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of other community level health care activities with CDTI would enhance its sustainability. Others fear that sustainability may be jeopardized if CDDs are overloaded with tasks for other health and development activities. Hence there was a need for a detailed scientific evaluation of the current experiences and to identify what actions, if any, need to be taken to ensure that integration of other activities Nike Air Max Stutter Step 2 Blue in CDTI strengthens rather than weakens its effectiveness and sustainability. Nike Air Max Red Velvet

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However, the implications of this development for the effectiveness and sustainability of CDTI are not yet clear. Some expect that integration Nike Air Max 2016 Womens White

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Four research teams, from Calabar, Cross River and Kaduna in Nigeria; South west Province, Cameroon; and Region Centrale and Region de la Kara,Togo, were commissioned to investigate this.The study used a cross sectional design focusing on CDDs in the community as the unit of analysis. The study population consisted of all partners involved in the process of community directed treatment of onchocerciasis with ivermectin at the community level. These included community members, their leaders and the CDDs they had selected, health facility staff and at the district level, and managers of other Womens Nike Air Max 2016 White

health and development programmes operating in the study communities.

directed distributors of ivermectin in other health and development activities

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