Preference for female provider for maternity care could be a culturally influenced determinant of maternal satisfaction as it would decrease the sense of embarrassment and fear which parturient women may feel in a facility [ 73].
Health systems can be defined as the structured and interrelated work of all agencies contributing to health within a country and includes efforts to influence determinants of health as well as more direct health improving activities (WHO 2007).
Guided by the intervention mapping (IM) approach, program objectives were formulated and, on the basis of both empirical and theoretical data, intervention methods for influencing determinants of adherence to PFME therapy were chosen and translated into practical strategies.
For example, to influence determinants such as self-efficacy, modeling [ 99, 100] can be used as a theoretical method.
When it was unclear why previous attempts to give up drinking had failed or when answers were vague, we sought clarification of processes, influencing determinants and contexts.
Therefore, the World Health Organization later incorporated the efforts to influence determinants of health which made the health systems more than just the pyramid of publicly owned facilities that deliver personal health services [ 2].
Through intersectoral collaboration, talents, resources, relations, and approaches to influencing determinants of health can be linked and shared to work very much more effectively, efficiently, and sustainably than one sector would achieve alone [ 8– 12].
However, as services have moved from an individual family-focused philosophy of care to a population health service approach, CFH nurses have developed skills and implemented strategies geared towards influencing determinants of health.
Our results emphasize the need of a wide scale approach to forest planning in order to be able to account for and to influence determinant processes of diversity patterns from the stand to the landscape levels.
Health is influenced by determinants beyond the traditional conception of the health sector.
