By Burnett Munthali
The Ministry of Health in Malawi has called upon various stakeholders to ramp up efforts in addressing Neglected Tropical Diseases (NTDs), emphasizing the critical need for comprehensive interventions aimed at their elimination. This call follows the commemoration of World Neglected Tropical Diseases Day, observed globally to raise awareness about the plight of millions of people suffering from these often-overlooked diseases.
In a statement delivered by Martias Joshua, the Chief of Health Services (Reforms) at the Ministry of Health, he highlighted that Malawi has made significant progress in eliminating other public health threats such as elephantiasis, trachoma, and leprosy. Joshua argued that these successes should serve as a model and motivate the country to adopt a similar approach in the fight against NTDs. He noted that the elimination of these diseases has led to substantial improvements in the health and wellbeing of the population, and it is now time to direct that same energy and resources toward NTDs.
“Malawi has successfully eliminated elephantiasis, trachoma, and leprosy as diseases of public health concern,” said Joshua. “This shows that with the right interventions, we can eliminate other NTDs too. Our work is not done yet, and we need to be more vigilant in addressing the challenges posed by NTDs, which continue to affect many of our people, especially in rural areas.”
Neglected Tropical Diseases are a group of diseases that predominantly affect people living in impoverished and underserved areas. They are often overlooked by global health priorities, despite their significant impact on morbidity, disability, and death. In Malawi, NTDs such as schistosomiasis, soil-transmitted helminthiasis, onchocerciasis, and human African trypanosomiasis (sleeping sickness) are of particular concern. These diseases are caused by parasitic and bacterial infections and can lead to lifelong complications, including physical disabilities, cognitive impairments, and even death if not treated properly.
For example, schistosomiasis, caused by parasitic worms, can lead to liver damage, kidney failure, and bladder cancer. Soil-transmitted helminthiasis, or intestinal worms, can cause malnutrition and anemia, stunting children’s growth and affecting their ability to perform well in school. Onchocerciasis, also known as river blindness, can result in blindness and severe skin conditions. These diseases not only impact the quality of life of individuals but also place a significant burden on the health system, further contributing to poverty and inequality.
The Ministry of Health is taking steps to address these challenges through mass drug administration (MDA) campaigns, where large-scale drug distribution is done to prevent and treat NTDs in affected communities. Joshua urged the public to participate in these mass drug distribution efforts, emphasizing that taking the drugs provided during these campaigns is essential for eliminating the diseases.
“People must actively participate in mass drug administration programs, which are key in the fight against NTDs. These programs provide medication to communities, especially in endemic areas, to treat and prevent the spread of these diseases,” Joshua stressed.
In addition to the drug campaigns, Joshua emphasized the importance of sanitation in preventing NTDs. Improved access to clean water, proper sanitation facilities, and hygiene practices are essential in reducing the spread of soil-transmitted helminths and other diseases. The Ministry of Health is advocating for better infrastructure, particularly in rural areas, to ensure that all people have access to safe water and sanitation facilities.
Joshua also urged the public to seek timely medical care when symptoms of NTDs are recognized. Early diagnosis and treatment are crucial to preventing complications and reducing the long-term effects of these diseases. Many of the NTDs in Malawi are treatable if caught early, but without proper medical intervention, they can lead to lifelong disabilities.
The call for intensified efforts comes at a time when Malawi is working closely with global health organizations, including the World Health Organization (WHO), in the global NTDs roadmap. This roadmap sets ambitious targets for the elimination of several NTDs by 2030. Malawi’s commitment to these goals is reflected in the government’s investment in NTD programs and the continued collaboration with international partners to bring effective treatments and interventions to communities in need.
The elimination of NTDs in Malawi is not just a health priority but also a development goal. Reducing the burden of these diseases will help break the cycle of poverty, as many affected individuals are unable to work or attend school, which in turn limits their ability to contribute to economic growth. By addressing NTDs, Malawi has the opportunity to improve public health, enhance educational outcomes, and reduce economic disparities in affected communities.
While progress has been made in reducing the prevalence of certain NTDs in Malawi, there is still much work to be done. The elimination of NTDs will require sustained efforts from all sectors, including government, non-governmental organizations, the private sector, and the communities themselves. The Ministry of Health’s call for action signals a renewed commitment to eradicating these diseases and ensuring that all Malawians, regardless of where they live, have the opportunity to lead healthy, productive lives.
With ongoing efforts in drug distribution, improved sanitation, and timely medical interventions, Malawi is on the path to a future where NTDs are no longer a significant public health challenge. As the country moves forward, the cooperation of all stakeholders will be crucial in achieving the goal of eliminating NTDs and ensuring a healthier, more prosperous Malawi for future generations.
