Communities were initially concerned about outsiders coming to their villages. Sustained engagement with community leaders, and outreach to community members, helped to establish trust over time. In particular, a key feedback was hearing the appreciation that the team came back to share information.
Implementation by Liberian scientists ensured the local conditions, complexities of the issue, and needs were considered. Building in time and resources to return to communities from the start of the project was important, to be able to honor promises to return to share information from the evidence base.
Perception and understanding of the issues varies by community. Local leaders, such as Paramount Chiefs, play a crucial role in their communities and are vital partners in trust building.