Participant and Public Involvement
The ECHO trial was designed over several years through an extensive consultative process with a range of stakeholders that included women’s health advocates. The trial’s Global Community Advisory Group (GCAG), which included advocates for women’s health and rights from each of the countries where the study was conducted, advised the ECHO Consortium on the trial protocol. The conduct of the trial was monitored through site-specific Good Participatory Practice plans designed to operationalize the GPP principles of respect, transparency, accountability, and community stakeholder autonomy.