Table 2. Ten Integration Recommendations.

	Recommendation	Rationale provided by stakeholders
Structural integration recommendations
1	Establish a single NTD Coordinator for all NTDs for which MDA is the standard of care.	The NTD coordinator could efficiently oversee disease-specific program managers, with an integrated perspective and necessary competencies.
2	Country-level NTD Steering Committees should be established or strengthened where already present.	Steering Committees should review long-term integrated Master Plans that must include detailed planning regarding specific activities that will be integrated and how they may be uniquely assessed for impact.
Process integration recommendations
3	The NTD Steering Committee in each country should establish contextual definitions and rationales for integration.	Rationales for integration should include evidence or hypotheses relevant that will build scientific and administrative consensus and promote a harmonized approach to program delivery.
4	Funders and implementation partners should empower NTD Steering Committees.	Partners must ensure that they are working closely with government institutions and Steering Committees to ensure funds and activities are complementary.
5	Integrated activities and systems should start at the national level of the MOH.	Integrated activities must be institutionalized at the national level to promote the necessary multi-level inter-organizational and inter-professional environment at district and local levels.
6	NTD public health practitioners should ensure that integrated programs communicate clear unified goal to community members	Community members should be made fully aware of what diseases they are receiving treatment for and why. This may involve changing the structure of current CDD training curriculum.
Technical integration recommendations
7	Public health stakeholders should embrace a broader perspective of community-based health needs.	There is much to learn and gain from coordinating with other disease platforms. Additionally, platforms such as EPI, water and sanitation programs, and nutritional interventions provide complementary opportunities for providing preventative primary healthcare.
8	MOHs should incorporate TDA into drug delivery schedules.	TDA may result in greater coverage, time, and resource efficiencies. Promoting TDA will require more specific guidelines and bridging the political divide between school and community-based treatment approaches.
9	Incentives and support systems for community volunteers should be aligned across community-based disease programs.	Integrated approaches to volunteer recruitment and maintenance may results in greater sustained engagement overall.
10	Subnational reporting frameworks should be standardized or redesigned to capture information regarding which NTD program activities are integrated with other activities.	Current data collections methods are confusing for health workers and supervisors working on integrated programs, and aggregated field data do not provide information regarding the effectiveness of specific integrated activities.