With a population in excess of 170million, the majority (70%) living in poverty, the burden of all 17 reported NTDs in Nigeria is vast. As Nigeria has an extensive burden of NTDs there a large demand for mass administration of medicines programmes.
In the North-West and North-Central zones, with substantial support from external funders, the Federal and State Ministries of Health are presently engaged in increasing the availability of NTD treatments through training health staff and improving data systems using mobile phones and cloud technology for delivery of better primary health care.
It has recently received external funding for scale-up of neglected tropical disease control and is expanding its treatment campaigns for nationwide scale-up. Neglected tropical disease control is at different phases of implementation depending on the state, largely due to a decentralised health system. There are for example 36 autonomous states and COUNTDOWN is focusing operations in Ogun and Kaduna states which are embarking on integrated neglected tropical disease control. The epidemiology of neglected tropical diseases in Nigeria shares several characteristics with Liberia, Ghana and Cameroon.