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Stages of change model It is one of individual approach including emotions, temporal dimension, enable factors, and barriers.

The model which is not design specifically for HIV/Aids prevention had been already use for several health issues such as: smoking cessation, alcohol abuse, weight control, condom use, etc. Intentional behaviour change occurs over time involving emotions and cognitions. To illustrate this reality, the model identifies stages of behaviour change as followed: Pre contemplation: The individual is not intending to take action maybe because he is ignorant about risky behaviour or discouraged about his ability to change.. Contemplation: The person is intending to change because something happened in his life resulting in the need for further change. He will be now receptive to prevention message, balancing pros and cons of adopting a new behaviour. Individual thinks about the importance of condom use to avoid risk. Preparation: The individual undertakes action including how to gather useful information he needs to start the change. He would like to use condom in a close future. Action: The person adopts a new behaviour. In case of HIV/Aids prevention he will use condoms consistently for less than 6 months. Maintenance: At this stage, the person works to incorporate the healthy behaviour in his life, get more confident to prevent relapse. If it is concerning HIV/Aids prevention, he will use condom for more than 6 months.

Steps in developing behaviour change communication strategy


State program goals

Involve stakeholder

Identify Target populations Conductive formative BCC assessments Segment target populations Define behaviour change objectives Design BCC and M & E plan Develop Communication products

Pre- test

Implement and monitor

Evaluate

Analyse feedback and revision Source: Behaviour Change Communication for HIV/Aids, a strategic framework, FHI 2002

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