(PHCII) - MMH/MMS

BELIEF, ATTITUDE, SUBJECTIVE NORMS AND ENABLING FACTORS
(BASNEF).
BASNEF examines behavior from the perspective of the underlying factors like beliefs,
values social pressure and enabling factors that influence the community. (Hubley 1993).
HEALTH ACTION MODEL (HAM).
HAM provides a comprehensive frame work in which major variables influencing health
choices and action and their interrelationship are described and categorized, it is more
powerful health model because is capable of incorporating other health related theories
such as belief model and TRA.
In this study health action model (HAM) will be used as a perspective health education of
factors contributing to how health unit deliveries among pregnant women in Kigoma
district. HAM comprises the three systems of perception namely belief system motivation
system and normative system.
HAM: Normative system.
Normative system describes cultural and group behaviour. Norms may be acquired
through with groups experience as well as parents. From the study findings mothers
knowledge on maternal risks during pregnancy, labour and delivery is a problem.
Mothers seemed to be influenced by relatives, for the delay to report to hospital if at all
and usually in a serious condition which risks the health of the child and mother. Most of
the women do not make decisions for their health care, instead they wait the husbands or
mothers to decide on their behalf. These significant others (husband and mothers) need to
know that, their delay in decision making endangers the life of their clients. Furthermore
strong influences from traditional birth attendants again who had not been trained.
However, as it has been stated earlier, women ought to understand that it is them who
face the problems and that decision should not necessarily depend on significant others.
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