Effectiveness of Structured Teaching Programme on knowledge regarding selected government schemes among Antenatal mothers of Raipur
Ms. Ritika Rocque1
1Nursing Tutor, Department of Community Health Nursing, College of Nursing, AIIMS Raipur
*Corresponding Author E-mail: rocquejovita49@gmail.com, jenijoy49@yahoo.com
ABSTRACT:
Introduction & background: Pregnancy is the vital event in the life of a woman. A great deal of attention during pregnancy is focused on ensuring minimal risk at delivery & maximum health of the woman and her child. All women need access to antenatal care in pregnancy, skilled care in child birth and support in the weeks after child birth to manage complications related to pregnancy, delivery and to prevent maternal deaths. To maintain the health of the mother, Government has launched many maternal health benefit schemes which are 100% sponsored by the government. Objectives: 1) To assess the level of knowledge regarding selected government schemes among antenatal mothers of selected health care institutions of Raipur. 2) To evaluate the effectiveness of structured teaching programme on knowledge regarding selected government schemes among antenatal mothers of selected health care institutions of Raipur. 3) To find the association between the level of existing knowledge regarding selected government schemes and selected socio-demographic variables among antenatal mothers of selected health care institutions of Raipur. Methods: The research study was conducted by adopting pre-experimental (one group pre-test post test) research design. Non probability convenient sampling was adopted to select 60 samples. The data was analyzed using both descriptive and inferential statistics. Results: The mean improvement is 5.35 (17.83%) which is significant at 0.05% level. Paired t =22.09, p<0.05 indicating that the STP was effective in gaining knowledge of the antenatal mothers on selected government schemes.
KEYWORDS: Structured teaching programme, government, schemes, antennal mothers, knowledge.
INTRODUCTION:
Pregnancy is the vital event in life of a woman. Every day approximately 830 women die from preventable causes related to pregnancy and child birth. 90% of all maternal death occurs in developing countries. Women died as a result of complications during and following pregnancy and child birth.
Most of these complications develop during pregnancy and most are preventable and treatable.
According to WHO (2015), 3,03,000 women died due to complications of pregnancy. Almost all of these, deaths occurred in low and middle income countries (99%). Reduction in maternal mortality crucially depends upon ensuring that women have access to quality care before, during and child birth1.
Most maternal deaths are preventable, as the health care solutions to prevent or manage complications are well known. All women need access to antenatal care in pregnancy, skilled care in child birth, and care and support in the weeks after child birth1. To maintain the health of the mother, Government has launched many maternal health benefit schemes which are 100% sponsored by the government.
According to NITI aayog, maternal mortality rate of India has reduced from 167 per 1,00,000 live births in 2011-13 to 130 per 1,00,000 live birth in 2014-16 and infant mortality rate has reduced from 37 per 1000 live births in 2015 to 34 per 1000 live births in 2016. In Chhattisgarh, the maternal mortality has been reduced from 221 per 1,00,000 live birth in 2011-13 to 165 per 1,00,000 live birth in 2014-16 and infant mortality rate has been reduced from 41 per 100 live births in 2015 to 39 per 1000 live birth in 2016. This progress puts the country on track towards achieving the sustainable development Goal (SDG) target of a mortality rate below 70 by 20302.
OBJECTIVES:
1. To assess the level of knowledge regarding selected government schemes among antenatal mothers of selected health care institutions of Raipur.
2. To evaluate the effectiveness of structured teaching programme on knowledge regarding selected government schemes among antenatal mothers of selected health care institutions of Raipur.
3. To find the association between the level of existing knowledge regarding selected government schemes and selected socio-demographic variables among antenatal mothers of selected health care institutions of Raipur.
HYPOTHESES:
H01: There will be no significant difference between pre-test and post-test knowledge scores regarding selected government schemes among antenatal mothers of selected health care institutions of Raipur.
H02: There will be no significant association between the level of existing knowledge regarding selected government schemes and selected socio-demographic variables among antenatal mothers of selected health care institutions of Raipur.
MATERIAL AND METHODS:
A pre-experimental and descriptive evaluator research approach was used with one group pre-test post-test research design to evaluate the effectiveness of structured teaching programme on knowledge regarding selected government schemes among antenatal mothers. 60 samples using non-probability convenient sampling technique were selected for the study. The pre-test was administrated to 60 antenatal mothers followed by the STP. After 7 days, post-test was administered to same samples using the same tool. Data gathered was analyzed using descriptive and inferential statistics.
RESULTS:
Majority of the respondents belongs to 48(80%) were from the age group of 18-29 years of age and rest were 12(20%) from the age group 30-46 years of age. In relation to occupation, 2(3.33%) were government employees, 11(18.33%) were employed in private service, 4(6.66%) were self-employed and 43(71.66%) were unemployed. In relation to monthly income, 17(28.33% had monthly income of 5000-10,000 rupees, 25(41.66%) had monthly income of 10,000 25,000 rupees and 18 (30%) had monthly income above 25,000 rupees. According to area of residence, 15 (25%) belongs to rural area, 26 (44.66%) belongs to urban area and 19 (31.66%) belongs to semi-urban area. In relation to type of family, 21 (35%) were from nuclear family and 39 (65%) were from joint family.
Section I: Assessment of existing Knowledge regarding Selected Government Schemes:
Figure no 1: Distribution of sample with regard to existing knowledge regarding selected government schemes.
Figure 1 revels that in the pre-test, out of 60 antenatal mothers 40 (66.66%) have inadequate knowledge and 20 (33.33%) have adequate knowledge.
Section II: Analysis of Effectiveness of Structured Teaching Programme on knowledge regarding selected government schemes.
Figure no 2: Comparison of level of knowledge in Pre-test and Post test
Figure 2 depicts the overall mean knowledge scores of pre-test and post-test. In pre-test, majority of the antenatal mothers 40 (66.67%) had inadequate knowledge, and only 20 (33.33%) had adequate knowledge. In post-test, majority of the antenatal mothers 58 (96.66%) had adequate knowledge and only 2 (3.34%) had inadequate knowledge. Hence H01 is accepted, which reveals that there is a significant improvement in the knowledge of antenatal mothers after the structured teaching programme on selected government schemes.
Section III: Association of existing knowledge regarding selected government schemes with selected socio-demographic variables
|
Demographic variables |
Inadequate knowledge |
Adequate knowledge |
Chi-square value (p<0.05) |
Interpretation |
||
|
F |
% |
F |
% |
|||
|
AGE |
X2= 4.215 d.f =1 p=3.84 |
Significant |
||||
|
18-29 years |
29 |
48.33 |
19 |
31.66 |
||
|
30-46 years |
11 |
18.33 |
1 |
1.66 |
||
|
EDUCATION |
X2= 1.73 d.f =3 p=7.82 |
Not significant |
||||
|
Primary |
13 |
21.66 |
5 |
8.33 |
||
|
secondary |
9 |
15 |
7 |
11.66 |
||
|
Higher secondary |
10 |
16.66 |
3 |
5 |
||
|
Graduate & above |
8 |
13.33 |
5 |
8.33 |
||
|
OCCUPATION |
X2= 0.89 d.f =3 p=7.82 |
Not significant |
||||
|
Government service |
1 |
1.66 |
1 |
1.66 |
||
|
Private services |
8 |
13.33 |
3 |
5 |
||
|
Self employed |
2 |
3.33 |
2 |
3.33 |
||
|
Unemployed |
29 |
48.33 |
14 |
23.33 |
||
|
MONTHLY INCOME |
X2= 0.859 d.f =2 p=5.99 |
Not significant |
||||
|
5000-10000 |
11 |
18.33 |
6 |
10 |
||
|
10000- 25000 |
18 |
30 |
7 |
11.66 |
||
|
>25000 |
11 |
18.33 |
7 |
11.66 |
||
|
AREA OF RESIDENCE |
X2= 0.049 d.f =2 p=5.99 |
Not significant |
||||
|
Rural |
10 |
16.66 |
5 |
8.33 |
||
|
Urban |
17 |
28.33 |
9 |
15 |
||
|
Semi- Urban |
13 |
21.66 |
6 |
10 |
||
|
TYPE OF FAMILY |
X2= 0 d.f =1 p=3.84 |
Not significant |
||||
|
Nuclear |
14 |
23.33 |
7 |
11.66 |
||
|
Joint |
26 |
43.33 |
13 |
21.66 |
||
It is clear from the above table that there is only association between the pre-test knowledge and age of the antenatal mothers. There is no association between pre-test level of knowledge regarding selected government schemes among antenatal mothers and their selected socio-demographic variables such as education, occupation, monthly income, area of residence and type of family.
CONCLUSION:
The major findings revealed that structured teaching programme enhanced the knowledge of the antenatal mothers on selected government schemes. The mean improvement is 5.35 (17.83%) which is significant at 0.05% level. Paired t =22.09, p<0.05 indicating that the STP was effective in gaining knowledge of the antenatal mothers on selected government schemes.
REFERENCES:
1. World Health Organization, Maternal health facts, 2018 February 16. Available from http://www.who.int
2. NITI Aayog. Maternal mortality ratio statistical report. New Delhi National Information Centre, 2018. Available from http://www.niti.gov.in.
Received on 14.09.2019 Modified on 18.10.2019
Accepted on 29.11.2019 © A&V Publications all right reserved
Int. J. Nur. Edu. and Research. 2020; 8(1):76-78.
DOI: 10.5958/2454-2660.2020.00014.9