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Behavior Profile Sample: Full Course of Immunizations

A Behavior Profile is a summary analysis of each behavior. This sample draws from global evidence and illustrates the result of using the Create Behavior Profiles Tool to analyze factors, supporting actors and strategies and to ensure logical pathways exist between strategies proposed and factors related to the practice of the behavior. This sample may be used as a starting point or reference for creating Behavior Profiles.

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Health Goal	Improve maternal and child survival
Accelerator Behavior	Behavior: Caregivers complete a full course of timely vaccinations for infants and children under 2 years Indicator: Percentage of children 12-23 months who had received all 8 basic vaccinations

Behavior Analysis	Strategy
STEPS What steps are needed to practice this behavior? Accept first course of vaccinations at birth or at the first well-baby visit Mobilize transport, resources, and logistics Seek immunizations on schedule from a qualified provider Complete all immunizations per age requirements Click on any box to see the pathwaysA pathway illustrates how elements in the Behavior Profile are linked. When read from right to left, a pathway highlights how strategies are expected to address the factors to enable adoption of the Accelerator Behavior. of the behavior.	FACTORS What factors may prevent or support practice of this behavior? These should be analyzed for each country context. Structural Service Experience: Caregivers do not return for immunizations because vaccines were not available during past visits Accessibility: Caregivers do not use immunization services because they are often located far from households and they lack transportation options Accessibility: Caregivers are unable to immunize their children because of lack of vaccines Service Provider Competencies: Caregivers do not visit health providers for vaccinations because they don’t trust them or believe they are doing a good job Service Provider Competencies: Caregivers do not visit health providers because they feel mistreated by them Social Norms: Many caregivers do not take their child for vaccinations because of religious opposition Internal Attitudes and Beliefs: Many caregivers do not take their child for vaccinations because they fear side effects Attitudes and Beliefs: Many caregivers do not take their child for vaccinations because they feel that immunization is not important and does not prevent illnesses Knowledge: Caregivers do not adhere to the immunization schedule because they do not know about the need for immunizations Knowledge: Caregivers do not adhere to the immunization schedule because they do not know when their child should return for their next vaccine	SUPPORTING ACTORS AND ACTIONS Who must support the practice of this behavior? Institutional Policymakers: Ensure vaccinations are available through regular mobile outreach Managers: Conduct regular supervision to reinforce competencies of providers Providers: Discuss importance, schedule and any concerns regarding vaccinations with all new mothers Logistics Personnel: Actively monitor stocks of vaccine and cold chain viability Community Religious Leaders: Actively support and encourage all new families to fully vaccinate their children Household Family Members: Encourage and provide support to caregivers to complete immunization schedule	POSSIBLE PROGRAM STRATEGIES How might we focus our efforts based on this analysis? Enabling Environment Partnerships and Networks: Increase ownership and governance of programs by involving local communities in the planning and supervision of activities Policies and Governance: Ensure vaccinations are offered for free and explore reimbursement or vouchers for transport Policies and Governance: Ensure vaccine providers are both men and women or from religious groups to alleviate religious and cultural concerns Systems, Products and Services Quality Improvement: Implement pre and in-service education training and learning opportunities for health care providers that focus on vaccination, such as to proactively address caregiver concerns during consultations Demand and Use Communication: Highlight significant benefits of vaccinating children in communication activities to ensure that caregivers place high priority on immunization completion Communication: Promote use of the Child Health Card to help families track immunizations

Behavior Analysis

Strategy

STEPS

What steps are needed to practice this behavior?

Accept first course of vaccinations at birth or at the first well-baby visit
Mobilize transport, resources, and logistics
Seek immunizations on schedule from a qualified provider
Complete all immunizations per age requirements

Click on any box
to see the pathwaysA pathway illustrates how elements in the Behavior Profile are linked. When read from right to left, a pathway highlights how strategies are expected to address the factors to enable adoption of the Accelerator Behavior.
of the behavior.

FACTORS

What factors may prevent or support practice of this behavior? These should be analyzed for each country context.

Structural

Service Experience: Caregivers do not return for immunizations because vaccines were not available during past visits

Accessibility: Caregivers do not use immunization services because they are often located far from households and they lack transportation options

Accessibility: Caregivers are unable to immunize their children because of lack of vaccines

Service Provider Competencies: Caregivers do not visit health providers for vaccinations because they don’t trust them or believe they are doing a good job

Service Provider Competencies: Caregivers do not visit health providers because they feel mistreated by them

Social

Norms: Many caregivers do not take their child for vaccinations because of religious opposition

Internal

Attitudes and Beliefs: Many caregivers do not take their child for vaccinations because they fear side effects

Attitudes and Beliefs: Many caregivers do not take their child for vaccinations because they feel that immunization is not important and does not prevent illnesses

Knowledge: Caregivers do not adhere to the immunization schedule because they do not know about the need for immunizations

Knowledge: Caregivers do not adhere to the immunization schedule because they do not know when their child should return for their next vaccine

SUPPORTING ACTORS AND ACTIONS

Who must support the practice of this behavior?

Institutional

Policymakers: Ensure vaccinations are available through regular mobile outreach

Managers: Conduct regular supervision to reinforce competencies of providers

Providers: Discuss importance, schedule and any concerns regarding vaccinations with all new mothers

Logistics Personnel: Actively monitor stocks of vaccine and cold chain viability

Community

Religious Leaders: Actively support and encourage all new families to fully vaccinate their children

Household

Family Members: Encourage and provide support to caregivers to complete immunization schedule

POSSIBLE PROGRAM STRATEGIES

How might we focus our efforts based on this analysis?

Enabling Environment

Partnerships and Networks: Increase ownership and governance of programs by involving local communities in the planning and supervision of activities

Policies and Governance: Ensure vaccinations are offered for free and explore reimbursement or vouchers for transport

Policies and Governance: Ensure vaccine providers are both men and women or from religious groups to alleviate religious and cultural concerns

Systems, Products and Services

Quality Improvement: Implement pre and in-service education training and learning opportunities for health care providers that focus on vaccination, such as to proactively address caregiver concerns during consultations

Demand and Use

Communication: Highlight significant benefits of vaccinating children in communication activities to ensure that caregivers place high priority on immunization completion

Communication: Promote use of the Child Health Card to help families track immunizations

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Full Course of Immunizations

Key Points from Global Research