Engagement with residents and conflict burden varied highly across components.
For the neighborhood PM walks, residents' engagement with design and planning was very low and conflict burden was high, but both became moderate during execution.
Three processes were evaluated: 1) Design and planning of PT&R (for household and neighborhood testing) - post-project, the academics qualitatively and subjectively assessed recruitment of/engagement with residents, and "conflict burden" among partners; unfortunately, residual conflict prevented evaluation of this process by the whole CBPR partnership group.
During design and planning of PT&R, recruitment of/engagement with residents was judged low, and "conflict burden" among partners high [ 40, 41].
Despite the high HIV burden, engagement of MSM in research and care is hampered by stigma and discrimination, and the fact that male same sex behavior is criminalized in Kenya, as in many other African countries [ 5].
Engagement with reducing the burden of this preventable disease requires an investment in health systems, building on funding to sustain infrastructure that can support programs on a large-scale.
It behoves researchers, CSOs and the MHRN to work actively to support clinician and service engagement and minimise the burden of research activity.
Furthermore, to sustain interest and engagement and reduce the burden on participants with slower internet connections, the number of video clips could be reduced, with others available through an on-line course resource area.
My biggest concern... is to make sure we are able to cover everything If it isn't working out, it's a long time to keep struggling through it Financial impact Supervisors had mixed feelings about the financial burden of engagement.
Such engagement brings with it the burden of examining a variety of alternative explanations, a burden that is sometimes discharged by reference to established criteria of historical explanation.
