What would his neighbors say about Onyango if they found out he was circumcised?" The range of expected community responses was wide, and participants attributed the variance to differences in age, education, and level of MC knowledge in the community.
Typically, in large-scale cluster randomization trials that evaluate public health interventions at community level, the expected effects on morbidity and mortality tend to be modest, although still of public health relevance [ 26].
Improving community awareness about the role of primaquine to prevent further malaria transmission and fostering a realistic system of direct observed treatment intake, organized at community level, can be expected to improve adherence to the radical cure of P. vivax in this area.
Many of these locally driven water projects started as a way to ensure this access to safe water, and they constitute an example of how community leaders, donor agencies, and governments work together to provide a service that is expected to be run at the community level (1).
At the species level, trait combinations depend on trade-offs representing different ecological strategies, but at the community level trait combinations are expected to be decoupled from these trade-offs because different strategies can facilitate co-existence within communities.
This is evident at a community level where Strong Women Workers are often expected to assist health staff to implement their agenda.
Identifying data that would reveal the conditions under which we would expect competition between DS and DR strains at the community level is clearly more challenging.
Sustainability of current CCD support and expected results: Facilitators recognised that an intersectoral approach is required at community level if community capacity is to develop.
Examples of health enablers at a community level include health systems; housing quality; cultural norms, which relate to behaviour expected by community; and education levels, which are expected to increase the likelihood of migration and improve SES and health.
Although we expected the level of community integration to be negatively affected by physical and cognitive dependency, we hypothesised that patients whose needs for rehabilitation and support were met would achieve better integration than those with unmet needs.
