Table 4. Extent of integration of health system function at district level of health system.

Critical Health System Function	Health System Elements			Average Score		Extent of Integration
		Ahanta West District	Nzema East District	Ahanta West District	Nzema East District	Ahanta West District	Nzema East District
Stewardship and governance	Health Administration accountable for NTD control	√*	√	0.67	0.67	Partial	Partial
	Existing reporting system used to report NTD data	√	√
	NTDP assessed performance of NTD interventions in the district	√	√
Financing	NTD control funded largely by earmarked funds	√	√	0	0	Non-existent	Non-existent
Planning	Health Administration conducted NTD control needs assessment	- #	√	0	0.33	Non-existent	Partial
	NTDP set priorities and allocated resources for NTD control in the district	√	√
Service delivery	Health Administration structures and staff conducted public health interventions including NTDs	√	√	1.0	1.0	Full	Full
	NTD control integrated with other interventions	√	√
	NTDs referred through general referral system	√	√
	Health Administration manages NTD drugs and logistics	√	√
	NTD drugs and logistics procured by GHS procurement unit	√	√
Monitoring and evaluation	Health Administration ICT infrastructure was used for all public health activities including NTDs	√	√	0.50	0.50	Partial	Partial
	NTDP collected and analysed data from the district to assess impact of NTD interventions	√	√
Demand generation	Social mobilization for NTD control interventions was conducted by technical staff of Health Administration	√	√	0.50	0.50	Partial	Partial
	No incentives for staff to enhance demand for NTD services	√	√

Note

* √ = true statement

# - = not a true statement