TABLE 2.

Provider Behavior Influence Factors^{^a}

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