Xanthomonas Wilt of Banana (BXW) is a complex problem in the African Great Lakes Region that is affecting the livelihoods of millions of smallholder farmers. Since the first disease reports from Uganda and the Democratic Republic of Congo in 2001, BXW has been studied widely. The majority of these studies focus on the technological or biophysical dimensions, while aspects and influence of socio-cultural, economic and institutional dimensions only recently started to gain attention.