Table 4 People’s motives and responses to Proriva

The motives for participation

Sub-group: Low SES communities

Inconvenient feeling

“…what a pity if nobody shows up when an external party (the PRORIVA team) has come up with some activities, spends some money, and spends some time.… (a woman, citizen of a low SES community)

Economic constrain

“To eat more portions of fruit--rarely we do it because of our economic conditions.” (a man, citizen of a low SES community)

Sub-group: High SES communities

Individual activities preference

“It is difficult to arrange a citizens’ meeting here, even when we need to vote for the head of this community, it was only one person and me (who showed up at the meeting). They sent a message that they would pay some money instead (to support the community rather than to attend) and they just asked me to be the head”. (a man, community leader of a high SES community)

More sophisticated program

“We request that this education be performed routinely….It should be improved if possible, for example with an EKG (Electrocardiograph) examination or other early detection activities.” (a man, citizen of a high SES community)

Behavior change

Sub-group: Low SES communities

Commonly reported: eating more vegetables

“…we were more careful to select healthier food and avoid the fatty foods”. (a woman, citizen of a low SES community).

Rarely reported: Changing smoking habit

“Actually, I don’t want to let my husband continue smoking, but there’s no choice. He has been a smoker for long time….I realize how important it is to have exercise after participating in the exercise group and Sunday morning walking.” (a woman, citizen of a low SES community)

Sub-group: High SES communities

Frequently adopted: becoming more physically active

“It is good (the PRORIVA), in fact the exercise group for women was routinely conducted in these communities. Exercise is a fun activity for all of us. It is cheap and easy.” (a woman, citizen of a high SES community)

Least reported: changing smoking habits

“It is difficult to quit smoking during a community meeting where so many others are still smoking.” (a man, citizen of a high SES community)

Perceived benefits of the program

Sub-group: Low SES communities (lay people)

Exciting program

“…and then we conducted a gymnastics competition….there were three people who won from our neighbourhood. In short, it was such a happy time; in short, we want the program again.” (a woman, citizen of a low SES community)

Demand for continuation

“It is a positive program, (and will be more so) if it is continued.” (a man, citizen of low a SES community)

Sub-group: Low SES (Health workers)

Improve the capacity to deliver messages

“We feel that we improved our knowledge and it is our duty to disseminate those messages. If there is a (person from the) PRORIVA team, we will feel more motivated.”

A refreshing program

“The aerobic dancing was relaxing. OK…, like Poco-poco (a kind of dancing from eastern Indonesia). It was so motivating. If it was only routine activity like it used to be, it was boring.” (a woman, health worker of a low SES community)

Sub-group: High SES communities (Lay people)

A good program

“In this community we support the activities such as healthy heart group exercise, and preparation of nutritious meals rich in fibre.” (a woman, citizen of a low SES community)

Sub-group: High SES (Health workers)

Uncomfortable with their role

“I don’t feel confident to deliver (information) to the citizens during citizen meetings. I would like to (deliver information), however I was scared of being perceived as looking like a very knowledgeable person.” (a woman, health worker in a high SES community)