title: The effects of integration on financing and coverage of neglected tropical disease programs.
abstract: When the U.S. Agency for International Development (USAID) began to support national programs integrating their neglected tropical disease (NTD) program activities, the expected impact on individual disease-specific programs was unclear, particularly with respect to program financing and coverage. To assess this impact, data were collected by NTD program managers and their non-governmental organization (NGO) partners in Burkina Faso, Mali, and Uganda from 2 years prior and 2 years after their individual programs received funding for an integrated NTD program. Findings show that these countries experienced some increases in overall funding available for integrated NTD programs, an expansion of geographical coverage and of the number of persons treated, and the addition of treatments targeted at new diseases. What is not clear is whether these achievements can be sustained if there are decreases in external support in the future. Seeking increased government commitment or sustained external donor support should be a top priority.
authors.affiliation: Lymphatic Filariasis Support Center, Task Force for Global Health, Decatur, GA, USA. phooper@taskforce.org
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Hooper
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Zoerhoff
authors.forename: Dominique
authors.initials: D
authors.lastname: Kyelem
authors.forename: Brian
authors.initials: B
authors.lastname: Chu
authors.forename: Rebecca Mann
authors.initials: RM
authors.lastname: Flueckiger
authors.forename: Sanoussi
authors.initials: S
authors.lastname: Bamani
authors.forename: Windtaré Roland
authors.initials: WR
authors.lastname: Bougma
authors.forename: Fiona
authors.initials: F
authors.lastname: Fleming
authors.forename: Ambrose
authors.initials: A
authors.lastname: Onapa
authors.forename: Alain Brice
authors.initials: AB
authors.lastname: Paré
authors.forename: Scott
authors.initials: S
authors.lastname: Torres
authors.forename: Mamadou Oumar
authors.initials: MO
authors.lastname: Traore
authors.forename: Marjon
authors.initials: M
authors.lastname: Tuinsma
authors.forename: Mary
authors.initials: M
authors.lastname: Linehan
authors.forename: Margaret
authors.initials: M
authors.lastname: Baker
mesh_terms: D002050:Burkina Faso; D003906:Developing Countries; D006801:Humans; D008302:Mali; D009313:National Health Programs / Q000191:economics* / Q000458:organization & administration; D058069:Neglected Diseases / Q000191:economics* / Q000453:epidemiology* / Q000517:prevention & control*; D014330:Tropical Medicine / Q000191:economics*; D014454:Uganda; D014481:United States; D054702:United States Agency for International Development