Think | BIG: Shared View

Behavior Profile: Serbian people 45+ with chronic get full course

	Health Goal	Increase demand for COVID-19 vaccines among priority populations
	Behavior	As part of a healthy lifestyle, Serbian people aged 45+ with a chronic health condition (such as hypertension, COPD, etc.) get the full course of COVID vaccine % of people aged 45+ with chronic health conditions who have obtained (1) first dose (2) final dose in primary series % of health providers reached by M-RITE interventions who can cite [the] 6 essential pieces of motivational COVID-19 information to share with patients aged 45+ with chronic health conditions % of people aged 45+ with chronic health conditions who can state at least 4 positive reasons why they should get/have gotten COVID vaccine in M-RITE supported regions % of people aged 45+ with chronic health conditions who report trust in information shared by scientists or health professionals

Behavior Analysis			Strategy
BEHAVIOR AND STEPS What steps are needed to practice this behavior? Behavior As part of a healthy lifestyle, Serbian people aged 45+ with a chronic health condition (such as hypertension, COPD, etc.) get the full course of COVID vaccine Steps Seek general information about how to stay healthy in their condition, including COVID vaccine Discuss healthy practices, with a focus on COVID vaccine, with family members Consider which COVID vaccine to get to discuss with specialist Discuss healthy practices, including COVID vaccine, with their specialist (information on eligibility for vaccine) Request COVID vaccine from their medical specialist or provider Find out where to obtain COVID vaccine recommended by specialist	FACTORS What factors may prevent or support practice of this behavior? Structural Accessibility: AVAILABILITY OF VACCINE: Serbian people aged 45+ with conditions cannot get vaccinated because the vaccine of choice is not available in the closest locations Service Provider Competencies: PROVIDER ATTITUDES: People aged 45+ with chronic health conditions cannot get COVID vaccine because their medical specialists do not see that value or distrust the vaccine Service Experience: SOCIAL TRUST: People aged 45+ with chronic health conditions do follow health recommendations because they have high levels of trust in health professionals and scientists Social Family and Community Support: MORAL SUPPORT: People aged 45+ with chronic health conditions can get the COVID vaccine if their family support them in talking to their medical specialist about their eligibility Norms: SOCIAL OR CULTURUAL EXPECTATIONS: People aged 45+ with chronic health conditions do not get COVID vaccine as part of a healthy lifestyle because it is not the norm to look after one's health in a holistic manner Internal Attitudes and Beliefs: NEGATIVE CONSEQUENCES: People aged 45+ with chronic health conditions do not get COVID vaccine because they believe it will not be safe for them in their condition Attitudes and Beliefs: PERCEIVED VALUE: People aged 45+ with chronic health conditions do not get a COVID vaccine because they feel some vaccines are better than others and are not willing to take any vaccine offered Knowledge: AVAILABILITY OF QUALITY INFORMATION: People aged 45+ do not request COVID vaccine as part of a healthy lifestyle as they do not know what a healthy lifestyle is and how a COVID vaccine fits into that and no information on this is available Skills: INTERPERSONAL SKILLS: People aged 45+ with chronic health conditions do not request COVID vaccine because they do not have ability to make demands of their specialists or health care providers	SUPPORTING ACTORS AND ACTIONS Who must support the practice of this behavior, and what actions must they take? Institutional Medical Specialists: Provide information on and reassurance around a COVID vaccine as part of a health lifestyle applying respectful care and interpersonal communication skills Medical Specialists: Actively participate in up-to-date scientific information sessions on healthy lifestyles, especially as it relates to accurate information on COVID vaccine for people aged 45+ with chronic health conditions Institute of Public Health: Detail out the elements of a healthy lifestyle as part of chronic health conditions, e.g., exercise, eat well, receive needed vaccinations (flu, COVID, etc.) [If something already exists, review and update material(s) Journalists: Provide accurate information on healthy lifestyle, including COVID as part of the package Supply Chain Managers: Investigate possibilities of distributing balanced array of vaccines throughout needed locations Government actors (need to define this more): Seek to obtain and distribute a wide variety of vaccine types to various locations Pharmacists: Share and distribute information on healthy lifestyle (including COVID vaccine as part of a healthy lifestyle) Health care workers (Nurses): Actively participate in training on healthy lifestyles and share information with colleagues UNICEF and WHO: Actively participate in activities to show support, including support logistics as appropriate through their ongoing programming Community Local NGOs: (health, key pop work, civil society) Actively seek out and participate in activity implementation as appropriate Local NGOs: such as parenting schools or similar, provide information on healthy lifestyles, including the importance of the COVID vaccine Community-based Organizations (CBOs): Provide information on healthy lifestyles, including how COVID vaccine is part of that package Household Family Members: Accompany family member aged 45+ with chronic health condition to the appointment with a medical specialist or health provider to ask questions and support the family member Family Members: Actively seek information on healthy lifestyles for people aged 45+ with chronic health conditions, including on COVID vaccines	POSSIBLE PROGRAM STRATEGIES What strategies will best focus our efforts based on this analysis? Strategy requires Communication Support Enabling Environment Partnerships and Networks: Create a package of all country materials and activities (including Behavior Integration pieces) to share during learning exchanges with all countries (and when appropriate develop "training exercises" ADD Policies and Governance: Develop (revise) the clear guidelines for medical professionals regarding healthy lifestyles at different points of the health continuum (pregnancy, chronic health conditions, etc.), including the importance of covid-19 vaccine ADD Systems, Products and Services Products and Technology: Add to Batut existing platform information on healthy lifestyle with open access for the public and sign in for health professionals Supply Chain: Develop a forecasting and distribution logistics plan to ensure that a variety of vaccines are available throughout the various locations Quality Improvement of Supporting Services and Skills: Train NGOs on how to conduct activities and use of materials Quality Improvement of Supporting Services and Skills: Train pharmacists on healthy lifestyles through quality customer service sessions Quality Improvement of Supporting Services and Skills: Develop pre-service and in-service sessions on healthy lifestyle, including the use of COVID vaccine (coaching, peer-to-peer mentoring) for both medical specialists and health professionals ADD Quality Improvement of Supporting Services and Skills: Conduct quality client service (provision) training with medical health professionals Quality Improvement of Supporting Services and Skills: Conduct topic-specific power breakfasts with medical professionals to discuss challenges and opportunities for healthy lifestyles including inclusion of COVID vaccine as part of package ADD Quality Improvement of Supporting Services and Skills: Conduct training sessions with journalists (Internews, Infodemic unit, journalist faculty, etc.) ADD Demand and Use Communication: Consider motivational interviewing with people aged 45+ ADD Communication: Develop a series of interactive peer-to-peer exercises that cover healthy lifestyle needs with a focus on COVID vaccine as part of the package, including games, role plays, and discussion scenarios ADD Communication: Develop (review and update) healthy lifestyle poster, radio spot (SMS messages), fact sheets, and/or flyer for medical professionals with a section specifically for people aged 45+ with chronic health conditions Collective Engagement: Ask major stakeholders to review and provide feedback on materials developed for healthy lifestyles Collective Engagement: Hold community forums at local community centers to discuss information on healthy lifestyles and tactics to support this with family members with chronic health conditions ADD Skills Building of Primary Actors: Develop and conduct a session on "communicating with your provider" on how to prepare for challenges conversations, initiate them, and ensure that the desired outcome of the conversation is achieved ADD

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