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Table 4 Application of the psychosocial dimension of the IBM-WASH framework to community-based chlorine dispensers

From: The Integrated Behavioural Model for Water, Sanitation, and Hygiene: a systematic review of behavioural models and a framework for designing and evaluating behaviour change interventions in infrastructure-restricted settings

  Psychosocial factors Example for chlorine dispsenser
Societal/Structural Leadership/advocacy; cultural identity • Political commitment and donor driven priorities.
• Commitment and dedication of national government to promoting chlorination.
Community Shared values, collective efficacy, social integration, stigma • Community commitment to practice chlorination.
• Local leadership.
• Collective efficacy for supporting and maintaining water treatment practices.
Interpersonal/Household Injunctive norms, descriptive norms, aspirations, shame • Perceived prevalence of chlorination among local and broader social network.
• Perception of the extent to which others in social network expect someone to adhere to chlorination practices.
• Aspirations related to nurture/safe motherhood and maintaining a clean and healthy child.
Individual Self-efficacy, knowledge, perceived threat, disgust • Knowledge of the transmission of diarrheal disease and perceived threat of associated illness.
• Disgust reaction to contaminated drinking water.
• Self-efficacy of identifying supplies, taking necessary time, and completing necessary steps to maintain clean water.
Habitual Existing habitual behaviours, outcome expectations • Existing water treatment practices (boiling, traditional filters).
• Expectation for chlorination (taste, colour, smell).