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Process Evaluation of a Workers' Health Surveillance Program for Meat Processing Workers.

Berry J van Holland1, Sandra Brouwer2, Michiel R de Boer3

  • 1Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. b.j.van.holland@umcg.nl.

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|August 1, 2016
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Summary

The workers' health surveillance (WHS) program in a Dutch meat company was well-received, but implementation faced challenges. Not all workers received all components, potentially impacting program effectiveness.

Keywords:
Implementation researchMeatpacking industryQualitativeQuantitativeSustainable employability

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Area of Science:

  • Occupational Health
  • Public Health
  • Industrial Hygiene

Background:

  • Workers' health surveillance (WHS) programs are crucial for monitoring and improving employee well-being in high-risk industries.
  • Meat processing companies present unique occupational health challenges requiring tailored surveillance strategies.

Purpose of the Study:

  • To evaluate the implementation process of a WHS program within a Dutch meat processing company.
  • To identify facilitators and barriers affecting WHS program implementation and participant engagement.

Main Methods:

  • Mixed-methods approach combining qualitative (interviews) and quantitative (questionnaires, registries) data.
  • Evaluation of seven process aspects across five plants, including recruitment, program component delivery, and participant satisfaction.
  • Assessment of reach, dose delivered, dose received, and fidelity for program components.

Main Results:

  • The WHS program achieved an average reach of 53%, with 305 out of 986 eligible workers participating.
  • High participant satisfaction reported (mean score 7.6), with 85-100% of assessable components delivered and 66-100% received.
  • Facilitating factors included societal developments and management support; barriers involved program novelty and delayed follow-up.

Conclusions:

  • The WHS program demonstrated good participant reception and satisfaction.
  • Variations in component delivery and adherence to protocol were observed, potentially affecting program effectiveness.
  • Optimizing WHS implementation requires addressing protocol deviations and ensuring consistent component delivery to all participants.