Training of Roma Health Mediators in Reproductive Health

Participant document
7 stages
BEHAVIOR CHANGE CONTINUUM
(modified from Tools for Community Participation, L. Srinivasan)
7. I am willing to demonstrate or propose the solution to others.
6. I am ready to try to change/the proposed action.
5. I see the problem and I am interested in learning more about it.
4. There is a problem but I am afraid of changing because of fear of possible negative
consequences.
3. There is a problem but I am not convinced of the proposed solutions.
2. There may be a problem but it is not my responsibility. (It is the responsibility of God, of
government, of someone else.)
1. There is no problem. (I am satisfied with the way things are & see no reason to change.)
What strategies or messages might be most effective at each stage of resistance to behavior change?
The same approach will not be effective at all levels.
• At stages 5 - 7, people are more ready to accept and apply information; given them the
information they need in order to act.
• At stages 1 - 4, it is important to bring out people's opinions, and better understand their
attitudes, concerns and beliefs, in order to adapt reproductive health messages to their needs
and pre-occupations.
(continued on next page)
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 13: BCC