Praveen S. Pateel*
Asst. Professor Community Health Nursing, B.V.V.Sangha’s Sajjalashree
Institute of Nursing Sciences Navanagar, Bagalkot. Karnataka State
*Corresponding Author Email: pateelpraveen216@gmail.com
BACKGROUND OF THE
STUDY:
India is one of
the fastest growing countries in terms of population and economics, sitting at
a population of 1,139.96 million (2009) and growing at 10–14% annually
(from 2001–2007). India's Gross Domestic Product growth was 9.0% from 2007
to 2008; since Independence in 1947, its economic status has been classified as
a low-income country with majority of the population at or below the poverty
line. Though most of the population is still living below the National
Poverty Line, its economic growth indicates new opportunities and a movement
towards increase in the prevalence of chronic diseases which
is observed in at high rates in developed countries such as United States,
Canada and Australia. The combination of people living in poverty and the
recent economic growth of India has led to the co-emergence of two types of
malnutrition: under nutrition and over nutrition1
A crossectional study was conducted that the state of
Malnutrition among children in Raichur district: As pointed above the Advisor has
repeatedly drawn the attention of the authorities and the State Government to
the grave situation in Raichur district.
Vide letters dated
12th November 2010 and 29th July 2011 the issue of
malnutrition in Raichur district was brought to the
attention of the Chief Secretary. Between 8th and 9th
October 2011, the Advisor visited few villages in Raichur
district and one slum in Raichur city in regard to
the malnutrition prevailing in the district. A copy of the report is placed as
Alarmingly since April 2009 to August 2011, 2689 malnourished children have
died in the district of Raichur alone, and 4531
children are suffering from severe malnutrition. It is pertinent to note that
all officials including the Hon’ble Chief Minister Shri Sadananda Gowda have admitted the same. A copy of the information
received from the Department of Women and Child Department is placed as In our
visit we came across incidents of deaths of children due to malnutrition, most
notably in Malledervaragudda village where a brother
and sister died within 1 ½ month of each other. The girl, Mahalaxmi
was aged 2.2 years but weighed only 3.5 kgs while her
elder brother Anjeneya was aged 5 years and weighed a
mere 5 kgs.2
STATEMENT OF THE PROBLEM:
A study to
evaluate the effectiveness of planned teaching programme
on prevention of child malnutrition among selected urban primary school teachers
of Bagalkot dist.
The objectives of the study were as follows:
1. To assess the knowledge about
prevention of child malnutrition among primary school teachers.
2. To evaluate the effectiveness of
planned teaching programme about prevention of child
malnutrition among primary school teachers.
3. To find out the relationship
between the pretest knowledge about prevention of child malnutrition with
selected socio-demographic variables.
Assumptions:
1.
The primary school teachers have some knowledge regarding prevention
of child malnutrition.
2.
The result of the study will help to prevent the child
malnutrition among the selected urban primary school teachers at Bagalkot Dist.
H1: The
mean post test knowledge score of urban primary school teachers exposed to
planned teaching programme on prevention child
malnutrition among primary school teachers will be significantly higher than
their mean pretest score 0.001 level of significance.
H2: There
will be significant association between knowledge regarding prevention of child
malnutrition among primary school teachers with selected socio-demographic
variables.
REASEARCH METHODOLOGY:
Research
design; Quasi
Experimental that is one group pre test post test design
Setting of the
study: The
study was conducted in a urban primary school Bagalkot.
Population: The target population of the
study is the teachers working in urban primary school of Bagalkot
District.
The accessible
population of the study is the teachers working at Basaveshwar
pre-primary, primary and new high school Bagalkot.
Sample and
sampling technique:
Sample: Sample is a small portion of the
population selected for observation and proper technique. The sample for the
present study composed of 30 teachers working at Basaveshwar
pre primary, primary and new high school Bagalkot, Karnataka.
Sampling
technique:
Sampling technique
is the procedure, which the researcher adopts in selecting the subjects for the
study.
In view of the
objectives of the study simple random sampling technique was used.
Sampling
criteria
Inclusive
criteria:
1.
Teachers who are willing to participate in the study.
2. Teachers who are present at the
time of data collection.
Exclusive
criteria:
1. Who are not
willing to participate in the study?
2. Not available
at the time of data collection.
Variables:
A variable is any
phenomenon or characteristics are attitudes under study. These are the
measurable characteristics of concepts and consist of logical group of
attitude.
a) Dependent variables:
These response
behavior are outcome that researcher wishes to predict or explain. In the
proposed study dependent variables are:
v Knowledge of urban primary
school teachers regarding malnutrition and prevention of malnutrition
b) Independent variables:
The treatment or
experimental variable that is manipulated or varied by the researcher to create
an effect on dependent variables.
In this study the
planned teaching programme was independent variable.
c) Extraneous variables:
That exists in all
studies and can affect measurement of study variable and the examination of the
relationship with study. These extraneous variables are identified from the
study area:
v Health professionals
v Mass media (News paper, radio,
T.V etc)
v Family members, friends and
relatives
d) Attributed variable:
Pre existing
characteristics of study participants, which the researcher simply observe or
measures. In this study the socio demographic variables such as age in years,
gender, year of experience, educational status, religion, marital status,
monthly income, attended any workshop, and sources of information. Since these
are considered to influence the knowledge about prevention of child
malnutrition among primary school teachers.
RESULTS:
Presentation of
data
The data was presented under following sections.
Section I: Findings related to socio
demographic variables
Section II: Testing of hypothesis for
the evaluation of effectiveness of P.T.P
Section III: Association between the
knowledge and socio demographic variables.
Section I: Findings related to socio
demographic variables In this study the data collected was organized, tabulated,
analyzed and interpreted by means of statistical tables and graphs and is
presented under the following headings
Section II: Testing of hypothesis for
the evaluation of effectiveness of P.T.P
Distribution of knowledge level according to scores
Knowledge
level Scores
Very poor 0-7
Poor 8-14
Adequate 15-21
Good 22-28
Very good 29-36
Table 1: Frequency
and percentage distribution of employees according to socio-demographic
variables N = 30
|
Socio-Demographic variables |
Frequency |
% of respondents |
|
Age (in years) |
|
|
|
20-30 years |
19 |
63.33 |
|
31-40 years |
9 |
30.00 |
|
41-50 years |
2 |
6.67 |
|
51-60 years |
0 |
|
|
Total |
30 |
100 |
|
Gender |
|
|
|
Male |
6 |
20 |
|
Female |
24 |
80 |
|
Total |
30 |
100 |
|
Work Experience (in years) |
|
|
|
Below 1year |
5 |
16.67 |
|
1-5years |
19 |
63.33 |
|
6-10 years |
3 |
10.00 |
|
Above 11years |
3 |
10.00 |
|
Total |
30 |
100 |
|
Educational qualifications |
|
|
|
DED |
13 |
43.34 |
|
BED |
15 |
50.00 |
|
MED |
1 |
3.33 |
|
If any other qualification |
1 |
3.33 |
|
Total |
30 |
100 |
|
Religion |
|
|
|
Hindu |
28 |
93.33 |
|
Christian |
0 |
|
|
Muslim |
2 |
6.67 |
|
Others |
0 |
|
|
Total |
30 |
100 |
|
Marital status |
|
|
|
Married |
15 |
50 |
|
Unmarried |
14 |
46.67 |
|
Widow/widower |
1 |
3.33 |
|
Divorced/saparated |
0 |
|
|
Total |
30 |
100 |
|
Duration of monthly income |
||
|
Below 8000 |
23 |
76.67 |
|
8001-10000 |
3 |
10 |
|
10001-12000 |
3 |
10 |
|
Above12001 |
1 |
3.33 |
|
Total |
30 |
100 |
|
Attended any workshop |
|
|
|
Yes |
1 |
3.33 |
|
No |
29 |
96.67 |
|
If yes please specify |
|
|
|
Total |
30 |
100 |
|
Sources of information |
|
|
|
Tv/radio |
12 |
40 |
|
Newspaper/magazine/books |
16 |
53.33 |
|
Contact with health personals |
|
|
|
Friends/relatives/collogues/parents |
2 |
6.67 |
|
Total |
30 |
100.00 |
Level of
knowledge:
Table 2 represents
that, out of 30 subjects 3(10%) had very poor knowledge, 18(60%) had poor
knowledge,9(30%) had adequate knowledge in pretest. And about 13(43.33%) of had
adequate knowledge,
13(43.33%) had good knowledge, 03(10%) subjects had very good knowledge and only 1(3.33%) had
poor knowledge after teaching programme (post test)
The above findings states that “Research hypothesis H1: There is significant
difference in the knowledge of teachers regarding malnutrition and after
administration of planned teaching programme” as
stated by the investigator earlier was accepted.
Table 2: Distribution of study subjects
according to levels of knowledge in post test N = 30
|
Levels of knowledge |
Frequency |
% |
|
|
Pretest |
Very
poor |
03 |
10 |
|
Poor |
18 |
60 |
|
|
Adequate |
09 |
30 |
|
|
|
Good |
00 |
00 |
|
Very
good |
00 |
00 |
|
|
Post test |
Very
poor |
00 |
00.00 |
|
Poor |
01 |
03.34 |
|
|
Adequate |
13 |
43.33 |
|
|
Good |
13 |
43.33 |
|
|
Very
good |
03 |
10.00 |
Table 3 reveals
aspect wise pre-test mean percentage knowledge score on malnutrition prevention
Aspect wise mean percentage knowledge score regarding malnutrition and
prevention obtained from respondents. The pre test total knowledge mean score
is found to be 11.87 ± 3.8compared to post test it is 22.5 ± 4.53. It indicated
that the change of total knowledge scores (percentage) from pre to post test is
about 40%. But about 38.9 % in knowledge about general informsation
and 43.2% in knowledge about prevention. It means that after P T P the
knowledge scores are significantly higher than before P T P. (Table 3)
From the results
of table 4, we clearly seen or observed that, the pre test and post test total
knowledge scores are found to be statistically significant ( t= 11.19, P=
0.0000). It means that the post test knowledge scores (22.5 ± 3.7) is higher
than pre test scores (11.87± 4.53).
Similarly the
dimension like knowledge about general information the post test scores are
higher ( 22.5 ± 4.539) as compared to ( 11.87 ± 4.539) and found to be
statistically significant ( t= 11.19,P=
0.0000) and the knowledge about malnutrition and prevention, the post test
scores are higher than pre test scores , found to be statistically significant(
t= 11.19,P =0.0000). In other words, the post test scores of total knowledge
and its dimensions are higher than the pre test scores. (Table 4)
Table 3: Mean and
SD values of pre and post test scores of knowledge and its dimensions
|
Area wise analysis |
Max. score |
Pre test |
Post test |
Mean (%) |
|||
|
Mean |
Std. Dev. |
Mean |
Std. Dev. |
Pre test |
Post test |
||
|
General
information about malnutrition and prevention |
36 |
11.87 |
3.7 |
22.5 |
4.539 |
39.56 |
75 |
|
Total knowledge |
36 |
11.87 |
3.7 |
22.5 |
4.539 |
39.56 |
75 |
Table 4:
Comparison of pre and post test scores of knowledge and its dimensions by
students paired t-test
|
Variables |
Test |
Mean |
Std. Dv |
Mean Diff. |
SD Diff. |
Standard error |
Paired t-value |
t-table value |
|
Total
knowledge |
Pretest |
11.87 |
3.7 |
-10.63 |
5.12 |
0.936 |
11.19 |
2.045 |
|
posttest |
22.5 |
4.539 |
*p<0.001* * Significant at.> 0.001% Level
Table 5: Comparison of socio demographic
variables respect to mean scores of knowledge and its dimensions
|
Sl no |
Socio demographic variables |
Test used |
Degree of freedom |
Calculated/ p-value |
Table value |
Level of significance |
significance |
|
1 |
Age in years |
Chi-square test |
1 |
0.0103 |
3.84 |
0.05 |
No significance |
|
2 |
Gender |
Fisher’s probability test |
1 |
0.38 |
…… |
0.05 |
No significance |
|
3 |
Work experience |
Fisher’s probability test |
1 |
1.0 |
…… |
0.05 |
No significance |
|
4 |
Educational status |
Chi-square test |
1 |
0.474 |
3.84 |
0.05 |
No significance |
|
5 |
Religion |
Fisher’s probability test |
1 |
1 |
…… |
0.05 |
No significance |
|
6 |
Marital status |
Chi-square test |
1 |
0.534 |
3.84 |
0.05 |
No significance |
|
7 |
Monthly income |
Yates’s correction test |
1 |
0.566 |
3.84 |
0.05 |
No significance |
|
8 |
Attended any workshop |
Fisher’s probability test |
1 |
0.01 |
….. |
0.05 |
No significance |
|
9 |
Source of information |
Chi-square test |
1 |
0.199 |
3.84 |
0.05 |
No significance |
Section III: Association between the
knowledge and socio demographic variables.
All the
demographic variables such they include age in years, gender, work experience,
educational status, religion, marital status, monthly income, attended any
workshop and source of information. Showed no significance associated with the
post test level of knowledge of teachers therefore, the research hypothesis
H0"There is no significant association between knowledge level of teachers
regarding knowledge about prevention of child malnutrition with selected
variables” as stated by the investigator earlier was effective. (Table 5)
CONCLUSION:
The study proved
that Planned teaching programme on prevention of
child malnutrition among primary school teachers was scientific, logical and
cost effective strategy.
RECOMMENDATIONS:
On the basis of the findings of
the study following recommendations have been made:
š
A similar study can be replicated on a large sample to generalize
the findings.
š
A comparative study on the effectiveness
of the practices used currently should be carried out.
š
A study on the attitude and practices of
teachers on malnutrition and its prevention may be helpful for developing for
specific strategies of education.
š
An experimental study can be undertaken with a control group for
effective comparison of the result.
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Received on 16.09.2014 Modified on 20.09.2014
Accepted on 25.09.2014 © A&V Publication all right reserved
Asian J. Nur.
Edu. and Research 5(1): Jan.-March 2015; Page 94-97
DOI: 10.5958/2349-2996.2015.00020.8