Table 2. Additional considerations for scabies control programs.

Implementation

Integrate where possible with programs for other NTDs and other health programs, including at stages of mapping, implementation, and surveillance

Engage communities to promote inclusivity, ownership, and sustainability. Use and adapt engagement strategies developed for other NTD programs

Develop and implement packages to train and upskill of health system staff and program managers regarding scabies control issues

Refine existing training packages for assessment of scabies and impetigo for mapping, relevant for local circumstances

Cost and access

Ensure that scabies management is included in national essential packages of care as part of Universal Health Coverage

Cost might be a barrier to control because of the higher cost of 2-dose regimens and current absence of a drug donation program

Improve access to low-cost ivermectin and permethrin. This will require local and global advocacy

Safety

There is widespread experience using ivermectin and permethrin. Both are considered safe and well-tolerated treatments

Use existing frameworks for safety monitoring and reporting from other NTD programs

A prompt and appropriate response to adverse events is required to maintain confidence in programs

NTD, neglected tropical disease.