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Community Engagement Strategy for Building Trust in Human Challenge Studies Using Participatory and Creative Methods

An Ethical Imperative

Bibliographic Data

ID21504568
AuthorsEvelyn Muleba Kunda‐Ng'andu (0000-0003-1178-2362, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia, corresponding author), Masuzyo Chirwa (0000-0001-6036-7320, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Seke Muzazu (0000-0003-0101-8416, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Natasha Makabilo Laban (0000-0002-6217-0289, Centre for Infectious Disease Research in Zambia), Natasha Laban (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Caroline Cleopatra Chisenga (0000-0002-7850-7915, Centre for Infectious Disease Research in Zambia), Caroline Chisenga (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Michelo Simuyandi (0000-0002-7348-2835, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Stanley Mwale (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Roma Chilengi (0000-0003-0221-9527, Zambia National Public Health Institute ZNPHI Lusaka Zambia), Anjali Sharma (0000-0001-6297-3113, Centre for Infectious Disease Research in Zambia), A V N L Sharma (0000-0002-5751-0357, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia)
Year2026
Volume40
Issue1
Pages27-34
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.70028
PMID40938292
OpenAlexW4414160139
LanguageEN
References cited25

Human Infection Challenge studies (HICs) are crucial for advancing global understanding of disease pathogenesis, immune responses, and accelerating vaccine and drug development. Explorations on willingness to participate among medical students revealed the need to ensure full understanding of HIC requirements, for example, for residency, by the broader community. This raised the question of ‘How could we ensure informed and understood consent for the ethical conduct of HIC?’ We employed iterative participatory discovery and creative design methods, including three Zoom meetings and discussions with university students and community leaders. Neighbourhood Health Committee leaders further refined suggested creatives of a future mass‐media campaign for building trust in HICs. Deliberative focus group discussions and workshops were conducted on communication strategies on HICs’ requirements, risks, requirements, and benefits. The final creative brief suggested (1) using a pyramid approach utilizing existing community structures, to introduce HIC concepts progressively to larger groups, (2) engaging communities through theatre for development, community dialogue, and engagement meetings, and wide society through social and mass media advertisements, and (3) preference for the term ‘Human Challenge Studies’ over ‘Human Infection Challenge Studies’. We learned that community engagement, if properly conducted, can create systems of ownership of research and build communication strategies to achieve an accurate understanding of HICs and use informed participation that results in trustworthy data. We need further research, including in rural areas, pilot testing of evaluation strategies, and continued engagement with diverse stakeholders to create products that can be adapted by future HIC studies in settings such as Zambia

Citizen journalism · Civic engagement · Community engagement · Community-based participatory research · Focus group · Informed consent · Participatory action research · Public engagement · Viewpoints · Ethics in Clinical Research · Vaccine Coverage and Hesitancy · Viral Infections and Outbreaks Research

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Citation velocityhistorical
Highly citedNo
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