Drivers of and Barriers to Behavioural Change to Support Public Health and Social Wellbeing in Mbire District, Zimbabwe.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-09-11 DOI:10.3390/ijerph22091419

Davison Munodawafa, Pepukai Manjeru, Lioyd Goronga

{"title":"Drivers of and Barriers to Behavioural Change to Support Public Health and Social Wellbeing in Mbire District, Zimbabwe.","authors":"Davison Munodawafa, Pepukai Manjeru, Lioyd Goronga","doi":"10.3390/ijerph22091419","DOIUrl":null,"url":null,"abstract":"Foundational behaviours across health, education, sanitation, and energy use remain suboptimal in Mbire District, Zimbabwe. This qualitative formative study examined drivers of and barriers to five priority behaviours: birth notification and registration (BNR), exclusive breastfeeding (EBF), early childhood development education (ECDE), open-defecation-free (ODF) practices, and efficient use of energy (EUE). Between 15 January and 30 March 2023, we conducted 15 focus group discussions (n = 180 participants) and 20 key informant interviews (n = 20 participants). Data were thematically analysed in QDA Miner 6 (Cohen's κ = 0.82). Drivers of positive behaviours included leadership support, peer networks, and radio/village meetings, while barriers included bureaucratic requirements, cultural norms, and financial constraints. We recommend a multi-sectoral Social and Behavioural Change (SBC) approach integrating community events, subsidies, and culturally sensitive communication. These findings provide actionable evidence to inform district-level programming and contribute to achieving Zimbabwe's national development targets and relevant Sustainable Development Goals.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469719/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Environmental Research and Public Health","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.3390/ijerph22091419","RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Foundational behaviours across health, education, sanitation, and energy use remain suboptimal in Mbire District, Zimbabwe. This qualitative formative study examined drivers of and barriers to five priority behaviours: birth notification and registration (BNR), exclusive breastfeeding (EBF), early childhood development education (ECDE), open-defecation-free (ODF) practices, and efficient use of energy (EUE). Between 15 January and 30 March 2023, we conducted 15 focus group discussions (n = 180 participants) and 20 key informant interviews (n = 20 participants). Data were thematically analysed in QDA Miner 6 (Cohen's κ = 0.82). Drivers of positive behaviours included leadership support, peer networks, and radio/village meetings, while barriers included bureaucratic requirements, cultural norms, and financial constraints. We recommend a multi-sectoral Social and Behavioural Change (SBC) approach integrating community events, subsidies, and culturally sensitive communication. These findings provide actionable evidence to inform district-level programming and contribute to achieving Zimbabwe's national development targets and relevant Sustainable Development Goals.

查看原文本刊更多论文

行为改变的驱动因素和障碍，以支持津巴布韦Mbire地区的公共卫生和社会福利。

在津巴布韦的mbiire地区，卫生、教育、环境卫生和能源使用方面的基本行为仍然不够理想。这项定性形成性研究考察了五种优先行为的驱动因素和障碍：出生通知和登记（BNR）、纯母乳喂养（EBF）、儿童早期发展教育（ECDE）、无露天排便（ODF）做法和有效利用能源（EUE）。在2023年1月15日至3月30日期间，我们进行了15次焦点小组讨论（n = 180参与者）和20次关键信息提供者访谈（n = 20参与者）。在QDA Miner 6中对数据进行主题分析（Cohen’s κ = 0.82）。积极行为的驱动因素包括领导支持、同伴网络和无线电/村会议，而障碍包括官僚要求、文化规范和财政限制。我们建议采用多部门的社会和行为改变（SBC）方法，将社区活动、补贴和文化敏感的沟通结合起来。这些调查结果为地区一级的规划提供了可操作的证据，并有助于实现津巴布韦的国家发展目标和相关的可持续发展目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Environmental Research and Public Health ENVIRONMENTAL SCIENCES-

自引率

0.00%

发文量

14422

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.