Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration
Since 1950, the global urban population grew from 746 million to almost 4 billion and is expected to reach 6.4 billion by mid-century. Almost 90% of this increase will take place in Asia and Africa and disproportionately in urban slums. In this context, concerns about the amplification of several ne...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2018-11-01
|
| Series: | Tropical Medicine and Infectious Disease |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2414-6366/3/4/122 |
| _version_ | 1798040358495453184 |
|---|---|
| author | Alayne M. Adams Myriam Vuckovic Eleanor Birch Tara A. Brant Stephanie Bialek Dahye Yoon Joseph Koroma Abdel Direny Joseph Shott Jean Frantz Lemoine Massitan Dembele Margaret C. Baker |
| author_facet | Alayne M. Adams Myriam Vuckovic Eleanor Birch Tara A. Brant Stephanie Bialek Dahye Yoon Joseph Koroma Abdel Direny Joseph Shott Jean Frantz Lemoine Massitan Dembele Margaret C. Baker |
| author_sort | Alayne M. Adams |
| collection | DOAJ |
| description | Since 1950, the global urban population grew from 746 million to almost 4 billion and is expected to reach 6.4 billion by mid-century. Almost 90% of this increase will take place in Asia and Africa and disproportionately in urban slums. In this context, concerns about the amplification of several neglected tropical diseases (NTDs) are warranted and efforts towards achieving effective mass drug administration (MDA) coverage become even more important. This narrative review considers the published literature on MDA implementation for specific NTDs and in-country experiences under the ENVISION and END in Africa projects to surface features of urban settings that challenge delivery strategies known to work in rural areas. Discussed under the thematics of governance, population heterogeneity, mobility and community trust in MDA, these features include weak public health infrastructure and programs, challenges related to engaging diverse and dynamic populations and the limited accessibility of certain urban settings such as slums. Although the core components of MDA programs for NTDs in urban settings are similar to those in rural areas, their delivery may need adjustment. Effective coverage of MDA in diverse urban populations can be supported by tailored approaches informed by mapping studies, research that identifies context-specific methods to increase MDA coverage and rigorous monitoring and evaluation. |
| first_indexed | 2024-04-11T22:06:30Z |
| format | Article |
| id | doaj.art-cda5d9b337f342fea01199e0d8de1af6 |
| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-04-11T22:06:30Z |
| publishDate | 2018-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-cda5d9b337f342fea01199e0d8de1af62022-12-22T04:00:43ZengMDPI AGTropical Medicine and Infectious Disease2414-63662018-11-013412210.3390/tropicalmed3040122tropicalmed3040122Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug AdministrationAlayne M. Adams0Myriam Vuckovic1Eleanor Birch2Tara A. Brant3Stephanie Bialek4Dahye Yoon5Joseph Koroma6Abdel Direny7Joseph Shott8Jean Frantz Lemoine9Massitan Dembele10Margaret C. Baker11Department of International Health, Georgetown University, Reservoir Road NW, Washington, DC 20057, USADepartment of International Health, Georgetown University, Reservoir Road NW, Washington, DC 20057, USADepartment of International Health, Georgetown University, Reservoir Road NW, Washington, DC 20057, USACenters for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USACenters for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USADepartment of International Health, Georgetown University, Reservoir Road NW, Washington, DC 20057, USAFamily Health International 360 (FHI360) Ghana Country Office, 1st Floor Marvel House 48A Giffard Road, Accra, GhanaRTI International, 701 13th St NW, Suite 750, Washington, DC 20005, USAOffice of Infectious Diseases, Global Health Bureau, U.S. Agency for International Development, 1300 Pennsylvania Ave NW, Washington, DC 20352, USAInstitutional affiliation: Ministry of Health and Population, Delmas 60, Rue Lemercier #2, Port-au-Prince, HaitiMinistry of Health Mali, BP: 233, Bamako, MaliRTI International, 701 13th St NW, Suite 750, Washington, DC 20005, USASince 1950, the global urban population grew from 746 million to almost 4 billion and is expected to reach 6.4 billion by mid-century. Almost 90% of this increase will take place in Asia and Africa and disproportionately in urban slums. In this context, concerns about the amplification of several neglected tropical diseases (NTDs) are warranted and efforts towards achieving effective mass drug administration (MDA) coverage become even more important. This narrative review considers the published literature on MDA implementation for specific NTDs and in-country experiences under the ENVISION and END in Africa projects to surface features of urban settings that challenge delivery strategies known to work in rural areas. Discussed under the thematics of governance, population heterogeneity, mobility and community trust in MDA, these features include weak public health infrastructure and programs, challenges related to engaging diverse and dynamic populations and the limited accessibility of certain urban settings such as slums. Although the core components of MDA programs for NTDs in urban settings are similar to those in rural areas, their delivery may need adjustment. Effective coverage of MDA in diverse urban populations can be supported by tailored approaches informed by mapping studies, research that identifies context-specific methods to increase MDA coverage and rigorous monitoring and evaluation.https://www.mdpi.com/2414-6366/3/4/122neglected tropical diseasesmass drug administrationurban health |
| spellingShingle | Alayne M. Adams Myriam Vuckovic Eleanor Birch Tara A. Brant Stephanie Bialek Dahye Yoon Joseph Koroma Abdel Direny Joseph Shott Jean Frantz Lemoine Massitan Dembele Margaret C. Baker Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration Tropical Medicine and Infectious Disease neglected tropical diseases mass drug administration urban health |
| title | Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration |
| title_full | Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration |
| title_fullStr | Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration |
| title_full_unstemmed | Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration |
| title_short | Eliminating Neglected Tropical Diseases in Urban Areas: A Review of Challenges, Strategies and Research Directions for Successful Mass Drug Administration |
| title_sort | eliminating neglected tropical diseases in urban areas a review of challenges strategies and research directions for successful mass drug administration |
| topic | neglected tropical diseases mass drug administration urban health |
| url | https://www.mdpi.com/2414-6366/3/4/122 |
| work_keys_str_mv | AT alaynemadams eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT myriamvuckovic eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT eleanorbirch eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT taraabrant eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT stephaniebialek eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT dahyeyoon eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT josephkoroma eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT abdeldireny eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT josephshott eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT jeanfrantzlemoine eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT massitandembele eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration AT margaretcbaker eliminatingneglectedtropicaldiseasesinurbanareasareviewofchallengesstrategiesandresearchdirectionsforsuccessfulmassdrugadministration |