Behaviours and behaviour change: Implication for driving health security in Nigeria by 2050

Abstract

Introduction: Behaviours are dynamic in their interactions and can change overtime based on different factors. Many factors affect people’s behaviours, consequently resulting in behavior changes that present serious challenges to preventive health and health seeking behavior in Nigeria. Strategies to change behaviour are targeted towards different levels of individual, organisational, community and population levels, using multilevel interventions to bring about long-term sustainable behaviour change.

Situation analysis: Pertinent issues relating to sustainability of health and social care systems in the face of instability and conflict in some regions in the country threatens national health security. Globally, and as true for Nigeria, there is an urgency to address the ‘triple burden of diseases’ which includes ongoing threats of communicable diseases, and newly emerging and re-emerging diseases and recent increase in occurrence of noncommunicable diseases.

Forecast: Behaviour change contribution to achieving health security and sustainable development by 2050 could effectively address national health issues by adopting a holistic approach that encourage health promotion strategies and intersectoral action areas to build healthy public policy, create supportive environments for health, strengthen community action for health, develop personal skills, and re-orient health services, to build sustainable health systems.

Conclusion: Operationalising evidence-based practice and public health depends on behaviour change. Behaviour change interventions are vital for effective practice of medical science and public health, and other pertinent issues facing society.

Keywords: Behaviours, behaviour change, Health security, health promotion

Abstrait
Introduction :Les comportementssont dynamiques dans leurs interactions et peuvent changer tout au cour du temps en fonction de différents facteurs.De nombreux facteurs affectent le comportementdes individus, entraînant par conséquent des changements de comportement qui posent de sérieux problèmes pour la santé préventive et le comportement en recherche de
santé au Nigéria.Les stratégies visant à modifier les comportements ciblent différents niveaux d’individus, d’organisations, de communautés et de populations, en utilisant des interventions à plusieurs étapes pour provoquer unchangement decomportement durable à long terme .

Analyse de la situation : Desproblèmes pertinents liés à la durabilité des systèmes de santé et de protection sociale face à l’instabilité et aux conflits dans certaines régions du pays menacent la sécurité sanitaire nationale. Universellement, comme au Nigéria, il y a une urgence d’adresser le ‘triple fardeau des maladies’, qui comprend les menaces actuelles de maladies transmissibles, de maladies émergentes et ré-émergentes et de l’accroissement récent de l’incidence desmaladies non transmissibles.

Prévisions: Lacontribution du changement de comportementpour aboutir à la sécurité sanitaire et au développement durable d’ici 2050 pourrait résoudre efficacement les problèmes de santé nationaux en adoptant une approche holistique qui encourage les stratégies de promotion de la santé etles domaines d’action intersectoriels afin de mettre en place des politiques publiques saines, de créer des environnements favorables à la santé, de renforcer l’action communautaire santé, développer des compétences personnelles et réorienter les services de santé afin de mettre en place des systèmes de santé durables.

Conclusion: Lamise en opération de la pratique factuelle et de la santé publique dépend du changement decomportement.Lesinterventions visant à modifier les comportementssont essentielles à la pratique efficace de la science médicale et de la santé publique, ainsi qu’à d’autres problèmes pertinents auxquels la société est confrontée.

Mots-clés: Comportements,changement de comportement,sécurité sanitaire, promotion de la santé

Correspondence: Dr. Yetunde O. John-Akinola, Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan,Ibadan, Nigeria. E-mail:zfisayo@yahoo.com; yojohnakinola@com.ui.edu.ng

pdf

References

Morris J., Marzano M., Dandy N. and O’brien L. Sustainable behaviours and behaviour change – setting the scene (Summary Report). The Research Agency of the Forestry Commission, UK. 2012.

Adejumo AO. Psychology 409: Psycho-biological study of behaviour. Lecture notes, Department of Psychology, Faculty of Social Sciences, University of Ibadan, Nigeria. 2017.

Green, LW. and Kreuter, MW. Health promotion as a public health strategy for the 1990s. Annual Review of Public Health 1990; 11(1), 319-334.

Tombor I. and Michie S. Methods of Health Behaviour Change. Health Psychology. 2017. DOI: 10.1093/acrefore/9780190236557 .013.125.

Nutbeam, D. Health Promotion Glossary (original Health Promotion Glossary). In: Health Promotion Journal 1986; 1.1, 113-127.

World Health Organization (2011): Global status report on noncommunicable diseases 2010. Accessed 03 Decemebr, 2018.

Kohl HW, Craig CL, Lambert E.V, et al (eds) The pandemic of physical inactivity: global action for public health, Lancet 2012; 380: 294–305.

Adegoke BO and Oyeyemi AL. Physical inactivity in Nigerian young adults: prevalence and socio-demographic correlates. J Phys Act Health 2011 ; 8(8):1135-42. [Online] Available from http://www.ncbi.nlm.nih.gov/pubmed/22039132 accessed 03 December, 2018.

World Health Organisation (2016). http://www.who.int/countries/nga/en/. Accessed 24 May, 2018.

Kumar S. and Preetha GS. Health promotion: An effective tool for global health. Indian J Community Med. 2012 Jan-Mar; 37(1): 5–12. doi: [10.4103/0970-0218.94009].

Michie S., Maartje Stralen MMV and West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science 2011; 6:42 http://www.implementationscience.com/content/6/1/42 (23 April 2011).

Transparency International. Corruptions perceptions index 2015. https://www.transparency.org/cpi2015. Accessed 25 May, 2018.