{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T17:11:21Z","timestamp":1787591481333,"version":"build-2736575974"},"reference-count":49,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T00:00:00Z","timestamp":1563148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011880","name":"Acad\u00e9mie de recherche et d'enseignement sup\u00e9rieur","doi-asserted-by":"publisher","award":["PRD2013CamerounSouopgui"],"award-info":[{"award-number":["PRD2013CamerounSouopgui"]}],"id":[{"id":"10.13039\/501100011880","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Recent studies in Cameroon after 20 years of implementation of the Community Directed Treatment with ivermectin (CDTI) strategy, revealed mixed results as regards community ownership. This brings into question the feasibility of Community Directed Interventions (CDI) in the country. We carried out qualitative surveys in 3 health districts of Cameroon, consisting of 11 individual interviews and 10 Focus Group Discussions (FGDs) with specific community members. The main topic discussed during individual interviews and FGDs was about community participation in health. We found an implementation gap in CDTI between the process theory in the 3 health districts. Despite this gap, community eagerness for health information and massive personal and financial adhesion to interventions that were perceived important, were indicators of CDI feasibility. The concept of CDI is culturally feasible in rural and semi-urban settlements, but many challenges hinder its actual implementation. In the view of community participation as a process rather than an intervention, these challenges include real dialogue with communities as partners, dialogue and advocacy with operational level health staff, and macroeconomic and political reforms in health, finance and other associated sectors.<\/jats:p>","DOI":"10.3390\/tropicalmed4030105","type":"journal-article","created":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T02:23:16Z","timestamp":1563243796000},"page":"105","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Do Communities Really \u201cDirect\u201d in Community-Directed Interventions? A Qualitative Assessment of Beneficiaries\u2019 Perceptions at 20 Years of Community Directed Treatment with Ivermectin in Cameroon"],"prefix":"10.3390","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8386-6501","authenticated-orcid":false,"given":"Fanny Nadia","family":"Dissak-Delon","sequence":"first","affiliation":[{"name":"Ministry of Public Health, N\u00b08, Rue 3038 quartier du Lac, Yaound\u00e9, Cameroon"},{"name":"Ecole de Sant\u00e9 Publique - Campus Erasme, Universit\u00e9 Libre de Bruxelles, Route de Lennik 808 CP591, 1070 Brussels, Belgium"},{"name":"Molecular and Cell Biology Laboratory, Department of Biochemistry and Molecular Biology, University of Buea, P.O. Box 63 Buea, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy-Roger","family":"Kamga","sequence":"additional","affiliation":[{"name":"Ministry of Public Health, N\u00b08, Rue 3038 quartier du Lac, Yaound\u00e9, Cameroon"},{"name":"Molecular and Cell Biology Laboratory, Department of Biochemistry and Molecular Biology, University of Buea, P.O. Box 63 Buea, Cameroon"},{"name":"Institut de Recherche Exp\u00e9rimentale et Clinique, Universit\u00e9 Catholique de Louvain, Clos Chapelle-aux-champs 30 bte B1.30.13, 1200 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perrine Claire","family":"Humblet","sequence":"additional","affiliation":[{"name":"Ecole de Sant\u00e9 Publique - Campus Erasme, Universit\u00e9 Libre de Bruxelles, Route de Lennik 808 CP591, 1070 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Robert","sequence":"additional","affiliation":[{"name":"Institut de Recherche Exp\u00e9rimentale et Clinique, Universit\u00e9 Catholique de Louvain, Clos Chapelle-aux-champs 30 bte B1.30.13, 1200 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Souopgui","sequence":"additional","affiliation":[{"name":"Institute of Molecular Biology and Medicine, Universit\u00e9 Libre de Bruxelles, Rue des professeurs Jeener et Brachet 12, 6041 Charleroi (Gosselies), Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Kamgno","sequence":"additional","affiliation":[{"name":"Centre for Research on Filariasis and other Tropical Diseases, P.O. Box 5797, Yaound\u00e9, Cameroon"},{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 1, P.O. Box 1364, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Mbigha","family":"Ghogomu","sequence":"additional","affiliation":[{"name":"Molecular and Cell Biology Laboratory, Department of Biochemistry and Molecular Biology, University of Buea, P.O. Box 63 Buea, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Godin","sequence":"additional","affiliation":[{"name":"Ecole de Sant\u00e9 Publique - Campus Erasme, Universit\u00e9 Libre de Bruxelles, Route de Lennik 808 CP591, 1070 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,7,15]]},"reference":[{"key":"ref_1","unstructured":"International Conference on Primary Health Care (1978). Declaration of Alma-Ata. 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