The use of botanical insecticides based on the neem seed (Azadirachta indica var.siamensis Valeton) shows strong potential in the fight against important agricultural pests. Unfortunately, its use in rural Thailand is extremely limited. This study examines the efficacy of neem extracts processed under rural conditions; identifies factors that influence local farmers’ adoption of neem products; and proposes recommendations to promote the use of neem insecticides. The principal findings are: in field trials conducted under typical rural conditions, neem did not adequately control major pests of yard-long beans (Vigna sesquipedalis); and intensity of vegetable production, knowledge of neem insecticides and availability and accessibility of neem products strongly influence farmers’ adoption of neem products for pest control.