From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)

Abstract Background The importance of patient participation in designing and delivering services for persons affected by neglected tropical diseases (NTDs) has gained increasing recognition. Responding to this, persons affected by NTDs urged NTD-focused non-governmental organisations (NGOs) to take...

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Main Authors: Robin van Wijk, Surya J. M. Baudoin, Bernice Ejiogu, Upasana Regmi, Mathias Duck, Ibrahim Rabiu, Constanze Vettel, Heleen Broekkamp, Roos Geutjes, Ruth M. H. Peters, Ida J. Korfage
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Infectious Diseases of Poverty
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Online Access:https://doi.org/10.1186/s40249-025-01340-6
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author Robin van Wijk
Surya J. M. Baudoin
Bernice Ejiogu
Upasana Regmi
Mathias Duck
Ibrahim Rabiu
Constanze Vettel
Heleen Broekkamp
Roos Geutjes
Ruth M. H. Peters
Ida J. Korfage
author_facet Robin van Wijk
Surya J. M. Baudoin
Bernice Ejiogu
Upasana Regmi
Mathias Duck
Ibrahim Rabiu
Constanze Vettel
Heleen Broekkamp
Roos Geutjes
Ruth M. H. Peters
Ida J. Korfage
author_sort Robin van Wijk
collection DOAJ
description Abstract Background The importance of patient participation in designing and delivering services for persons affected by neglected tropical diseases (NTDs) has gained increasing recognition. Responding to this, persons affected by NTDs urged NTD-focused non-governmental organisations (NGOs) to take action. These NGOs are pivotal in addressing healthcare disparities and reaching marginalised communities. To address the insufficient progress on participation, a participatory initiative was launched to develop a tool designed to support NGOs in fostering inclusion and ensuring the meaningful engagement of affected persons in their organisational decision-making processes. Methods This research used an iterative, mixed-methods approach involving stakeholder input, semi-structured interviews, and surveys across two phases. Phase 1 included exploratory workshops with persons affected by NTDs and NTD NGO employees which led to the development of a first draft of a self-assessment tool. Phase 2 involved piloting the tool in NTD NGOs. Data were gathered via pre- and post-pilot interviews and surveys. Thematic analysis was used for the qualitative data and descriptive analysis for the quantitative data. Results In phase 1, exploratory workshops revealed that meaningful participation involves creating environments where affected persons can openly share priorities and build their capacity. Workshop participants emphasised the need of inclusion at all stages of NGO activities. These insights informed the draft NTD Inclusion Scorecard (NISC), covering six domains. In phase 2, ten pilot sessions were conducted, feedback was gathered from 22 interviewees and 43 survey participants, focusing on the NISC’s usability and relevance. While feedback on the NISC was positive, participants highlighted the need for contextualisation, organisational commitment, and adding a communication domain to the NISC. Conclusions The NISC is a self-assessment tool for NTD organisations, designed to enhance internal decision-making by fostering awareness of the importance of including the perspectives of persons affected by NTDs. By using the NISC, NGOs can identify gaps in inclusion and participation, improve their decision-making processes and provide services that are relevant and impactful for persons affected by NTDs. This tool provides insights that can guide NGOs in strengthening their role in promoting inclusion and increasing the effectiveness of their programmes. Graphical Abstract
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spelling doaj-art-70398af5181b4a149e934ea0f1cc758d2025-08-20T03:43:34ZengBMCInfectious Diseases of Poverty2049-99572025-08-0114111410.1186/s40249-025-01340-6From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)Robin van Wijk0Surya J. M. Baudoin1Bernice Ejiogu2Upasana Regmi3Mathias Duck4Ibrahim Rabiu5Constanze Vettel6Heleen Broekkamp7Roos Geutjes8Ruth M. H. Peters9Ida J. Korfage10NLR | Until No Leprosy RemainsNLR | Until No Leprosy RemainsCoventry UniversityNLR | Until No Leprosy RemainsThe Leprosy Mission InternationalDepartment of Community Medicine, Gombe State UniversityDAHW German Leprosy and Tuberculosis Relief AssociationNLR | Until No Leprosy RemainsInfoNTD.OrgAthena Institute, Vrije Universiteit AmsterdamDepartment of Public Health, Erasmus MC, University Medical Center RotterdamAbstract Background The importance of patient participation in designing and delivering services for persons affected by neglected tropical diseases (NTDs) has gained increasing recognition. Responding to this, persons affected by NTDs urged NTD-focused non-governmental organisations (NGOs) to take action. These NGOs are pivotal in addressing healthcare disparities and reaching marginalised communities. To address the insufficient progress on participation, a participatory initiative was launched to develop a tool designed to support NGOs in fostering inclusion and ensuring the meaningful engagement of affected persons in their organisational decision-making processes. Methods This research used an iterative, mixed-methods approach involving stakeholder input, semi-structured interviews, and surveys across two phases. Phase 1 included exploratory workshops with persons affected by NTDs and NTD NGO employees which led to the development of a first draft of a self-assessment tool. Phase 2 involved piloting the tool in NTD NGOs. Data were gathered via pre- and post-pilot interviews and surveys. Thematic analysis was used for the qualitative data and descriptive analysis for the quantitative data. Results In phase 1, exploratory workshops revealed that meaningful participation involves creating environments where affected persons can openly share priorities and build their capacity. Workshop participants emphasised the need of inclusion at all stages of NGO activities. These insights informed the draft NTD Inclusion Scorecard (NISC), covering six domains. In phase 2, ten pilot sessions were conducted, feedback was gathered from 22 interviewees and 43 survey participants, focusing on the NISC’s usability and relevance. While feedback on the NISC was positive, participants highlighted the need for contextualisation, organisational commitment, and adding a communication domain to the NISC. Conclusions The NISC is a self-assessment tool for NTD organisations, designed to enhance internal decision-making by fostering awareness of the importance of including the perspectives of persons affected by NTDs. By using the NISC, NGOs can identify gaps in inclusion and participation, improve their decision-making processes and provide services that are relevant and impactful for persons affected by NTDs. This tool provides insights that can guide NGOs in strengthening their role in promoting inclusion and increasing the effectiveness of their programmes. Graphical Abstracthttps://doi.org/10.1186/s40249-025-01340-6Action ResearchInclusionNeglected tropical diseasesParticipationNon-governmental organisations
spellingShingle Robin van Wijk
Surya J. M. Baudoin
Bernice Ejiogu
Upasana Regmi
Mathias Duck
Ibrahim Rabiu
Constanze Vettel
Heleen Broekkamp
Roos Geutjes
Ruth M. H. Peters
Ida J. Korfage
From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
Infectious Diseases of Poverty
Action Research
Inclusion
Neglected tropical diseases
Participation
Non-governmental organisations
title From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
title_full From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
title_fullStr From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
title_full_unstemmed From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
title_short From words to action: the development of the Neglected Tropical Disease Inclusion Score Card (NISC)
title_sort from words to action the development of the neglected tropical disease inclusion score card nisc
topic Action Research
Inclusion
Neglected tropical diseases
Participation
Non-governmental organisations
url https://doi.org/10.1186/s40249-025-01340-6
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