In Adamawa State, Nigeria, pandemic preparedness and response (PPR) efforts faced significant challenges due to limited community involvement in decision making processes. Key community groups, including the Network of People Living with HIV and AIDS in Nigeria (NEPWAN), the TB Network, the Association of Civil Society Organizations on Malaria Control, Immunization, and Nutrition (ACOMIN), as well as various religious and traditional institutions, were not adequately integrated into state-level PPR platforms.