Assessing the Effectiveness of Reproductive Health Literacy Trainings on Access To Care for Arab and Afghan Refugee Communities

This study assessed the impact of reproductive health literacy training for general, digital, and reproductive health literacy among Afghan and Arab refugees. From September 2023 to June 2024, the research team offered reproductive health literacy training (RHLT) series to Dari-, Pashto-, and Arabic-speaking refugees online and at public libraries in Sacramento, California. The RHLT series presented information on cervical cancer prevention, family planning, and maternal health with an emphasis on participants' ability to independently find reliable health information and use it for their own and their families' health decisions. A total of 203 participants completed the pre-assessment and post-assessment, administered two weeks after the final training session. Each assessment included validated scales, including the European Health Literacy Survey Questionnaire 6 (HLS-EU-Q6) and the eHealth Literacy Scale (eHEALS). Study participants in all three language groups significantly improved general health literacy, reproductive health literacy and reproductive knowledge (p < 0.05). Improvements in the digital health literacy scale (eHEALS) were borderline significant (p = 0.0506) and significant for Dari speakers (p < 0.05). There were no differences among the three language groups when controlling for age, education, and length of stay in the United States. These results showed that reproductive health literacy training that focuses on understanding and using health information is effective in increasing health literacy among Afghan and Arab refugee women with diverse cultural and demographic backgrounds. Scalable health literacy modules have the potential to reduce health disparities and empower informed decision-making within underserved populations.