Strengthening character among frontline health workers delivering care to underserved communities in Sindh, Pakistan

We conducted a multiphase mixed-methods pilot in two districts of Sindh, Pakistan, to evaluate the impact of a humanities-based curriculum on frontline health workers (FHWs). Rooted in local literature and arts, the curriculum aimed to foster character development and enhance well-being. A total of 112 FHWs participated in eight weekly sessions. We assessed the impact using an adapted Claremont Purpose Scale (CPS) pre- and post-intervention, alongside in-depth interviews with FHWs and their supervisors. The CPS scores increased by 5 points from baseline (median = 48, IQR = 43–52) to endline (median = 53, IQR = 49–58; p < 0.001), and 3-month follow-up (median = 53, IQR = 48–57). Participants rated the sessions highly for content, delivery, and overall success. Supervisors observed improvements in FHWs’ professional conduct, self-regulation, and communication. Findings suggest that localized humanities-based training can strengthen FHWs’ sense of purpose and well-being, though further research is needed to explore long-term effects.