A Study to Assess effectiveness of The Planned Teaching Programme on Knowledge regarding Recommendation to The Barrier of Immunization among mothers of underfive children in selected hospital, Rajkot.

 

Dhara Sangada, Kadali Sam Prasad, Jeenath Justin Doss

Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Sainik Society, Jamnagar Road, Rajkot - 360006.

*Corresponding Author E-mail: dharasangada07@gmail.com

 

ABSTRACT:

A study to assess the effectiveness of planned teaching programme on recommendation to the barrier of immunization among mothers of under-five children in selected area of Rajkot was conducted by Dhara Sangada., in partial fulfilment as a requirement for the Master of science in Nursing, Saurashtra University during year 2023.Objectives of the study: 1). To assess the existing knowledge of mother of under five children regarding recommendation to the barrier of immunization. 2). To assess the effectiveness of the planned teaching programme on knowledge regarding recommendation to the barrier of immunization among mother of under five children in selected hospital. 3). To find out the association between knowledge score and selected demographic variables. The research design of the study is pre- experimental research design with one group pretest and posttest. Total 60 mothers were taken who have under 5 children, Non-probability convenient sampling technique was used to select the mothers. The conceptual model of the study was general system model. The study was conducted at Akshar child care hospital. Collected. Data was analyzed descriptive statistics such as mean, standard deviation, frequencies and percentages. The association between effectiveness of planned teaching programme will be analyzed by t-test. The obtained “t-test” value for the level of knowledge on regarding recommendation to the barrier of immunization 17.407 that was highly significance at p<0.05 level the hypothesis was accepted. The chi-square value of mothers of under-five children knowledge recommendation to the barriers of immunization with their social status and marital status which shows there was significance association exist between knowledge score with their selected demographic variables and other demographic variables such as age, education, religion, number of children, source of information of recommendation to the barriers of immunization and type of family did not show significance association. Hence H2 were accepted.

 

KEYWORDS: Effectiveness, recommendation, immunization, mothers of under-five children.

 

 


 

INTRODUCTION:

World Health Organization (WHO) states that health is a state of complete physical, mental and social wellbeing not merely the absence of disease or illness.

 

Health is more than just the absence of disease. It is affected by a wide range of spectrum of physical, mental, social and political factors.

 

 

The promotion of health is social as well as individual responsibility. It has been that 5 million children were dying each year and another 5 million were disabled by infectious diseases. The growth and development of children is a long-term contribution of country as a whole.1

 

The key to attain the goal of health for all primary health care emphasizes on the preventive principles one of the most cost-effective health interventions is vaccine for all infectious disease. Immunization is a high priority area in care of infants and children. High immunization rates have almost eliminated many infectious diseases which used to decimate sizable of the population for countries. A number of deadly and disabling infectious diseases can be prevented by timely administration of vaccines when child is effectively immunized at the right age, most of these diseases are either entirely prevented or at least modified so that child suffer from a mild disease without any disability. Immunization is one of the most successful and cost-effective health interventions ever. It has eradicated small-pox, lowered the global incidence of polio so far by 99% and achieved dramatic reductions in illness, disability and averted millions of deaths resulting from vaccine preventable diseases.2

 

NEED FOR THE STUDY:

Health is both responsibility as well as right. The promotion of health is social, and political as well as individual responsibility. It has been seen that five million were disabled by six childhood diseases in some developing countries including India. Pediatrics is the branch of medicine that deals with the medical care from conception to adolescence. Treating of a child is different than adult. Major difference between them is children are minor and adults can do a decision by them self.3

 

The period of growth and development extends throughout the life cycle; however, the period in which the principal changes occur is from conception to the end of adolescence. The development of child occurs progressively by increase in skill and capacity to function. Every child is an individual and should never be considered as a typical boy or girl, one unit of a group who are all alike. Each child possesses its own rate and pattern of growth, immune power and status of health. In India, 72 babies are dying for every 1000 babies born in a year. Disease of early childhood preventable by vaccination remains a serious problem in developing countries. The major communicable diseases prevented by the vaccination are diphtheria, tetanus, haemophiles influence type B (Hib), whooping cough, tuberculosis, poliomyelitis, mumps, rubella and hepatitis B.4

 

At birth, infants are protected against some disease because antibodies passed from the mother to fetus and after birth got antibodies from breast milk. But protection is temporary. Some parents fear to give vaccination to their children because they are worried about children will have serious reaction or may get the illness due to the belief that the components of vaccines are weakened or killed some times, only parts of the microorganism are used which can cause serious          illness. 5

OBJECTIVES OF THE STUDY:

1.     To assess the existing knowledge of mother of under five children regarding recommendation to the barrier of immunization.

2.     To assess the effectiveness of the planned teaching programme on knowledge regarding recommendation to the barrier of immunization among mother of under five children in selected hospital.

3.     To find out association between their selected demographic variable with their pre-test level of knowledge regarding recommendation to the barrier of immunization among mother of under five children in selected hospital.

 

HYPOTHESES:

H1: The mean of post level of knowledge will be higher than the mean of pre-test level of knowledge regarding recommendation to the barrier of immunization.

H2: There will be a significant association between their selected demographic variable and their pre-test knowledge regarding recommendation to the barrier of immunization.

 

MATERIALS AND METHODS:

RESEARCH APPROACH:

Quantitative research approach.

 

RESEARCH DESIGN:

The research design for the present study is a pre-experimental approach one group pre-test and post-test.

 

RESEARCH VARIABLES:

Independent variable: Planned teaching programme recommendation to the barrier of immunization.

 

Dependent variable: knowledge of mothers on recommendation to the barrier of immunization.

 

SETTING OF THE STUDY:

Setting is the general location and condition in which data collection takes place in the study. The study was conducted in selected Akshar child care hospital at Rajkot.

 

POPULATION:

Target population: Target population for present study is mothers of under-five children of selected hospital at, Rajkot.

 

Accessible population: Accessible population are all mothers of Akshar care hospital at Rajkot.

 

SAMPLE:

Sample of the present study are mother of under five children in selected hospital at Rajkot.

 

SAMPLE SIZE:

The total sample size was 60 mothers of under-five children in selected hospital at Rajkot.

 

SAMPLING TECHNIQUE:

Non- probability Convenient sampling technique

 

Data analysis:

The responses were analyzed through descriptive statistics (Frequency, percentage) and inferential statistics (t-test and Chi-Square).

 

A. Findings related to demographic variables of the study

1.   The majority of 20(33.33%) the samples age is between 31-35years.

2.   The majority of 20(33.33%) the samples are belonged to 12th pass level of education.

3.   The majority of 34(56.67%) the samples are belonged from middle class level.

4.   The majority of 49(81.67%) the samples are Hindu.

5.   The majority of 24 (40%) the samples have more than 2 children.

6.   The majority of 54 (90%) the samples are married.

7.   The majority of 24(40%) the samples had information gain from health care team.

8.   The majority of 36(60%) the samples are belonged to joint family.

 

B. Finding according to assessment level of knowledge among mothers of under-five children in selected hospital.

The pre-test reported 52(86.67%) has inadequate knowledge, 8(13.33%) has moderate knowledge and there was nil reported on adequate knowledge and after administration of planned teaching programmed in the post-test knowledge of mothers of under-five children was 85% has moderate knowledge, 15% has adequate level of knowledge.

 

C. Findings related to effectiveness of planned teaching programme among mothers of under-five children in selected hospital.

The effectiveness of structured teaching programme on knowledge regarding recommendation to the barriers of immunization was revealed in the post-test that there was significance improvement in knowledge with administration of planned teaching programmme. The obtained “t-test” value for the level of knowledge on recommendation to the barriers of immunization 17.407 that was highly significance at p<0.05 level the hypothesis was accepted.

 

D. Findings related to association between demographic variables and pre-test level of knowledge on:

The knowledge of mother of under-five children on recommendation to the barriers of immunization were compared with their demographic variables of age, education, social status, religion, number of children, marital status, source of information about recommendation to the barriers of immunization and family type. The chi-square value of mothers of under five children knowledge recommendation to the barriers of immunization with their social status and marital status which shows there was significance association exist between knowledge score with their selected demographic variables and other demographic variables such as age, education, religion, number of children, source of information of recommendation to the barriers of immunization and type of family did not show significance association. Hance H2 were accepted.

 

CONCLUSION:

The planned teaching programme through flash cards found to be very effective in improving the knowledge among mothers under five children on recommendation to the barriers of immunization. The knowledge regarding recommendation to the barriers of immunization was improved by health teaching through flash cards. Being as a nurse, our main responsibility is try to make our India, free from communicable disease by providing immunization for all under five children and educate to parents regarding important of immunization.

 

REFERENCE:

1.      S. Selvakumari. Knowledge of optional vaccines among mothers of under five children. Journal of Management and Science. 2011; 1(1).

2.      Margaret Marks G. Broadribbs’s Introductory Paediatric Nursing. 2000; 5: 195-197.

3.      Abraham B. Text Book of Paediatrics, Singapore: Mc Graw Hill International Company. 2001.

4.      Park K. Park’s Textbook of Preventive and Social Medicine, Banarsidas Bhanot Publishers. 22nd Edition, 2009; 114.

5.      Abraham M Rudolp .Rudolph’s Pediatrics. USA, 2006; 20th edition; 590

 

 

 

 

 

 

 

Received on 17.02.2024         Modified on 01.03.2024

Accepted on 11.03.2024       ©A&V Publications All right reserved

A and V Pub J. of Nursing and Medical Res. 2024; 3(1):32-34.

DOI: 10.52711/jnmr.2024.06