Bilchut Awraris Hailu, Gebre Teshome, Seife Fikre, Enbiale Wendemagegn, Tamiru Adugna, Yohanes Tsegaye, Yohannes Amsayaw, Adane Yosef, Merdekios Behailu, Kebede Biruck, Kebede Fikreab, Deribe Kebede, Evans Jennifer, Burton Matthew J, Habtamu Esmael
School of Public Health, Asrat Woldeyes Health Sciences College, Debre Berhan University, Debre Berhan, Ethiopia.
Eyu-Ethiopia: Eye Health Research, Training & Service Centre, Bahir Dar, Ethiopia.
BMJ Open. 2024 Dec 27;14(12):e090252. doi: 10.1136/bmjopen-2024-090252.
The WHO neglected tropical diseases (NTD) roadmap (2021-2030) proposed a shift in approach to addressing NTDs through accountability for impact, implementing integration across NTDs, mainstreaming in national health systems and ensuring country ownership. However, a major challenge has been the dearth of evidence on how to implement this shift in a resource-limited setting. The objective of this scoping review is to understand the extent and type of evidence on the mainstreaming or integration of programmes and/or interventions against NTDs into the national health system.
Research articles of any methodology, series, evaluations and reports published from 1995 in the English language on any peer-reviewed platforms, and WHO, universities and government or implementing partners websites that report and discuss mainstreaming or integration implementation practices or experiences of any interventions against NTDs into the health system will be included. The main databases searched on 30 October 2024 were Medical Literature Analysis and Retrieval System Online (Ovid), Embase (Ovid), Global Health (Ovid), Cochrane Database of Systematic Reviews and CENTRAL on the Cochrane Library (Wiley), and WHO Global Index Medicus. Following piloting, screening and data extraction will be undertaken independently by at least two people. Any disagreements that arise between the reviewers at each stage of the screening and selection process will be resolved through discussion, or with an additional reviewer/s. Thematic analysis will be conducted guided by the project INTEGRATE framework and the Primary Health Care Performance Initiative conceptual framework. Key information or evidence relevant to the mainstreaming of interventions against NTDs into the health system such as mainstreamed interventions and the level of health system where the mainstreaming occurred, the effectiveness of the mainstreaming, contextual differences in health system organisation between settings, and challenges and promising practices will be summarised.
Ethical approval will not be sought as our review will only include published data. The findings will be published in a peer-reviewed journal and will be disseminated at national and international research and programme review platforms.
世界卫生组织被忽视的热带病（NTD）路线图（2021 - 2030年）提议转变应对NTDs的方法，通过对影响负责、在各种NTDs中实施整合、在国家卫生系统中实现主流化以及确保国家自主权。然而，一个主要挑战是缺乏关于如何在资源有限的环境中实施这一转变的证据。本范围审查的目的是了解将针对NTDs的方案和/或干预措施纳入国家卫生系统的主流化或整合的证据范围和类型。
将纳入1995年以来在任何同行评审平台上以英文发表的任何方法、系列、评估和报告的研究文章，以及世界卫生组织、大学、政府或实施伙伴网站上报告和讨论将任何针对NTDs的干预措施纳入卫生系统的主流化或整合实施实践或经验的文章。2024年10月30日搜索的主要数据库包括医学文献分析和联机检索系统（Ovid）、Embase（Ovid）、全球卫生（Ovid）、Cochrane系统评价数据库和Cochrane图书馆（Wiley）上的CENTRAL以及世界卫生组织全球医学索引。在进行试点后，筛选和数据提取将至少由两人独立进行。在筛选和选择过程的每个阶段，评审人员之间出现的任何分歧将通过讨论解决，或与额外的评审人员解决。将在项目INTEGRATE框架和初级卫生保健绩效倡议概念框架的指导下进行主题分析。将总结与将针对NTDs的干预措施纳入卫生系统主流化相关的关键信息或证据，如主流化的干预措施和发生主流化的卫生系统层面、主流化的有效性、不同环境中卫生系统组织的背景差异以及挑战和有前景的做法。
由于我们的审查仅包括已发表的数据，因此不会寻求伦理批准。研究结果将发表在同行评审期刊上，并将在国家和国际研究及项目评审平台上传播。
