| Construct | The question in the person's head |
|---|---|
| Perceived susceptibility | Could this happen to me? |
| Perceived severity | Would it be serious if it did? |
| Perceived benefits | Will this action actually help? |
| Perceived barriers | What will it cost me to act? |
| Cues to action | What prompts me to do it now? |
| Self-efficacy | Can I actually do it? |
| Stage | Where the person is | Communication job |
|---|---|---|
| Precontemplation | Not even considering change | Raise awareness, plant doubt |
| Contemplation | Weighing pros and cons | Tip the balance; show benefits |
| Preparation | Intending to act soon | Give a concrete plan and skills |
| Action | Doing it, recently started | Reinforce, reward, problem-solve |
| Maintenance | Sustaining the new behaviour | Prevent relapse, build habit |
| Component | Ask | If missing, then… |
|---|---|---|
| Capability | Do they know how & feel able? | Teach, demonstrate, build skills |
| Opportunity | Does the environment allow it? | Fix access, cues, norms, time |
| Motivation | Do they want to, in the moment? | Reasons, emotion, habit, incentives |
| Principle | Meaning |
|---|---|
| Easy | Reduce friction; use simple defaults and clear steps |
| Attractive | Draw attention; make it personal and appealing |
| Social | Show that others are doing it; harness norms |
| Timely | Prompt at the moment people are most receptive |
| Method | Good for | Note |
|---|---|---|
| In-depth interviews | Personal, sensitive behaviours | Rich, but small numbers |
| Focus group discussions | Norms, shared language, reactions | Beware dominant voices |
| Observation | What people actually do vs say | Reveals the say-do gap |
| Trials of improved practices | Testing a behaviour in real homes | Households try, then report |
| Quick surveys | Rough prevalence & segments | Sizing, not deep 'why' |
| Family | Examples | Strength |
|---|---|---|
| Mass media | TV, radio, print, outdoor | Wide reach, awareness, norms |
| Mid-media / folk | Street theatre, melas, wall art | Local, engaging, trusted |
| Interpersonal | FLWs, counselling, peer groups | Deep, tailored, persuasive |
| Digital / mobile | SMS, IVR, WhatsApp, social | Targeted, two-way, cheap |
| Level | Example indicator |
|---|---|
| Exposure | % who recall the campaign message |
| Knowledge | % who correctly state when to use ORS |
| Attitude / norm | % who believe neighbours approve of toilets |
| Intention | % who intend to immunise their child |
| Behaviour | % of children fully immunised |