01522nas a2200301   4500000000100000008004100001653002200042653002100064653001200085653001100097653002200108653001800130653002500148653002800173653003000201653002600231653003300257100001400290700001100304700001200315700001500327700002200342245009300364300001000457490000700467520073200474022001401206       2012                            d10aTropical Medicine10aTropical Climate10aPoverty10aHumans10aHealth Priorities10aGlobal health10aDeveloping countries10aDelivery of Health Care10aCommunity Health Services10aCommunicable Diseases10aCommunicable Disease Control1 aAmazigo U1 aLeak S1 aZoure H1 aNjepuome N1 aLusamba-Dikassa P00aCommunity-driven interventions can revolutionise control of neglected tropical diseases.  a231-80 v283 a<p>Whether global health interventions target diseases (vertical), systems (horizontal) or both (diagonal), they must address the challenge of delivering services in very remote areas of poor countries with inadequate infrastructure. The primacy of this challenge has been underscored by persistent service-delivery difficulties despite several large financial commitments - the latest, US $363 million in the January 2012 London Declaration. Community-driven approaches, pioneered in river blindness control, show that engaging communities can maximise access and performance. This experience should inform a paradigm shift in disease control whereby communities are empowered to extend health service access themselves.</p>
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