Most cocoa farmers in Ghana do not adopt research recommendations because they cannot afford the cost, therefore, yields are low. Integrated pest management (IPM) technologies that rely on low external inputs were tried with a group of farmers. The technologies included using aqueous neem seed extracts to control capsids; removing diseased pods to reduce blackpod incidence; controlling mistletoes, epiphytes, weeds; and managing shade. Although yields increased significantly, adoption was constrained by technical, social and economic factors.