ArticleFrontiers in public health2026
The community drug distributor passport: a case study of training and recognition in Chad.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Community health workers (CHWs), particularly volunteer community drug distributors (CDDs), play essential roles in advancing universal health coverage (UHC) and neglected tropical disease (NTD) control, yet their responsibilities and formal recognition remain poorly defined across health systems. This creates policy-implementation disconnects, especially during mass drug administration (MDA) campaigns for schistosomiasis and soil-transmitted helminthiases, where CDDs deliver critical services amid declining motivation and weak community awareness. Methods: From 15 September 2023 to 1 February 2024, Sightsavers, the organization for the prevention of blindness, and Chad's Ministry of Health and public prevention co-developed and piloted the CDD passport-a training and reference tool to clarify roles, build capacity, and formally recognize CDDs. Implemented during national MDA campaigns, the passport provided accessible materials on responsibilities, treatment protocols, and safety, alongside certificates acknowledging contributions. Results: Pre-passport assessments revealed CDDs' limited understanding of their roles, poor community knowledge of MDA objectives, and motivational challenges. Qualitative evaluations post-pilot-with health workers, CDDs, and community members-demonstrated improved knowledge retention, enhanced perceptions of CDD legitimacy, and stronger campaign performance. Government involvement highlighted broader CHW policy gaps, including how community settlement patterns affect delivery logistics. Discussion: This community case study demonstrates how the CDD passport bridges CHW policy gaps by standardizing training, boosting motivation through recognition, and prompting national discussions on integrating volunteers into health systems. This innovation strengthens MDA effectiveness, supports sustainable NTD control, and models scalable universal health coverage (UHC) approaches for community health platforms in resource-constrained settings. Longer-term evaluation is needed to assess impacts on treatment coverage, volunteer retention, health outcomes, and cost-effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.