2004
DOI: 10.1111/j.1365-3156.2004.01285.x
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Additional health and development activities for community‐directed distributors of ivermectin: threat or opportunity for onchocerciasis control?

Abstract: SummaryWe studied the involvement of community-directed distributors (CDDs) of ivermectin for onchocerciasis control in other health and development activities in Nigeria, Togo and Cameroon. Most CDDs (82%) were involved in additional activities, especially EPI, water and sanitation and community development projects. These activities did not take up much time and were not considered an important burden. Ivermectin treatment coverage did not decline with increasing number of additional activities. Other health… Show more

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Cited by 30 publications
(29 citation statements)
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“…Instead, communities decide what incentives to provide. Community volunteers expected monetary incentives, since these were commonly offered for other health efforts, but as observed in previous studies, 18,19 they seldom valued them as highly as nonmaterial incentives. The latter -namely community recognition, status, the feeling of making a contribution, pride in the services provided, knowledge gained and positive feedback from individual The CDI Study Group Community-directed interventions against health problems in Africa…”
Section: Critical Process Factorsmentioning
confidence: 79%
“…Instead, communities decide what incentives to provide. Community volunteers expected monetary incentives, since these were commonly offered for other health efforts, but as observed in previous studies, 18,19 they seldom valued them as highly as nonmaterial incentives. The latter -namely community recognition, status, the feeling of making a contribution, pride in the services provided, knowledge gained and positive feedback from individual The CDI Study Group Community-directed interventions against health problems in Africa…”
Section: Critical Process Factorsmentioning
confidence: 79%
“…As suggested in similar studies in Uganda and Nigeria, compliance increased when the CDDs were involved in health campaigns like insecticidetreated nets distribution, indicating the potential importance of such incentives to populations when a "non-life-threatening" disease such as schistosomiasis is targeted for intervention. 6,23 Although CHWs have worked as volunteers for a long time, they are increasingly requesting support in ways that enable them to effectively execute their responsibilities by being provided remuneration and other amenities like umbrellas, gum boots, or bicycles.…”
Section: Discussionmentioning
confidence: 99%
“…This constellation of problems amounts to a massive development obstacle in much of sub-Saharan Africa, where some 75 million people are at risk and where 99% of those infected live 9 10. Onchocerciasis ranks as the second leading infectious cause of blindness11; the reactive skin lesions and persistent itching, apart from carrying a great social stigma,6–8 are associated with diminished income-generating capacity, constituting discomfort for those infected and disaster for their families 12 13…”
Section: Introductionmentioning
confidence: 99%