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Funders and implementers have a vested interest in minimizing failures, and host countries are wary of holding donors to account for fear of driving away badly needed resources.

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In affected areas, these requirements have led to a temporary shift away from the strategy of community-directed treatment with ivermectin (CDTI) currently favored by the African Programme for Onchocerciasis Control (APOC).

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The programme was rated highly in the questions concerning the vision of the programme, and the degree to which the programme was aligned with the interests of partner organizations.

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