Figure 1.
Key steps in establishing and running an integrated NTD control programme.
Modified from [46].
Figure 2.
Development of a programme framework.
Modified from [47].
Figure 3.
Training, implementation and reporting flow for NTDs integrated into Uganda's health system, including an alternative approach often used by NGOs (see white arrows).
The training cascade is initiated by existing MoH staff at a central level, referred to as the national technical team. This team trains district trainers from subcounty or health subdistricts. These trainers then return to their duty stations to organize and coordinate training in their geographical areas. Within each area, parish supervisors and peripheral health centre staff are trained first, after which these proceed to train teachers and community volunteers. Data retrieval and reporting follows similar channels. Reports collated at the community level are delivered by parish supervisors to health centres. These data are then collected and collated by subcounty/health subdistrict coordinators into a report for the health subdistrict and submitted to the district health officer. District health officers use these reports to write a summary district report that is submitted to the NTD Secretariat in Kampala. The secretariat reports to the Director General of Health Services, distributes copies of the report to partners, and submits the data to the national data bank. The same system and staff are use to report on other community-based activities, such as TB, leprosy, malaria, and HIV programmes.