The Importance of Values in a Community-based Response to Malaria in Santo Domingo, Dominican Republic: Results from a Longitudinal, Mixed-methods Study

Abstract

Trust and other values are essential for community engagement, but their role in intervention outcomes is less understood. The objective of this study was to explore values in a community-based intervention for malaria control in Santo Domingo, Dominican Republic. The study used an exploratory, mixed-methods design with a cross-sectional survey of 489 households and 66 interviews. The survey measured trust for neighbors, neighborhood associations, health system actors, and the national government. The study provides a nuanced picture of trust and values in interventions and encourages thinking of community initiatives as “projects of mutual creation” with values at the center.