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

Integration across programs 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- 2030 and NTD Roadmap to 2030, the WHO encourages an increased drive for countries to integrate programs. Nonetheless, there has been limited integration in practice to date due, for example, to resource differences between programs, 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 Ghana provides an initial case study for a different way of approaching integration.