Integrated approach to management of skin-related neglected tropical diseases and common skin conditions

Overview

Neglected tropical diseases (NTDs) are a diverse group of disease conditions that disproportionately a£ect
populations living in poverty, particularly in remote and underserved areas. While their causes vary, including
virus, bacteria, parasites, fungi and toxins, they share a common feature: all can result in serious health,
social, and economic consequences. Many NTDs are preventable or treatable, yet they often receive less
attention and fewer resources compared to other health conditions.

A number of NTDs present with visible manifestations on the skin, including diseases such as leprosy, yaws,
lymphatic filariasis and scabies. Sharing this characteristic, these diseases are collectively referred to as
“skin NTDs”.

To support countries in addressing these diseases more effectively, WHO launched the Strategic Framework
for Integrated Control and Management of Skin NTDs in 2022. This approach aims to strengthen integrated
strategies by promoting joint interventions, optimizing the use of available resources, and expanding
access to care.

Through the integration of skin NTDs services, it is anticipated that improved care will benefit not only
individuals affected by skin NTDs, but also those with other skin-related conditions, contributing to the
broader vision of “skin health for all”.

This booklet supports the implementation of the skin NTD framework and has been developed primarily for
front-line health-care workers like you, working in remote and underserved communities where skin NTDs
and other skin conditions commonly co-exist. It provides clear, practical guidance to help you recognize
and manage both skin NTDs and other frequently encountered skin diseases. The content follows a skin
sign and symptom-based approach – starting from observable signs in the patient (such as a lump, ulcer, or
itching)—to guide identification of potential conditions and inform appropriate management and referral.
This method allows you to apply your knowledge even in situations where the exact diagnosis may not be
clear. With experience, you will become increasingly confident in recognizing the signs and symptoms of
skin diseases