Addressing Sexual Health Challenges in Rural Karachi, Pakistan with the Revolutionary PLISSIT Model

Abstract

Objectives: To solve the sexual health problems among young women aged 20-39 years by using a PLISSIT model in rural Sindh Karachi Pakistan.  Material and Methods: This Quasi-experiment will carry in the primary health care center of Sindh Karachi, Pakistan. One primary healthcare center will be randomly selected as an intervention group and another center will be selected as control from all primary healthcare centers in Karachi. Intervention and control groups both will have socio-demographic characteristics. The population will be post-married women of age 20 to 39 years.  Eligible participants will be randomly selected into control or intervention groups by applying the Balanced Blocked Randomizing method.  For estimating sample size a confidence level of 95%, with a power of 80%, and with a dropout rate of 15%, will be used in open epi online software. This led to about 40 participants in each group of intervention and the control group will be the sample size. An adapted questionnaire (tool) called the female sexual functioning index (FSFI) from an Iranian study will be used in the study. Permission has been taken through email from the corresponding author. The questionnaire of FSFI is a validated and reliable measurement for assessing female sexual problems. Analysis Plan: For the statistical analysis, SPSS version 20 will be used and data will be shown in the form of mean and standard deviation. For the comparison of scores between and within the groups, the Pair T-test and repeated measure of variance (ANOVA) will be used. The results will be considered significant for all statistical analyses if P < 0.05. Conclusion: In conclusion, the PLISSIT model and using the FSFI questionnaire, this study aims to contribute valuable insights into addressing and potentially solving sexual health problems among young women in rural Sindh, Karachi, Pakistan. The findings obtained from this research have the potential to inform future interventions and strategies aimed at improving the sexual well-being of this population.