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Social-Ecological Model: A framework for TBIC measures - Coggle Diagram
Social-Ecological Model: A framework for TBIC measures
(i) Individual level
Examples of individual level factors: education, skills, knowledge, experience, attitude towards TBIC, motivation and behaviours
Enhancement strategies at this level will promote
skills, knowledge, experience of TBIC guidelines
improve values and belief in work attitude and practices
motivation to work, prevent TB transmission
first level: biological or personal level factors that may impede or enhance TBIC measures in rural hospitals
Specific strategies to enhance TBIC measures
Recognition of work
good workplace policy
training and education on TBIC guidelines
(ii) Interpersonal level: Factors that may impede or enhance TBIC measures
family support
friendship
second level: Factors that may impede or enhance TBIC measures
relationships among HCWs
peer group and professional network
social networks
Enhancement strategies that may promote TBIC at this level
development of interpersonal skills
communication skills
training for all HCWs
workplace norms and values
promote group dynamics
good working relationship among HCWs
(iii) Institutional level
(iv) Community level
(v) Public health policy level
What is social-ecological model? rationale for using SEM in TBIC measures
Implementation of TBIC measures requires understanding of factors that impede or facilitate its implementation
This research use a 5 level social and ecological model to understand the factors that impede or enhance the implementation of TBIC measures in rural hospitals. The 5 levels include: individual, interpersonal, institutional, community & public health policy level
aim of the study is to understand the implementation of TBIC measures and explore factors shaping this implementation in rural hospital
This framework will provide a holistic understanding of the various factors that impeded or enhance TBIC measures from the micro level (individual) to the macro/broad level (public policy)
This theoretical framework consider the complex and multifaceted interrelationship between these different levels and how one level affects the other levels
By applying the different approaches will help to sustain TBIC measures over time and contribute to improvement in TBIC and realise long term change/impact at the societal level - which reduction in TB incidence and improved health status