Publications by authors named "J Z Kollie"

Neglected Tropical Diseases (NTDs) are a group of chronic infectious diseases of poverty affecting over one billion people globally. Intersections of NTDs, disability, and mental ill-health are increasingly evidenced but are rarely studied from a mixed-methods perspective. Here, we advance syndemic understandings by further assessing and contextualising the syndemic relationship between NTDs (particularly their associated disability) and mental distress in Liberia.

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Introduction: The WHO neglected tropical disease (NTD) roadmap stresses the importance of integrating NTDs requiring case management (CM) within the health system. The NTDs programme of Liberia is among the first to implement an integrated approach and evaluate its impact.

Methods: A retrospective study of three of five CM-NTD-endemic counties that implemented the integrated approach was compared with cluster-matched counties with non-integrated CM-NTD.

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Effective supply chain management is a critical pillar of well-functioning health systems ensuring that medical commodities reach those in need. In Liberia, the national neglected tropical disease (NTD) programme supports health systems strengthening for case management of NTDs. Integration of NTD commodities into the national health system supply chain is central to the integrated approach; however, there is minimal evidence on enablers and barriers.

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Article Synopsis
  • Neglected tropical diseases (NTDs) present a significant global health challenge, but financing for NTD services, especially integrated management, remains poorly understood.
  • Key informant interviews with health professionals and community members in Liberia reveal that NTD financing is still centralized and donor-driven, limiting government involvement and leading to medication stockouts and staffing issues.
  • Patients face barriers such as high transportation costs and stigma, which hinder access to NTD care and emphasize the need for improved funding and resource management.
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