1. Study Protocol for a Randomized Health and Social Literacy Intervention to Improve Maternal Health in Pakistan.
- Author
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Jafree, Sara Rizvi, Ahsan, Humna, Zakar, Rubeena, Muzamill, Anam, Burhan, Syeda Khadija, Javed, Ambreen, Durrani, Rana Rubab, and Fischer, Florian
- Subjects
COMMUNITY health workers ,CONTROL groups ,HEALTH literacy ,MATERNAL health ,SOCIAL workers ,CITIES & towns - Abstract
Many poor and illiterate women in reproductive years in Pakistan live in underdeveloped areas and are solely dependent on free primary health services provided by the state through the Lady Health Worker (LHW) Programme. These women need higher health and social literacy to make informed health decisions and receive inferior services from overburdened LHWs. This project aims to deliver a health and social literacy intervention by integrating Community Social Workers (CSWs) at the primary level to promote maternal health in the country. A 24-month intervention with six health and social literacy modules will be delivered by trained CSWs. Multistage randomized sampling will be used to sample 6 BHUs across six cities from six districts of Punjab, Pakistan. A total of 360 women will be sampled and assigned randomly to the experiment and control groups. Pakistan needs to catch up on its sustainable development goals for maternal health, not just due to the limitations of the existing services, but also due to the low health and social literacy of women, which prevents effective uptake. Each LHW is expected to have an estimated 1,500 women clients for multiple services, which makes support for women's literacy and awareness difficult. Integrating a partner workforce or CSWs to support disadvantaged women for improved maternal health outcomes is critically needed. The results of this intervention will advise policymakers and stakeholders about long-term plans for literacy support of women and the integration of CSWs in the primary healthcare setup. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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