Table 2 SWOT analysis

STRENGTHS

WEAKNESSES

• The motivation and enthusiasm of the actors favor their involvement in the implementation of the activities

• The skills and experience gained by community actors in the control of BU and leprosy can be used to implement an integrated approach

• The existence of a community volunteer network promotes social mobilization and case detection

• The existence of databases on BU and leprosy can be used to determine co-endemic communities

• The existence of health centers near the targeted localities helps to ensure the care and follow-up of the cases detected

• The existence of referral health facilities with an adequate technical platform makes it possible to ensure the medical-surgical management of the referred complicated cases

• Existence of a network of community health volunteers for the control leprosy and BU in every district in Côte d’Ivoire

• The partners’ commitment to an integrated approach in the management of skin NTDs

• The lack of dermatologists makes the diagnosis and management of certain dermatoses difficult

• Health personnel and community volunteers are not adequately equipped to diagnose and suspect dermatoses other than leprosy, BU and yaws

• The lack of integrated case-reporting tools does not allow for standardized reporting

• The increased workload for health personnel, which could jeopardize the sustainability of the integration

OPPORTUNITIES

THREATS

• The existence of the Regional Strategy on Neglected Tropical Diseases in the WHO African Region 2014–2020 [3]

• The national interest in the control of NTDs through the creation of health programs in charge of the management of Buruli and leprosy

• The possibility of intersectoral collaboration with the education sector for screening in schools

• Very broad theme: the range of skin diseases with cutaneous is indeterminate

• The unavailability of dermatological cream at the level of first-contact health facilities, which could jeopardize the sustainability of routine dermatological consultations in health centers