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References 1. World Health Assembly. Global eradication of poliomyelitis by the year 2000: resolution of the 41st World Health Assembly. Geneva, Switzerland: World Health Organization, 1988 WHA resolution no. 41.28 ; . 2. CDC. Progress toward poliomyelitis eradication--Nigeria, January 2002March 2003. MMWR 2003; 52: 56770. CDC. Progress toward poliomyelitis eradication--Nigeria, January 2000March 2002. MMWR 2002; 51: 47981. Samba E, Nkrumah F, Leke R. Getting polio eradication back on track in Nigeria. N Engl J Med 2004; 350: 6456.
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Regarding ways to assess levels of participation in projects, the information in Table 1 gives some of idea of how participation can be viewed according to subjective measures of local management, control of resources or other criteria. However, during project monitoring or impact assessment it is also possible to look at changes in participation as a project progresses. One way to do this is to identify key aspects of participation that might change during the lifetime of a project and use an arbitrary scale, such as a 0-5 scale, to measure changes at different stages of the project. The aim is not to obtain a precise, quantified measure of participation but rather to understand change and compare one point in time with another point in time. In primary human health projects this approach has been used for measuring community participation in needs assessment, management, leadership, organisation and resource mobilisation1. These factors influencing participation were defined according to questions such as: Needs assessment How were needs identified? What was the role of the community in analysing needs? If surveys were used, who designed and conducted the surveys? Was the assessment used to further involve potential beneficiaries in future plans and programmes? Was the assessment used to increase beneficiaries decision-making role in the programme? and pletal.
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