Malaria and Neglected Tropical Diseases (NTDs) have devastating impacts on the communities they affect and are adressed by defined programmes working within ministries of health (MOHs). 

Integration across programmes within the health sector or with other sectors has been identified as a means to increase resource and operational efficiency, sustainability, and community acceptability. In the Global Technical Strategy for Malaria 2016-20301 and NTD Roadmap to 20302 the WHO encourages an increased drive for countries to integrate programmes. Nonetheless, there has been limited integration in practice to date due, for example, to resource differences between programmes, only partial overlap of strategies, and separate management structures. Where it has happened, the catalyst was often donor funding leading to integrated activities ending as project funds were exhausted. This process from Zanzibar (ZNZ) provides an initial case study for a different way of approaching integration.