A Study to Assesse the Effectiveness of Structured Teaching Programme on Knowledge and Attitude regarding Sterilization among Eligible Couple at Selected Rural Area Rajkot

 

Ms. Payal T. Vaghela¹, Mrs. Ponmani², Dr. Jeenath Justin Doss. K

¹Shri Anand Institute of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot

²Guide, Shri Anand Institute of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot

³Principal, Shri Anand Institute of Nursing, Opp-Ghanteshwar Park Sainik Society, Jamnagar Road, Rajkot

 

ABSTRACT:

The research design adopted was pre-experimental one group pre-test post-test design. 50 samples were selected by using non probability convenience sampling technique. A Structured Knowledge Questionnaire and 5point Likert’s attitude rating scale were prepared to assess the knowledge and the attitude of the Samples. The tools were developed by reviewing the extensive literature on sterilisation. Reliability of Structured Knowledge Questionnaire and Likert’s attitude scale were ascertained by using test retest method. Also the Structured Knowledge Questionnaire, Likert’s attitude scale and the nurse led intervention by means of flash card, chart, hand out was validated by the experts. The pilot study was conducted on 10 samples and the study was found to be feasible. Descriptive and Inferential statistics was used to analyze the data. ‘t’ test was used to evaluate the effectiveness of nurse led intervention on sterilisation among eligible couples. The obtain ‘t’ value for knowledge was 11.18 and for attitude scale was 25.58 which was significant at 0.05. The findings of the study shows that nurse led intervention is effective in improvement of knowledge and change the unfavourable attitude in to favourable attitude.

 

 

 

 

INTRODUCTION:

India launched the National Family Welfare Programme in 1951 with the objective of "reducing the birth rate to the extent necessary to stabilise the population at a level consistent with the requirement of the National economy¹. The Family Welfare Programme in India is recognised as a priority area, and is being implemented as a 100% centrally sponsored programme. As per Constitution of India, Family Planning is in the Concurrent list.² The approach under the programme during the First and Second Five Year Plans was mainly "Clinical" under which facilities for provision of services were created². However, on the basis of data brought out by the 1961 census, clinical approach adopted in the first two plans was replaced by "Extension and Education Approach" which envisaged expansion of services facilities along with spread of message of small family norm.³

 

During the early phases of the health and family planning programmes in India, sterilisation services were introduced only in few Indian states for men especially in large cities such as Madras and Bombay; the programme initially focused on the distribution of diaphragm, jelly, vaginal foam tablets and condoms.⁴ A clinic-oriented approach to family planning prevailed in the first (1951–56) and the second (1956–61) five-year plans of the government of India. The third five-year plan (1961–66) introduced the strategy to promote different methods. The year 1962–63, when this new approach was first implemented, was considered as an important landmark in the Indian family planning programme (Srinivasan 1998; Raina 1994). As a part of this initiative, the IUDs introduced in 1965 turned out to be a failure as a result of side effects and high expulsion rates of the Lippes loop. Meanwhile, population planners recognized the problems associated with rapidly increasing population and felt the dire need for an effective population control programme. In response to this, sterilisation, especially vasectomy, was given due emphasis in the official family planning programme initiated during the inter-plan period (1966–69). As an effective promotion strategy, incentive systems were introduced for both clients and providers during this period.⁵

 

NEED OF STUDY:

Family planning program (2016) the population of India is 1,314,042,877 (131 core), population in Gujrati is 66,342,236 and in 2015 was 65105237 total male is 31482282, and female total population is 28901346 (population censes in India). The year 2010-11 ended with 34.9 million total family planning acceptors at national level Comprising of 5.0 million Sterilizations, 5.6 million IUD insertions, 16.0 million condom users And 8.3 million O.P. users as against 35.6 million total family planning acceptors in 2009-10⁶

 

OBJECTIVES:

1    To assess the pre test and post test level of knowledge and attitude regarding sterilization among eligible couple.

2    To evaluate effectiveness of structured teaching programme regarding the sterilisation in eligible couple.

3    To find out the association of pre test level of knowledge regarding sterilization among eligible couple with selected demographic variables.

 

MATERIAL AND METHODOLOGY:

Research design:

pre-experimental-one group pre test - post test design

 

Setting:

The study was conducted at Madhapar village, Rajkot.

 

Population:

The population for the present study consist all eligible couple.

 

Sample:

50 samples from Madhapar village, Rajkot.

 

Sampling technique:

The samples were selected for this study by “Non-probability Convenience” sampling technique.

 

Data analysis:

The data were analysed by using both descriptive and inferential statistical methods.

 

FINDINGS:

·       The majority of (32%) eligible couple are in the age group of 31-35 year.

·       From the whole sample (50%) male and (50%) female.

·        Majority of (48%) eligible couple belongs to Hindu region.

·       The majority of (28%) eligible couple are studied primary (28%) studied secondary education

·       The majority from the whole sample (50%) belongs to joint family and 50% belongs to nuclear family.

·       The majority of (34%) eligible couple had business.

·       The majority of (26%) eligible couples has 16000-20000 monthly income

·       The majority of (30%) eligible couples has 3 child

·       The majority of (26%) eligible couples have 6-10 years of duration of marriage.

 

When comparing the pre and post test level of knowledge was t =11.18 and post test level, of attitude t = 25.58 which was significant at p<0.05 level. The findings revealed that there was statistically significant difference in the level of knowledge and attitude regarding sterilisation among eligible couple.

 

With regard to association between the post level of knowledge and post test level of attitude with their selected demographic variables such as age, gender, religion, family income, type of family, number of child, were not significant education, duration f marriage had association with p=12.59 (df= 6), at 0.05 level.

 

CONCLUSION:

The main conclusion from the study is there is that most of the eligible couple had poor knowledge and unfavourable attitude in the pretest and they improved to good knowledge and favourable attitude. This shows the imperative needs to understand the structured teaching programme by means of chart, flash card regarding sterilisation among eligible couple and it will improve the knowledge and attitude on sterilisation.

 

REFERENCE:

1.      V. Kapur, R. K. Suri   Handbook on Genetics. New Delhi. Jaypee Publications.

2.      www. India journal org. genetics .com

3.      Prathma Blood centre. Prevalence of Thalasaemia in Ahmedabad.Retrived from http///www.prathmaabd.com(Assessed on 2010)

4.      Yaseen & Basheer. Textbook On Advance Nursing Practice.(1^st ed. ) Bombay : Jaypee (2010)    

5.      Suddhart, D. S. The Lippincott Manual of Nursing Practice. London: J.B. Lippincott Company. (1981)

6.      Dacie JV, Lewis SM Practical Hematology (10th ed). Philadelphia: -Churchill Livingstone .( 2010)

 

 

 

 

Received on 03.01.2019         Modified on 10.02.2019

Accepted on 06.03.2019      ©A&V Publications All right reserved