African Programme for Onchocerciasis Control (APOC)

Community-directed treatment with ivermectin (CDTI)

Helping communities help themselves

Trained volunteers distribute ivermectin
Trained volunteers distribute ivermectin in a village in Nkom, Cameroon

Community-directed treatment with ivermectin (CDTI) is at the heart of APOC’s work to eliminate onchocerciasis. The strategy relies on active community participation. It focuses on empowering communities to take responsibility for ivermectin delivery – deciding how, when and by whom the ivermectin treatment should be administered.

In the rural populations of sub-Saharan Africa where health systems are weak and under-resourced, the community-directed treatment strategy is proving to be one of Africa’s most successful in reducing disease at low cost.