Abstract：
BACKGROUND: The World Health Organization advocates integrating neglected tropical diseases (NTDs) into common delivery platforms to combat them in resource-constrained settings. However, limited literature exists on the benefits of integration. This study examines the feasibility and impact of adding skin screening to a mass drug administration (MDA) campaign in Côte d\'Ivoire.
METHODS: In June 2023, the Ministry of Health and Public Hygiene of Côte d\'Ivoire piloted screening for skin-related NTDs alongside a national MDA campaign targeting soil-transmitted helminthiases and schistosomiasis. Two districts, Fresco and Koro, were selected for the pilot. The study applied both quantitative and qualitative assessments. The quantitative aspect focused on campaign costs and outputs, using an ingredient approach for costing. The qualitative evaluation employed an empirical phenomenological approach to analyze the campaign\'s operational feasibility and appreciation by stakeholders.
RESULTS: MDA activities cost $0·66 per treated child and skin screening $0·62 per screened person, including medical products. The MDA campaign exceeded coverage targets in both districts, whereas skin screening coverage varied by locality and age group. Both the service delivery team and the beneficiaries expressed appreciation for the integrated campaign. However, opportunities for improvement were identified.
CONCLUSIONS: Integrating MDA and skin NTD screening proved operationally feasible in this context but had not recorded cost-saving effects. The performance of the MDA campaign was not negatively affected by additional skin screening activities, but effective integration requires thorough joint planning, strengthened training, and proper supervision.
METHODS: In June 2023, the Ministry of Health and Public Hygiene of Côte d\'Ivoire piloted screening for skin-related NTDs alongside a national MDA campaign targeting soil-transmitted helminthiases and schistosomiasis. Two districts, Fresco and Koro, were selected for the pilot. The study applied both quantitative and qualitative assessments. The quantitative aspect focused on campaign costs and outputs, using an ingredient approach for costing. The qualitative evaluation employed an empirical phenomenological approach to analyze the campaign\'s operational feasibility and appreciation by stakeholders.
RESULTS: MDA activities cost $0·66 per treated child and skin screening $0·62 per screened person, including medical products. The MDA campaign exceeded coverage targets in both districts, whereas skin screening coverage varied by locality and age group. Both the service delivery team and the beneficiaries expressed appreciation for the integrated campaign. However, opportunities for improvement were identified.
CONCLUSIONS: Integrating MDA and skin NTD screening proved operationally feasible in this context but had not recorded cost-saving effects. The performance of the MDA campaign was not negatively affected by additional skin screening activities, but effective integration requires thorough joint planning, strengthened training, and proper supervision.
摘要：
背景：世界卫生组织主张将被忽视的热带病（NTD）纳入共同的交付平台，以在资源有限的环境中与之对抗。然而,关于整合的好处的文献有限。本研究探讨了在科特迪瓦大规模药物管理（MDA）活动中增加皮肤筛查的可行性和影响。
方法：2023年6月，科特迪瓦卫生和公共卫生部试行了与皮肤相关的NTDs筛查，同时开展了针对土壤传播的蠕虫和血吸虫病的全国MDA运动。两个区,Fresco和Koro,被选为飞行员。该研究应用了定量和定性评估。定量方面侧重于活动成本和产出，使用成分法进行成本计算。定性评估采用经验现象学方法来分析运动的可行性和利益相关者的赞赏。
结果：MDA活动每个接受治疗的儿童花费$0·66，皮肤筛查每个接受筛查的人花费$0·62，包括医疗产品。MDA运动超过了两个地区的覆盖目标，而皮肤筛查覆盖率因地区和年龄组而异。服务提供团队和受益人都对综合运动表示赞赏。然而,确定了改进的机会。
结论：在这种情况下，结合MDA和皮肤NTD筛查在操作上是可行的，但没有记录成本节约效果。MDA活动的性能没有受到额外皮肤筛查活动的负面影响，但是有效的整合需要彻底的联合规划，加强培训,适当的监督。
方法：2023年6月，科特迪瓦卫生和公共卫生部试行了与皮肤相关的NTDs筛查，同时开展了针对土壤传播的蠕虫和血吸虫病的全国MDA运动。两个区,Fresco和Koro,被选为飞行员。该研究应用了定量和定性评估。定量方面侧重于活动成本和产出，使用成分法进行成本计算。定性评估采用经验现象学方法来分析运动的可行性和利益相关者的赞赏。
结果：MDA活动每个接受治疗的儿童花费$0·66，皮肤筛查每个接受筛查的人花费$0·62，包括医疗产品。MDA运动超过了两个地区的覆盖目标，而皮肤筛查覆盖率因地区和年龄组而异。服务提供团队和受益人都对综合运动表示赞赏。然而,确定了改进的机会。
结论：在这种情况下，结合MDA和皮肤NTD筛查在操作上是可行的，但没有记录成本节约效果。MDA活动的性能没有受到额外皮肤筛查活动的负面影响，但是有效的整合需要彻底的联合规划，加强培训,适当的监督。
