الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Implementation of evidence-based health education package for controlling pesticides hazards at farms would provide a custom-made and safe intervention among agricultural workers and their community. The RE-AIM model is an external validity tool to provide a framework or comprehensive approach for evaluating the potential public health impact of an intervention. The aim of the present study is to test the external validation of an evidence-based health education package for controlling pesticides hazards at farms. The study was conducted at 3 villages of Mansoura district at Dakahlia governorate. The sample size was 158 agricultural-workers. As well as 3 trainers and 5 professional experts participated in the study. Tools of the study were used to collect the data comprised of agricultural-workers’ demographic and occupational data, knowledge and practice of in relation to safety measures of pesticides handling. As well as professional experts’ opinions regarding TOT program development. Furthermore, trainers’ demographic and occupational data in addition to their practice during their implementation of the EBHEP. Study results revealed that the package was externally valid; Reach into studied agricultural-workers (R = 51.59) was moderate, effectiveness (E = 282.24), Implementation (I = 98) and maintenance (M = 185.4) of EBHEP were high and Adoption (A = 13.57) by included villages was low. The overall measure of the EBHEP impact was calculated to be 126.16%. The main conclusion drawn from the present study is that the Evidence-Based Health Education Package for Controlling Pesticides Hazards at farms is externally valid. The implementation of the evidence-based health education package in different settings by different agricultural-advisors resulted in improvement in agricultural-workers knowledge and practice regarding safe pesticides handling as well as decrease in self-reported pesticide toxicity with long-term maintenance. The study recommended dissemination of the evidence-based health education package for controlling pesticides hazards at farms to reduce pesticides hazards among agricultural-workers for future, different conditions and on regular basis.