A caveat to the use of this strategy is that organizers of most community based interventions seem to assume that because malaria is a major cause of mortality community members will volunteer their time free of charge to be trained, or train others, to act as health educators and drug distributors [ 19].
Most community-based interventions involve the use of lay people referred to as community motivators, community health agents, community health workers among others (5, 6).
Training of change agents who are commonly known as community volunteers or peers [ 9, 14, 18- 20] is an important element in most community based health interventions.
In the community of Habo where this intervention programme was most complete and combined with community intervention, premature mortality before the age of 75 decreased both in men and women more than in Sweden.
In 2008, countries scored epidemiology (median 71%, [IQR 63 79]), laboratory (median 54%, [50-83]) and routine influenza surveillance (median 50%, [42 69]) capabilities as most developed and community interventions (median 21%, [8 25]), research (median 21%, [8 58]), and health sector response (2%, [0 9]) capabilities as least developed.
We estimate the community intervention to be most cost-effective, with an ICER of $79 per DALY averted compared to current practice alone.
For example, Finland constitutes one of the best documented examples of a community intervention that had most of its effect prior to 1990, with further (though smaller) declines seen after that.
The community intervention program [34] is most cost-effective, with potential to increase population health at a cost-saving to the health sector.
For example, for nationwide mass media interventions, these can be interrupted time series designs; for community interventions, community intervention trials may be most appropriate.
The community intervention program [34] is the most effective intervention, but has the potential to avert only 4.9% of the total burden (Table 4).
