The implementation case study draws on a cluster-randomized trial across 100 villages and about 12,000 people. Engagement strategies were iteratively adapted to community feedback, rumors, livelihoods, culture and religion.
Key findings
- Local leadership and culturally tailored communication were central
- Engagement had to adapt to rumors and community concerns
- Geography and livelihood demands remained major challenges
Why this matters globally
The lessons are transferable to complex health interventions in underserved and culturally diverse settings.
Thai researcher contribution
Multiple researchers affiliated with Mahidol University and the Mahidol Oxford Tropical Medicine Research Unit contributed.
Limitations to consider
As a context-specific implementation case study, the engagement model may not transfer unchanged to all settings.