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A model has been developed to evaluate the sustainability of the approach and has been tested at 35 projects in 10 countries of the African Program for Onchocerciasis Control (APOC). It incorporates quantitative and qualitative data collection and analysis, taking account of two factors identified as crucial to project sustainability. These are (i) the provision of project performance information to partners, and (ii) evidence\u2010based support for project implementation. The model is designed to provide critical indicators of project performance of the model to implementing, coordinating, and funding partners. The model's participatory and flexible nature makes it culturally sensitive and usable by project management. This model is able to analyze the different levels involved in project implementation and arrive at a judgment for the whole project. It has inbuilt mechanisms for ensuring data reliability and validity. The model addresses the complex issue of sustainability with a cross\u2010sectional design focusing on how and at which operational level of implementation to strengthen a CDTI project. The unique attributes and limitations of the model for evaluating the sustainability of projects were described. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/hpm.2108","type":"journal-article","created":{"date-parts":[[2012,6,18]],"date-time":"2012-06-18T17:54:12Z","timestamp":1340042052000},"page":"257-271","source":"Crossref","is-referenced-by-count":9,"title":["A model for evaluating the sustainability of community\u2010directed treatment with ivermectin in the African Program for Onchocerciasis Control"],"prefix":"10.1002","volume":"27","author":[{"given":"Joseph","family":"Okeibunor","sequence":"first","affiliation":[{"name":"Department of Sociology\/Anthropology University of Nigeria  Nsukka Enugu State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Bump","sequence":"additional","affiliation":[{"name":"Department of International Health Georgetown University  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honorat G.M.","family":"Zour\u00e9","sequence":"additional","affiliation":[{"name":"African Program for Onchocerciasis Control (APOC)  Ouagadougou 01 Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azodoga","family":"S\u00e9k\u00e9t\u00e9li","sequence":"additional","affiliation":[{"name":"Lom\u00e9 Togo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Godin","sequence":"additional","affiliation":[{"name":"Larochette Dieulefit France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uche V.","family":"Amazigo","sequence":"additional","affiliation":[{"name":"African Program for Onchocerciasis Control (APOC)  Ouagadougou 01 Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,18]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"APOC.2004.Guideline for Conducting an Evaluation of the Sustainability of CDTI Projects.African Programme for Onchocerciasis Control 44p."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1179\/000349802125000664"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69786-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.01.018"},{"key":"e_1_2_8_6_1","unstructured":"AshleyC CameyD.1999.Sustainable Livelihoods: Lessons from Early Experience.Directorate for International Development (DFID) London."},{"key":"e_1_2_8_7_1","volume-title":"Evaluating the Impact of Health Programs: A Primer","author":"Borus ME","year":"1984"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07607-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0097-5990(16)30084-7"},{"key":"e_1_2_8_10_1","first-page":"3","volume-title":"Demographic Evaluation of Health Programmes: Proceedings of a Seminar in Paris February 26\u201328, 1996","author":"Collomb P","year":"1996"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.en.39.010194.000323"},{"key":"e_1_2_8_12_1","first-page":"37","volume-title":"L'\u00e9valuation des Politiques et Programmes de Population","author":"Domato A","year":"1994"},{"key":"e_1_2_8_13_1","unstructured":"FournierC.1992.La Place de la D\u00e9mographie dans l'\u00e9valuation des Programme de Sant\u00e9. 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