Table 4 Summary of testing and treatment examples for components of the Integrated Behaviour Model
IBM model constructs | Testing seeking | No testing seeking | Treatment seeking | No treatment seeking |
|---|---|---|---|---|
Environmental factors | ||||
 Capacity to perform the behaviour | Knowledge and awareness of RDT services | Confidence in experience with malaria to self-diagnose | Aware of importance to adherence to correct treatment | Inability to manage pain before reaching public health facilities |
 Salience of behaviour | Knowledge that knowing malaria strain is important | Desire to seek treatment as soon as possible | Desire to fully treat malaria from their body | Unable to manage pain until possible to reach public health facility |
 Structural/systems constraints | Geographic proximity of RDT services | Easy access to malaria treatment without the prerequisite of testing services | Speed and ease of private health facility | Access challenges to facilities (before RDT program in place) (e.g., transportation, distance) Easy access to malaria medication and alternative treatments Desire to return to work as soon as possible |
 Habit/past performance | Poor past experiences with self-treatment from private or informal health facilities (empirical efficacy) | Confidence in experience with malaria to self-diagnose (empirical efficacy) | Miner’s self-treatment did not work (empirical efficacy) | Confidence in experience with malaria to know which type they have to self-treat or that non-adherence works (empirical efficacy) |
Individual factors | ||||
 Overall attitude | Assurance to know which malaria strain miner has Ensure they get treated for the right illness before taking treatment | Not important to seek malaria testing | Trustworthiness of treatment from public health system | Adherence: Recommendation from medical treatment Personal preference for alternative treatments to deal with the pain |
 Personal agency | Ability to seek testing from public health facilities | Ability to self-identify strain of malaria | Ability to seek treatment from public health facilities | Ability to find an alternative medication or medication from non-public health facilities |