Table 5. Ten Determinants for a Bottleneck Analysis. Categories Determinants Description Enabling Environment: The Social norms Widely followed social rules of social, political, budgetary, and behavior institutional determinants Legislation/policy Adequacy of laws and policies necessary to achieve results for children Budget/expenditure Allocation and distribution of required resources Management/ and accountability/ coordination coordination/partnership The actual operational Availability of essential Essential commodities/ inputs Supply: capacity of the relevant commodities/inputs required to deliver a service or instructions, actors and system(s) adopt a practice accountable for the provision of Access to adequately staffed Physical access (services, services, promotion of practises services, facilities and facilities/information) and behaviours and/or protection information of children Demand: The geographic, Financial access Direct and indirect costs for financial, social and cultural factors services/ practices that facilitate or hinder the target Social and cultural practices Individual/ community beliefs, population with regard to and beliefs awareness, behaviors, benefiting from the services, practices, attitudes facilities, systems or desired Timing and continuity of use Completion/ continuity in practices service, practice Quality: Compliance with Quality of care Adherence to required quality minimum standards that are standards (national or defined through national or international norms) international norms for effective coverage of a service, system or practice Each of the 10 determinants relates to one or more of the Social Ecological Model (SEM) (Figure 7).
Table 5. Ten Determinants for a Bottleneck Analysis. Categories Determinants Description Enabling Environment: The social, political, budgetary, and institutional determinants necessary to achieve results for children Social norms Widely followed social rules of behavior Legislation/policy Adequacy of laws and policies Budget/expenditure Allocation and distribution of required resources Management/ coordination and accountability/ coordination/partnership Supply: The actual operational capacity of the relevant instructions, actors and system(s) accountable for the provision of services, promotion of practises and behaviours and/or protection of children Availability of essential commodities/inputs Essential commodities/ inputs required to deliver a service or adopt a practice Access to adequately staffed services, facilities and information Physical access (services, facilities/information) Demand: The geographic, financial, social and cultural factors that facilitate or hinder the target population with regard to benefiting from the services, facilities, systems or desired practices Financial access Direct and indirect costs for services/ practices Social and cultural practices and beliefs Individual/ community beliefs, awareness, behaviors, practices, attitudes Timing and continuity of use Completion/ continuity in service, practice Quality: Compliance with minimum standards that are defined through national or international norms for effective coverage of a service, system or practice Quality of care Adherence to required quality standards (national or international norms) Each of the 10 determinants relates to one or more of the Social Ecological Model (SEM) (Figure 7).
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