Community-directed interventions are practical and effective in low-resource communities: experience of ivermectin treatment for onchocerciasis control in Cameroon and Uganda, 2004–2010

Katabarwa, Moses; Habomugisha, Peace; Eyamba, Albert; Byamukama, Edson; Nwane, Philippe; Arinaitwe, Alex; Musigire, Julius; Tushemereirwe, Ruth; Khainza, Annet

doi:10.1093/inthealth/ihv038

“…The medicine has little initial impact on the adult worms, and so must be given repetitively over many years. Community-led distribution of ivermectin (referred to as Community Directed Treatment with ivermectin-CDTI) is the main MDA strategy [1]. In the CDTI strategy, community members are educated and empowered to select trusted representatives who are then trained to treat the eligible populations residing in their respective communities.…”

Section: Introductionmentioning

confidence: 99%

The Galabat-Metema cross-border onchocerciasis focus: The first coordinated interruption of onchocerciasis transmission in Africa

Katabarwa

¹

,

Zarroug

²

,

Negussu

³

et al. 2020

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Background Onchocerciasis transmission across international borders is not uncommon, yet a coordinated cross border stops mass drug administration (MDA) decision has not been documented. Methods/Principle findings The Galabat-Metema focus involves neighboring districts on the border between Sudan and Ethiopia. Mass drug administration (MDA) was provided once and subsequently twice per year in this focus, with twice-per-year beginning in Ethiopia's Metema subfocus in 2016 and in the Sudan's Galabat subfocus in 2008. Ov16 ELISA-based serosurveys were conducted in 6072 children under 10 years of age in the Metema subfocus in 2014, and 3931 in the Galabat in 2015. Between 2014 and 2016, a total of 27,583 vector Simulium damnosum flies from Metema and 9,148 flies from Galabat were tested by pool screen PCR for Onchocerca volvulus O-150 DNA. Only 8 children were Ov16 seropositive (all in the Metema subfocus); all were negative by skin snip PCR. The upper limit of the 95% confidence interval (UCL) for Ov16 seropositive was <0.1% for the overall focus and 0.14 positive fly heads per 2000 (UCL = 0.39/2000). However, an entomological 'hotspot' was detected on the Wudi Gemzu river in Metema district. The hotspot was confirmed when 4 more positive fly pools

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“…In extension to these services, funeral groups also provide a platform for infusing health information and facilitate behaviour change. Previous research on this front has primarily been focused on controlling of river blindness in the region and the authors find that not only was it cheaper to deliver health information to communities (Katabarwa, Mutabazi, & Richards, 1999) but also communities in which these platforms were used showed high rate of information take-up and more prevention than those in which such groups were used Katabarwa, Habomugisha, Eyamba, Agunyo, & Mentou, 2010;Katabarwa et al, 2015). However, at this stage we do not differentiate the funeral groups.…”

Section: Discussionmentioning

confidence: 83%

Impact of Community-Based Health Insurance on Child Health Outcomes: Evidence on Stunting from Rural Uganda

Nshakira‐Rukundo

¹

,

Mussa

²

,

Gerber

³

et al. 2019

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The CENTER FOR DEVELOPMENT RESEARCH (ZEF) was established in 1995 as an international, interdisciplinary research institute at the University of Bonn. Research and teaching at ZEF address political, economic and ecological development problems. ZEF closely cooperates with national and international partners in research and development organizations. For information, see: www.zef.de. ZEF-Discussion Papers on Development Policy are intended to stimulate discussion among researchers, practitioners and policy makers on current and emerging development issues. Each paper has been exposed to an internal discussion within the Center for Development Research (ZEF) and an external review. The papers mostly reflect work in progress. The Editorial Committee of the ZEF-DISCUSSION PAPERS ON DEVELOPMENT POLICY includes Joachim von Braun (Chair), Christian Borgemeister, and Eva Youkhana. Chiara Kofol is the Managing Editor of the series.

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“…This points to further social learning and information possibilities of information diffusion. The funeral group line of thought has been previously tested in a series of papers (Katabarwa, 1999;Katabarwa et al, 2010Katabarwa et al, , 2015Katabarwa, Mutabazi, & Richards, 2000;Katabarwa, Richards Jr, & Ndyomugyenyi, 2000) which find significant impacts of funeral groups in prevention interventions for river blindness. Our work in this paper further endorses this effect.…”

Section: Pathways Of Impactmentioning

confidence: 99%

Can Community-Based Health Insurance Nudge Preventive Health Behaviours? Evidence from Rural Uganda

Nshakira‐Rukundo

¹

,

Mussa

²

,

Nshakira

³

et al. 2019

SSRN Journal

1

0

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The CENTER FOR DEVELOPMENT RESEARCH (ZEF) was established in 1995 as an international, interdisciplinary research institute at the University of Bonn. Research and teaching at ZEF address political, economic and ecological development problems. ZEF closely cooperates with national and international partners in research and development organizations. For information, see: www.zef.de. ZEF-Discussion Papers on Development Policy are intended to stimulate discussion among researchers, practitioners and policy makers on current and emerging development issues. Each paper has been exposed to an internal discussion within the Center for Development Research (ZEF) and an external review. The papers mostly reflect work in progress. The Editorial Committee of the ZEF-DISCUSSION PAPERS ON DEVELOPMENT POLICY includes Joachim von Braun (Chair), Christian Borgemeister, and Eva Youkhana. Chiara Kofol is the Managing Editor of the series.

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Community-directed interventions are practical and effective in low-resource communities: experience of ivermectin treatment for onchocerciasis control in Cameroon and Uganda, 2004–2010

Abstract: The CDI approach was effective, culturally appropriate and probably less costly in delivering health services in low-resource communities.

Cited by 23 publications

References 17 publications

The Galabat-Metema cross-border onchocerciasis focus: The first coordinated interruption of onchocerciasis transmission in Africa

The Galabat-Metema cross-border onchocerciasis focus: The first coordinated interruption of onchocerciasis transmission in Africa

Impact of Community-Based Health Insurance on Child Health Outcomes: Evidence on Stunting from Rural Uganda

Can Community-Based Health Insurance Nudge Preventive Health Behaviours? Evidence from Rural Uganda

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