WORKSHEET

Predisposing, Enabling
and Reinforcing Factors

SOCIAL &
BEHAVIORAL
DETERMINANTS
OF HEALTH
BEHAVIOR PREDISPOSING ENABLING REINFORCING WORKSHEET

PER WORKSHEET
Target Behavior
Anti natal care
Post natal care

Target Audience
pregnant and lactating women

Other Key Individuals

heir partners, CHW's, community leader and
health workers
BEHAVIOR PREDISPOSING ENABLING REINFORCING WORKSHEET

PREDISPOSING
Cognitive, affective, and socio-demographic factors
that contribute to a person’s motivation to act.

Knowledge

COLUMN
Knoweledge : Relatively Good for ANC and Post
Natal Care for preganat and lactating women

Beliefs & Attitudes

Pregnancy not yet visible can disappear, there is
high risk of bewitchment for the pregnant women,
Early pregnancy is considered as arrogant and
lazy, one should wait until pregnancy is visible for
everyone to see. Early pregnancy should be kept
as a secret and not something to brag about in
the community. Mother in law assured to have
given birth without any Anti natal care or event
Intention
visited a health facility. Some member of the
community still consider it a sign of laziness a
visit to HF for ANC or Post Natal care
Intention is real for the majority of women to
attend ANC of Post Natal Care

Demographics
Men are not supposed to accompany their
spouses to attend ANC or post Natal care. HIV
screening constrain the majority of men to
accompany their spouses for receiving/sharing
result and counselling

Other
Other
BEHAVIOR PREDISPOSING ENABLING REINFORCING WORKSHEET

ENABLING
Skills and resources that facilitate the
completion of a health behavior.

Skills

COLUMN
No specific skills

Resources
The majority of Health facilities are within 5 km of
walking distance

Social & Physical Environment

Some pregnant women pretend not to have
adequate clothes to go for Health facility. They
are ashamed to show off to any health worker
without clean clothes

Other
BEHAVIOR PREDISPOSING ENABLING REINFORCING WORKSHEET

REINFORCING
Reminders, feedback, and support factors associated
with continuation of the health behavior.

Reminders

COLUMN
CHW's do regular visit to household where there
is a pregnant woman to sensitize them on the
importance of ANC Visit. Mass media produced
frequent radio spots and programs on this issue

Reinforcement
CHW’s support pregnant women with
counselling, support of their spouses and family
in laws, Existing education session at the health
facility . Existing organization that empower
women to enable them pay for any transport cost
toward a health facility

Social Support
Assocaitive groups of women
PER WORKSHEET Target Behavior
Anti natal care
Post natal care
Target Audience
pregnant and lactating women
Other Key Individuals
heir partners, CHW's, community leader
and health workers
Predisposing, Enabling and Reinforcing Factors

PREDISPOSING ENABLING REINFORCING

Cognitive, affective, and socio-demographic factors Skill and environmental factors that facilitate Reminders, feedback, and support factors associated
that contribute to a person’s motivation to act. completion of a health behavior. with continuation of the health behavior.

Knowledge Skills Reminders

Knoweledge : Relatively Good for ANC and Post Natal No specific skills CHW's do regular visit to household where there is a
Care for preganat and lactating women pregnant woman to sensitize them on the importance of
ANC Visit. Mass media produced frequent radio spots
and programs on this issue

Beliefs & Attitudes Resources Reinforcement

Pregnancy not yet visible can disappear, there is high
risk of bewitchment for the pregnant women, Early
pregnancy is considered as arrogant and lazy, one
should wait until pregnancy is visible for everyone to see.
Early pregnancy should be kept as a secret and not
something to brag about in the community. Mother in law
assured to have given birth without any Anti natal care or
event visited a health facility. Some member of the
Intention
community still consider it a sign of laziness a visit to HF
for ANC or Post Natal care
Intention is real for the majority of women to attend ANC
of Post Natal Care
The majority of Health facilities are within 5 km of walking
distance
Social & Physical Environment
Some pregnant women pretend not to have adequate
clothes to go for Health facility. They are ashamed to
show off to any health worker without clean clothes
CHW’s support pregnant women with counselling,
support of their spouses and family in laws, Existing
education session at the health facility . Existing
organization that empower women to enable them pay
for any transport cost toward a health facility
Social Support
Assocaitive groups of women

Demographics
Men are not supposed to accompany their spouses to
attend ANC or post Natal care. HIV screening constrain
the majority of men to accompany their spouses for Other
receiving/sharing result and counselling Print only the
last page  Save PDF
(last page)

Other
Orlowski & Hallam. 2017 - Wright State University
Population & Public Health Sciences.