{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:02:49Z","timestamp":1777906969282,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2003,10,1]],"date-time":"2003-10-01T00:00:00Z","timestamp":1064966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p>A multi-centre study to determine whether community-directed distributors (CDDs) are capable of carrying out additional healthcare and developmental activities in their communities was carried out in Cameroon, Nigeria, Sudan, Uganda and Togo to ascertain the potential effects of their involvement on the implementation of community-directed treatment with ivermectin (CDTI).<\/jats:p>\n                  <jats:p>Both quantitative and qualitative methods were used to collect data from households, community-directed distributors, community leaders, and health workers. The results showed no major decrease in the CDDs' performance in CDTI: On the contrary, the involvement of CDDs in other health and development activities motivated them to perform their CDTI functions better. However, the results did not show any significant increase in therapeutic coverage of ivermectin distribution.<\/jats:p>\n                  <jats:p>The expansion of the CDDs' experience to include additional healthcare and development related activities would be of interest to onchocerciasis control programmes \u2013 it will strengthen CDTI sustainability through greater integration.<\/jats:p>","DOI":"10.1177\/004947550303300417","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T05:47:02Z","timestamp":1484286422000},"page":"237-241","source":"Crossref","is-referenced-by-count":6,"title":["A Multi-Centre Study of Community-Directed Ivermectin Distributors' (CDDs') Involvement in other Healthcare and Development Programme Activities in Cameroon, Togo, Sudan, Nigeria and Uganda"],"prefix":"10.1177","volume":"33","author":[{"given":"M T","family":"Sama","sequence":"first","affiliation":[{"name":"Institute of Medical Research & Medicinal Plants, BP 4424, Yaounde, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Homeida","sequence":"additional","affiliation":[{"name":"National Onchocerciasis Task Force, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Ngang","sequence":"additional","affiliation":[{"name":"TEYEN Research Foundation, Yaounde, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B H","family":"Liese","sequence":"additional","affiliation":[{"name":"Human Development African Region, World Bank, Washington DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U","family":"Amazigo","sequence":"additional","affiliation":[{"name":"African Programme for Onchocerciasis Control, Ouagadougou, Burkina Faso"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Seketeli","sequence":"additional","affiliation":[{"name":"African Programme for Onchocerciasis Control, Ouagadougou, Burkina Faso"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,10,1]]},"reference":[{"key":"bibr1-004947550303300417","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.2000.11813549"},{"key":"bibr2-004947550303300417","volume-title":"Onchocerciasis and its Control: Report of a WHO Expert Committee","author":"World Health Organization","year":"1995"},{"key":"bibr3-004947550303300417","volume-title":"Report of a Multi-country Study on Community-directed Treatment with Ivermectin","author":"World Health Organization","year":"1996"},{"key":"bibr4-004947550303300417","first-page":"25","volume":"17","author":"Ngoumou P","year":"1996","journal-title":"World Health Forum"},{"key":"bibr5-004947550303300417","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1998.11813362"},{"key":"bibr6-004947550303300417","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1993.11812784"},{"key":"bibr7-004947550303300417","volume-title":"Integrating Ivermectin Delivery into the Primary Health Care System: The Example of Cameroon","year":"1996"}],"updated-by":[{"DOI":"10.1177\/004947550403400211","type":"retraction","label":"Retraction","source":"retraction-watch","updated":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"record-id":"1807"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550303300417","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550303300417","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:27:15Z","timestamp":1777642035000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947550303300417"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2003,10]]}},"alternative-id":["10.1177\/004947550303300417"],"URL":"https:\/\/doi.org\/10.1177\/004947550303300417","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,10]]}}}