Table 4.
Determinants using COM-B classification according to frequency with which they feature in the literature reviewed
| General | Hand hygiene | Clean delivery surface | Clean cord cutting instrument | Clean cord tie | Clean cord care | Total | ||
|---|---|---|---|---|---|---|---|---|
| Attendant | Caregiver | |||||||
| n = 50 | n = 9 | n = 4 | n = 5 | n = 5 | n = 5 | n = 11 | ||
| Capability | ||||||||
| Psychological | ||||||||
| Confidence | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Educational level | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 2 |
| Experience | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Guidelines | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
| Knowledge | 36 | 5 | 3 | 0 | 4 | 4 | 4 | 56 |
| Occupation | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Parity - no. children | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Physical | ||||||||
| Skills | 16 | 0 | 0 | 0 | 2 | 1 | 0 | 19 |
| Motivation | ||||||||
| Reflective | ||||||||
| Product acceptability | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Futility | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Impunity | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
| Fear of repercussions | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Practical considerations | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 4 |
| Willingness to pay | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Product cost | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Automatic | ||||||||
| Automaticity | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Disgust | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Job motivation | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
| Nurture | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 6 |
| Ownership/participatory approaches | 5 | 0 | 1 | 0 | 0 | 0 | 1 | 7 |
| Sense of pride | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Teachable moment | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 3 |
| Opportunity | ||||||||
| Social | ||||||||
| Collective behaviours/social norms | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Social heirarchies/community influencers | 7 | 2 | 1 | 1 | 1 | 0 | 4 | 16 |
| Traditional/cultural beliefs | 5 | 1 | 0 | 4 | 2 | 1 | 6 | 19 |
| Trust in attendant | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Physical | ||||||||
| Adequate materials/supplies | 15 | 6 | 0 | 0 | 0 | 1 | 0 | 22 |
| Convenience of the activity | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 3 |
| Ease of use of product | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Proximity | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Infrastructure | 4 | 3 | 0 | 0 | 0 | 0 | 0 | 7 |
| Remembering all required steps | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
| Time | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 4 |