So we know that the more repressive the environment, and the more unwilling governments and providers are to provide
services to minority populations—and therefore the role of community engagement becomes even more critical. In the most challenging environments, local advocacy or community organizations may be best positioned to take on service provision for more vulnerable populations. And again, this can not be a one-off consultation or discussion. As Dagna suggests, participation should be an honest conversation, with feedback loops, throughout the research process!! This kind of long-term engagement can then build the capacity of these organizations as well, to better address public health and needed policy changes on their own.