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‘The African Programme for Onchocerciasis Control and its partners have made important progress . . . The success of the programme in eliminating the disease and interrupting transmission depends on its innovative approach to delivering treatment through community-directed distributors.’
Many endemic countries have used the community distributors’ network as a platform for provision of other services, especially against lymphatic filariasis.
http://www.who.int/wer/2011/wer8648.pdf