BEHAVE Framework

1
BEHAVE Framework
KEY FACTORS
BEHAVIOR
ACTIVITIES
AUDIENCE
In order to help
to
we will focus on
through

• Pregnant women ages 15-49 in Mangochi District
  Malawi who have in the past or who are planning
  to consult late in the 2nd or 3rd trimester
• Mostly rural
• Predominantly Yao
• Lower income/subsistence
• 94 have at least one a.n.c. visit most attend
  late in pregnancy (6 during 1st trimester, 42.6
  2nd trimester, and 42.6 during last trimester)

• increasing peace of mind related to babys safety
  (decreaseanxieties/beliefs related to bewitchment
  as a result of making pregnancy public during 1st
  trimester)
• increasing pregnant womens perception of
  antenatal clinics as user-friendly
• increasing the user-friendliness of health
  facilities
• increasing pregnant womens knowledge of
  availability of daily a.n. care
• increasing preg. Womens self-efficacy for
  consulting a.n. care
• increasing access to a.n. services
• increasing support and social acceptance for
  early a.n. consult

• COPE training for antenatal nurses
• Supervision after the training to encourage
  compliance with training
• Radio campaign and community drama on clinic
  hours
• HSA counselling
• increase of outreach clinics

Initiate antenatal care by the end of the 4th
month of pregnancy
of women (15-49) who express satisfaction
with a.n. services received of women (15-49)
who can state that a.n.c. services are available
daily at health facilities of women (15-49 who
have planned to initiate a.n.c. in the 2nd
trimester
of women (15-49) who report having 1st
consulted for antenatal care by the end of the
4th month during her last pregnancy in the past
24 months
Factors related to satisfaction will be
determined in focus groups could include
greetings of provider, opportunities for
questions, clear explanation of condition, etc.
Indicators
Base decisions on evidence and keep checking in.