“A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED
TEACHING PROGRAM ON KNOWLEDGE REGARDING
HYDERABAD MIX NUTRITION AMONG THE MOTHERS OF UNDER
FIVE CHILDREN IN SELECTED AREA OF MALLASAMUDRA,
GADAG”.
PRESENTED BY,
1.GURURAJ 6. MAHANTESH
2.KAVYA B.H 7. MANDIRA H
3.KAVYA D 8. MEGHA
4.KOMAL 9. NETRA
5.LAKSHMI
Dissertation Submitted to,
Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka
In partial fulfilment of the requirement for the degree of
BASIC B.Sc. NURSING
Under the guidance of
Mr.PADMARAJ
Assistant Professor, Department of Community Health Nursing.
GIMS GOVERNMENT COLLEGE OF NURSING SCIENCES GADAG,
KARNATAKA -5821032
2024
0
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE
ANNEXURE II
PROFORMA FOR REGISTRATION OF SUBJECTS FOR
DISSERTATION
1.GURURAJ
1 NAME OF THE CANDIDATES
2.KAVYA B.H
3.KAVYA D
4.KOMAL
5.LAKSHMI
6.MAHANTESH
7.MANDIRA
8.MEGHA
9.NETRA
2 NAME OF THE INSTITUTION GIMS GOVERNMENT COLLEGE OF
NURSING GADAG
3 COURSE OF THE STUDY
3RD YEAR BSC NURSING
4 SUBJECT RESEARCH AND STATASTICS
5 TITLE OF THE STUDY
“A STUDY TO ASSESS THE EFFECTIVENESS OF
PLANNED TEACHING PROGRAM ON KNOWLEDGE
REGARDING HYDERABAD MIX NUTRITION AMONG THE
MOTHERS OF UNDER FIVE CHILDREN IN SELECTED AREA OF
MALLASAMUDRA, GADAG”.
1
BRIEF RESUME OF THE INTENDED WORK
INTRODUCTION:
“EAT WELL, LIVE WELL”.
Children are the true wealth of our nation has todays
healthy child is tomorrows responsible citizen observed
India’s first prime minister, the future of nation rests on
healthy, protected, educated and well developed children.
Development of a healthy child is influenced by many factors
children also need protection, promotion nourishment and
proper environment to grow. Children of today cannot
develop to be responsible and protective citizens of tomorrow
unless an environment which is conducive to their social and
physical health is assured to them. Under 5year children are
the most vulnerable groups who are prone to may infective
diseases and nutritional deficiency. PEM is a fairly common
worldwide in both children and adults and accounts for about
2,50,000 deaths annually.
Malnutrition in all its forms includes under nutrition
(washing, stunting, underweight) inadequate vitamins or
minerals, overweight, obesity and resulting diet related non-
communicable diseases. The prevalence of under nutrition is
highest among children under five. Globally in 2020, 149
million children under five years were estimated to be stunted
(too short for age).45 million were estimated to be wasted
(too thin for a height). Around 45%of deaths among children
under five years of age are linked to undernutrition,
malnutrition mostly affects the low and middle income
developing countries. Undernutrition among under five years
children is a major public health problem in India. It is also
major cause behind infant mortality and morbidity but also
physical and mental disabilities.
6.1 NEED FOR THE STUDY:
2
Malnutrition among under five children is a major public
health problem in India. UNICEF, in the year 2006, reported
that the causes of childhood malnutrition are insufficient diet,
frequent infections, poor breastfeeding practices delayed
introduction of complementary foods and inadequate protein
diet. In the UNICEF report of 2019, India is ranked 102 at of
a total of 119 countries. According to the national family
health survey 4(NFHS4), with regard to the prevalence of a
under five children. In India 35.7% under five children were
underweight, 38.4% were stunted and 21% were wasted
(Swaroop k s 2015). In India almost 60 million children are
under-weight nearly 50% of total deaths in the developing
countries occur among children under five years of age as
compared to less than 5% in developed countries.
Millennium development goal aims to reduce the
prevalence of underweight among under five children (park k
2007). In India gross malnutrition is a said to kill around
5,00,000 of our infants and children every year. This is quite
understandable in view fact that around 3-4 of our paediatric
population is suffering from one/another nutritional
deficiency.
Around 25%of the paediatric beds are occupied by
patients where major problem is malnutrition (Gupta S 2004).
Act of the total worlds under nourished children 80% lives in
20 countries. Malnutrition is regarded as the most widespread
condition affecting the health status of under five children.
Approximately 47% of the Indian children are underweight 1
in 3 adult women in India is underweight and therefore at risk
of developing babies with low birth weight. The government
of India has accepted the new WHO child growth standards,
which estimates severe malnutrition in children between 1
and 3 years of age to be 15.6% much above the current
estimate of 4.2% based on the IAP classification and 13.7%
among children between 3-5 years of age.
Globally in 2022,149 million children under five were
estimated to be stunted (too short for age),45 million were
estimated to be (to thin for height) and 37 million were
overweight or living with obesity, nearly half of deaths of
children under five years of age linked to malnutrition.
A survey conducted by the department of women and
children development in 2023 revealed that Bidar and Kolar
3
district had the highest share of children suffering
malnutrition.A total of 27,73,247 children under the age of 6
were weighed across Karnataka for the survey to identify
children suffering from malnutrition.
The key preventive measures suggested in the UNICEF
report for malnourished children were appropriate
complementary feeding with supplementary foods includes
powdered cereals puffed Bengal gram dhal and roasted
ground nut mixed with jaggery, these have been used for
treatment of malnutrition among children of various groups.
Children with mild to moderate malnutrition are best
managed in their own homes, kept under surveillance so as to
find out improvement or deterioration in their nutritional
status. Parents of such children could be enlightened about the
inadequacy in their child’s intake and be guided to correct it.
Hyderabad mixture was found beneficial in managing mild to
moderate malnutrition at home level.
During the health survey, it was found that there is a high
prevalence of malnutrition among children at Karbalapure and
so Hyderabad mixture was assumed to be the cheap and best
supplementary food in treating the malnutrition, which is
introduced by national institute of nutrition at Hyderabad.
Hence the researcher intends to evaluate the usefulness of
planned teaching program on the preparation and
effectiveness of the Hyderabad mixture by doing this study.
6.2 REVIEW OF LITERATURE:
Review of literature is an important source of development of
research project. It helps to gain deep insight into research problem
and provide information of what has been done previously. It helps
the researcher to be familiar with existing studies and provide basis
for methodology, tool for data collection and research design.
➢ A Quasi experimental study was conducted in selected
tribal community, Rajouri. The aim of this study was to
“assess the effectiveness of Hyderabad mix on nutritional
status among under five children”. About 60 under five
children from tribal community (30 experimental and 30
control) and the sampling technique used was non-
4
probability, purposive sampling technique. Under five
children from tribal community were screened using
anthropometric measurements, study concluded that
Hyderabad mix was effective in improving nutritional
status among under five children with PEM in tribal
community with cost effectiveness and safety.
➢ Pre-Experimental study was conducted in June 2023 “ The
aim of this study was to assess the effect of nutrition
demonstration programme on knowledge regarding
preparation of hyderabad mix recipe among mothers of pre
school malnurished children. The study was conducted in
anganwadi center of honga village under vantamuri PHC at
belgaum using purpusive sampling technique , Studies the
sample size compromise of 50 mothers a structured
interview schedule was used to collect the data, the result
of this study showed that majority of mothers had source of
information of nutrients &recipe through health
professionals, the study concluded that nutrition
demonstrationn programme was found effective in
improving knowledge of mothers of malnurished children
about preparation of hyderabad mix recipe.
➢ A Randomized control study was conducted at rural areas
of soouth India. The aim of this study was “Impact of
home-based nutritional intervention program on nutritional
status of pre school children living in rural areas of south
India. The method of single blinded cluster randomized
controlled trail to evaluate the impact of intervention with
weight gain as the primary outcome, a cluster of 12 village
was randomized to intervention or control arms. A total of
253 under-weight pre-school children from 12 clusters
(villages)were randomized to intervention(n=127) and
control arm (n=126).The interventions was composed of
health teaching program and demonstration of nutritious
food preparation in addition to reular services provided
5
Anganawadi centers ,the anthropometric assessment was
carried out baseline and every month for a year, a
significant increases in in the mean weightkiilogram was
noted in intervention group (11.9 ± 0.98 to 13.78 +- 0.89)
compared to control group, this study concluded the
nutritional status of pre school children is found to be
improved by home based intervention.
➢ A Quasi experimental study was conducted in 2019 at
selected anganawadi, Puduchery “To assess the
effectiveness of Hyderabad mix on weight among
malnourished under five children. About 30 malnourished
under five children were enrolled in experimental and
control group using convenient sampling technique, this
study reveals that after administration of Hyderabad mix
there was significant improvement in the nutrition level in
experimental group.
➢ A Quasi experimental study was conducted in selected
visnagarthe aim of this study was “To assess the
effectiveness of planned teaching program on prevention of
malnutrition among mothers of under five children”. A
quantitative research approach used. The investigator used
simple random sampling technique for selecting the 40
samples. A planned knowledge questionnaire was prepared
to assess the knowledge of sample. This study showed that
majority of children (52.5%) were age group of 2 to 3 years
majority of subjects (65%) were in age group post test
score revealed that out of 40 has 10 mothers has good
knowledge ,30 mothers has excellent knowledge. This
study concluded that educating mother would be effective
in updating then in preventing malnutrition in children.
6
➢ A Pre-experimental was conducted at Vamanjoor rural
area Mangalore the aim this study was “to assess the
effectiveness of planned teaching program regarding
protein energy malnutrition among mothers of under five
children “A method used was pre experimental one group
pre -test, post test design was used in this study. The
sample consisted was 30 subjects and mothers of under five
children were selected by purposive sampling technique
and data was collected by structured interrview schedule.
The collected data was analyzed by using descriptive and
inferential statistics, the study concluded that the
knowledge scores of mothers were very low before the
intrroduction of PTP. This study showed that the PTP
facilitated them to improve their knowledge about protein
energy malnutrition which was evident from the post-test
knowledge.
➢ A Pre experimental study was conducted in 2017 at
selected Anganawadi Hattikeri PHC Ankola(UK),
KARNATAKA. “To assess the effectiveness of structured
teaching program on malnutrition and preparation of
Hyderabad and Davangere mix recipe among mothers of
under five children. 20 mothers of under five children
assessed by self-structured questionnaires on 1st day pre-
test followed by structured teaching program for 1hour.
The post-test was conducted on 7th day by using same tool.
The result of this study was statistically significant
effectiveness of structured teaching program was found and
there was no significant association was found with
selected demographical and knowledge score, the
conclusion of this study was the effectiveness of structured
teaching program help to gain the knowledge score on
malnutrition and preparation of Hyderabad mix and
Davanagere mix.
7
➢ A Quasi experimental study was conducted at selected
anganawadi in Barabanki, Uttar Pradesh. The aim of this
study was “To assess the effectiveness of Hyderabad mix
ball on nutritional status among malnourished under 5-year
children.”A convenient sampling technique was used to
select under 5 children i.e., 30 in experimental group and
30 in control group and the collected data was analyzed by
calculating frequency, percentage, mean, standard
deviation, chi square and T test and the study conclude that
there is a significant differences in nutritional status before
and after giving the Hyderabad mixture ball among
malnourished under 5 children and this study proved that
Hyderabad mix was effective to improve the nutritional
status of under 5 children.
➢ A Pre-experimental study was conducted at village of
karrbalapur, Sitapur. The aim this study was “To assess the
effectiveness of planned teaching program regarding the
knowledge and preparation of Hyderabad mixture among
mothers of under-five malnourished children”. The
research design selected was pre-experimental study,
samples were selected by using non-probability convenient
sampling technique. 50 mothers participated in this study
and their knowledge was assessed by 20 items structured
knowledge questionnaire. In post-test same tool was used
to obtain dataafter 7 days which was analyzed by using
descriptive and inferential statistics. This study found that
among so under five children, 29 children belonged to
1STdegree malnutrition,10 children to 2nd degree
malnutrition and 11 children belonged to 3rd degree
malnutrition. This study conclude that planned teaching
program was beneficial to women participants gained
knowledge on preparation of Hyderabad mixture.
8
➢ A Cross sectional study was conducted in 2017 in Jabalpur
district. The aim of this study was “To assess the
association between various risk factors and malnutrition
among children”. About 120 children of age group 6-59
month in randomly selected eight wards of Jabalpur
district. The study showed that the prevalence of
underweight, stunting and wasting were found to be
34.3%,41.5% and 18.9% respectively and malnutrition was
found to be higher among low birth weight, higher birth
order, great number of siblings, incomplete immunization
status, inappropriate feeding and improper weaning.
STATEMENT OF PROBLEM:
“A STUDY TO ASSESS THE EFFECTIVENESS
OF PLANNED TEACHING PROGRAM ON
KNOWLEDGE REGARDING HYDERABAD
MIX NUTRITION AMONG THE MOTHERS
OF UNDER FIVE CHILDREN IN SELECTED
AREA OF MALLASAMUDRA, GADAG”.
6.3OBJECTIVES OF THE STUDY :
❖ To assess the pre-existing knowledge regarding
Hyderabad mix nutrition among the mothers of under
five children.
❖ To evaluate the effectiveness of a planned teaching
program on knowledge regarding Hyderabad mix
nutrition among mothers of under five children.
❖ To find out association between Pre-test knowledge
and Post-test score with selected socio- demographic
variables.
6.4 OPERATIONAL DEFINITIONS:
9
✔ PLANNED TEACHING PROGRAM:
Systematically organized teaching plan that
provides information to the mothers of under five
children.
✔ HYDERABAD MIX: It refers to a supplementary
feed made of roasted Soya bean powder (10
grams), roasted Bengal gram powder (10 grams),
roasted Ragi powder (10 gram), roasted groundnut
(10 grams) and jaggery syrup (20 grams) total
Hyderabad mix weighing 60 grams.
✔ UNDER FIVE CHILDREN: It refers to child
who are age between 2.5 years to 5 years.
CONCEPTUAL FRAMEWORK:
A conceptual frame work is a term that abstractly describe
a phenomenon or an object thus providing it with a separate
identify or meaning. Concepts are the basic elements of
theories and conceptual models. A theory offers a systematic
explanation about how phenomena perspective regarding
interrelated phenomena but are more loosely structured then
theories.
A conceptual framework is the conceptual
underpinning of a study including overall rationale and
conceptual definition of key concepts. It provide a clear
description of variables suggesting methods to conduct the
study and guiding the interpretation, evaluation and
integration of finding. In the present study, researcher
considered rural area of Malla samudra as system and the
mothers of under five children.
Input
Input is considered as an assessment of knowledge regarding
Hyderabad mix nutrition .
Through put
Throughput is activity phase. Here researcher give the
Planned teaching program to the mothers of under five
children.
10
Output
Output is post-test and it is the outcome of the study. In this
researcher assessed the knowledge after 7 days of
implementing the PTP and revealed that the sample gained
the knowledge after planned teaching program through post-
test.
Feedback
It refers to output that is returned to the system that allows it
to monitor itself overtime in an attempt to move closer to a
steady state.Feedback may be positive or neutral after the
planned teaching program will be obtained by testing
hypothesis.
6.5. ASSUMPTIONS:
1. Mothers of under five children have less knowledge
regarding Hyderabad mix nutrition.
2. literate mothers of under five children have high
knowledge than the illiterate mothers.
6.6 HYPOTHESIS:
H1; There is significant difference between Pre-test and Post –
test knowledge regarding Hyderabad mix nutrition among
mothers of under five children.
H2; There is a significant difference between Pre-test and
Post-test knowledge score regarding Hyderabad mix nutrition
among mothers of under five children.
H3; There is significant associations between Pre-test and
Post-test knowledge score regarding on Hyderabad mix
nutrition with selected demographical variables.
6.7 DELIMITATION:
11
Study is limited for:
● Mothers of under five children in Mallasamudra,
Gadag
● Sample size is limited to 60
MATERIALS AND METHOD:
Methodology of research indicates the general pattern of
organizing the procedure for gathering valid and reliable data for
problems under study.
7.1 SOURCE OF DATA
The data will be collected from Mothers of under five
children in selected area Mallasamudra Gadag
7.1.1 RESEARCH DESIGN
One group pre-test post-test design (quasi-experimental
design) will be used for this study.
7.1.2 RESEARCH APROACH
Evaluative research approach will be used for this study.
7.1.3 SETTING
The study will be conducted in Mallasamudra Gadag
12
7.1.4 POPULATION
Population for the study comprises mothers of under five
children at Mallasamudra Gadag
VARIABLES
⮚ Independent variable: Planned teaching programme on
knowledge regarding Hyderabad mix nutrition.
⮚ Dependent variable: Knowledge regarding Hyderabad
mix nutrition.
⮚ Demographic variables: Age, Gender. Socioeconomic
status,
METHOD OF DATA COLLECTION
7.2.1 SAMPLING PROCEDURE
Mothers of under five children will be selected by using
convenient sampling technique.
7.2.2 SAMPLE SIZE
Sample for the study would consist of 60 Mothers of under
five children.
7.2.3 INCLUSIVE CRITERIA:
⮚ Mothers who are willing to participate in study and
available during the period of data collection.
⮚ Mother having at least one child under five years.
13
⮚ Mother who can understand Kannada and English.
7.2.4 EXCLUSIVE CRITERIA:
⮚ Mothers who were not available during the period of
data collection were excluded.
⮚ Mothers with no children were excluded from the
study.
⮚ Mothers who are not understanding Kannada And
English.
7.2.5 INSTRUMENTS INTENDED TO BE USED
● Structured knowledge questionnaire.
● Planned teaching program method for giving
instructions about Hyderabad mix.
7.2.6. DATA COLLECTION METHOD
● The researcher will obtain prior permission from the
concerned authorities.
● 60 mothers of under five children will be selected.
● Purpose of the study will be explained and consent will be
taken from the mothers of under five children.
● Pre-test knowledge of the mothers of under five children
will be assessed using a structured knowledge
questionnaire and on the same day Planned teaching
program will be conducted to them.
● The post-test will be conducted using the structured
knowledge questionnaire After 7 days.
7.2.7 DATA ANALYSIS PLAN
Descriptive statistics: mean, median, frequency, SD and
percentage.
Inferential statistics: like chi square test, paired ‘t’ test
14
7.2.8 DURATION OF STUDY
2.-4 weeks
7.2 DOES THE STUDY REQUIRE ANY INTERVENATION
TO BE CONDUCTED ON PATIENT OR OTHER
HUMAN OR ANIMAL?
Yes, this study involves the intervention of Planned teaching
program method.
7.3 HAS ETHICAL CLEARANCE BEEN OBTAINED
FROM INSTITUTION
IN CASE OF 7.3?
Yes (it is under process)
Step 1; Permission will be taken from the principal GIMS
Government College Of
Nursing Gadag
Step 2: Permission will be taken from the ethical clearance
committee of GADAG
INSTITUTE OF MEDICAL SCIENCE GADAG
Step 3: Permission will be taken from principal of GIMS allied
health science
college Gadag
Step 4: Consent will be taken from the study subjects.
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17
9 Name and Signature of 1. Mr. Gururaj
Candidates
2. Ms. Kavya B H
3. Ms. Kavya D
4. Ms. Komal
5. Ms. Lakshmi
6. Mr. Mahantesh
7. Ms. Mandira
8. Ms. Megha
9. Ms. Netra
10 Remarks of the Guide The proposed study is ethically acceptable and
socially beneficent. It is feasible for the student
researcher to be carried out.
11 Name and Designation of Mr. Padmaraj Walikar
Guide Assistant Professor Department of
Community Health Nursing
GGCON Gadag.
Signature
12 Remarks of the chairman and principal: The topic is discussed with the
members of research committee and is finalised. he is permitted to conduct present
study
18
Signature
19
