Lessons from the field: adapting lymphatic filariasis morbidity mapping and patient care amidst conflict in Ethiopia

Conflict in Ethiopia has prevailed in recent years and is impeding the implementation of lymphatic filariasis elimination activities for morbidity management and disability prevention. This led to the need for alternative approaches to ensure safe and effective implementation. Here, we outline the challenges that were faced (e.g., insecurity, restricted travel to external field teams, limited in-person training, direct patient care). First, we describe what potential solutions were discussed and decided. Second, we summarise the planned adapted strategy and how it was implemented through central-level planning, supervision, courier-based data transfer, and centralised data management. Third, we highlight what worked well, what did not, and key lessons learned. Finally, we outline areas for future consideration, including for example, the importance of global and national standard guidelines, and a better understanding of type and intensity of the conflict to help with realistic and safe planning.