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Health promotion at the workplace setting: a protocol for a systematic review of effectiveness and sustainability of current practice in low-income and middle-income countries
  1. Mary Njeri Wanjau1,2,
  2. Belen Zapata-Diomedi2,3,
  3. Lennert Veerman4
  1. 1 School of Nursing, The University of Nairobi, Nairobi, Nairobi, Kenya
  2. 2 School of Medicine, Griffith University, Gold Coast, Queensland, Australia
  3. 3 Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia
  4. 4 School of Medicine, Griffith University, Southport, Queensland, Australia
  1. Correspondence to Miss Mary Njeri Wanjau; mary.wanjau{at}


Introduction Low-income and middle-income countries (LMICs) are experiencing a growing disease burden due to non-communicable diseases (NCDs). Changing behavioural practices, such as diets high in saturated fat, salt and sugar and sedentary lifestyles, have been associated with the increase in NCDs. Health promotion at the workplace setting is considered effective in the fight against NCDs and has been reported to yield numerous benefits. However, there is a need to generate evidence on the effectiveness and sustainability of workplace health promotion practice specific to LMICs. We aim to synthesise the current literature on workplace health promotion in LMICs focusing on interventions effectiveness and sustainability.

Methods and analysis We will conduct a systematic review of published studies from LMICs up to 31 March 2019. We will search the following databases: EMBASE, MEDLINE, PubMed, Web of Science, Scopus, ProQuest and CINAHL. Two reviewers will independently screen potential articles for inclusion and disagreements will be resolved by consensus. We will appraise the quality and risk of bias of included studies using two tools from the Cochrane handbook for systematic reviews of interventions. We will present a narrative overview and assessment of the body of evidence derived from the comprehensive review of the studies. The reported outcomes will be summarised by study design, duration, intensity/frequency of intervention delivery and by the six-priority health promotion action areas set out in the Ottawa Charter. We will conduct a thematic analysis to identify the focus areas of current interventions. This systematic review protocol has been prepared according to the Preferred Reporting Items for Systematic reviews and Meta- analyses for Protocols 2015 statement.

Ethics and dissemination This study does not require ethics approval. We will disseminate the results of this review through peer-reviewed publications and conference presentations.

Trial registration number CRD42018110853.

  • health promotion
  • sustainability
  • workplace
  • effectiveness
  • low- and middle- income countries

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

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  • Contributors MNW conceived the paper and wrote the first draft. BZ-D and JLV provided revisions to the manuscript. All authors read and approved the final manuscript. MNW is the guarantor of the review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Not required.

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