Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis

Abstract Introduction Nigeria has a significant burden of NTDs with more than 120 million people at risk of the dominant NTDs namely Lymphatic Filariasis, Onchocerciasis, and Schistosomiasis. Control efforts have involved the four levels of governance with programs focused on vector control, prevent...

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Main Authors: Adeola Onasanya, Oladimeji Oladepo, Gima Humphrey Forje, Eucheria Ekugeni Abua, Uche Veronica Amazigo
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-025-10553-x
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author Adeola Onasanya
Oladimeji Oladepo
Gima Humphrey Forje
Eucheria Ekugeni Abua
Uche Veronica Amazigo
author_facet Adeola Onasanya
Oladimeji Oladepo
Gima Humphrey Forje
Eucheria Ekugeni Abua
Uche Veronica Amazigo
author_sort Adeola Onasanya
collection DOAJ
description Abstract Introduction Nigeria has a significant burden of NTDs with more than 120 million people at risk of the dominant NTDs namely Lymphatic Filariasis, Onchocerciasis, and Schistosomiasis. Control efforts have involved the four levels of governance with programs focused on vector control, preventive chemotherapy, water, sanitation and health education. However, the coordination across these levels and with multiple stakeholders remains unclear especially in states like Taraba that have received significant funding from local non-governmental organisations. Methods This study evaluated NTD control effectiveness across national, state, local, and community levels in Nigeria. Eighty-two stakeholders were interviewed across the 4 governance levels. Results Findings showed distinct roles of the different stakeholders: the National government sets policies, states adapt and strategise, local governments implement programs, and community leaders drive engagement. There is also some multi-sectoral collaboration and coordination among stakeholders. Challenges included inconsistent drug distribution, inadequate Community Drug Distributor (CDD) incentives, and limited cross-sector coordination. Discussion NTD control progress has been notable, but to meet WHO’s 2030 targets, Nigeria needs expanded partnerships, increased private sector involvement, improved drug distribution, enhanced CDD support, and integrated programs with cross-border collaboration. Conclusion Strengthening multi-sectoral partnerships, improving resource allocation, and engaging community leaders are crucial for advancing NTD elimination in Nigeria. A coordinated approach is essential for sustainable disease control and achieving global health objectives.
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spelling doaj-art-43f57c443dff43239be1b07bd7c1e3db2025-02-02T12:10:29ZengBMCBMC Infectious Diseases1471-23342025-01-012511910.1186/s12879-025-10553-xEvaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysisAdeola Onasanya0Oladimeji Oladepo1Gima Humphrey Forje2Eucheria Ekugeni Abua3Uche Veronica Amazigo4Gloepid Health InitiativeAfrican Regional Health Education Centre, Faculty of Public Health, College of Medicine, University of IbadanTY Danjuma FoundationTY Danjuma FoundationPan-African Community Initiative on Education and Health (PACIEH), Ekulu West GRAAbstract Introduction Nigeria has a significant burden of NTDs with more than 120 million people at risk of the dominant NTDs namely Lymphatic Filariasis, Onchocerciasis, and Schistosomiasis. Control efforts have involved the four levels of governance with programs focused on vector control, preventive chemotherapy, water, sanitation and health education. However, the coordination across these levels and with multiple stakeholders remains unclear especially in states like Taraba that have received significant funding from local non-governmental organisations. Methods This study evaluated NTD control effectiveness across national, state, local, and community levels in Nigeria. Eighty-two stakeholders were interviewed across the 4 governance levels. Results Findings showed distinct roles of the different stakeholders: the National government sets policies, states adapt and strategise, local governments implement programs, and community leaders drive engagement. There is also some multi-sectoral collaboration and coordination among stakeholders. Challenges included inconsistent drug distribution, inadequate Community Drug Distributor (CDD) incentives, and limited cross-sector coordination. Discussion NTD control progress has been notable, but to meet WHO’s 2030 targets, Nigeria needs expanded partnerships, increased private sector involvement, improved drug distribution, enhanced CDD support, and integrated programs with cross-border collaboration. Conclusion Strengthening multi-sectoral partnerships, improving resource allocation, and engaging community leaders are crucial for advancing NTD elimination in Nigeria. A coordinated approach is essential for sustainable disease control and achieving global health objectives.https://doi.org/10.1186/s12879-025-10553-xNTDStakeholder participationStakeholder engagementNigeria
spellingShingle Adeola Onasanya
Oladimeji Oladepo
Gima Humphrey Forje
Eucheria Ekugeni Abua
Uche Veronica Amazigo
Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
BMC Infectious Diseases
NTD
Stakeholder participation
Stakeholder engagement
Nigeria
title Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
title_full Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
title_fullStr Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
title_full_unstemmed Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
title_short Evaluating stakeholder coordination and partnerships for NTD elimination in Taraba state, Nigeria: a multi-level analysis
title_sort evaluating stakeholder coordination and partnerships for ntd elimination in taraba state nigeria a multi level analysis
topic NTD
Stakeholder participation
Stakeholder engagement
Nigeria
url https://doi.org/10.1186/s12879-025-10553-x
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