{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:13:31Z","timestamp":1788416011809,"version":"build-2803163510"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Community health workers (CHWs), particularly volunteer community drug distributors (CDDs), play essential roles in advancing universal health coverage (UHC) and neglected tropical disease (NTD) control, yet their responsibilities and formal recognition remain poorly defined across health systems. This creates policy-implementation disconnects, especially during mass drug administration (MDA) campaigns for schistosomiasis and soil-transmitted helminthiases, where CDDs deliver critical services amid declining motivation and weak community awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 15 September 2023 to 1 February 2024, Sightsavers, the organization for the prevention of blindness, and Chad\u2019s Ministry of Health and public prevention co-developed and piloted the CDD passport\u2014a training and reference tool to clarify roles, build capacity, and formally recognize CDDs. Implemented during national MDA campaigns, the passport provided accessible materials on responsibilities, treatment protocols, and safety, alongside certificates acknowledging contributions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pre-passport assessments revealed CDDs\u2019 limited understanding of their roles, poor community knowledge of MDA objectives, and motivational challenges. Qualitative evaluations post-pilot\u2014with health workers, CDDs, and community members\u2014demonstrated improved knowledge retention, enhanced perceptions of CDD legitimacy, and stronger campaign performance. Government involvement highlighted broader CHW policy gaps, including how community settlement patterns affect delivery logistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This community case study demonstrates how the CDD passport bridges CHW policy gaps by standardizing training, boosting motivation through recognition, and prompting national discussions on integrating volunteers into health systems. This innovation strengthens MDA effectiveness, supports sustainable NTD control, and models scalable universal health coverage (UHC) approaches for community health platforms in resource-constrained settings. Longer-term evaluation is needed to assess impacts on treatment coverage, volunteer retention, health outcomes, and cost-effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1879806","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:22:47Z","timestamp":1788412967000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The community drug distributor passport: a case study of training and recognition in Chad"],"prefix":"10.3389","volume":"14","author":[{"given":"Sohaibou","family":"Diane","sequence":"first","affiliation":[{"name":"Sightsavers","place":["Haywards Heath, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adoum Mahamat","family":"Oumar","sequence":"additional","affiliation":[{"name":"Minist\u00e8re de la Sant\u00e9 Publique et de la Prevention","place":["N'Djamena, Chad"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barka","family":"Kali","sequence":"additional","affiliation":[{"name":"Organisation pour la Pr\u00e9vention de la C\u00e9cit\u00e9","place":["N'Djamena, Chad"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Harvey","sequence":"additional","affiliation":[{"name":"Sightsavers","place":["Haywards Heath, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurudeen","family":"Dauda","sequence":"additional","affiliation":[{"name":"Sightsavers","place":["Haywards Heath, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geordie","family":"Woods","sequence":"additional","affiliation":[{"name":"Sightsavers","place":["Haywards Heath, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oladele","family":"Akogun","sequence":"additional","affiliation":[{"name":"Modibbo Adama University of Technology","place":["Yola, Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Downs","sequence":"additional","affiliation":[{"name":"Sightsavers","place":["Haywards Heath, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","volume-title":"International Standard Classification of Occupations, ISCO-08, Volume 1","year":"2012"},{"key":"ref2","volume-title":"What Do We Know about Community Health Workers? 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