Figures & Tables
Tables
Provider Behaviors Supervisor Behaviors Before the Client-Provider Encounter During the Client-Provider Encounter Self-reflecting
Communicating with colleagues
Managing facilities, stock, and supply
Pursuing professional development opportunities
Conducting systematic assessments to support sound clinical decision-making
Adhering to clinical guidelines
Counseling or client education
Keeping records
Managing work- and client-flow
Collaborating with colleagues
Making referrals
Encouraging client communication and question asking
Providing actionable feedback
Establishing and enacting accountability mechanisms
Facilitating continuous learning and advancement opportunities
↵a These are summary behavior categories that need contextual specification for effective provider behavior change programming. Practitioners should consider provider cadre, their scope of practice, the health topic/technical area of focus, and other context-specific conditions when identifying the specific behavior or set of behaviors they aim to change.
Influence Factor Description Individual Provider characteristics, history, experience, and professional purpose (e.g., provider's attitudes, knowledge, personality type, gender competency, and goals). Personal relationships A provider's personal relationships with partners, family, friends, mentors, colleagues, instructors, and community leaders (e.g., the gender norms and attitudes that affect relationships between providers and their partners, as well as the attitudes and beliefs their friends and family hold related to sexuality and contraception). Client The client's personal characteristics, history, and health situation (e.g., identity, health literacy, expectations for care, agency, emotional activators, and perceptions). Community context and social norms People and community structures, community and social characteristics (including social norms), and the health care delivery context in the community (e.g., community organization, accountability measures, gender and social norms, social stigma, discrimination, health mis/disinformation, and community-facility dynamics). Workplace environment People working at a facility and their interactions, the culture of the facility, its infrastructure, and workplace governance (e.g., hierarchy and power dynamics, staffing levels and workload, perceived support, leadership and management, physical environment, and facility type). Health system governance Quality assurance, health care delivery process and practice, and leadership (e.g., provider support structures, resource management, health care costs, policies, and health system culture). Country and geopolitical context Broad national conditions in the country, health care delivery enablers, and rules and assurances (e.g., enforcement and compliance, political context and priorities, donor ideologies and incentives, and the social and economic context). ↵a Source: Breakthrough ACTION. Provider Behavior Ecosystem Map.35
