{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:18:29Z","timestamp":1783469909099,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,3,31]],"date-time":"2005-03-31T00:00:00Z","timestamp":1112227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2005,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The community\u2010directed interventions (CDI) strategy achieved a desired coverage of the ultimate treatment goal (UTG) of at least 90% with ivermectin distribution for onchocerciasis control, and filled the gap between the health care services and the communities. However, it was not clear how its primary actors \u2013 the community\u2010directed health workers (CDHW) and community\u2010directed health supervisors (CDHS) \u2013 would perform if they were given more responsibilities for other health and development activities within their communities. A total of 429 of 636 (67.5%) of the CDHWs who were involved in other health and development activities performed better than those who were involved only in ivermectin distribution, with a drop\u2010out rate of 2.3%. A total of 467 of 864 (54.1%) of CDHSs who were involved in other health and development activities also maintained the desired level of performance. They facilitated updating of household registers (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05), trained and supervised CDHWs, and educated community members about onchocerciasis control (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Their drop\u2010out rate was 2.6%. The study showed that the majority of those who dropped out had not been selected by their community members. Therefore, CDI strategy promoted integration of health and development activities with a high potential for sustainability.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2005.01396.x","type":"journal-article","created":{"date-parts":[[2005,3,31]],"date-time":"2005-03-31T12:21:47Z","timestamp":1112271707000},"page":"312-321","source":"Crossref","is-referenced-by-count":39,"title":["Community\u2010directed interventions strategy enhances efficient and effective integration of health care delivery and development activities in rural disadvantaged communities of Uganda"],"prefix":"10.1111","volume":"10","author":[{"given":"M. N.","family":"Katabarwa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Habomugisha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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