Evidence review and analysis of provider behavior change opportunities

Results From a Multimethod Exploratory Scale Development Process to Measure Authoritarian Provider Attitudes in Democratic Republic of Congo and Togo

“…and guide decisions and actions. 8 Thus, the domains of attitudes toward clients and attitudes about professional roles were deemed highly likely to lead to HCP behaviors that might affect service delivery.…”

“…17 However, a recent rapid review of measurement of provider behavior and behavioral determinants found that most provider behavior change interventions rely heavily on training as an intervention for behavior change, 38 even though mental schemas that manifest in attitudes may be less easily changed by training alone. 8 Furthermore, trainings and values clarification exercises tend to focus on attitudes specific to health areas, such as attitudes toward FP methods or client restrictions to FP services. We hypothesize that provider attitudes that are further removed from a specific health area may be influencing other more health-specific beliefs.…”

“…5 In addition to conditions related to structural or process factors, such as those identified by Donabedian's quality of care model, 6 it is recognized that the behavior of HCPs is influenced by factors beyond their clinical training or knowledge of guidelines, including their experiences and manifestations of power, norms, attitudes, biases, expectations, and motivations. 4,5,7,8 Social and behavior change programs can address the wide array of factors influencing provider behaviors. Factors such as providers' core beliefs, local values and norms, empathy for clients, and perceptions of their role are referred to as predisposing factors, which can shape attitudes toward clients or services and impact behaviors.…”