Lessons learned in the implementation of programmes to eliminate trachoma within conflict zones

Yaya, Georges

doi:10.1093/trstmh/trac061

Cited by 5 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…In Africa, the number of conflict events has increased dramatically in recent years 10 11 and impeded the effectiveness of many NTD programmes. [12][13][14][15] In response, practical approaches have been developed to address key issues such as safe and effective disease mapping and intervention strategies, [16][17][18] however more support to implement these at scale, and better understand the intersect with climate and complex humanitarian emergencies leading to displacement and how it affects vulnerable populations is urgently needed. 19 External and internal displacement are driven by multiple causes and pose multiple risks for national programmes.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Political instability can disrupt governance and escalate internal conflict and violence, and therefore restrict safe access to healthcare and potentially cause forced migration and internal displacement as people seek refuge. In Africa, the number of conflict events has increased dramatically in recent years10 11 and impeded the effectiveness of many NTD programmes 12–15. In response, practical approaches have been developed to address key issues such as safe and effective disease mapping and intervention strategies,16–18 however more support to implement these at scale, and better understand the intersect with climate and complex humanitarian emergencies leading to displacement and how it affects vulnerable populations is urgently needed 19…”

Section: Introductionmentioning

confidence: 99%

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Conflict-climate-displacement: a cross-sectional ecological study determining the burden, risk and need for strategies for neglected tropical disease programmes in Africa

et al. 2023

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ObjectivesComplex challenges such as political instability, climate change and population displacement are increasing threats to national disease control, elimination and eradication programmes. The objective of this study was to determine the burden and risk of conflict-related and climate-related internal displacements and the need for strategies for countries endemic with neglected tropical diseases (NTDs).Design, setting and outcome measuresA cross-sectional ecological study was conducted including countries that are endemic with at least one of five NTDs requiring preventive chemotherapy in the African region. For each country, the number of NTDs, population size and the number and rate per 100 000 of conflict-related and natural disaster-related internal displacements reported in 2021 were classified into high and low categories and used in unison to stratify and map the burden and risk.ResultsThis analysis identified 45 NTD-endemic countries; 8 countries were co-endemic with 4 or 5 diseases and had populations classified as ‘high’ totalling >619 million people. We found 32 endemic countries had data on internal displacements related to conflict and disasters (n=16), disasters only (n=15) or conflict only (n=1). Six countries had both high conflict-related and disaster-related internal displacement numbers totalling >10.8 million people, and five countries had combined high conflict-related and disaster-related internal displacement rates, ranging from 770.8 to 7088.1 per 100 000 population. Weather-related hazards were the main cause of natural disaster-related displacements, predominately floods.ConclusionsThis paper presents a risk stratified approach to better understand the potential impact of these complex intersecting challenges. We advocate for a ‘call to action’ to encourage national and international stakeholders to further develop, implement and evaluate strategies to better assess NTD endemicity, and deliver interventions, in areas at risk of, or experiencing, conflict and climate disasters, in order to help meet the national targets.

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