Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs
Identifieur interne : 001432 ( Pmc/Checkpoint ); précédent : 001431; suivant : 001433Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs
Auteurs : E. Anna Johnston [États-Unis] ; Jordan Teague [États-Unis] ; Jay P. Graham [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Abstract
Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling and eliminating many neglected tropical diseases (NTDs).
This study investigated the integration of NTD and WASH programming in order to identify barriers to widespread integration and make recommendations about ideal conditions and best practices critical to future integrated programs.
Twenty-four in-depth, semi-structured interviews were conducted with key stakeholders in the global NTD and WASH sectors to identify barriers and ideal conditions in programmatic integration.
The most frequently mentioned barriers to WASH and NTD integration included: 1) differing programmatic objectives in the two sectors, including different indicators and metrics; 2) a disproportionate focus on mass drug administration; 3) differences in the scale of funding; 4) siloed funding; and 5) a lack of coordination and information sharing between the two sectors. Participants also conveyed that a more holistic approach was needed if future integration efforts are to be scaled-up. The most commonly mentioned requisite conditions included: 1) education and advocacy; 2) development of joint indicators; 3) increased involvement at the ministerial level; 4) integrated strategy development; 5) creating task forces or committed partnerships; and 6) improved donor support.
Public health practitioners planning to integrate NTD and WASH programs can apply these results to create conditions for more effective programs and mitigate barriers to success. Donor agencies should consider funding more integration efforts to further test the proof of principle, and additional support from national and local governments is recommended if integration efforts are to succeed. Intersectoral efforts that include the development of shared indicators and objectives are needed to foster conditions conducive to expanding effective integration programs.
The online version of this article (doi:10.1186/s12889-015-1838-7) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12889-015-1838-7
PubMed: 26062691
PubMed Central: 4464235
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Anna Johnston</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC, 20051 USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Teague, Jordan" sort="Teague, Jordan" uniqKey="Teague J" first="Jordan" last="Teague">Jordan Teague</name><affiliation wicri:level="1"><nlm:aff id="Aff2">WASH Advocates, 1506 21st Street NW, Suite 200, Washington, DC, 20036 USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>WASH Advocates, 1506 21st Street NW, Suite 200, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Graham, Jay P" sort="Graham, Jay P" uniqKey="Graham J" first="Jay P." last="Graham">Jay P. 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Anna" last="Johnston">E. Anna Johnston</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC, 20051 USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Teague, Jordan" sort="Teague, Jordan" uniqKey="Teague J" first="Jordan" last="Teague">Jordan Teague</name><affiliation wicri:level="1"><nlm:aff id="Aff2">WASH Advocates, 1506 21st Street NW, Suite 200, Washington, DC, 20036 USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>WASH Advocates, 1506 21st Street NW, Suite 200, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Graham, Jay P" sort="Graham, Jay P" uniqKey="Graham J" first="Jay P." last="Graham">Jay P. Graham</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC, 20051 USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling and eliminating many neglected tropical diseases (NTDs).</p></sec><sec><title>Objectives</title><p>This study investigated the integration of NTD and WASH programming in order to identify barriers to widespread integration and make recommendations about ideal conditions and best practices critical to future integrated programs.</p></sec><sec><title>Methods</title><p>Twenty-four in-depth, semi-structured interviews were conducted with key stakeholders in the global NTD and WASH sectors to identify barriers and ideal conditions in programmatic integration.</p></sec><sec><title>Results</title><p>The most frequently mentioned barriers to WASH and NTD integration included: 1) differing programmatic objectives in the two sectors, including different indicators and metrics; 2) a disproportionate focus on mass drug administration; 3) differences in the scale of funding; 4) siloed funding; and 5) a lack of coordination and information sharing between the two sectors. Participants also conveyed that a more holistic approach was needed if future integration efforts are to be scaled-up. The most commonly mentioned requisite conditions included: 1) education and advocacy; 2) development of joint indicators; 3) increased involvement at the ministerial level; 4) integrated strategy development; 5) creating task forces or committed partnerships; and 6) improved donor support.</p></sec><sec><title>Conclusions</title><p>Public health practitioners planning to integrate NTD and WASH programs can apply these results to create conditions for more effective programs and mitigate barriers to success. Donor agencies should consider funding more integration efforts to further test the proof of principle, and additional support from national and local governments is recommended if integration efforts are to succeed. Intersectoral efforts that include the development of shared indicators and objectives are needed to foster conditions conducive to expanding effective integration programs.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-015-1838-7) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hotez, Pj" uniqKey="Hotez P">PJ Hotez</name></author><author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name></author><author><name sortKey="Savioli, L" uniqKey="Savioli L">L Savioli</name></author><author><name sortKey="Molyneux, Dh" uniqKey="Molyneux D">DH Molyneux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hotez, Pj" uniqKey="Hotez P">PJ Hotez</name></author><author><name sortKey="Pecoul, B" uniqKey="Pecoul B">B 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Teague</name></author><author><name sortKey="Johnston, Ea" uniqKey="Johnston E">EA Johnston</name></author><author><name sortKey="Graham, Jp" uniqKey="Graham J">JP Graham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freeman, Mc" uniqKey="Freeman M">MC Freeman</name></author><author><name sortKey="Ogden, S" uniqKey="Ogden S">S Ogden</name></author><author><name sortKey="Jacobson, J" uniqKey="Jacobson J">J Jacobson</name></author><author><name sortKey="Abbott, D" uniqKey="Abbott D">D Abbott</name></author><author><name sortKey="Addiss, Dg" uniqKey="Addiss D">DG Addiss</name></author><author><name sortKey="Amnie, Ag" uniqKey="Amnie A">AG Amnie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hurlimann, E" uniqKey="Hurlimann E">E Hürlimann</name></author><author><name sortKey="Schur, N" uniqKey="Schur N">N Schur</name></author><author><name sortKey="Boutsika, K" uniqKey="Boutsika K">K 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26062691</article-id><article-id pub-id-type="pmc">4464235</article-id><article-id pub-id-type="publisher-id">1838</article-id><article-id pub-id-type="doi">10.1186/s12889-015-1838-7</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Johnston</surname><given-names>E. Anna</given-names></name><address><email>eajohnston87@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Teague</surname><given-names>Jordan</given-names></name><address><email>jlteague2011@gmail.com</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Graham</surname><given-names>Jay P.</given-names></name><address><email>jgraham@gwu.edu</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><label></label>The George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW Suite 400, Washington, DC, 20051 USA</aff><aff id="Aff2"><label></label>WASH Advocates, 1506 21st Street NW, Suite 200, Washington, DC, 20036 USA</aff></contrib-group><pub-date pub-type="epub"><day>11</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>11</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>15</volume><elocation-id>547</elocation-id><history><date date-type="received"><day>23</day><month>10</month><year>2014</year></date><date date-type="accepted"><day>13</day><month>5</month><year>2015</year></date></history><permissions><copyright-statement>© Johnston et al. 2015</copyright-statement><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling and eliminating many neglected tropical diseases (NTDs).</p></sec><sec><title>Objectives</title><p>This study investigated the integration of NTD and WASH programming in order to identify barriers to widespread integration and make recommendations about ideal conditions and best practices critical to future integrated programs.</p></sec><sec><title>Methods</title><p>Twenty-four in-depth, semi-structured interviews were conducted with key stakeholders in the global NTD and WASH sectors to identify barriers and ideal conditions in programmatic integration.</p></sec><sec><title>Results</title><p>The most frequently mentioned barriers to WASH and NTD integration included: 1) differing programmatic objectives in the two sectors, including different indicators and metrics; 2) a disproportionate focus on mass drug administration; 3) differences in the scale of funding; 4) siloed funding; and 5) a lack of coordination and information sharing between the two sectors. Participants also conveyed that a more holistic approach was needed if future integration efforts are to be scaled-up. The most commonly mentioned requisite conditions included: 1) education and advocacy; 2) development of joint indicators; 3) increased involvement at the ministerial level; 4) integrated strategy development; 5) creating task forces or committed partnerships; and 6) improved donor support.</p></sec><sec><title>Conclusions</title><p>Public health practitioners planning to integrate NTD and WASH programs can apply these results to create conditions for more effective programs and mitigate barriers to success. Donor agencies should consider funding more integration efforts to further test the proof of principle, and additional support from national and local governments is recommended if integration efforts are to succeed. Intersectoral efforts that include the development of shared indicators and objectives are needed to foster conditions conducive to expanding effective integration programs.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-015-1838-7) contains supplementary material, which is available to authorized users.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Neglected tropical disease</kwd><kwd>NTDs</kwd><kwd>Water, sanitation, and hygiene</kwd><kwd>WASH</kwd><kwd>Program</kwd><kwd>Integration</kwd><kwd>Collaboration</kwd><kwd>Implementation</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Johnston, E Anna" sort="Johnston, E Anna" uniqKey="Johnston E" first="E. Anna" last="Johnston">E. Anna Johnston</name></noRegion><name sortKey="Graham, Jay P" sort="Graham, Jay P" uniqKey="Graham J" first="Jay P." last="Graham">Jay P. Graham</name><name sortKey="Teague, Jordan" sort="Teague, Jordan" uniqKey="Teague J" first="Jordan" last="Teague">Jordan Teague</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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