Every protocol is aim at addressing gap in knowledge which will accumulate evidence that will inform policy decision. We engaged policy decision makers and top government functionaries through a process called administrative approval. We usually write and get to make presentation to them on the protocol synopsis (too busy to read ) and require that they officially flag-off activities for the protocol implementation. This usually lead to the involvement of their technical team and create a sense of ownership. It’s slow the process but in a long run it’s helps because both the IRB approval and the administrative approval issued are view as instruments of government authority.
Addressing a finished protocol, I will organize protocol review meeting with key stakeholders including an existing CAB.