School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
BMJ Open. 2021 Nov 23;11(11):e049254. doi: 10.1136/bmjopen-2021-049254.
The aim of this study was to describe the development of an intervention to support the reproductive health of garment factory workers in Cambodia.
A qualitative study informed by intervention mapping which included semistructured interviews and participant observation, followed by intervention development activities including specifying possible behaviour change, designing the intervention, and producing and refining intervention content.
The research was conducted by a multidisciplinary team with backgrounds in public health, linguistics, digital cultures and service delivery in a suburb of Phnom Penh where many garment factories cluster.
Garment factory workers in Cambodia; typically young women aged under 30 years who have migrated from rural areas to Phnom Penh city.
Analysis of reproductive health issues facing garment factory workers and metrics of videos developed.
Our research identified some challenges that Cambodian garment factory workers experience regarding contraception and abortion. Concerns or experience of side-effects were identified as an important determinant leading to non-use of effective contraception and subsequent unintended pregnancy. Financial constraints and a desire to space pregnancies were the main reported reasons to seek an abortion. Information about medical abortion given to women by private providers was often verbal, with packaging and the drug information leaflet withheld. In order to address limitations in the provision of accessible reproductive health information for factory workers, and given their observed widespread use of social media, we decided to make three 'edutainment' videos about family planning. Key social media metrics of the videos were evaluated after 1 month.
We describe the development of an intervention to support reproductive health among garment factory workers in Cambodia. These videos could be further improved and additional videos could be developed. More work is required to develop appropriate and effective interventions to support reproductive health of garment factory workers in Cambodia.
本研究旨在描述柬埔寨制衣厂工人生殖健康干预措施的制定过程。
本研究采用干预映射法，通过半结构化访谈和参与式观察进行定性研究，然后开展干预措施制定活动，包括确定可能的行为改变、设计干预措施、生成和完善干预内容。
研究由一个多学科团队进行，团队成员具有公共卫生、语言学、数字文化和服务提供方面的背景，研究地点位于金边郊区，该地区有许多制衣厂。
柬埔寨制衣厂工人，通常是年龄在 30 岁以下、从农村地区迁移到金边市的年轻女性。
分析了制衣厂工人面临的生殖健康问题，并对制作的视频进行了评估。
我们的研究发现，柬埔寨制衣厂工人在避孕和人工流产方面面临一些挑战。副作用的担忧或经历被确定为导致有效避孕措施不被使用并随后导致意外怀孕的重要决定因素。经济拮据和希望控制生育间隔是寻求人工流产的主要原因。私人提供者向妇女提供的关于药物流产的信息通常是口头的，包装和药物信息传单被扣留。为了解决为工厂工人提供可及的生殖健康信息方面的限制，并且考虑到他们广泛使用社交媒体的情况，我们决定制作三个关于计划生育的“教育娱乐”视频。视频发布一个月后，对社交媒体的关键指标进行了评估。
我们描述了一种支持柬埔寨制衣厂工人生殖健康的干预措施的制定过程。这些视频可以进一步改进，还可以制作更多的视频。还需要做更多的工作来开发适合和有效的干预措施，以支持柬埔寨制衣厂工人的生殖健康。
