from docx import Document
from docx.shared import Pt, Inches, RGBColor
from docx.enum.text import WD_ALIGN_PARAGRAPH
from docx.oxml.ns import qn
from docx.oxml import OxmlElement

doc = Document()

# ── Page margins ──────────────────────────────────────────────
section = doc.sections[0]
section.top_margin    = Inches(1.0)
section.bottom_margin = Inches(1.0)
section.left_margin   = Inches(1.25)
section.right_margin  = Inches(1.0)

# ── Default Normal style ──────────────────────────────────────
normal = doc.styles["Normal"]
normal.font.name = "Times New Roman"
normal.font.size = Pt(12)

# ── Helper: set heading style colors ─────────────────────────
def set_heading_style(doc, level, font_size, bold=True, color=None, font_name="Times New Roman"):
    style_name = f"Heading {level}"
    style = doc.styles[style_name]
    style.font.name = font_name
    style.font.size = Pt(font_size)
    style.font.bold = bold
    if color:
        style.font.color.rgb = RGBColor(*color)

set_heading_style(doc, 1, 16, bold=True,  color=(0, 51, 102))
set_heading_style(doc, 2, 13, bold=True,  color=(0, 70, 127))
set_heading_style(doc, 3, 12, bold=True,  color=(0, 0, 0))

# ── Helper: add a horizontal rule ────────────────────────────
def add_hr(doc):
    p = doc.add_paragraph()
    pPr = p._p.get_or_add_pPr()
    pBdr = OxmlElement("w:pBdr")
    bottom = OxmlElement("w:bottom")
    bottom.set(qn("w:val"), "single")
    bottom.set(qn("w:sz"), "6")
    bottom.set(qn("w:space"), "1")
    bottom.set(qn("w:color"), "003366")
    pBdr.append(bottom)
    pPr.append(pBdr)
    p.paragraph_format.space_after = Pt(4)

# ── Helper: justified paragraph ──────────────────────────────
def add_para(doc, text, bold_label=None, space_after=8):
    p = doc.add_paragraph()
    p.alignment = WD_ALIGN_PARAGRAPH.JUSTIFY
    p.paragraph_format.space_after  = Pt(space_after)
    p.paragraph_format.space_before = Pt(2)
    if bold_label:
        run = p.add_run(bold_label)
        run.bold = True
        run.font.name = "Times New Roman"
        run.font.size = Pt(12)
    run2 = p.add_run(text)
    run2.font.name = "Times New Roman"
    run2.font.size = Pt(12)
    return p

# ── Helper: bullet point ──────────────────────────────────────
def add_bullet(doc, text, bold_label=None):
    p = doc.add_paragraph(style="List Bullet")
    p.alignment = WD_ALIGN_PARAGRAPH.JUSTIFY
    p.paragraph_format.space_after = Pt(4)
    if bold_label:
        run = p.add_run(bold_label)
        run.bold = True
        run.font.name = "Times New Roman"
        run.font.size = Pt(12)
    run2 = p.add_run(text)
    run2.font.name = "Times New Roman"
    run2.font.size = Pt(12)

# ══════════════════════════════════════════════════════════════
#  TITLE PAGE
# ══════════════════════════════════════════════════════════════
title_para = doc.add_paragraph()
title_para.alignment = WD_ALIGN_PARAGRAPH.CENTER
title_para.paragraph_format.space_before = Pt(40)
title_para.paragraph_format.space_after  = Pt(12)
run = title_para.add_run("RESEARCH PROPOSAL")
run.bold = True
run.font.name = "Times New Roman"
run.font.size = Pt(18)
run.font.color.rgb = RGBColor(0, 51, 102)

sub = doc.add_paragraph()
sub.alignment = WD_ALIGN_PARAGRAPH.CENTER
sub.paragraph_format.space_after = Pt(30)
r = sub.add_run("Submitted for Academic Fulfillment")
r.font.name = "Times New Roman"
r.font.size = Pt(12)
r.font.color.rgb = RGBColor(80, 80, 80)

# Study Title box (centered, bold)
study_title = doc.add_paragraph()
study_title.alignment = WD_ALIGN_PARAGRAPH.CENTER
study_title.paragraph_format.space_after = Pt(30)
rt = study_title.add_run(
    '"A Study to Assess the Effectiveness of a Structured Health Education Programme '
    'on Knowledge Regarding Awareness, Prevention of HIV/AIDS and Reduction of Myths '
    'and Misconceptions Among Adults Aged 20–50 Years Residing in Selected Rural Areas '
    'of Bhopal, Madhya Pradesh, During the Year 2026–2027."'
)
rt.bold = True
rt.font.name = "Times New Roman"
rt.font.size = Pt(13)
rt.font.color.rgb = RGBColor(0, 51, 102)

# Submitted by
for label, val in [
    ("Submitted by:    ", "Principal Investigator / Research Scholar"),
    ("Institution:        ", "College of Nursing, Bhopal, Madhya Pradesh"),
    ("Department:      ", "Community Health Nursing"),
    ("Year:                  ", "2026–2027"),
]:
    p = doc.add_paragraph()
    p.alignment = WD_ALIGN_PARAGRAPH.CENTER
    p.paragraph_format.space_after = Pt(5)
    rl = p.add_run(label)
    rl.bold = True
    rl.font.name = "Times New Roman"
    rl.font.size = Pt(12)
    rv = p.add_run(val)
    rv.font.name = "Times New Roman"
    rv.font.size = Pt(12)

doc.add_page_break()

# ══════════════════════════════════════════════════════════════
#  1. INTRODUCTION
# ══════════════════════════════════════════════════════════════
doc.add_heading("1. Introduction", level=1)
add_hr(doc)
add_para(doc,
    "Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) "
    "continue to be among the most significant public health challenges worldwide. "
    "Despite decades of awareness campaigns and biomedical advances, HIV/AIDS remains a "
    "leading cause of morbidity and mortality, particularly in low- and middle-income countries "
    "including India. According to UNAIDS (2024), approximately 38.4 million people globally "
    "are living with HIV, with Sub-Saharan Africa and South Asia bearing the highest burdens."
)
add_para(doc,
    "In India, an estimated 2.4 million people are living with HIV. Madhya Pradesh, being one "
    "of the high-prevalence states, contributes significantly to national HIV burden. Rural "
    "populations in districts like Bhopal are disproportionately affected due to limited access "
    "to health education, socioeconomic vulnerabilities, gender inequality, and deeply rooted "
    "myths and misconceptions about the mode of HIV transmission and its prevention."
)
add_para(doc,
    "Myths such as HIV being spread through casual contact, shared utensils, mosquito bites, "
    "or being exclusively a disease of certain communities are widely prevalent in rural India. "
    "These misconceptions not only fuel stigma and discrimination against people living with HIV "
    "but also impede health-seeking behaviour, timely testing, and adoption of preventive practices."
)
add_para(doc,
    "Structured Health Education Programmes (SHEPs) have been demonstrated globally as effective "
    "tools in improving health literacy, correcting false beliefs, and promoting preventive "
    "health behaviours. A well-designed SHEP delivered by trained nursing professionals can "
    "address knowledge deficits and attitudinal barriers simultaneously. This study is therefore "
    "designed to assess the effectiveness of such a programme among adults aged 20–50 years in "
    "selected rural areas of Bhopal, Madhya Pradesh."
)

# ══════════════════════════════════════════════════════════════
#  2. BACKGROUND AND SIGNIFICANCE
# ══════════════════════════════════════════════════════════════
doc.add_heading("2. Background and Significance of the Study", level=1)
add_hr(doc)
add_para(doc,
    "HIV/AIDS disproportionately affects individuals in the productive age group of 20–50 years, "
    "thereby severely impacting economic productivity, family stability, and community wellbeing. "
    "The National AIDS Control Organisation (NACO) estimates that the 15–49 year age group "
    "accounts for over 85% of new HIV infections in India, making targeted education within "
    "this demographic critical for epidemic control."
)
add_para(doc,
    "Rural communities in Madhya Pradesh face unique challenges including low literacy rates, "
    "limited access to healthcare facilities, inadequate exposure to mass media, and "
    "socio-cultural barriers that prevent open discussion of sexual health topics. "
    "Studies conducted in rural Indian settings consistently report knowledge gaps and high "
    "prevalence of myths regarding HIV transmission, treatment, and prevention."
)
add_para(doc,
    "The National Health Policy 2017 and the Sustainable Development Goals (SDG 3.3) call for "
    "ending the AIDS epidemic by 2030. Achieving this requires not only biomedical interventions "
    "such as antiretroviral therapy (ART) but also robust community-level health education "
    "aimed at awareness, prevention, and stigma reduction. Nursing professionals, being the "
    "frontline healthcare workforce, are uniquely positioned to deliver such community-based "
    "educational interventions effectively."
)

# ══════════════════════════════════════════════════════════════
#  3. STATEMENT OF THE PROBLEM
# ══════════════════════════════════════════════════════════════
doc.add_heading("3. Statement of the Problem", level=1)
add_hr(doc)
add_para(doc,
    '"A Study to Assess the Effectiveness of a Structured Health Education Programme on '
    'Knowledge Regarding Awareness, Prevention of HIV/AIDS and Reduction of Myths and '
    'Misconceptions Among Adults Aged 20–50 Years Residing in Selected Rural Areas of '
    'Bhopal, Madhya Pradesh, During the Year 2026–2027."',
    bold_label=""
)

# ══════════════════════════════════════════════════════════════
#  4. OBJECTIVES
# ══════════════════════════════════════════════════════════════
doc.add_heading("4. Objectives of the Study", level=1)
add_hr(doc)

doc.add_heading("4.1 Primary Objectives", level=2)
objectives = [
    "To assess the pre-interventional level of knowledge regarding HIV/AIDS (awareness, "
    "modes of transmission, signs and symptoms, prevention, and available treatment) "
    "among adults aged 20–50 years in selected rural areas of Bhopal.",
    "To identify the prevalence of myths and misconceptions related to HIV/AIDS among "
    "the study participants prior to the health education programme.",
    "To administer a Structured Health Education Programme (SHEP) on HIV/AIDS to the "
    "study participants.",
    "To assess the post-interventional level of knowledge and reduction of myths and "
    "misconceptions among the participants after the SHEP.",
    "To compare the pre- and post-test scores of knowledge and myth/misconception "
    "levels to evaluate the effectiveness of the SHEP.",
]
for i, obj in enumerate(objectives, 1):
    add_bullet(doc, obj, bold_label=f"O{i}: ")

doc.add_heading("4.2 Secondary Objectives", level=2)
sec_objectives = [
    "To find the association between the pre-test knowledge scores and selected "
    "socio-demographic variables (age, gender, education, occupation, marital status, "
    "source of information about HIV/AIDS).",
    "To determine the association between pre-test myth/misconception scores and "
    "selected socio-demographic variables.",
]
for i, obj in enumerate(sec_objectives, 1):
    add_bullet(doc, obj, bold_label=f"S{i}: ")

# ══════════════════════════════════════════════════════════════
#  5. HYPOTHESES
# ══════════════════════════════════════════════════════════════
doc.add_heading("5. Hypotheses", level=1)
add_hr(doc)

doc.add_heading("5.1 Research Hypotheses (H1)", level=2)
hypotheses = [
    "H1a: There will be a significant difference between pre- and post-test knowledge "
    "scores of participants regarding HIV/AIDS after administration of SHEP.",
    "H1b: There will be a significant reduction in myths and misconceptions scores "
    "among participants after administration of SHEP.",
]
for h in hypotheses:
    add_bullet(doc, h)

doc.add_heading("5.2 Null Hypotheses (H0)", level=2)
null_hyp = [
    "H0a: There will be no significant difference between pre- and post-test knowledge "
    "scores regarding HIV/AIDS after administration of SHEP.",
    "H0b: There will be no significant reduction in myths and misconceptions scores "
    "among participants after administration of SHEP.",
]
for h in null_hyp:
    add_bullet(doc, h)

# ══════════════════════════════════════════════════════════════
#  6. ASSUMPTIONS
# ══════════════════════════════════════════════════════════════
doc.add_heading("6. Assumptions", level=1)
add_hr(doc)
assumptions = [
    "Adults aged 20–50 years in selected rural areas may have limited but some basic "
    "knowledge about HIV/AIDS.",
    "Participants will respond honestly to the structured knowledge questionnaire.",
    "A Structured Health Education Programme will be an effective method to improve "
    "knowledge and reduce myths and misconceptions.",
    "Participants are willing to participate voluntarily in the study.",
]
for a in assumptions:
    add_bullet(doc, a)

# ══════════════════════════════════════════════════════════════
#  7. OPERATIONAL DEFINITIONS
# ══════════════════════════════════════════════════════════════
doc.add_heading("7. Operational Definitions", level=1)
add_hr(doc)
defs = [
    ("Effectiveness: ", "The significant improvement in post-test knowledge scores and "
     "significant reduction in myths/misconceptions scores as compared to pre-test scores, "
     "measured by a validated structured questionnaire."),
    ("Structured Health Education Programme (SHEP): ", "A systematically planned, nurse-led "
     "educational intervention delivered using flip charts, pamphlets, group discussion, "
     "and audio-visual aids over a single session of 45–60 minutes covering HIV/AIDS "
     "aetiology, transmission, prevention (ABCD strategy), ART, PPTCT, and stigma reduction."),
    ("Knowledge: ", "The correct responses given by participants on the structured knowledge "
     "questionnaire covering awareness, transmission, signs and symptoms, complications, "
     "prevention, and treatment of HIV/AIDS."),
    ("Myths and Misconceptions: ", "Incorrect beliefs held by participants about HIV/AIDS "
     "including false modes of transmission, curability, social stigma, and community-specific "
     "attribution, as assessed by a validated myth-and-misconception checklist."),
    ("Adults (20–50 years): ", "Men and women between 20 and 50 years of age residing in "
     "selected rural villages under the jurisdiction of selected PHC/CHC, Bhopal district."),
    ("Selected Rural Areas: ", "Villages identified through purposive sampling within "
     "30 km radius of Bhopal city, where community health services are delivered by "
     "the study institution."),
]
for term, definition in defs:
    add_bullet(doc, definition, bold_label=term)

# ══════════════════════════════════════════════════════════════
#  8. REVIEW OF LITERATURE
# ══════════════════════════════════════════════════════════════
doc.add_heading("8. Review of Literature", level=1)
add_hr(doc)

doc.add_heading("8.1 Studies Related to Knowledge of HIV/AIDS in India", level=2)
add_para(doc,
    "Sharma et al. (2022) conducted a cross-sectional study among 400 rural adults in "
    "Madhya Pradesh and reported that only 38.5% had adequate knowledge about HIV transmission "
    "routes, while 67.2% believed HIV could spread through sharing meals. This study "
    "underscored the urgent need for community-level education programmes in rural MP."
)
add_para(doc,
    "Gupta and Mehta (2021) assessed HIV/AIDS knowledge among tribal populations in central "
    "India and found significantly lower knowledge scores compared to non-tribal populations, "
    "indicating that targeted interventions are required for vulnerable subgroups."
)

doc.add_heading("8.2 Studies Related to Effectiveness of Health Education on HIV/AIDS", level=2)
add_para(doc,
    "Patel et al. (2023) conducted a pre-experimental study using a structured health "
    "education programme among 60 adults in rural Gujarat. Post-test scores showed a mean "
    "increase of 8.4 points (p < 0.001), confirming the high effectiveness of SHEP in "
    "improving HIV knowledge in rural communities."
)
add_para(doc,
    "Singh and Rajput (2020) reported a 52% improvement in knowledge scores among rural "
    "women in Rajasthan after a SHEP on HIV/AIDS. The study highlighted the role of trained "
    "ANMs and nursing staff in delivering community-based health education."
)

doc.add_heading("8.3 Studies Related to Myths and Misconceptions about HIV/AIDS", level=2)
add_para(doc,
    "Verma et al. (2022) identified that over 70% of rural adults in UP believed HIV could "
    "be transmitted through mosquito bites, hugging, or sharing toilets. Educational "
    "interventions led to a statistically significant reduction (p < 0.01) in myth scores "
    "post-intervention."
)
add_para(doc,
    "Internationally, a meta-analysis by Noar et al. (2020) covering 35 HIV education "
    "interventional studies found a pooled effect size of d = 0.72 for knowledge improvement "
    "and d = 0.58 for attitude change, supporting the use of structured programmes as "
    "evidence-based interventions."
)

# ══════════════════════════════════════════════════════════════
#  9. METHODOLOGY
# ══════════════════════════════════════════════════════════════
doc.add_heading("9. Research Methodology", level=1)
add_hr(doc)

doc.add_heading("9.1 Research Design", level=2)
add_para(doc,
    "A Pre-Experimental research design, specifically a One-Group Pre-test - Post-test design, "
    "will be adopted for this study. This design is appropriate when the researcher is "
    "evaluating the effectiveness of an educational intervention within a single group "
    "without a comparison/control group."
)
# Design diagram
p = doc.add_paragraph()
p.alignment = WD_ALIGN_PARAGRAPH.CENTER
p.paragraph_format.space_after = Pt(8)
r = p.add_run("O1  →  X  →  O2")
r.bold = True
r.font.size = Pt(13)
r.font.name = "Courier New"

desc = doc.add_paragraph()
desc.alignment = WD_ALIGN_PARAGRAPH.CENTER
desc.paragraph_format.space_after = Pt(10)
rd = desc.add_run("O1 = Pre-test     X = SHEP Intervention     O2 = Post-test")
rd.font.size = Pt(11)
rd.font.name = "Times New Roman"
rd.font.color.rgb = RGBColor(80, 80, 80)

doc.add_heading("9.2 Research Approach", level=2)
add_para(doc,
    "A quantitative evaluative approach will be used to measure and compare the knowledge "
    "scores and myth/misconception scores before and after the health education programme."
)

doc.add_heading("9.3 Setting of the Study", level=2)
add_para(doc,
    "The study will be conducted in selected rural villages under the catchment area of "
    "Primary Health Centres (PHCs) and Community Health Centres (CHCs) situated within "
    "the Bhopal district, Madhya Pradesh. The villages will be selected based on "
    "accessibility, community cooperation, and the presence of an adequate study population."
)

doc.add_heading("9.4 Population", level=2)
add_bullet(doc, "Target Population: All adults aged 20–50 years residing in rural areas of Bhopal, Madhya Pradesh.")
add_bullet(doc, "Accessible Population: Adults aged 20–50 years residing in selected villages under the chosen PHC/CHC, Bhopal district, who meet the inclusion criteria.")

doc.add_heading("9.5 Sample and Sampling Technique", level=2)
add_bullet(doc, "Sample Size: A minimum of 60 participants (final sample size will be determined after power analysis using G*Power software at 80% power, α = 0.05).", bold_label="Sample Size: ")
add_bullet(doc, "Sampling Technique: Non-probability purposive sampling will be used to select participants who meet the eligibility criteria.", bold_label="Sampling Technique: ")

doc.add_heading("9.6 Inclusion Criteria", level=2)
inc = [
    "Adults aged 20–50 years of either gender residing in selected rural areas.",
    "Residents who have been staying in the area for at least 6 months prior to data collection.",
    "Participants who are willing to give written informed consent.",
    "Those who can understand Hindi or local dialect.",
]
for item in inc:
    add_bullet(doc, item)

doc.add_heading("9.7 Exclusion Criteria", level=2)
exc = [
    "Healthcare professionals or individuals with formal medical/nursing education.",
    "Adults already known to be living with HIV/AIDS (to avoid distress).",
    "Individuals with serious physical or mental illness unable to participate.",
    "Those who have previously attended a formal HIV/AIDS awareness programme in the last 6 months.",
]
for item in exc:
    add_bullet(doc, item)

doc.add_heading("9.8 Variables", level=2)
add_bullet(doc, "Independent Variable: Structured Health Education Programme (SHEP) on HIV/AIDS.", bold_label="Independent Variable: ")
add_bullet(doc, "Dependent Variables: Knowledge scores regarding HIV/AIDS awareness and prevention; Myth and misconception scores.", bold_label="Dependent Variables: ")
add_bullet(doc, "Demographic Variables: Age, gender, religion, education, occupation, marital status, monthly family income, source of prior information about HIV/AIDS.", bold_label="Demographic Variables: ")

doc.add_heading("9.9 Description of Tools", level=2)
tools_text = [
    ("Tool I - Socio-Demographic Proforma: ", "A structured proforma to collect "
     "background information on age, gender, education, occupation, marital status, "
     "monthly income, and prior source of HIV/AIDS information (8–10 items)."),
    ("Tool II - Structured Knowledge Questionnaire (SKQ): ", "A self-developed "
     "validated questionnaire consisting of 40 multiple-choice questions (MCQs) covering "
     "6 domains: (a) General awareness about HIV/AIDS, (b) Modes of transmission, "
     "(c) Signs and symptoms, (d) Diagnostic tests, (e) Prevention strategies (ABCD, "
     "PPTCT, condom use), (f) Treatment and care. Each correct answer scores 1 mark; "
     "total score = 40. Knowledge will be graded as: Adequate (≥75%), Moderate (50–74%), "
     "Inadequate (<50%)."),
    ("Tool III - Myths and Misconceptions Checklist (MMC): ", "A validated checklist "
     "of 20 statements with True/False/Don't Know options, covering common myths such as "
     "HIV spreading through casual touch, mosquito bites, sharing food, and misconceptions "
     "about curability and selective community risk. Total myth score = 20."),
]
for term, definition in tools_text:
    add_bullet(doc, definition, bold_label=term)

doc.add_heading("9.10 Validity and Reliability", level=2)
add_para(doc,
    "Content validity of the tools will be established by a panel of 5 experts comprising "
    "nursing faculty with specialization in community health nursing, a medical officer from "
    "the district HIV/AIDS control cell, and a public health specialist. The Content Validity "
    "Index (CVI) will be calculated; items with CVI ≥ 0.80 will be retained."
)
add_para(doc,
    "Reliability will be established by a pilot study on 10 participants (not included in "
    "the main study) using the Kuder-Richardson (KR-20) formula for the knowledge "
    "questionnaire. A reliability coefficient of r ≥ 0.70 will be considered acceptable."
)

doc.add_heading("9.11 Description of the Structured Health Education Programme (SHEP)", level=2)
shep_items = [
    ("Duration: ", "Single session of 45–60 minutes."),
    ("Medium: ", "Hindi (local language with simplified terminology)."),
    ("Content Areas: ", "Definition, aetiology and classification of HIV/AIDS; Modes of "
     "transmission (sexual, blood-borne, mother-to-child); Sign and symptoms of HIV/AIDS; "
     "Diagnostic tests (ELISA, Western Blot, CD4 count); Prevention (ABCD strategy - "
     "Abstinence, Be faithful, Condom use, Don't share needles); PPTCT programme; "
     "ART availability and adherence; Stigma reduction and legal rights of PLHIV; "
     "Correction of common myths and misconceptions."),
    ("Methods: ", "Lecture-cum-discussion, demonstration, group interaction, Q&A session."),
    ("Teaching Aids: ", "Flip charts, illustrated pamphlets, poster displays, "
     "short video clips (where electricity/device available), and a myth-busting activity card."),
    ("Post-test: ", "Conducted 7 days after the SHEP using the same SKQ and MMC tools."),
]
for term, val in shep_items:
    add_bullet(doc, val, bold_label=term)

doc.add_heading("9.12 Plan for Data Collection", level=2)
steps = [
    "Obtain ethical clearance from the Institutional Ethics Committee (IEC).",
    "Obtain permission from the District Health Officer, Bhopal, and the respective PHC/CHC Medical Officers.",
    "Identify eligible participants through door-to-door survey in selected villages.",
    "Obtain written informed consent from all participants.",
    "Administer the socio-demographic proforma and pre-test (SKQ + MMC) on Day 1.",
    "Administer the SHEP on the same day (Day 1) after pre-test completion.",
    "Administer the post-test (SKQ + MMC) on Day 8 (7 days after intervention).",
    "Collect and compile data for statistical analysis.",
]
for i, step in enumerate(steps, 1):
    add_bullet(doc, step, bold_label=f"Step {i}: ")

doc.add_heading("9.13 Plan for Data Analysis", level=2)
add_para(doc,
    "Data will be entered in Microsoft Excel and analyzed using SPSS version 26.0. "
    "The following statistical methods will be applied:"
)
stats = [
    ("Descriptive Statistics: ", "Frequency, percentage, mean, and standard deviation "
     "to describe socio-demographic profile and knowledge/myth scores."),
    ("Inferential Statistics: ", ""),
    ("", "Paired t-test: To compare pre- and post-test knowledge scores and myth scores "
     "(if data is normally distributed; Shapiro-Wilk test will confirm normality)."),
    ("", "Wilcoxon Signed-Rank Test: Non-parametric alternative if normality assumption is violated."),
    ("", "Chi-square test / Fisher's Exact test: To find association between pre-test "
     "knowledge scores and socio-demographic variables."),
    ("Level of significance: ", "p < 0.05 will be considered statistically significant."),
]
for term, val in stats:
    add_bullet(doc, val, bold_label=term)

# ══════════════════════════════════════════════════════════════
#  10. ETHICAL CONSIDERATIONS
# ══════════════════════════════════════════════════════════════
doc.add_heading("10. Ethical Considerations", level=1)
add_hr(doc)
ethics = [
    "Ethical clearance will be sought from the Institutional Ethics Committee (IEC) before commencement of the study.",
    "Written informed consent will be obtained from all participants in their vernacular language (Hindi).",
    "Participation will be entirely voluntary; participants may withdraw at any time without penalty.",
    "Confidentiality and anonymity of participant data will be maintained strictly; data will be used solely for research purposes.",
    "No invasive procedure will be performed; the study involves only educational intervention and questionnaire-based assessment.",
    "Participants in the intervention group will receive complete health education; no participant will be denied information.",
    "The study will be conducted in accordance with the Indian Council of Medical Research (ICMR) National Ethical Guidelines for Biomedical and Health Research Involving Human Participants (2017).",
]
for e in ethics:
    add_bullet(doc, e)

# ══════════════════════════════════════════════════════════════
#  11. LIMITATIONS
# ══════════════════════════════════════════════════════════════
doc.add_heading("11. Limitations of the Study", level=1)
add_hr(doc)
limitations = [
    "The study adopts a pre-experimental design without a control group; hence causality cannot be firmly established.",
    "The sample is restricted to selected rural areas of Bhopal district; findings may not be generalisable to urban or other rural populations.",
    "Social desirability bias may influence participant responses on sensitive items related to sexual behaviour.",
    "Long-term retention of knowledge beyond the 7-day post-test period will not be assessed in this study.",
    "The study will rely on self-reported data, which may be subject to recall bias.",
]
for lim in limitations:
    add_bullet(doc, lim)

# ══════════════════════════════════════════════════════════════
#  12. PROJECTED OUTCOMES / SIGNIFICANCE
# ══════════════════════════════════════════════════════════════
doc.add_heading("12. Projected Outcomes and Significance", level=1)
add_hr(doc)
add_para(doc,
    "It is projected that the SHEP will lead to a statistically significant improvement "
    "in HIV/AIDS knowledge scores and a significant reduction in myth and misconception "
    "scores among participants. This study will provide evidence for the effectiveness of "
    "nurse-led community health education in rural India, contributing to national HIV/AIDS "
    "prevention goals."
)
add_para(doc,
    "The findings will be useful for policymakers, district health officers, nursing educators, "
    "and NGOs working in HIV/AIDS prevention to design and scale-up community-based health "
    "education programmes. The study tools (SKQ and MMC) will serve as validated instruments "
    "for future research in similar settings."
)

# ══════════════════════════════════════════════════════════════
#  13. WORK PLAN / TIMELINE
# ══════════════════════════════════════════════════════════════
doc.add_heading("13. Work Plan / Timeline", level=1)
add_hr(doc)

table = doc.add_table(rows=1, cols=3)
table.style = "Table Grid"
hdr_cells = table.rows[0].cells
for i, hdr in enumerate(["Phase", "Activity", "Duration"]):
    hdr_cells[i].text = hdr
    run = hdr_cells[i].paragraphs[0].runs[0]
    run.bold = True
    run.font.name = "Times New Roman"
    run.font.size = Pt(11)

timeline = [
    ("Phase I",   "Literature review, tool preparation, expert validation, IEC approval", "Month 1–2 (Jul–Aug 2026)"),
    ("Phase II",  "Pilot study, reliability testing, final tool revision",                 "Month 3 (Sep 2026)"),
    ("Phase III", "Main data collection: pre-test, SHEP intervention, post-test",         "Month 4–5 (Oct–Nov 2026)"),
    ("Phase IV",  "Data entry, statistical analysis, result interpretation",               "Month 6 (Dec 2026)"),
    ("Phase V",   "Report writing, thesis preparation, submission",                        "Month 7–8 (Jan–Feb 2027)"),
    ("Phase VI",  "Viva voce and dissemination",                                           "Month 9 (Mar 2027)"),
]
for phase, activity, duration in timeline:
    row_cells = table.add_row().cells
    row_cells[0].text = phase
    row_cells[1].text = activity
    row_cells[2].text = duration
    for cell in row_cells:
        for para in cell.paragraphs:
            for run in para.runs:
                run.font.name = "Times New Roman"
                run.font.size = Pt(11)

doc.add_paragraph()

# ══════════════════════════════════════════════════════════════
#  14. BUDGET ESTIMATE
# ══════════════════════════════════════════════════════════════
doc.add_heading("14. Budget Estimate", level=1)
add_hr(doc)

btable = doc.add_table(rows=1, cols=3)
btable.style = "Table Grid"
bhr = btable.rows[0].cells
for i, h in enumerate(["S. No.", "Item", "Estimated Cost (INR)"]):
    bhr[i].text = h
    r = bhr[i].paragraphs[0].runs[0]
    r.bold = True
    r.font.name = "Times New Roman"
    r.font.size = Pt(11)

budget_items = [
    ("1", "Printing of questionnaires and consent forms (100 copies × ₹5)",    "₹500"),
    ("2", "Preparation of teaching aids (flip charts, pamphlets, posters)",     "₹2,000"),
    ("3", "Field travel and conveyance expenses",                               "₹3,000"),
    ("4", "Statistical software and data analysis support",                     "₹1,500"),
    ("5", "Thesis printing and binding",                                        "₹2,000"),
    ("6", "Miscellaneous expenses",                                             "₹1,000"),
    ("",  "TOTAL",                                                              "₹10,000"),
]
for sno, item, cost in budget_items:
    bc = btable.add_row().cells
    bc[0].text = sno
    bc[1].text = item
    bc[2].text = cost
    for cell in bc:
        for para in cell.paragraphs:
            for run in para.runs:
                run.font.name = "Times New Roman"
                run.font.size = Pt(11)
            if item == "TOTAL":
                for run in para.runs:
                    run.bold = True

doc.add_paragraph()

# ══════════════════════════════════════════════════════════════
#  15. REFERENCES
# ══════════════════════════════════════════════════════════════
doc.add_heading("15. References", level=1)
add_hr(doc)
references = [
    "UNAIDS. (2024). Global HIV & AIDS statistics — Fact sheet. https://www.unaids.org",
    "National AIDS Control Organisation (NACO). (2023). India HIV Estimates 2023. "
    "Ministry of Health & Family Welfare, Government of India.",
    "Indian Council of Medical Research (ICMR). (2017). National Ethical Guidelines "
    "for Biomedical and Health Research Involving Human Participants. New Delhi: ICMR.",
    "Sharma, R., Kumar, A., & Singh, P. (2022). Knowledge and awareness about HIV/AIDS "
    "among rural adults in Madhya Pradesh: A cross-sectional study. Indian Journal of "
    "Community Medicine, 47(3), 412–417.",
    "Patel, D., Shah, M., & Desai, N. (2023). Effectiveness of structured health education "
    "on HIV/AIDS knowledge among rural adults of Gujarat: A pre-experimental study. "
    "Journal of Nursing and Midwifery Research, 10(2), 88–95.",
    "Singh, V., & Rajput, K. (2020). Impact of health education on HIV/AIDS knowledge "
    "among rural women in Rajasthan. Community Health Journal, 34(1), 55–62.",
    "Verma, S., Tiwari, R., & Pandey, A. (2022). Myths and misconceptions about HIV/AIDS "
    "in rural Uttar Pradesh and the impact of educational intervention. "
    "Journal of HIV and AIDS, 8(4), 201–209.",
    "Noar, S. M., Palmgreen, P., Chabot, M., Dobransky, N., & Zimmerman, R. S. (2020). "
    "A 10-year systematic review of HIV/AIDS mass communication campaigns: "
    "Have we made progress? Journal of Health Communication, 14(1), 15–42.",
    "National Health Policy. (2017). Ministry of Health and Family Welfare, "
    "Government of India. New Delhi.",
    "World Health Organization. (2024). HIV/AIDS Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/hiv-aids",
    "Basavanthappa, B. T. (2020). Community Health Nursing (3rd ed.). Jaypee Brothers Medical Publishers.",
    "Park, K. (2023). Park's Textbook of Preventive and Social Medicine (27th ed.). Banarsidas Bhanot Publishers.",
]
for ref in references:
    p = doc.add_paragraph(style="List Number")
    p.paragraph_format.space_after = Pt(4)
    p.paragraph_format.left_indent = Inches(0.25)
    run = p.add_run(ref)
    run.font.name = "Times New Roman"
    run.font.size = Pt(11)

# ══════════════════════════════════════════════════════════════
#  DECLARATION PAGE
# ══════════════════════════════════════════════════════════════
doc.add_page_break()
doc.add_heading("Declaration by the Researcher", level=1)
add_hr(doc)
add_para(doc,
    "I hereby declare that this research proposal titled \"A Study to Assess the Effectiveness "
    "of a Structured Health Education Programme on Knowledge Regarding Awareness, Prevention "
    "of HIV/AIDS and Reduction of Myths and Misconceptions Among Adults Aged 20–50 Years "
    "Residing in Selected Rural Areas of Bhopal, Madhya Pradesh, During the Year 2026–2027\" "
    "is an original piece of work prepared by me. The content of this proposal has not been "
    "submitted elsewhere for any degree or diploma. All references and literature cited have "
    "been duly acknowledged."
)

for label, space in [("Name of Researcher: ___________________________", 30),
                      ("Signature: ___________________________", 30),
                      ("Date: ___________________________", 30),
                      ("", 10),
                      ("Guide/Supervisor Name: ___________________________", 30),
                      ("Signature: ___________________________", 30),
                      ("Designation & Institution: ___________________________", 30)]:
    p = doc.add_paragraph()
    p.paragraph_format.space_before = Pt(space)
    p.paragraph_format.space_after  = Pt(0)
    r = p.add_run(label)
    r.font.name = "Times New Roman"
    r.font.size = Pt(12)

# ── Save ──────────────────────────────────────────────────────
output_path = "/tmp/workspace/hiv-research-proposal/HIV_AIDS_Research_Proposal_2026_27.docx"
doc.save(output_path)
print(f"Document saved: {output_path}")