Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon.
The CDTI model is known to have enhanced community participation in planning and resource mobilization toward the control of onchocerciasis. These effects were expected to translate into better individual acceptance of the intervention and hence high Treatment Coverage, leading to a sustainable comm...
Published in: | PLOS Neglected Tropical Diseases |
---|---|
Main Authors: | , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Public Library of Science (PLoS)
2017
|
Subjects: | |
Online Access: | https://doi.org/10.1371/journal.pntd.0005966 https://doaj.org/article/f452cabb431d4fabaaba201c0a35cd60 |
id |
ftdoajarticles:oai:doaj.org/article:f452cabb431d4fabaaba201c0a35cd60 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:f452cabb431d4fabaaba201c0a35cd60 2023-05-15T15:15:28+02:00 Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. Christian Tetteh Duamor Fabrice Roberto Datchoua-Poutcheu Winston Patrick Chounna Ndongmo Aldof Tah Yoah Ernest Njukang Emmanuel Kah Mary Sheena Maingeh Jonas Arnaud Kengne-Ouaffo Dizzle Bita Tayong Peter A Enyong Samuel Wanji 2017-11-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0005966 https://doaj.org/article/f452cabb431d4fabaaba201c0a35cd60 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC5714394?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0005966 https://doaj.org/article/f452cabb431d4fabaaba201c0a35cd60 PLoS Neglected Tropical Diseases, Vol 11, Iss 11, p e0005966 (2017) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2017 ftdoajarticles https://doi.org/10.1371/journal.pntd.0005966 2022-12-31T01:48:39Z The CDTI model is known to have enhanced community participation in planning and resource mobilization toward the control of onchocerciasis. These effects were expected to translate into better individual acceptance of the intervention and hence high Treatment Coverage, leading to a sustainable community-led strategy and reduction in the disease burden. A survey revealed that after 10-12 rounds of treatment, prevalence of onchocerciasis was still high in three drainage basins of South West Cameroon and transmission was going on.We designed a three (3)-year retrospective (2012, 2013 and 2014), descriptive cross-sectional study to explore the roles of operational challenges in the failure of CDTI to control the disease as expected. We administered 83 semi-structured questionnaires and conducted 12 in-depth interviews with Chiefs of Bureau Health, Chiefs of Centers, CDDs and Community Heads. Descriptive statistics was used to explore indicators of performance which were supported with views from in-depth interviews.We found that community participation was weak; communities were not deciding time and mode of distributions. Only 6 (15.0%) of 40 Community Drug Distributors reported they were selected at general community meetings as required. The health service was not able to meet and discuss Community-Directed Treatment with Ivermectin activities with individual communities partly due to transportation challenges; this was mostly done through letters. Funding was reported to be inadequate and not timely. Funds were not available to conduct Community-Self Monitoring after the 2014 Mass Drug Administration. There was inadequate health staff at the frontline health facility levels, and some Chiefs of Center reported that Community-Directed Treatment with Ivermectin work was too much for them. The mean operational Community Drug Distributor-population ratio was 1 Community Drug Distributor per 317 populations (range: 194-464, expected is 1:250). Community Drug Distributor attrition rate was 14% (2012), 11% (2013) and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 11 11 e0005966 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Christian Tetteh Duamor Fabrice Roberto Datchoua-Poutcheu Winston Patrick Chounna Ndongmo Aldof Tah Yoah Ernest Njukang Emmanuel Kah Mary Sheena Maingeh Jonas Arnaud Kengne-Ouaffo Dizzle Bita Tayong Peter A Enyong Samuel Wanji Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
The CDTI model is known to have enhanced community participation in planning and resource mobilization toward the control of onchocerciasis. These effects were expected to translate into better individual acceptance of the intervention and hence high Treatment Coverage, leading to a sustainable community-led strategy and reduction in the disease burden. A survey revealed that after 10-12 rounds of treatment, prevalence of onchocerciasis was still high in three drainage basins of South West Cameroon and transmission was going on.We designed a three (3)-year retrospective (2012, 2013 and 2014), descriptive cross-sectional study to explore the roles of operational challenges in the failure of CDTI to control the disease as expected. We administered 83 semi-structured questionnaires and conducted 12 in-depth interviews with Chiefs of Bureau Health, Chiefs of Centers, CDDs and Community Heads. Descriptive statistics was used to explore indicators of performance which were supported with views from in-depth interviews.We found that community participation was weak; communities were not deciding time and mode of distributions. Only 6 (15.0%) of 40 Community Drug Distributors reported they were selected at general community meetings as required. The health service was not able to meet and discuss Community-Directed Treatment with Ivermectin activities with individual communities partly due to transportation challenges; this was mostly done through letters. Funding was reported to be inadequate and not timely. Funds were not available to conduct Community-Self Monitoring after the 2014 Mass Drug Administration. There was inadequate health staff at the frontline health facility levels, and some Chiefs of Center reported that Community-Directed Treatment with Ivermectin work was too much for them. The mean operational Community Drug Distributor-population ratio was 1 Community Drug Distributor per 317 populations (range: 194-464, expected is 1:250). Community Drug Distributor attrition rate was 14% (2012), 11% (2013) and ... |
format |
Article in Journal/Newspaper |
author |
Christian Tetteh Duamor Fabrice Roberto Datchoua-Poutcheu Winston Patrick Chounna Ndongmo Aldof Tah Yoah Ernest Njukang Emmanuel Kah Mary Sheena Maingeh Jonas Arnaud Kengne-Ouaffo Dizzle Bita Tayong Peter A Enyong Samuel Wanji |
author_facet |
Christian Tetteh Duamor Fabrice Roberto Datchoua-Poutcheu Winston Patrick Chounna Ndongmo Aldof Tah Yoah Ernest Njukang Emmanuel Kah Mary Sheena Maingeh Jonas Arnaud Kengne-Ouaffo Dizzle Bita Tayong Peter A Enyong Samuel Wanji |
author_sort |
Christian Tetteh Duamor |
title |
Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
title_short |
Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
title_full |
Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
title_fullStr |
Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
title_full_unstemmed |
Programmatic factors associated with the limited impact of Community-Directed Treatment with Ivermectin to control Onchocerciasis in three drainage basins of South West Cameroon. |
title_sort |
programmatic factors associated with the limited impact of community-directed treatment with ivermectin to control onchocerciasis in three drainage basins of south west cameroon. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2017 |
url |
https://doi.org/10.1371/journal.pntd.0005966 https://doaj.org/article/f452cabb431d4fabaaba201c0a35cd60 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 11, Iss 11, p e0005966 (2017) |
op_relation |
http://europepmc.org/articles/PMC5714394?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0005966 https://doaj.org/article/f452cabb431d4fabaaba201c0a35cd60 |
op_doi |
https://doi.org/10.1371/journal.pntd.0005966 |
container_title |
PLOS Neglected Tropical Diseases |
container_volume |
11 |
container_issue |
11 |
container_start_page |
e0005966 |
_version_ |
1766345830334201856 |