A Study to Evaluate the Effectiveness of Planned Teaching Programme on Prevention of Child Malnutrition among Selected Urban Primary School Teachers of Bagalkot District

 

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.

 

Hypothesis:

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

Test

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.

 

REFERENCE:

1.       BT. Basavantappa 2008,Community Health Nursing, Jaypee publication Page No264-265, 526

2.       K. Park 2011, Text book of preventive and social medicine, Bhananot Publishers, New Delhi, Page No, 483,593,809

3.       Neelamkumari  2009 Text book of community health nursing first edition page 495-503

4.       Gupta S.P> Statistical Method, New Delhi, Sulthan Chand and sons, 1987, 34,52

5.       O.P Ghai Essentials Pediatrics 2005 CBS distributors New Delhi 115,116

6.       Dhilson, HS 1992- Schoo health education at the cross road, hysione 11

7.       American Dietetic Association. Nutrition standards in day-care programs for children technical support paper. J Am Diet Assoc 1987; 87:504-506.

8.       Shannon B, Bernardo V, Mullis R, Ervin B, and Poehler DL. The status of school-based nutrition education as the state agency level. J Sch Health 1992; 62:88-92.

9.       Byrd-Bredbenner C, Marecic ML, and Bernstein J. Development of a nutrition education curriculum for head start children. J Nutr Educ 1993; 25:134-139.

10.     National Health/Education Consortium. Children's nutrition and learning. ERIC

11.     Clearinghouse on Elementary and Early Childhood Education: Urbana, IL, ED 369 579, 1994.

12.     Anliker JA, Laus MJ, Samonds KW and Beal VA. Mothers' reports of their three-year-old children's control over foods and involvement in food-related activities. J Nutr Educ 1992; 24:285-291.

13.     Thompson FE, Dennison BA. Dietary sources of fats and cholesterol in us children aged 2 through 5 years. Am J Pub Health 1994; 84:799-806.

 

 

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