Fig. 2.

Socioecological framework for factors affecting physiotherapy services in Nepal. We used the socioecological concept [33] and constructed a five-level bubble diagram which we populated with categories under the themes derived from our interviews. The figure was redrawn using data acquired from different sources to guide the research. Factors included in the original model by McLeroy et al. Ecological perspective on health promotion programs, 1988. P355: Individual - Attitude, behaviour, knowledge, perception, self-concept, skills; Interpersonal - Formal social network and support system, Work group network, Friendship network; Community - Informal network within defined boundaries, Personal friendship network, Neighbourhoods; Organisational - Institutions with organisational characteristics and formal (and informal) rules and regulations for operation; Public policy - Local/State/National legislatures. Note: Barriers and facilitators for development of physiotherapy defined under different categories using thematic analyses were placed into the different levels in the socioecological framework based on contextual relation and significance to the Nepalese physiotherapy system or physiotherapy in general