An Observational Study to Assess the Health Status of Pre-School Children in Selected Rural Anganwadi Centers at Akluj

 

Mr Alwyn Anil Kale1, Vivek Ambekar2, Nakusha Sawant2

1Asst Professor, Vijaysinh Mohite Patil College of Nursing and Medical Research Institute, Akluj,

Dist - Solapur, Pin 412118, State – Maharashtra, India.

24th Year Basic B.sc Nursing, Vijaysinh Mohite Patil College of Nursing and Medical Research Institute, Akluj, Dist - Solapur, Pin 412118, State – Maharashtra, India.

*Corresponding Author E-mail: alwyn7600@gmail.com

 

ABSTRACT:

Background - The children below six years are particularly vulnerable to infection, malnutrition, dental caries etc, and need special care. The child development and health status of pre-school children can be studied in so many perspectives, hence investing on children today can be the best possible strategies for future development. Therefore the study designed to assess the health status of pre-school children in selected rural anganwadi centers at Akluj. Aims and Objective –To determine the health status of rural pre-school children in terms of physical assessment. To determine the health status of rural pre-school children in terms of nutritional assessment. To find the association of health status (physical) of pre-school children with selected demographic variables. Material and Methods – Data was collected from 60 samples with questionnarie and observation checklist to evaluate the health status of pre-school children in anganwadi. Assessment done from 0 day, 7 day and follow up to observe health status of samples. Result - majority 35% (21) of the subjects were of 4yrs of age, only least 8.5% (5) were of 2yrs of age, remaining 28.3% (17) were of 3yrs of age, 28.3% were of 5years age. 45% (27) of subject were male and 55% (33) were female. In relation to religion majority 93.3% (56) of subject were Hindus and remaining 6.7% (4) were Muslim with regard to birth order 70% (42) of pre – school children were first child in their family and remaining 30% (18) were second child. In relation to place of delivery 83.3% (50) were delivered in hospital and 16.7% (10) were delivered in home. Considering the mode of delivery 88.3% (53) were delivered by full term normal delivery and 11.7% (7) were delivered by LSCS. Conclusion - The present study assessed the physical status and nutritional status of pre-school children who are attending anganwadi. The study findings revealed that majority of the subjects who attend Anganwadi centres were in the age group of 2 to 5 years. The most common illness, which affected pre-school-child population, was fever and acute respiratory tract infection. It was observed that majority of the subjects (40) who attended Anganwadi centres had very good health states (score 50-64). Major area of deviation from normal was nasal discharge (20), dental caries (26) and tooth deposits (14) Majority of the subjects 81% had normal height, weight, mid-arm circumference and only 19% of the subjects had their height below ICMR mean height. Nutritional status of subjects studied was satisfactory compared to NFHS-2 data. There were only 18 subjects (8%) among 3 years. 25% among 4 years and 35.7% among 5 years) having Grade-1 Mild) Mal-nutrition.

 

KEYWORDS: Health Status of Pre-School Children, Rural Anganwadi Centers.

 

 


 

INTRODUCTION:

Children between 2-5 years of age are generally called pre-school age children. Today more than ever before the pre-school children have become a focus for organized medical-social welfare activities. Pre-school children represent about 12 present of the general population in India. A large majority of these children live in rural and tribal areas and in urban slums. By virtue of their numbers, they are entitled to a large share of health and social services. Further, children are the human resources of the future. Their development is in the interest of the total national development; therefore they need special attention. Unfortunately, pre-school children are comparatively less attended too. Children below six years are particularly vulnerable to infection, malnutrition, worm infestation, dental caries etc. Need special care. All Children in the developed countries have ready access to the simple and affordable care that keeps them healthy and to reach their full potential, where as children in the developing countries do not have these facilities.

 

MATERIAL AND METHODS:

Observational study to assess the health status of pre-school children in selected rural anganwadi centers at akluj. Data was collected from questionnaire and observation checklist to evaluate the health status. Assessment done from 0day, 7day and follow up. The significance will be calculated by using mean, standard deviation and calculated ‘t’ value. Anova will be used to find the co-relation with every item and the findings will be documented in tables, graphs and diagrams. Description and inferential statistics were used for analysis.

 

RESULT:

Age wise distribution showed that majority 35% (21) of the subjects were of 4yrs of age, only least 8.5% (5) were of 2yrs of age, remaining 28.3% (17) were of 3yrs of age, 28.3% were of 5years age. 45% (27) of subject were male and 55% (33) were female. In relation to religion majority 93.3% (56) of subject were Hindus and remaining 6.7% (4) were Muslim with regard to birth order 70% (42) of pre – school children were first child in their family and remaining 30% (18) were second child. In relation to place of delivery 83.3% (50) were delivered in hospital and 16.7% (10) were delivered in home. Considering the mode of delivery 88.3% (53) were delivered by full term normal delivery and 11.7% (7) were delivered by LSCS. In relation to colostrum feeding all the subjects i.e 100(60) were given colostrum’s feeding. And also all 100 % (60) had started weaning at six months. With regard to immunization 100% (60) of preschool children were immunized. Considering the number of siblings 53.3%(32) had no brothers, 43.3% (26) had one brother and 3.3%(2) of them had two children 38.8%(23) of preschool had no sisters 60%(36) had one sister and 1.71(1) had two sisters, with regard to educational status of the father majority 50% (30) of subjects fathers studied till secondary education, 21.6% (2) had primary education, 15%(9) of them had completed PUC and only 10% (6) of them were graduates. 35% (21) of subjects mother were illiterates 31.6% (19) of them had only primary education, and remaining 33.4% (20) of them had secondary education. Majority 86.7% (52) of them were consuming mixed diet, and only 13.5% (8) of them were vegetarians.

 

DISCUSSION:

It should be emphasized that health status of pre school children were no statistical significant found between physical status of the pre-school children and selected demographic variables such as age, sex, religion, no. of siblings, birth order, education and occupation of parents, place of delivery and mode of delivery, history of colostrum feeding, history of weaning at six months, vitamin-A prophylaxis, number of siblings, educational status of parents and dietary pattern, income of the family (per year), hospitalization of child, utilization health services, immunization status, housing condition and history of illness.

 

CONCLUSION:

The aim of the study was to determine the health status of rural pre-school children in terms of physical assessment. To determine the health status of rural pre-school children in terms of nutritional assessment. To find the association of health status (physical) of pre-school children with selected demographic variables. Through this study nurses or other health workers can take proper action before the patient condition. Early treatment can be given by proper health status.

 

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Received on 27.08.2018           Modified on 06.09.2018

Accepted on 05.10.2018     © A&V Publications all right reserved

Int. J. Nur. Edu. and Research. 2019; 7(1): 110-111.

DOI: 10.5958/2454-2660.2019.00021.8