While many community-level achievements recorded in joint programme reports for Sudan focus on completed activities, evidence suggests that the joint programme has contributed to progress towards results.
Not only do the vivid hues of flower, spider and pollen combine beautifully with the iridescence of the stricken bee, taken as whole the image captures a fleeting snapshot in miniature of the many community-level interactions that take place on other flowers, other habitats and other ecosystems on a global scale.
The DREAMS Innovation Challenge is also fully operational, supporting new ideas and approaches, many at the community level, to reach and support adolescent girls and young women.
The Ecuador project has focussed on the public policy framework and has not as yet carried out many activities at community level.
The approaches studied ranged from intensive support directed at individuals 25 to improving the infrastructure for cycling in urban environments, 27 with many of the community level interventions comprising multifaceted packages of measures.
None of the studies evaluated loans or insurance for emergency obstetric care and pregnancy outcomes, and many schemes at community level were too small to measure meaningful changes in mortality rates, but the potential of these interventions to improve utilization of facility-based services and thus reduce perinatal mortality seems promising.
On a local level, many community and policy groups are leading efforts to limit the damage of this program.
At the community level, many, who might pursue more lucrative and comfortable careers, commit themselves to serving the greater good.
There is no doubt that a large number of children have benefited from the CASP initiative, with many examples at the community level to testify to the changes in children's lives.
'Tobacco is not regarded by many people at the community level as a priority': " Tobacco is not an in your face problem like alcohol, petrol sniffing" (FLSPI), " Cannabis is seen as the greater problem and children engaging in sniffing and truancy from school… these distract from the smoking issues" (FLSPNI).
We hear about western aid and medical "heroes", but the heroism of so many Sierra Leoneans at a community level is inspiring – and largely unreported.
