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| 17 Jul 2010 Nick Henwood Uganda,East Africa |
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| A new Ugandan study demostrates that a strategy of Ivermectin distribution that worked through kinship links achieved better results than 'standard' care. |
 Abstract
The challenges of community-directed treatment with ivermectin (CDTI) for onchocerciasis control in Africa have been: maintaining a desired treatment coverage, demand for monetary incentives, high attrition of community distributors and low involvement of women. This study assessed how challenges could be minimised and performance improved using existing traditional kinship structures.
In classic CDTI areas, community members decide upon selection criteria for community distributors, centers for health education and training, and methods of distributing ivermectin. In kinship enhanced CDTI, similar procedures were followed at the kinship level. We compared 14 randomly selected kinship enhanced CDTI communities with 25 classic CDTI communities through interviews of 447 and 750 household members and 127 and 64 community distributors respectively.
For full text - see
http://www.cartercenter.org/resources/pdfs/news/health_publications/river_blindness/traditional-kinship-system-TRSTMH-jan2010.pdf
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