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Dissak-Delon FN, Kamga GR, Humblet PC, et al. 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. Trop Med Infect Dis. 2019;4(3)doi: 10.3390/tropicalmed4030105.
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), . https://doi.org/10.3390/tropicalmed4030105
Dissak-Delon, Fanny Nadia, et al. "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 vol. 4,3 (2019). doi: https://doi.org/10.3390/tropicalmed4030105
Dissak-Delon FN, Kamga GR, Humblet PC, Robert A, Souopgui J, Kamgno J, Ghogomu SM, Godin I. 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. Trop Med Infect Dis. 2019 Jul 15;4(3). doi: 10.3390/tropicalmed4030105. PMID: 31311093; PMCID: PMC6789878.
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Trop Med Infect Dis. 2019 Jul 15;4(3). doi: 10.3390/tropicalmed4030105.

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

Fanny Nadia Dissak-Delon, Guy-Roger Kamga, Perrine Claire Humblet, Annie Robert, Jacob Souopgui, Joseph Kamgno, Stephen Mbigha Ghogomu, Isabelle Godin

Affiliations

  1. Ministry of Public Health, N°8, Rue 3038 quartier du Lac, Yaoundé, Cameroon. [email protected].
  2. Ecole de Santé Publique - Campus Erasme, Université Libre de Bruxelles, Route de Lennik 808 CP591, 1070 Brussels, Belgium. [email protected].
  3. Molecular and Cell Biology Laboratory, Department of Biochemistry and Molecular Biology, University of Buea, P.O. Box 63 Buea, Cameroon. [email protected].
  4. Ministry of Public Health, N°8, Rue 3038 quartier du Lac, Yaoundé, Cameroon.
  5. Molecular and Cell Biology Laboratory, Department of Biochemistry and Molecular Biology, University of Buea, P.O. Box 63 Buea, Cameroon.
  6. Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Clos Chapelle-aux-champs 30 bte B1.30.13, 1200 Brussels, Belgium.
  7. Ecole de Santé Publique - Campus Erasme, Université Libre de Bruxelles, Route de Lennik 808 CP591, 1070 Brussels, Belgium.
  8. Institute of Molecular Biology and Medicine, Université Libre de Bruxelles, Rue des professeurs Jeener et Brachet 12, 6041 Charleroi (Gosselies), Belgium.
  9. Centre for Research on Filariasis and other Tropical Diseases, P.O. Box 5797, Yaoundé, Cameroon.
  10. Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, P.O. Box 1364, Yaoundé, Cameroon.

PMID: 31311093 PMCID: PMC6789878 DOI: 10.3390/tropicalmed4030105

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.

Keywords: community directed interventions; community participation; qualitative survey

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