据的质量以及为整合而改变运营结构。研究重点包括确定最佳病例检测平台、评估综合护理、了解整合对社区成员和社区卫生工作人员的影响以及开发即时诊断技术。
这些运营研究重点旨在支持综合 skin-NTD 方案的扩大。
