Table 1.
Stage | Description |
---|---|
No awareness | (i) Community members not conscious of the problem. (ii) Accepting of the issue as part of the way things are. |
Denial | (i) Some awareness amongst some community members. (ii) No motivation to act or belief that anything can be done. |
Vague awareness | (i) Some community members communicate in general terms about problem. (ii) Poor understanding and no motivation change things. |
Preplanning | (i) Clear recognition of the problem. (ii) Community leaders are motivated to take action. (iii) No clear understanding about what action to take. |
Preparation | (i) Planning begins to take on focus and detail. (ii) Data may be formally collected to use in planning. (iii) Decisions are made about what needs to be done. (iv) Resources are gathered and put to use. (v) Some community support. |
Initiation | (i) Activity or action may have started but is perceived as novel. (ii) Leaders enthusiastic. (iii) Community support. |
Stabilisation | (i) General support remains. (ii) Some prevalence tracking going on, supported by an organised and experienced administration. (iii) Ongoing evaluation of efforts likely and low motivation for change or progression. |
Confirmation/expansion | (i) Support has grown, and authorities and policy-makers are likely to be on board. (ii) Some evaluation is likely to have happened. (iii) New efforts initiated with plans to reach new and difficult to access groups. |
Professionalization | (i) Knowledge and understanding of problem is sophisticated. (ii) Administration is highly skilled. (iii) Community involvement is high, and ongoing evaluation and adaptation are typical. |