1. An example can be the protocol written in a manner where it highlights the specific target population saying ” high risk men who have sex with men, female /male sex workers” However before protocol implementation, the researchers engage with stakeholders who advise them that since the MSM/ and the sex workers are hidden communities and illegal practice in the society where they want to implement the protocol.
The researchers are advised to re-word the statement to read that they are looking for high risk population but targeting the general population.
The advantage to this is that it will not put the study participants at risk of being implicated that they are MSM or sex workers. At this level the stakeholders would have advised the researcher and fed in the protocol development process and changes made.
2. It is quite challenging and true that protocols are developed else where and most times implemented in other countries. So the recipients of the protocols are challenged at this stage how much they can engage the stakeholders on the protocol. However we have tried to involve them especially while developing IEC study materials, recruitment materials, best language to use which is acceptable in the community.
At this note I must say that it is challenging.There has to be genuine justification for why the community and stakeholders at large have to buy-into the proposed protocol for country/community than if it was developed from within.
