O-388 From Period Poverty to Period Positivity- Effectiveness of Workplace Wellness Initiatives Across Garment Factories in India

Abstract Introduction Many women in the Indian subcontinent experience societal taboos, social isolation, and harassment during menstruation. This plight is exacerbated among garment workers, many of whom are migrants subjected to arduous work conditions and limited healthcare access. Objectives: This study aims to gauge the impact of a Training of Trainers (ToT) model on menstrual health awareness and practices within the apparel manufacturing sector in India. Methods Employing a quantitative before-and-after approach, the study encompassed 483 participants from 15 Indian factories and 3 Sri Lankan counterparts, selected through convenience sampling. Female workers were educated through a multi-module approach, covering reproductive health, menstrual hygiene, and innovative menstrual products. These workers were then empowered to share this knowledge within their factory communities through visual aids and presentations. Data analysis utilized SPSS v.21 and included z-proportion tests and paired t-tests. Results The majority of participants were under 35 years (72%) with a mean age of 30.8±8.4 years, most having attained secondary education (40%). While 45.3% faced menstrual issues, only 29.8% sought healthcare. Enhanced awareness about eco-friendly menstrual products and menstrual impact was evident, with menstrual cup usage increasing from 0.2% to 6.6% (p0.001). Positive practices such as timely pad disposal and hygienic practices improved significantly. Discussion-Conclusion Challenges encompassed discomfort, staining, extended work hours, and inadequate pad access. The study underscores the effectiveness of targeted peer-led menstrual hygiene training in advancing women’s awareness, practices, and perspectives on menstruation. To further promote inclusivity and sensitivity, the involvement of factory management and male workers is recommended.