BACKGROUND: The community-directed intervention (CDI) approach has improved treatment coverage in @entity7289 -affected communities. However, there is still a lot to learn. This study assessed its performance, and highlighted the lessons learnt so far. METHODS: Representative samples of households were selected from Cameroon and Uganda program areas through multi-stage random sampling. An adult male and female from every selected household were interviewed separately on their involvement in CDI activities every year between 2004 and 2010. @entity497 ( @entity497 ) were interviewed and treatment records reviewed to determine whether 90% treatment coverage was attained within 2 weeks. Records related to training of @entity497 and their supervisors were analyzed. RESULTS: Decision making decreased for community leaders and health workers, while it increased for community members. The proportion of @entity497 attaining 90% treatment coverage within 2 weeks improved as their demand for monetary incentives, and number of @entity1 they served, reduced. The number of @entity497 supervised by a community supervisor remained low, but increased for the health workers. The cost of training a CHW and a community supervisor reduced to about @entity10479 1 and @entity10479 4.8 respectively. CONCLUSIONS: The CDI approach was effective, culturally appropriate and probably less costly in delivering health services in low-resource communities.

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

@entity1 :: ('9606', 'Species') :: ['persons'] @entity10479 :: ('MESH:D065309', 'Disease') :: ['US'] @entity497 :: ('MESH:D003147', 'Disease') :: ['Community health workers', 'CHWs'] @entity7289 :: ('MESH:D009855', 'Disease') :: ['onchocerciasis']
@entity7289 :: (MESH:D009855,Disease) :: ['onchocerciasis']
