Social Ecological Model

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CHAPTER TWO: THEORATICAL FRAMEWORK OF THE STUDY The theory backing up this study is from the Social Ecological Model/Theory, which suggest that creating an environment conducive to change is important to making it easier to adopt healthy behaviors (McLeroy, Bibeau, Steckler 1988). The Model is used in this study to analyze the practices, perception of nurses, teachers and the health care teams in promoting the reproductive health education, counselling as well as to analyze the challenges faced in implementing the reproductive health policy in schools and at health centers. The theory further argues that, all these is influenced by factors at multiple levels, including Individual, Interpersonal, Organizational, Community and Policy /enabling …show more content…

The characteristics of an individual factors that influence perceptions and practices of a nurse and teachers in promoting RH education include: knowledge, attitudes, behavior, self-efficacy, developmental history, gender, age, religious identity, racial/ethnic/ identity, sexual orientation, socio-economic status, financial resources, values, and goals and expectations among others. For instance, the perceptions of a nurse or a teacher towards embracing the reproductive health education and counselling to adolescents, and their effectiveness in affording to promote good practices while providing the care, and the barriers which hinder their activities are expected to impact this influence. Also knowledge about the reproductive health of adolescents and values attached to it by the teachers, nurses and health planners might further be an important influence on their perceptions, practices and attitudes in conducting adequate reproductive health education, counselling and implementing relevant …show more content…

These factors also create or make it easier for nurses, teachers, health officials and the community to have a collective informational networks which helps in collaboration, consultation, designing a new policy guidelines and thus, creating a positive attitudes and perceptions to these key actors in the way reproductive health education, information, counselling and care for adolescents is a vital component of health care. Organizational factors such as the practices of health units and schools in promoting the reproductive health education and care can be observed when the health units and schools have rules and regulations for operations. For instance, if there is a time table for operations at the health centers, and if schools include reproductive health education and counselling programs in their curriculum, this will show how they practice and promote reproductive health education in

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