Evidence map›Paper›PMID 40747453›Full record

ArticleHealth affairs scholar2025

The changing neglected tropical disease landscape in Africa: implications for policy, practice, and strengthening health systems.

Philip Downs, Andrew Tate, Danny Harvey, Margaret C Baker

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Philip DownsSightsavers, Haywards Health, West Sussex RH16 3BW, UK.ORCID https://orcid.org/0000-0002-5960-973X
Andrew TateSightsavers, Haywards Health, West Sussex RH16 3BW, UK.ORCID https://orcid.org/0009-0008-3495-6103
Danny HarveySightsavers, Haywards Health, West Sussex RH16 3BW, UK.ORCID https://orcid.org/0000-0002-2504-3467
Margaret C BakerDepartment of Global Health, Georgetown University, Washington, DC 20057, United States.ORCID https://orcid.org/0000-0002-4537-3914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Mass drug administration (MDA) has reached up to 1 billion people annually to combat neglected tropical diseases (NTDs). This study explores the evolving NTD landscape in Africa amid shifting disease patterns, funding cuts, and universal health coverage goals. Methods: We analyzed data from ESPEN and Sightsavers databases to assess historical trends and forecast future treatment needs. Results: By 2027, few or no MDAs for lymphatic filariasis and trachoma will be required and MDAs for onchocerciasis dropped sharply after 2024. In contrast, schistosomiasis and soil-transmitted helminths continue to require widespread MDA. Conclusion: To secure elimination gains, remaining MDAs must be completed and broader health systems approaches adopted.

Indexed as

integrationmainstreamingmass drug administrationneglected tropical diseases (NTDs)primary health carestrengthening health systemsuniversal health coverage

Identifiers

PMID40747453
PMCPMC12311265

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.