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Strengthening character among frontline health workers delivering care to underserved communities in Sindh, Pakistan

Bibliographic Data

ID21511574
AuthorsDanya Arif Siddiqi (0000-0001-9457-9110, Global, corresponding author), Manaksha Memon (0000-0003-4216-8234, IRD Pakistan), Fatima Miraj (0000-0002-4636-5625, IRD Pakistan), Sundus Iftikhar (0000-0001-8568-2722, IRD Pakistan), Mubarak Taighoon Shah (0000-0001-9979-619X, Global), Monica Hargraves (0000-0002-6074-4445, Hargraves Consulting, Little Rock, AR, USA), Jennifer M Urban (0000-0002-8987-5991, Montclair State University), Jennifer Urban (Montclair State University), Subhash Chandir (0000-0002-6523-8875, Global)
Year2025
Volume54
Issue4
Pages529-553
Publication date2025-10-02
Open AccessNo
TypeARTICLE
VenueJournal of Moral Education (JOURNAL)
Journal identifiersISSN: 0305-7240 • E-ISSN: 1465-3877
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/03057240.2025.2484039
OpenAlexW4410948314
LanguageEN
References cited46

We conducted a multiphase mixed-methods pilot in two districts of Sindh, Pakistan, to evaluate the impact of a humanities-based curriculum on frontline health workers (FHWs). Rooted in local literature and arts, the curriculum aimed to foster character development and enhance well-being. A total of 112 FHWs participated in eight weekly sessions. We assessed the impact using an adapted Claremont Purpose Scale (CPS) pre- and post-intervention, alongside in-depth interviews with FHWs and their supervisors. The CPS scores increased by 5 points from baseline (median = 48, IQR = 43–52) to endline (median = 53, IQR = 49–58; p < 0.001), and 3-month follow-up (median = 53, IQR = 48–57). Participants rated the sessions highly for content, delivery, and overall success. Supervisors observed improvements in FHWs’ professional conduct, self-regulation, and communication. Findings suggest that localized humanities-based training can strengthen FHWs’ sense of purpose and well-being, though further research is needed to explore long-term effects

Community health workers · Economic growth · Environmental health · Family medicine · Health care · Health services · Population · Socioeconomics · Sociology · Global Maternal and Child Health · Medicine · Nursing · Psychology · Religion, Spirituality, and Psychology · Gerontology

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