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Experience of implementing MultiTex RCT intervention package at textile mills in Karachi, Pakistan: A qualitative study

Year: 2023
Type: conference-abstract
Abstract: BACKGROUND AND AIM: The MultiTex RCT aims to determine the effectiveness of a multifaceted intervention package in reducing dust levels in cotton mills, decreasing the frequency of respiratory symptoms among cotton textile workers, and improving their lung function. A total of 38 textile mills were included in the MultiTex RCT. This qualitative study is nested within the larger MultiTex RCT study. Through this, we have explored the experiences and views of textile mill workers, managers, and stakeholders, involved with the MultiTex RCT using qualitative research methods. It was initiated to have an understanding of the experiences and barriers faced during the implementation of the intervention package. METHOD: 10 managers were selected for in-depth interviews (IDIs), 5 stakeholders for Key Informant Interviews(KIIs) and 8 focus group discussions (FGDs) were conducted among workers using a semi-structured questionnaire. Interviews were recorded and then transcribed verbatim. Thematic analysis was used to generate themes and subthemes. RESULTS: Participants identified audit and compliance requirements as key factors that facilitated compliance with PPE guidelines. stakeholders identified government and worker unions as key for the proper implementation of the safety package and to ensuring compliance of workers with it. Participants also believed that this intervention package had numerous health and safety benefits however there was still a lack of compliance by the workforce which was attributed to a combination of factors, including education level and cultural attitudes toward PPE. Covid-19 emerged as a strong facilitating factor that led to increase in compliance as factories and the government had strict implementation of PPEs during the spread of this infection. CONCLUSIONS: The implementation of safety measures in the workplace can be challenging, and several factors can hinder their effectiveness. This highlights the need for proper education and training on the importance of wearing facemasks to prevent the spread of chronic respiratory diseases.
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W4390965535
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