To Assess the Effectiveness of Planned Teaching Programme on Knowledge regarding Preconception care among Young Adults in Selected Colleges of Nagpur City

 

Mrs. Bhawana Bhende, Ms. Navita Madavi, Ms. Abhiruchi Dhole, Ms. Piyusha Chivhane,

Ms. Bhagyashri Girade, Ms. Mayuri Kalsarpe, Mr. Saurabh Ingle

 

ABSTRACT:

Introduction: Preconception care provides a foundation for implementing a package of promotive, preventive and curative health intervention shown to have been effective in improving maternal and child health. The objectives of the study were 1) To assess the existing knowledge regarding preconception care among young adults in selected colleges of Nagpur city. 2) To evaluate the effectiveness of planned teaching programme on knowledge regarding preconception care among young adults in selected colleges of Nagpur city 3) To associatethe post-test knowledge scores with selected demographic variables. Methods: A pre-experimental and descriptive evaluatory research approach was used with one group pre-test post-test design to evaluate the effectiveness of the planned teaching programme. 60 samples were selected by non-probability convenient sampling method are used. The pre- test was administered to 60 young adults followed by the STP. After 7 (seven) days, post test was conducted to the same samples using the same tool. Data gathered was analyzed using descriptive and inferential statistics in terms of frequency, percentage, mean, standard deviation and Paired ’t’ test. CONCLUSION: The major findings revealed that structured teaching programme enhanced the knowledge of the young adults on preconception care. The overall mean percentage of post-test knowledge scores of the young adults 64.43% is apparently higher than the overall mean percentage of pre-test knowledge score 44.03 % and is significant at 0.05% level. Paired ‘t’=6.494% p<0.05 indicating that the STP was effective in gaining knowledge of the young adults on preconception care.

 

 

 

 

 

INTRODUCTION:

“If women are not healthy, how can the children be health, family be healthy?”

Preconception care provides a foundation for implementing a package of promotive preventive and curative health intervention shown to have been effective in improving maternal and child health⁽¹⁾

 

Preconception is a vital time to assess and identify various risk that could lead to advance maternal and child outcome. Preconception care focuses on long term as well as short term improvement in women and child health through counseling and intervention⁽²⁾. There has been increasing recognition that women health status, lifestyle and history prior to conception strongly influence the achievement of healthy pregnancy outcome.⁽³⁾ Pre- prior and human fertilization is known as conception that is preconception. According to WHO Preconception care is the provision of biomedical, behavioral and social health interventions to women and couples, before conception occurs.⁽¹⁾ Preconception care helps in addressing pre-pregnancy health risks and health problems that could have negative maternal and fetal consequences. Therefore, it has potential to further reduce global maternal mortality and morbidity especially in low income countries where the highest burden of pregnancy related deaths and disability occurs⁽⁴⁾ The preconception period provides an opportunity to intervene earlier to optimize the health of potential mothers (and fathers) and to prevent harmful exposures from affecting the developing fetus. These interventions include birth spacing and preventing teenage pregnancy, promotion of contraception use, optimization of weight and micronutrient status, prevention and management of infectious diseases, and screening for and managing chronic conditions.⁽⁴⁾

 

OBJECTIVES:

1. To assess the existing knowledge regarding preconception care among young adults in selected colleges of Nagpur city.

2.    To evaluate the effectiveness of planned teaching programme on knowledge regarding preconception care among young adults in selected colleges of Nagpur city.

3.    To associatethe post-test knowledge scores with selected demographic variables.

 

HYPOTHESIS:

H0: There is no significance difference between pre-test and post-test knowledge scores of young adults regarding preconception care and it is measuring by structured questionnaire at P<0.05 level of significance.

H1: There is significant difference between pre-test and post-test knowledge scores of young adults regarding preconception care and it is measuring by structured questionnaire at P<0.05 level of significance.

 

MATERIAL AND METHODS:

A pre-experimental and descriptive evaluatory research approach was used with one group pre-test post-test design to evaluate the effectiveness of the planned teaching programme. 60 samples were selected by non-probability convenient sampling method are used. The pre-test was administered to 60 young adults followed by the STP. After 7 (seven) days, post test was conducted to the same samples using the same tool. Data gathered was analyzed using descriptive and inferential statistics in terms of frequency, percentage, mean, standard deviation and Paired ’t’ test.

 

RESULT:

Majority of 88.33% of college students were in the age group of 18-22 year, 8.33% were in 20-22 year, 3.33% were in 22-24year. 56.66% were females and 43. 33% were male. Majority 78.33% college students were Hindu, 8.33% were Muslim, 3.33% were Christian , and 10% students belongs to other, Majority of students i.e.; 80% were lives in urban area and 20% were lives in rural.100% students having stream of education of science. Majority of students (51.66%) having previous knowledge regarding topic through internet 23.33%, through relatives and friends 6.66%, through syllabus and books 13.33% and through TV and mass media 8.33%. Where, 48.33% student does not have previous knowledge regarding topic.

 

FREQUENCY/PERCENTAGE OF KNOWLEDGE REGARDING PRECONCEPTION CARE AMONG YOUNG ADULTS:

 

Table 1. Frequency and percentage level of knowledge

	Adequate	Moderate	Inadquate
Frequency	30	26	04
Percentage	50%	43%	7%

 

The above table describes frequency and percentage level of knowledge, in which 50% (30) student having adequate knowledge, 43% (26) students having moderate knowledge, and 7% (04) students having inadequate knowledge respectively (Table-1).

 

 

Fig. 1. PERCENTAGE LEVEL OF KNOWLEDGE.

 

The above bar chart (Figure-1) explained frequency and percentage level of knowledge in which 50% (30) student having adequate knowledge, 43% (26) students having moderate knowledge, 7% (4) student having inadequate knowledge.

Table 2. Mean, standard deviation, mean percentage of pre-test and post-test knowledge score of young adults on knowledge regarding preconception care.

Knowledge score	Mean knowledge score	Mean percentage	S.D	t-value	p-value
Pre-test	13.21	44.03%	4.22	6.4940	<0.05
Post-test	19.36	64.53%

Maximum score=30

 

The mean and mean score percentage and standard deviation values were compared and paired t-test was applied at 5% level of significance. The calculated value was 6.4940 respectively (Table-2). For the knowledge regarding preconception care among young adults. The tabulated t-value is less than calculated t-value so that null hypotheses are rejected.

 

CONCLUSION:

The major findings revealed that structured teaching programme enhanced the knowledge of the young adults on preconception care. The overall mean percentage of post-test knowledge scores of the young adults 64.43% is apparently higher than the overall mean percentage of pre-test knowledge score 44.03 % and is significant at 0.05% level. Paired ‘t’=6.494% p<0.05 indicating that the STP was effective in gaining knowledge of the young adults on preconception care.

 

REFERENCES:

1.       Preconception care: world health organization www.who.int/maternal_child_adolescent//preconception_care_policy_brief.pdf

2.       Fogsi good clinical practice recommandation abnormal uterine bleeding in reproductive period and preconception care.

3.       Diane m. Fraser for midwives, 15th edition nottinghan, uk, churchill lovingstone elsevies 2002-2008.

4.       Prashana gautam.knowledge on preconception care among reproductive age women.nepal.2016.scholarsmepub.com/wp-content/uploads/2016/02/sjmps-211-6.pdf

 

 

 

 

 

Received on 09.08.2018       Modified on 11.09.2018

Accepted on 05.10.2018       ©A&V Publications All right reserved