Paper Title
Effectiveness of the Sensitization Program on Knowledge, Attitude and Practices Regarding Home-Based Diarrheal Management Among Mothers of Under Five Children in Selected Rural Areas of Punjab.
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Registration ID: IJNRD_303553
Published ID: IJNRD2501227
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Abstract Background Diarrhoea is a widespread and debilitating illness, particularly impacting infants and young children. Besides being a significant cause of both illness and death, it also hampers the growth and development of children. The negative effects on growth result from various factors, including reduced appetite, altered feeding practices, and impaired nutrient absorption. This detrimental relationship between diarrhoea and physical growth is evident, with each day of illness contributing to a weight deficit of approximately 20 g to 40 g. For infants experiencing prolonged diarrhoea, exceeding 20% of their time, the weight deficit can be as high as 370 g at one year of age. Such substantial weight loss during early development can have long-term consequences on a child's overall growth trajectory. The impact of diarrhoea on growth is not limited to weight deficits alone; it also affects linear growth. Children who suffer from diarrhoea during the first 24 months of life tend to be approximately 1.5 cm shorter than those who never experienced the illness. This demonstrates the significant correlation between diarrhoea and stunted growth during critical developmental periods. The negative effects of diarrhoea on linear growth are particularly concerning, as stunted growth in early childhood can have lasting effects on physical and cognitive development, impacting overall well-being and future opportunities. Effective home-based diarrhoea management is vital in the early stages of illness to prevent severe dehydration and complications. In India, mothers are the primary caregivers and play a central role in managing the health of their under-five children. As the first point of contact during a child's illness, their understanding of proper home-based management is crucial. Timely recognition of danger signs and initiation of appropriate management strategies can significantly reduce the risk of severe complications and mortality. Methodology An evaluate study was conducted to find out the effectiveness of the sensitization program on knowledge, attitude, and practices regarding home-based diarrhoeal management among mothers of under-five children in selected rural areas of Punjab. The research design was quasi experimental non-equivalent control group pre-test and post test design. All the mothers under of five children who are residing in _____________ and ______________ villages of Punjab and who fulfilled the inclusion criteria were considered as sample. The samples were selected using purposive sampling technique, a total of 75 samples for each experimental and control group had chosen. Data was collected using pretested, validated and reliable tool knowledge and attitude scale on home based diarrhoeal management and observational check list preparation of ORS solution. On Day 1 pre-test was conducted using structured knowledge questionnaire to assess knowledge on home based diarrhoeal management and attitude scale was used to assess the attitude on home based diarrhoeal management and observational check list was used to assess the practice on ORS preparation. The sensitization program on home based diarrhoeal management was administrated to experimental group and post test was conducted 21 days after pre-test using the same tool. Before conducting the post test motivational follow-up was given to the experimental on Day 10. Similarly, the pre-test and post-test were conducted to the control group by using same questionnaire without administration of sensitization program and motivational follow up on home based diarrhoeal management. At the end of the post-test sensitization program was administrated to the control group. Results • In experimental group the paired ‘t’ test value for knowledge was 13.070 which was statistically significant at P <0.001 and in control group the paired ‘t’ test value for knowledge was 0.359 which was not statistically significant at P <0.05. • In experimental group, posttest knowledge mean, and S.D. was 28.54 ± 4.91 where as in control group posttest knowledge mean ± S.D. was 16.19 ± 3.84. The overall independent ‘t’ value for knowledge was 6.988 which was statistically significant at P<0.001. • In experimental group the paired ‘t’ test value for attitude was 13.722 which was statistically significant at P <0.001 and in control group the paired ‘t’ test value for attitude was 1.612 which was not statistically significant at P <0.05.. • In experimental group, posttest attitude mean, and S.D. was 72.89 ± 16.66 where as in control group posttest attitude mean ± S.D. was 41.89 ± 12.67. The overall independent ‘t’ value for attitude was 12.826 which was statistically significant at P<0.001. • In experimental group the paired ‘t’ test value for practice was 19.178 which was statistically significant at P <0.001 and in control group the paired ‘t’ test value for practice was 0.712 which was not statistically significant at P <0.05. • In experimental group, posttest practice mean, and S.D. was 11.64 ± 0.67 where as in control group posttest practice mean ± S.D. was 7.01 ± 1.40. The overall independent ‘t’ value for practice was 13.290 which was statistically significant at P<0.001. • In experimental group there was significant association between pre-test level of knowledge and demographic variables such as education (χ2 =6.7052, p=0.048), family type (χ2 = 5.831 p=0.015), number of children (χ2 =5.70, p=0.016), there was significant association between pre-test level of attitude and demographic variables such as education (χ2 =8.895, p=0.011), family type (χ2 = 5.795 p=0.016),there was significant association between pre-test level of practice and demographic variables such as Religion (χ2 =10.797, p=0.011), occupation (χ2 =15.07, p=0.004), Number of children (χ2 = 6.669 p=0.009). • In experimental group there was significant association between pre-test level of knowledge and demographic variables such as occupation (χ2 =17.03, p=0.001), Number of children (χ2 = 8.566 p=0.003), Source of information (χ2 =18.59, p=0.000), there was significant association between pre-test level of attitude and demographic variables such as occupation (χ2 =12.91, p=0.004), Number of children (χ2 = 7.220, p=0.007), there was significant association between pre-test level of practice and demographic variables such as Religion (χ2 =27.62, p=0.000). Conclusion The findings of the study revealed that there was significant increase in the post test knowledge attitude and practice score among mothers in experimental group. Hence, it is concluded that Sensitization Program is highly effective in improving the knowledge attitude and practice on home based diarrhoeal management among mothers. Key words: Effectiveness, Sensitization Program, Knowledge, Attitude, Practice, Mothers, Home based diarrhoeal management, Under five children.
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Sapna Batish & PROF. (DR) SALINA PATHAK (January-2025). Effectiveness of the Sensitization Program on Knowledge, Attitude and Practices Regarding Home-Based Diarrheal Management Among Mothers of Under Five Children in Selected Rural Areas of Punjab. . INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 10(1), c129-c160. https://ijnrd.org/papers/IJNRD2501227.pdf
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Volume 10 Issue 1, January-2025
Pages : c129-c160
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Paper Reg. ID: IJNRD_303553
Published Paper Id: IJNRD2501227
Research Area: Other area not in list
Author Type: Indian Author
Country: Mohalu, Punajab, India
Published Paper PDF: https://ijnrd.org/papers/IJNRD2501227.pdf
Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2501227
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