Increase Health Literacy Through Health Education to Improve Menstruation Related Self-care and Work Productivity

Study Overview
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Brief Summary
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The aim of the study is to increase health literacy, especially in menstruation self-care, and empower female RMG workers through health education by an occupational nurse, and as a consequent improve work productivity in RMG factories in Dhaka, Bangladesh

Detailed Description
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Background: Health literacy is the degree to which an individual has the capacity to obtain, process and understand basic health information needed to make appropriate health decisions. Bangladesh is a low-income country with low health literacy levels amongst its citizens. The concept of health literacy and self-care is difficult to understand for many people. This failure to understand the concept of health literacy impacts on both the national health and the economy. Nevertheless, the health status of the garments workers is greatly affected by their working environment. Unfortunately, the factory environment is not healthy enough to protect their health. In most cases they are the main source of income in their family (Mahmud et al., 2018). Although, they are contributing in countries economy, they are suffering from different types of health problems. Study Objective: Increase health literacy especially in menstruation self-care and empower female RMG workers through health education by an occupational nurse, and as a consequent improve work productivity in RMG factories in Dhaka, Bangladesh Hypothesis: Increased health literacy amongst the women who work in RMG factories will improve the self-care practice, which consequently improves work productivity of the company. Method: An experimental design will be used to conduct the study in RMG factories in Bangladesh. The intervention period will be for six months. A total of 4 factories are selected, which will be cluster-+randomized into the intervention group and the control group. All of them are situated in the Dhaka district. Two of them are in Mirpur Thana, one is in Ashulia upazilla, and another one is in Valuka upazilla. The intervention group will receive health education, and the control group will only receive the survey. The primary outcome is the improvement of health literacy among women working in RMGs. The secondary outcomes are improved self-care, menstrual hygiene, and empowered work productivity. Conclusion: All interested parties would be offered the opportunity to review the results of this survey. All participants of the questionnaire would be informed of the outcomes. As the work will be carefully viewed by the student's dissertation supervisor to be of a high standard then publication in a suitable journal would be appropriate

Official Title
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Increase Health Literacy Through Health Education Among-women Working in Readymade Garments (RMGs) to Improve Menstruation Related Self-care and Work Productivity

Conditions
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Work-Related Condition, Menstrual Discomfort, Occupational Problems

Intervention / Treatment
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* Behavioral: Health Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women Age (18-49 years old) Who is having menstruation or not Who will be willing to participate Who will like to be stay in the job for 6 months Who will give consent to share information for the study Who will willing to take part in the health educatio Exclusion Criteria: Men and self-identified male or female (the third gender) The reason: we measure menstruation practice ● Who does not belong to the assigned division or move out during the research period (We use their data until they are present in the study) Who will not be willing to participate Who is in leave position at the time of survey

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention<br>Intervention factory with health education program Health education will be provided on menstrual hygiene management and improve health literacy. Behavior change communications program | Behavioral: Health Education<br>* Health education will be provided to the intervention group on health literacy, self care, productivity improvement<br>|
| No Intervention: Control<br>No health education will be provided. However, health information material will be distributed among the participants | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement of health literacy measured by European health literacy scale (12-items short version) (Finbraten et al., 2018) among women in Ready Made Garments (RMG) sector in Bangladesh | Assessing the level of health literacy among RMG workers in Bangladesh. European health literacy scale will be used. The reporting will be done using the likert scale on a score of (1-4). Where 1 is counted as no literacy and 4 means higher literacy level. Health literacy of the garments worker will be checked by trained graduate nurses. Health education will be provided by using multimedia and data will be collected at baseline, midline and endline. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improve reproductive age women specific health literacy by using the Health literacy scale for women of reproductive age, Bangla version (From Japanese to Bangla and standardized in Study | Improvement on reproductive health literacy. Reproductive Women's health literacy scale. Likert scale will be used. score range is (1-4). 1= poor 2=below average, 3= good, 4 =excellent. The validity and reliability will be assessed according to the social context of Bangladesh | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health literacy, Productivity, Menstrual self care, Health education, Occupational Nursing