Onasanya Adeola, Oladepo Oladimeji, Forje Gima Humphrey, Abua Eucheria Ekugeni, Amazigo Uche Veronica
Gloepid Health Initiative, 7 Omo Igodalo St, Ogudu, Lagos, 105102, Nigeria.
African Regional Health Education Centre, Faculty of Public Health, College of Medicine, University of Ibadan, Queen Elizabeth Road 11, Agodi, Ibadan, Oyo State, 200285, Nigeria.
BMC Infect Dis. 2025 Jan 27;25(1):125. doi: 10.1186/s12879-025-10553-x.
Nigeria has a significant burden of NTDs with more than 120 million people at risk of the dominant NTDs namely Lymphatic Filariasis, Onchocerciasis, and Schistosomiasis. Control efforts have involved the four levels of governance with programs focused on vector control, preventive chemotherapy, water, sanitation and health education. However, the coordination across these levels and with multiple stakeholders remains unclear especially in states like Taraba that have received significant funding from local non-governmental organisations.
This study evaluated NTD control effectiveness across national, state, local, and community levels in Nigeria. Eighty-two stakeholders were interviewed across the 4 governance levels.
Findings showed distinct roles of the different stakeholders: the National government sets policies, states adapt and strategise, local governments implement programs, and community leaders drive engagement. There is also some multi-sectoral collaboration and coordination among stakeholders. Challenges included inconsistent drug distribution, inadequate Community Drug Distributor (CDD) incentives, and limited cross-sector coordination.
NTD control progress has been notable, but to meet WHO's 2030 targets, Nigeria needs expanded partnerships, increased private sector involvement, improved drug distribution, enhanced CDD support, and integrated programs with cross-border collaboration.
Strengthening multi-sectoral partnerships, improving resource allocation, and engaging community leaders are crucial for advancing NTD elimination in Nigeria. A coordinated approach is essential for sustainable disease control and achieving global health objectives.
尼日利亚的被忽视热带病负担沉重，超过1.2亿人面临主要被忽视热带病的风险，即淋巴丝虫病、盘尾丝虫病和血吸虫病。防治工作涉及四级治理，项目重点是病媒控制、预防性化疗、水、环境卫生和健康教育。然而，这些层面之间以及与多个利益相关者之间的协调仍不明确，尤其是在像塔拉巴这样从当地非政府组织获得大量资金的州。
本研究评估了尼日利亚国家、州、地方和社区层面的被忽视热带病防治效果。在四级治理层面采访了82名利益相关者。
研究结果显示了不同利益相关者的不同作用：国家政府制定政策，州政府进行调整和制定战略，地方政府实施项目，社区领袖推动参与。利益相关者之间也存在一些多部门合作与协调。挑战包括药品分发不一致、社区药品分发员（CDD）激励不足以及跨部门协调有限。
被忽视热带病防治工作取得了显著进展，但为实现世界卫生组织的2030年目标，尼日利亚需要扩大伙伴关系、增加私营部门参与、改善药品分发、加强对社区药品分发员的支持，并实施跨境合作的综合项目。
加强多部门伙伴关系、改善资源分配以及让社区领袖参与对于在尼日利亚推进被忽视热带病消除工作至关重要。采取协调一致的方法对于可持续疾病控制和实现全球卫生目标至关重要。
