A review that summarizes the available literature on the economic and social benefits resulting from health campaign integration, with a focus on NTDs.
Most studies were conducted in sub-Saharan Africa.
The Rollins School of Public Health at Emory University examined peer-reviewed literature on integrated campaigns that include strategies to prevent and control neglected tropical diseases (NTDs). Findings include:
Campaign integration, or the co-delivery of interventions, is expected to save cost and time, streamline operations, and increase benefits for the participant; however, the landscape of the total balance of social and economic benefits and harms in the peer-reviewed literature is unknown. To fill this gap in knowledge, the team at the Rollins School of Public Health conducted a scoping review.
To identify and aggregate the best available evidence on the economic and social benefits and resulting from the integration of health programs into other health programs or into country healthcare systems in low- and middle-income countries, and to develop promising practices that can be implemented by governments, policy makers, and programs.
NTD health campaigns, particularly mass drug administration campaigns, should be integrated with other health campaigns, or into the health system.
This is supported by strong evidence of both infection reduction in participant populations and cost effectiveness for governments and programs with the integration of health campaigns. This is further supported by moderate and emerging yet consistent qualitative evidence of time and economic benefits for participants, relationship strengthening, and increases in equitable distribution.
Programs should incorporate health education in the development and delivery of these campaigns.
This is supported by moderate and emerging evidence on the importance of health education in the uptake of integrated NTD MDA programs and understanding of the adverse events and side effects that accompany the drugs. The importance of health education was supported by health campaign personnel and participants.
Programs should consider local context when selecting the delivery channel for PC NTD health campaigns.
This is supported by strong cost effectiveness data indicating MDA only campaigns were more cost effective when delivered via community or combined community and school delivery channels compared to school alone.
|Decrease in NTD Infection|| Strong|
|Consistent||Most studies demonstrated a decrease in the prevalence of at least one NTD||Supports integration|
|Cost Effectiveness|| Strong|
[16 studies(1, 6, 16, 25-28, 30-39)]
|Consistent|| MDA only campaigns were more cost effective in the community or combined community and school delivery channels.|
Cost effectiveness studies reporting on integration examined MDA the context of multiple health interventions, or a one-health approach integrated campaigns were more cost effective
|Supports integration and consideration of health interventions in the local context|