Diffusion of community empowerment strategies for Aedes aegypti control in Cuba: A muddling through experience

► We study the diffusion of an empowerment strategy within the Cuban Aedes aegypti control program. ► We apply diffusion of innovation theory to analyze the process. ► Type and critical timing of innovation knowledge needed by stakeholders vary. ► Principles and how-to-knowledge are crucial at early stages of innovation diffusion. ► Principles and how-to-knowledge help commit decision-makers to organizational change.