Evidence map›Paper›PMID 42101813›Full record

ArticleInternational health2026

Challenges, barriers and opportunities for neglected tropical disease programs of conflict-affected African countries.

Emma M Harding-Esch, Francesca Bird, Ambreen Bashir, Louise A Kelly-Hope

Abstract read
In one paragraph

Article in International health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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.

Emma M Harding-EschClinical Research Department, London School Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID 0000-0002-1432-8109
Francesca BirdClinical Research Department, London School Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Ambreen BashirClinical Research Department, London School Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Louise A Kelly-HopeDepartment of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Brownlow Hill, Liverpool L3 5RF, UK.ORCID 0000-0002-3330-7629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsecurity and conflict threaten achievement of global neglected tropical disease (NTD) targets. Identifying conflict-associated challenges and mitigation strategies can inform NTD programmatic decision-making.

methodsIn-depth interviews were conducted with key stakeholders to explore their experiences of implementing NTD programs in conflict-affected regions in sub-Saharan Africa. Study 1 included a variety of stakeholders in Nigeria and study 2 included the NTD program managers from multiple countries. Thematic analysis was used to identify and extract key themes.

resultsFourteen participants (seven participants per study) from six countries and several NTD programs reported an array of complex challenges that were categorised into three common program-specific activity themes (implementation, community engagement, sustainability) and five common external influencing themes (access to areas; water, sanitation and hygiene; inclusivity; stakeholder partnering; financial resources). Study 1 included a unique theme for solutions. Several common subthemes (surveillance, community education, displaced populations, access for women) and unique study 1 subthemes were reported.

conclusionsMany complex interacting factors hinder NTD programs in conflict-affected NTD-endemic areas. The scale and breadth of the common and unique challenges and potential solutions require more investigation to enable the development of a practical framework to support programs in achieving the global NTD goals of 2030.

Indexed as

Armed ConflictsNeglected DiseasesTropical MedicineAfrica South of the SaharaFemaleHumansInterviews as TopicNigeriaSanitationconflictneglected tropical diseasessub-Saharan Africaviolence

Identifiers

PMID42101813
PMCPMC13154837

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