African Programme for Onchocerciasis Control (APOC)

Monitoring and evaluation of community-directed treatment with ivermectin (CDTI) projects

Community self-monitoring

Self-monitoring of community-directed treatment with ivermectin (CDTI) encourages the community to take full charge of the CDTI process and make appropriate modifications as necessary.

Every year, each community involved in CDTI conducts a community self-monitoring exercise. This is usually carried out within three months of an ivermectin distribution session.

The community selects their own monitors and creates their own indicators to track their performance. Monitors’ reports are given to the local health worker, who gives the community feedback on how to improve their CDTI process.

In mid-2007, more than 800 communities were conducting community-self monitoring exercises.