Do Communities Really "Direct" in Community-Directed Interventions? A Qualitative Assessment of Beneficiaries' Perceptions at 20 Years of Community Directed Treatment with Ivermectin in Cameroon.

Dissak-Delon, Fanny Nadia;Kamga, Guy-Roger;Humblet, Perrine Claire;Robert, Annie;Godin, Isabelle;et.al.
(2019) Tropical medicine and infectious disease — Vol. 4, n° 3, p. 105 [1-19] (2019)

Files

2019_Dissak-Delon_Trop_Med_Infect_Dis.pdf
  • Open Access
  • Adobe PDF
  • 533.08 KB
Download

Details

Authors
  • Dissak-Delon, Fanny Nadiaorcid-logo
    Author
  • Kamga, Guy-RogerUCLouvain
    Author
  • Humblet, Perrine Claire
    Author
  • Robert, AnnieUCLouvain
    Author
  • Godin, Isabelle
    Author
Show more
Abstract
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.
Affiliations

Citations

  • APA
  • Chicago
  • FWB

Dissak-Delon, F. N., Kamga, G.-R., Humblet, P. C., Robert, A., Souopgui, J., Kamgno, J., Ghogomu, S. M., & Godin, I. (2019). Do Communities Really “Direct” in Community-Directed Interventions? A Qualitative Assessment of Beneficiaries’ Perceptions at 20 Years of Community Directed Treatment with Ivermectin in Cameroon. Tropical medicine and infectious disease, 4(3), 105 [1-19]. https://doi.org/10.3390/tropicalmed4030105 (Original work published 2019)