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Table 2 SWOT analysis

From: Integrated approach in the control and management of skin neglected tropical diseases in three health districts of Côte d’Ivoire

STRENGTHSWEAKNESSES
• 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
OPPORTUNITIESTHREATS
• 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