World Health Organization : Year 2003 ; The Special Programme for Research and Training in Tropical Diseases Ide, Programme for the Control of Diarrhoeal Diseasesi, No. 03.1: The Involvement of Communitydirected Distributors of Ivermectin in Other Health and Development Activities

By World Health Organization

Book Id: WPLBN0000154429
Format Type: PDF eBook:
File Size: 0.3 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 2003 ; The Special Programme for Research and Training in Tropical Diseases Ide, Programme for the Control of Diarrhoeal Diseasesi, No. 03.1: The Involvement of Communitydirected Distributors of Ivermectin in Other Health and Development Activities
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Health Organization, B. W. (n.d.). World Health Organization : Year 2003 ; The Special Programme for Research and Training in Tropical Diseases Ide, Programme for the Control of Diarrhoeal Diseasesi, No. 03.1. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
EXECUTIVE SUMMARY Community-directed treatment with ivermectin (CDTI), through which millions of people are treated, is currently the principal drug delivery strategy for onchocerciasis control.The success of CDTI in onchocerciasis control has caught the attention of other health and development programmes and there have been various attempts to use the CDTI structures and community-directed distributors (CDDs) for other health interventions. However, the implications of this development for the effectiveness and sustainability of CDTI are not yet clear. Some expect that integration of other community-level health care activities with CDTI would enhance its sustainability. Others fear that sustainability may be jeopardized if CDDs are overloaded with tasks for other health and development activities. Hence there was a need for a detailed scientific evaluation of the current experiences and to identify what actions, if any, need to be taken to ensure that integration of other activities in CDTI strengthens rather than weakens its effectiveness and sustainability. Four research teams, from Calabar, Cross River and Kaduna in Nigeria; South-west Province, Cameroon; and Region Centrale and Region de la Kara,Togo, were commissioned to investigate this.

Table of Contents
CONTENTS EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 STUDY OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3 METHODOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 3.1 Study population, sampling and data collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 3.2 Research instruments and relation to study objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4 STUDY AREAS AND STATUS OF CDTI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 4.1 Cross River State, Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 4.2 South-west Province, Cameroon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.3 Kaduna State, Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.4 Togo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 5 RESULTS 5.1 Socio-demographic characteristics of CDDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5.2 Additional health and development activities of CDDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5.3 Relationship between the involvement of CDDs in other health and development activities and the performance of CDTI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 5.4 Attitudes towards involvement of CDDs in other health and development activities . . . . 21 6 CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 7 RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 8 ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 9 BIBLIOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 10 ANNEXES: RESEARCH INSTRUMENTS 1-5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Research instruments 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Research instruments 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Research instruments 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Research instruments 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Research instruments 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45