01463nas a2200181 4500000000100000008004100001653003900042653002000081653002400101100001200125700001600137700001400153245010500167300001000272490000800282520097700290022001401267 2010 d10aNeglected tropical diseases (NTDs)10aDisease control10aProgram Development1 aLiese B1 aRosenberg M1 aSchratz A00aProgrammes, partnerships, and governance for elimination and control of neglected tropical diseases. a67-760 v3753 a

Neglected tropical diseases represent one of the most serious burdens to public health. Many can be treated cost-effectively, yet they have been largely ignored on the global health policy agenda until recently. In this first paper in the Series we review the fragmented structure of elimination and control programmes for these diseases, starting with the ambiguous definition of a neglected tropical disease. We describe selected international control initiatives and present their effect, governance arrangements, and financing mechanisms, including substantial drug-donation programmes. We also discuss efforts to exploit shared features of these diseases by integration of selected control activities within countries, thus creating economies of scope. Finally we address the challenges, resulting from the diversity of disease control approaches and governance structures-both nationally and internationally-and provide some suggestions for the way forward.

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