A vast amount of literature exists on communication campaign design, implementation, and evaluation, especially in health contexts. Despite recent calls to center the role of local citizens in designing and implementing campaign initiatives, limited literature exists on how to integrate local expertise with the expertise of those external to the local context. Drawing on health communication campaigns literature, peacebuilding literature, and our experiences collaborating on a multi-year communication campaign for peacebuilding and health promotion in Liberia, West Africa, we advance a locally driven communication campaign approach that integrates expertise of local citizens, campaign researchers, and campaign practitioners. We make a critical linkage between health communication and peacebuilding to discuss implications about how a locally driven communication campaign approach can contribute to communication campaigns in general, as well as health and peacebuilding specifically.