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Types of behaviors
Decision-based behaviors where a person goes through a conscious decision-making process before deciding to perform (or not to perform the behavior)
One-time behavior a behavior that a person is expected to do only a few times in their life. (also usually a decision-based behavior).
Routine behavior something people do regularly - usually without a conscious decision (a behavior might start as decision-based and then become a routine as it is integrated into their pattern of life) Addictive behavior when there is some physiological reinforcement of the behavior through a biological adaptation in the person who becomes dependent on regular use of the substance.
Exercise: Produce a list of the specific behaviors that might be promoted for the following topics: family planning, smoking, immunization
Not becoming pregnant before 18 Using contraception until want to have the first child Using contribution to space births Using contraception to stop having children
Immunization
Bringing a child to clinic for immunization Allowing a child to be immunized by health worker
Just by defining the behavior precisely you can tell a great deal about the likely influences, feasibility of change and appropriateness as a target for for a health education
Actions to be promoted
What are we asking people to do? When should they do it? How often?
Origins of beliefs
Personal experience Communication
other persons (especially trusted sources) media
Important beliefs
Beliefs about
Cause Prevention Seriousness personal risk/susceptibility feasibility of being able to take action consequences of taking action likely response of other people.
Origins of beliefs
Personal experience Communication
other persons media
Social networks
relationships between people based on personal contact
Social networks
Information
on health, disease and sources of help
Influence
pressure to act in particular ways
Significant others in family friends - peers partners in relationships, opinion leaders in community
Support
help and support in times of crisis, difficulty and solving problems
Target groups
secondary target groups persons with influence over the primary target groups - gate-keepers
Attitude
behavior Change
behavioral intention
Enabling factors
money materials time skills services
behavior change
BASNEF Model Builds upon the Fishbein model by adding enabling factors
Maintaining changes