This trial created a misunderstanding and information was not given properly. looking at different stakeholders some were demanding study to be closed or to be redesigned. This on the other hand shows that it is very important to involve different stakeholders at the beginning of the trial because that’s when you find out their views and concerns about the trial rather than to wait till there are problems. Looking at section 3 of Good Participatory Practices there are lot practices that were going to help like protocol development, Formative research activities and communications plan.