Assessing the feasibility of a multifaceted intervention package for improving respiratory health of textile workers: Findings from the Multistep pilot study in Karachi, Pakistan: Findings From the MultiTex Pilot Study in Karachi, Pakistan

Asaad A. Nafees, Afreen Sadia, Zafar Fatmi, Iqbal Azam Syed, Muhammad Irfan, Natasha Shaukat, Yousaf Ali, Peter Burney, Paul Cullinan, Iqbal Azam, Sara De Matteis

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We piloted the development and implementation of a multifaceted intervention package for improving respiratory health among textile workers using a pre-post design at six mills in Karachi. The intervention, implemented following a baseline survey (n = 498), included health and safety training of workers and managers, promotion of cotton dust control measures, and the provision of facemasks. Follow-up surveys were conducted at 1, 6, and 12 months post-intervention. Knowledge, attitude, and practice (KAP) scores and respiratory symptoms were assessed through a questionnaire and spirometry was conducted. The intervention was provided to 230 workers and led to an improvement in KAP scores that was more likely among workers with a higher educational status, spinners, smokers, those with a permanent employment status, working in morning shifts, and with ⩾5 years of textile experience. We found the intervention acceptable and feasible in these textile mills henceforth, trials are required to determine its effectiveness.

Original languageUndefined/Unknown
JournalCommunity Health Sciences
Publication statusPublished - 21 Jan 2024


  • Pakistan
  • byssinosis
  • cotton fiber
  • low- and middle-income countries
  • respiratory symptoms
  • textile industry

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