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TL;DR
It found that while awareness of disease causes and treatments was present, poverty and poor health system access led to poor health practices, suggesting community mobilization with incentives could foster behavior change.
PLOS ONE · 18 authors, 7 centres
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It found that while awareness of disease causes and treatments was present, poverty and poor health system access led to poor health practices, suggesting community mobilization with incentives could foster behavior change.
This qualitative formative study was conducted as part of the CoMIC cluster randomized trial in a rural Pakistani district. The study identified major themes including poor health behaviors, care-seeking practices, and WASH conditions. Central results showed that while community awareness of hygiene, immunization, and care-seeking existed, practices were poor due to poverty, lifestyle, and health system inefficiencies like lack of equipment and supplies. The community suggested intensive inclusive engagement and conditioned short-term tangible incentives could help. Limitations include potential interviewer or recall bias and data restricted to the specific district, which may limit generalizability. The findings were used to design the community mobilization and incentivization intervention for the trial.