NEgociación de PRÁcticas mejoradas - NEPRAM (Negotiation of Improved Practices): The development of a national behaviour change strategy for community-based prevention of dengue fever in the Dominican Republic

Social scientists working with the national dengue programme in the Dominican Republic developed NEPRAM as a research method and as a behaviour change strategy. As a formative research tool, NEPRAM is a form of behavioural trial that emphasizes negotiation with householders who act as programme consultants on more than one behavioural option, in this case, two novel uses of household bleach. As an implementaiton process, NEPRAM involves communities and health planners in the joint development of effective and feasible behaviour change interventions through negotiation and continuous feedback, in this case, through individualized home visits by volunteer members of community groups and organizations.