Protocol for Evaluating the Impact of Capacity Building on Seafarers’ Occupational Health and Safety in Three Gulf of Guinea Seaports Using a COM-B Framework Approach

Abstract

Background: Occupational risks remain prevalent among seafarers along the Gulf of Guinea. However, structured evaluations of safety education and capacity-building initiatives targeting these risks remain scarce. Objective: This protocol outlines a mixed-methods study to assess the impact of a tailored occupational health and safety (OHS) training program on the knowledge, attitudes, and behaviors of West -African seafarers using the COM-B behavioral model. Methods: A quasi-experimental design will be used to conduct the study in the ports of Douala (Cameroon), Warri (Nigeria), and Tema (Ghana). Following recruitment, participants will be randomly allocated to intervention and control groups. A pre-assessment will be conducted with both intervention and control groups to establish baseline information. A six-module OHS training will focus on safety practices, hazard identification, and behavioral reinforcement. Data will be collected through surveys, focus group discussions (FGDs), in-depth interview (IDIs), and structured observation at both pre- and post‑intervention stages. Quantitative data will be analyzed using SPSS, while qualitative data will be coded and analyzed using ATLAS.ti.. The COM-B framework will guide the intervention logic and inform outcome assessment. Expected Outcomes: This protocol is designed to generate replicable, policy-relevant evidence on improving seafarers’ safety behavior through contextualized health education and capacity building intervention.