In many developing countries, traditional institutions play a
key role in shaping consent and cooperation in the community. In many rural
areas, for instance, the only available authority figures may be local chiefs
who exercise moderating influence in the community. These traditional leaders
must be contacted well in advance and fully briefed about the vaccine trial.
Find out in advance the language10 that the leaders are comfortable
with and make adequate arrangement to have a mature, competent and local
interpreter11 to assist in communicating with these leaders.
10 Note that while the leaders may be
fluent in the English language, they may be more comfortable with a different
local language for reasons of idiomatic relevance or because certain local
words/expressions may lose their meanings, depth and poignancy in the English
11 It is better to use an interpreter who is known
locally and who enjoys the confidence of the local