Development of a manual covering ethical and operational aspects of implementation.

Training of interviewers with a gender and intercultural focus.

Definition of confidentiality and data management protocols.

Incorporation of culturally adapted informed consent guidelines.

Establishment of local ethics committees to oversee implementation.

Application in urban and rural areas with different socioeconomic and cultural characteristics.

Identification of logistical barriers and adjustment of the application protocol.

Evaluation of the timing and effectiveness of the process.

Use of technological tools for remote interviews in hard-to-reach communities.

Field supervision to evaluate the effectiveness of the questionnaire.

Continuous monitoring, impact assessment, and adjustments to the instrument based on feedback.

Creation of partnerships with government and health agencies to strengthen the sustainability of the instrument.

Development of a financing strategy to ensure the process’s sustainability.

Inclusion of the instrument within national epidemiological surveillance systems.