Table 1 Participant recommendations for technology design, implementation, and acceptability

Design

• Participatory design, co-design, and community-based approaches can enhance acceptability.

o Working with the community to develop and adapt technologies has potential to improve engagement and increase likelihood of communicating and discussing community benefit.

Implementation

• Desiccants, coolers, and dehumidifiers for humidity and water-resistant technologies can help to overcome environmental challenges.

• Consideration of where technologies will be stored and how they will be cleaned is important to prevent insect nesting and contamination.

Acceptability

• Working with people who understand local customs, roles, and community dynamic (e.g., CHWs, local translators, community authorities, anthropologists) can improve cultural understanding.

o Working with people who understand the local context could assist with developing an understanding of how to appropriately involve community members. Each community is different and standardized solutions are impractical.

• Address literacy and language barriers, and communicative strategies with visual materials (e.g., Rotofolios and pictures).

o Communication materials included figures or drawings with verbal explanations, instead of written words alone. Pictures or videos that are familiar to the local context or adapted to their context, rather than from urban areas or cities, is a useful strategy for health personnel.

• Committing to use the information collected with technology can enhance community benefit and acceptability.

o There should be a clear commitment on who will use the information gathered, how it will be used, and how the public or community will benefit. Information administration should also consider social impact of results such as information spread on sensitive topics.

• Supporting a salary for CHWs or health promotors.

o Given their time and contribution to community health, participants suggested providing health promotors with an official salary, so that they can support their families financially.