Community perceptions and acceptance of ivermectin for malaria control on Sumba Island, Indonesia

Community perceptions of ivermectin-based malaria control strategies were shaped by trust, engagement, and cultural considerations. In this case there were multiple engagement activities built into the study - before, during and after the research, with stakeholders in local government and village leaders as well as with animal owners, other community members and children. The findings of this social research underscore the need for, and benefits of, sustained, respectful communication, partnership with local leaders and inclusive stakeholder engagement in malaria research. Future malaria control interventions should also account for local social dynamics, ensuring informed community participation to enhance trial feasibility and acceptance.