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00925njm 22002777a 4500 dc Alvar, Jorge author den Boer, Margriet author Dagne, Daniel Argaw author 2021-12 East Africa is the world region most affected by visceral leishmaniasis, accounting for 45% of cases globally that were reported to WHO in 2018, with an annual incidence that is only slightly decreasing. Unlike southeast Asia, east Africa does not have a regional approach to achieving elimination of visceral leishmaniasis as a public health problem. The goal of the WHO 2021-30 Neglected Tropical Diseases road map is to reduce mortality caused by the disease to less than 1%. To achieve this goal in east Africa, it will be necessary to roll out diagnosis and treatment at the primary health-care level and implement evidence-based personal protection methods and measures to reduce human-vector contact. Investment and collaboration to develop the necessary tools are scarce. In this Health Policy paper, we propose a strategic framework for a coordinated regional approach in east Africa for the elimination of visceral leishmaniasis as a public health problem. Lancet Glob Health 2021 Dec;9(12):e1763-e1769. 10.1016/S2214-109X(21)00392-2 2214-109X 2214-109X The Lancet. Global health 34798033 http://hdl.handle.net/20.500.12105/14303 Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action