Factors affecting the attrition of community-directed distributors of ivermectin, in an onchocerciasis-control programme in the Imo and Abia states of south-eastern Nigeria.

@article{Emukah2008FactorsAT,
  title={Factors affecting the attrition of community-directed distributors of ivermectin, in an onchocerciasis-control programme in the Imo and Abia states of south-eastern Nigeria.},
  author={Emmanuel C Emukah and Uche Enyinnaya and N S Olaniran and Edet Akpan and Donald R. Hopkins and Emmanuel S. Miri and Uche Veronica Amazigo and Chukwu Okoronkwo and Amie P Stanley and Lindsay J. Rakers and Frank O. Richards and Moses N. Katabarwa},
  journal={Annals of tropical medicine and parasitology},
  year={2008},
  volume={102 1},
  pages={45-51}
}
In areas of Nigeria where onchocerciasis is endemic, community-directed distributors (CDD) distribute ivermectin annually, as part of the effort to control the disease. Unfortunately, it has been reported that at least 35% of the distributors who have been trained in Nigeria are unwilling to participate further as CDD. The selection and training of new CDD, to replace those unwilling to continue, leads to annual expense that the national onchocerciasis-programme is finding difficult to meet… CONTINUE READING

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