Strengthening the health care system: Strengthening the integration of national disease control programmes within general health systems remains important.
More innovative health policies: Health policy and systems research, long-neglected, must find a prominent place alongside biomedical and clinical research.
Focus on women’s health: Ensuring that strategies to counter NTDs are tailored to women’s experiences is a vital step in ensuring that women, irrespective of their socioeconomic status, have the opportunity to lead healthier and fuller lives.
Strong political commitment: Sustaining political commitment and providing adequate resources are of utmost importance, Strong and sustained political commitment and policies based on evidence are both crucial for the success of any disease elimination programme.
Wider health service coverage: There is a need to ensure uninterrupted drug supplies and wider health service coverage, especially for currently underserved population groups.
Global cooperation: Inter-country cooperation in terms of exchanging information, learning from each others’ experience, and working together in border areas can be extremely useful but does not always take place.
Uninterrupted resource mobilization: Lack of resources is the single most important roadblock that keeps countries from achieving the elimination of targeted diseases. Resource mobilization, public-private partnerships and community mobilization are therefore important and must be prioritized.
Awareness: It will be necessary to provide the mass media with accurate information about both the importance of eliminating these diseases and the effectiveness and safety of the control strategies and tools being used.
Community involvement: There is a need for community involvement in elimination programmes, which will reduce stigma and discrimination. Community mobilization is also important, as is advocacy among general practitioners, traditional healers and community leaders.
Effective evaluation: Effective surveillance and monitoring are urgently needed, together with an evaluation system for tracking progress on a regular basis, especially for kala-azar and yaws, based on a set of indicators.
Effective implementation: Knowledge so generated must be translated into effective implementation, with impact and equity reflected by improving health indicators.
Research and development: Ongoing monitoring, research and partnerships will be required. More resources need to be mobilized to build countries’ capacity to provide appropriate therapy on a sufficient scale.