Effectiveness of Video Assisted Teaching Programme regarding Knowledge of Post Partum Intrauterine Contraceptive Devices among Antenatal Mothers in selected areas at Rajkot, Gujarat

 

Mr. Devi Lal Janwa1, Mrs. Jyothsna Battu2, Mr. Jeenath Justin Doss.K3

1Student, Shri Anand Institute of Nursing, Ghanteshwer Park, Jamnagar Road, Rajkot - 360006

2HOD, CHN Department, Shri Anand Institute of Nursing, Ghanteshwer Park, Jamnagar Road, Rajkot – 360006

3HOD, Principal, Shree Anand Institute of Nursing, Ghanteshwer Park, Jamnagar Road, Rajkot - 360006

*Corresponding Author’s Email: devjanwa@gmail.com

 

ABSTRACT:

Knowledge of post partum intra uterine contraceptive devices (PPIUCD) is important for antenatal mothers as an effective contraceptive and family planning method. Intrauterine contraceptive Device (IUCD) is one of the most commonly used reversible methods of contraception among women of reproductive age worldwide. The objective of the study is to assess the effectiveness of video assisted teaching programme regarding knowledge of post partum intrauterine contraceptive devices among antenatal mothers.

Pre-experimental one group pre-test post-test design was selected for the present study and conceptual frame work for this study was based on General System Theory Modified Ludwig Von Bertalanffy’s. The study had been conducted in selected areas at Rajkot district of Gujarat.

Non probability purposive sampling techniques had been adopted to select the desired sample. The sample size was 60.The study design depicts that a pre-test was given in the form of structured knowledge questionnaire on selected antenatal mothers at selected rural areas at Rajkot, after that as an intervention video assisted teaching programme was administered in two sessions & a post-test was given after 7 days to assess gain in knowledge using the same structured knowledge questionnaire.

Collected data was analyzed by using both descriptive and inferential statistical method. ‘t’ test and chi-square test was used to evaluate the effectiveness of video assisted teaching programme regarding knowledge of PPIUCD among antenatal mothers. The calculated ‘t’ value 43.89 is significantly higher than the table value 3.4632 at 0.05 level of significance. This indicates that there is significant difference between the pre test and post test knowledge score and video assisted teaching programme is effective in improving knowledge of PPIUCD among antenatal mothers. With regard to age, education, monthly income, obtain chi-square value were significant at 0.005 level and thus the hypothesis is accepted.

 

KEYWORDS: Assess Effectiveness, Video Assisted Teaching Programme, Knowledge, Postpartum Intrauterine Devices, Antenatal mothers.

 

 

INTRODUCTION:

The words birth control, contraception and family planning are often used interchangeably and although they are not identical in meaning. The term birth control refers to regulation of the number of children that are conceived or born. Contraception refers to the prevention of pregnancy, which is accomplished by specific contraceptive or birth control methods. Family planning has the broadest connotation.1

Family planning is recognized as a key life intervention for mothers and their children. An estimated one fourth of maternal mortality could be prevented through avoiding unintended pregnancies, while family planning is important throughout an individuals and couples reproductive life, postpartum family planning (PPFP) focuses on the prevention of unintended and closely spaced pregnancies through the first 12 months following childbirth. Nearly 65% of women, globally, in their first year postpartum, have an unmet need for family planning. The current approach in Family Planning emphasizes on offering high quality contraceptive services among eligible clients on a voluntary basis.2

 

In India there are generally two types of temporary birth control options: barrier and hormonal. Hormonal contraceptives are typically pills, injectables, implants, patches, and vaginal rings. Barrier contraceptives are generally products that prevent pregnancy by blocking sperm from the uterus. While some of them can be used alone, others are more effective when used with spermicides which are foams, jellies, tablets, or vaginal suppositories containing chemicals that kill sperm. Some of the most common barrier contraceptive products include condoms, cervical caps, diaphragms, and IUDs.3

 

Post partum intra uterine devices are most important and effective method for family planning. In India mothers have less knowledge and many misconceptions about PPIUCD hence knowledge about PPIUCD to antenatal mothers is important for their effective use.

 

NEED FOR THE STUDY:

The National Population Policy 2000has recognized as its immediate objective the task of addressing the unmet need for contraception to achieve the medium term Objective of bringing the Total Fertility Rate (TFR) to replacement level of 2.1 by 2010 so as to achieve the long-term goal of population stabilization by 2045. But the figure for the year 2012 is 2.4, which is again much higher than the target. As per NFHS-3 (National Family Health Scheme), the contraceptive prevalence rate in India is 56.3 %, which varies widely among different states and the unmet need for family planning is high at 13% (6% for spacing). Health indicators of gujarat; infant mortality rate(IMR)36, maternal mortality (MMR); 122, total fertility rate (TFR);2.6, contraceptive prevalence rate 57% and total unmet need for family planning 17.9%. Higher in 1 year postpartum (63.4%) still beck on attention.4

 

Intrauterine contraceptive Device (IUCD) is one of the most commonly used reversible methods of contraception among women of reproductive age worldwide. Results of recent studies and literature have confirmed that IUCDs provide very effective, safe and long-term protection against pregnancy and the health risks associated with the method are negligible.

 

The IUDs is underused among the rural and urban woman (1.1% vs 3.4%). IUDs increases choice for long acting and safe contraceptive to achieve optimal birth interval (3-5 years). With the copper T-380, women can protect herself against for pregnancy for up to 12 years. This is particularly attractive for those couples who have achieved their desired family size but do not want to adopt a permanent method like sterilization.5

 

Spacing of births is widely recognized as an intervention to reduce maternal and child morbidity and mortality. The states commitment to pursue a robust strategy for improving the maternal and child health outcomes in the state, including the Janani Suraksha Yojna (JSY) and Janani Shishu Suraksha Karyakram (JSSK), has resulted in more than 70% institutional deliveries in the public health institutions presenting a unique opportunity for revitalizing postpartum family planning and introducing postpartum IUCD (PPICUD) services at the public sector health facilities and repositioning family planning as a maternal neonatal and child health initiative. Since2009 following the government of India’s national initiative to revitalize PPIUCD services.6

 

OBJECTIVES OF THE STUDY:

1.      To assess pre test knowledge score of antenatal mothers regarding post partum intra uterine contraceptive devices.

2.      To evaluate the effectiveness of video assisted teaching programme among antenatal regarding post partum intra uterine contraceptive devices.

3.      To find out the association between pre test knowledge score of ante natal mother regarding post partum intrauterine devices with selected demographic variables.

 

HYPOTHESIS:

H1: There will be a significant difference between the pre test and post test knowledge scores of antenatal mothers regarding post partum intrauterine contraceptive devices.

H2: There will be significant association between pre test knowledge score of   antenatal mothers regarding post partum intra uterine contraceptive devices with selected demographic variables.

 

MATERIAL AND METHODS:

Research approach: quantitative approach

 

Research design: pre experimental one group pretest posttest design

 

Target population: all antenatal mothers

 

Accessible population: Antenatal mothers who are available at selected area at the time of study.

 

Sampling technique: non probability purposive sampling technique

 

Sample size:  60 antenatal mothers

 

Data collection procedure: questionnaire.

 

Data analysis: descriptive statistics and inferential statistics

 

Criteria measure: level of knowledge

 

MAJOR FINDINGS OF THE STUDY:

·             The demographic characteristics of the samples revealed that

1.      The majority of the respondents 68% belong to the age group of 21-23 years.

2.       The majority of the respondents 60% were Hindu.

3.      The majority of the respondents 70% were literate.

4.      The majority of the respondents 68.3% were have income Below 5000 Rs.

5.      The majority of respondents 93.33% didn’t have knowledge regarding post partum intrauterine contraceptive device.

 

·        Pre-test knowledge of Respondents regarding Post partum intra uterine contraceptive devices:

The overall mean percentage of pre test knowledge score is 11.5 (38 percent) with standard deviation of 3.4 which shows that the respondents have inadequate knowledge about post partum intrauterine contraceptive devices.

 

·        Post-test knowledge of Respondents on regarding Prevention of post partum intrauterine contraceptive devices

The overall mean percentage of knowledge score is 23.85(79.3 percent) with standard deviation of 3.9 which shows gain in knowledge about PPIUCD.

 

·        Effectiveness of video assisted teaching program on knowledge of respondents by comparing pre test knowledge score and post test knowledge score:

The enhancement in the knowledge of the respondents is 13.14 with the ‘t’ value of 43.89.

 

·        Association between pre test knowledge score of respondents regarding post partum intrauterine contraceptive devices with selected demographic variables.

There is a significant association between knowledge of respondents and demographic variables such as monthly income of family (8.66). Hence research hypothesis is accepted and proved.

 

CONCLUSION:

The main conclusion from this present study is that most of the antenatal mothers had no knowledge regarding post partum intra uterine contraceptive devices (PPIUCD). This shows the imperatives need to understand the purpose of video assisted teaching regarding knowledge of PPIUCD for family planning.

 

REFERENCES:

1.       Barbara. R. straight, Lee Olive, Harrison. Maternal newborn nursing. 2ed edition. Lippincott publication: 1996. Page no. 206-209.

2.       World population awareness. How to attain population sustainability. [Internet] 2015. Available from: http://www.overpopulation.org/pop-sustainability.html. (Accessed on 10th may 2015).

3.       Bobak, MI, Lowdermilk and Jenson. Essentials of maternity nursing. St. Louis, CV Mosbey: 1987. Page no. 721-725.

4.       Population commission of India. Uses of contraceptive methods. [Internet] 2015. Available on: http://populationcommission.nic.in/Publication/11_1.aspx. (Accessed on 15 may 2015).

5.       Global uses of IUCD. Overview of IUCD uses in different countries. [Internet] 2015. Available on: http://www.uptodate.com/contents/intrauterine-contraception-iud-overview (Accessed on 21 may 2015).

6.       Maternal and child morbidity and mortality. Initiatives of govt. Of India. [Internet] 2015. http://medind.nic.in/ibl/t11/i4/iblt11i4p354.pdf. accessed on 9th June 2015

 

 

 

 

Received on 26.07.2016           Modified on 29.08.2016

Accepted on 18.10.2016          © A&V Publications all right reserved

Int. J. Nur. Edu. and Research. 2016; 4(4): 490-492.

DOI: 10.5958/2454-2660.2016.00090.9