The document outlines the planning of a health education program on musculoskeletal disorders for shopkeepers in Sandhikharka Municipality, Nepal. Baseline data found musculoskeletal disorders highly prevalent among shopkeepers. The program's goal is to reduce prevalence by raising awareness of risk factors, signs, and preventive measures. Specific objectives target increasing shopkeeper knowledge in these areas. The program will use lectures, posters, and pamphlets to educate shopkeepers on musculoskeletal disorder definition, risks, symptoms, and prevention over several sessions in May. Evaluation will assess knowledge gained through pre- and post-testing. Follow up after one month will assess the program's continuity.

1. PLANNING OF HEALTH
EDUCATION
PROGRAMME IN BUSINESS
SETTING
Prepared by
Surakshya Poudel
BPH 2nd Batch
UCMS

2. Contents
1.Introduction
2.Planning of health education program
o Collecting baseline data and information
o Identify health and health education needs on priority
basis
o Establishing goals and objectives
o Deciding contents to be taught
o Deciding Target group
o Deciding for appropriate Methods and media
o Identifying the necessary and available resources
o Developing a detail plan of action
o Determining time and technique of evaluation
3.Follow up

3. Business setting
• A business, also known as an enterprise, agency or
a firm, is an entity involved in the provision
of goods and/or services to consumers.
• The activity of buying and selling of commodities,
product and services: new system now being used in
business.
• Business includes following people:
- Shopkeepers
- Vendors

4. Characteristics
Place
• Near to residential area
• Noisy environment
• Crowded
• Storage and selling of
goods
• Child labor
• Sharps, dust
• Robbery
• Congested
• Waste production etc
People
• Busy
• Money oriented
• Socially active
• Heavy workload
• Stingy with money
• Energetic
• Monotonous
• Fear of loss in business
• Educated or uneducated
• Sedentary lifestyle etc

5. Common health problems among Shopkeepers:
• Musculoskeletal disorders
• Obesity
• Mental disease/stress
• Cardiovascular disease
• Gastrointestinal problems etc

6. Musculoskeletal Disorders
• Musculoskeletal Disorders or MSDs are injuries and disorders
that affect the human body’s movement or musculoskeletal
system (i.e. muscles, tendons, ligaments, nerves, discs, blood
vessels, etc.).
• The musculoskeletal disorders in working population represent
one of the most worrying work-related health issues at the
present time.

7. In Nepal
• According to Kathmandu university medical
journal backache prevalence among groups
with long and normal working(including
shopkeepers), the backache was found to be
62.5%.

8. Steps in Planning of Health
Education Program

9. • District: Arghakanchi
• Municipality: Sandhikharka
• Total population: 7,000
• Target wards: 1,3,5,6
• Total population (target wards) : 2,000
• No. of shopkeepers: 300
Male: 160
Female: 140
• Major ethnic groups: Chhetri, Brahmin,Janjati,Dalit
1.Collection of baseline data and
information

10. • Source of Information: Community people
• Major Source of income: Business
• Existing health facility: Health post, private clinics
• Literacy rate: 55%
Male: 62%
female: 48%
Musculoskeletal disorder prevalence among shopkeepers: 30%
Obesity prevalence among shopkeepers :25%%
Hypertension prevalence among shopkeepers : 23%
Gastrointestinal problems prevalence among shopkeepers: 18%

11. KAP on musculoskeletal disorders
• 40% of shopkeepers have heard about musculoskeletal
disorders.
• 35% of the shopkeepers in the Municipality have
knowledge about risks factors of musculoskeletal
disorders.
• 30% of the shopkeepers were able to explain the signs
and symptoms of musculoskeletal disorders.
• 29% people have knowledge about preventive measures
of musculoskeletal disorders.

12. 2. Identify health and health education
needs on priority basis
• On the basis of magnitude and urgency,
Feasibility and interest, such needs to be given
importance for solving the problem. For e.g.
a. Severity of the problem
b. needs (felt, observed, real needs)
c. Available resources
d. Political/community interest & pressure.
e. National priorities etc.

13. Prioritization table
Disease Magnitude Feasibility Needs Resources Total
Musculoske
letal
disorder
7 5 7 5 24
Obesity 6 4 7 4 21
Hypertensi
on
4 5 6 5 20
Gastrointest
inal
problem
3 4 6 3 16

14. 3. Establishing goals and
objectives
• Goal : To reduce the prevalence of
musculoskeletal disorders among
shopkeepers of sandhikharka
municipality.

15. General Objective:
 To reduce possible outcomes of musculoskeletal
disorders by raising general awareness about
musculoskeletal disorders ,it’s risk factors, signs
and symptoms and preventive measures.
Health education in business setting 15

16. Specific Objectives:
By the end of the HE program:
• More than 95% of shopkeepers will be able to
explain risk factors of musculoskeletal disorders.
• 85% of shopkeepers will be able to explain signs and
symptoms of musculoskeletal disorder.
• 80% of the shopkeepers will be able to explain
preventive measures of musculoskeletal disorders.

17. 4.Deciding contents to be taught
o Definition of MSDs and its different types.
o Risk factors of MSDs.
o Signs and symptoms of MSDs
o Preventive measures of MSDs.

18. 5. Deciding Target Groups
• Shopkeepers of Sandhikharka municipality.

19. 6.Selection of Methods and media
Methods Media
Lecture Posters
Group discussion
Pamphlets
Role play Flipcharts

20. 7.Identification of necessary and available
resources
Human resources:
• DPHO and municipality members
• BPH students
• Program planner(self)
Financial resources: From DPHO, and local
NGOs
Local resources: Municipality hall, whiteboard,
marker, Duster etc.
• IEC materials:-Posters, Pamphlets, etc from
DHO and Health post.

21. 8. Developing detail Plan of action

22. S.
N. Activities
May
1-2 3-4 5-8 9-10 11-14 15
1 Orientation to the field
team
2
Rapport building
3
Data collection and entry
4 Data analysis,
interpretation
5 Training
6 Health education
program
7 Evaluation of the
program
8
Feedback
9 Report Submission

23. Implementation of the programme
It is the process of putting the plan of action into operation. Health education
program on MSDs will be implemented by using the following strategies:
1. Building commitment
2. Training of human resources
3. Mobilizing and utilizing resources
4. Organization
5. Monitoring of the program
6. Supervision
7. Recording and Reporting

24. 9. Determining time and technique of
evaluation
Its done in 3 steps.
Process evaluation:
- Brain storming
- Ask question to participant.
- Pre and post questionnaire test.
Outcome evaluation:
- shopkeepers doing physical exercise
-Shopkeepers maintaining proper sitting posture

25. Cont..
Impact evaluation:
-Reduction on incidence of musculo-skeletal
disorders among shopkeepers.

26. Criteria of Evaluation will be-
• Adequacy
• Relevancy
• Efficiency
• Appropriateness of the program

27. Tools and techniques of evaluation
• Feedback
• Pre-test and post-test
• For score
<60%- poor knowledge
61-80% -good knowledge
>80- excellent knowledge

28. Follow up
 Follow up is very much essential for the continuity
of the programme and to see how the programme is
running.
 It will be done after one month of the program
through DPHO.

29. References
• https://nationalcareersservice.direct.gov.uk/a
dvice/planning/jobprofiles/Pages/shopkeeper.
aspx
• Indian journal in basic and applied medical
research http://ijbamr.com/pdf/419-
422.pdf.pdf
• file:///F:/Prevalence%20of%20Low%20Back%
20Pain%20Among%20the%20Shopkeepers.ht
ml
• Class Notes by Respected Teachers