A STUDY TO ASSES THE NUTRITIONAL STATUS OF CHILDREN AND THE LEVEL OF KNOWLEDGE AMONG TEACHER’S IN SELECTED PRIMARY SCHOOLS IN BANGALORE

PROFORMA FOR REGISRATION OF SUBJECT FOR DISSERTATION

MRS.HELLEN PREMA KUMARI. C

NAVANEETHAM COLLEGE OF NURSING

BANGALORE-560 043

RAJIV GANDHI UNIVERSTIY OF HELATH SCIENCES

BANGALORE, KARNATAKA

PROFORMA FOR REGISTRATION OF SUBJECTS FOR

DISSERTATION

1 / Name of the Candidate and
Address (in Block letters) / Mrs. HELLEN PREMA KUMARI .C
1st year M.S.C Nursing student
Navaneetham college of Nursing
Hormavu, Banasawadi
Bangalore-560 043
2 / Name of the Institution / Navaneetham college of Nursing
3 / Course of study and subject / M.Sc Nursing
Pediatric Nursing
4 / Date of Admission to course / 05.07.2008
5 / Title of the topic / A. Study to assess the Nutritional status of children and the level of knowledge of teacher’s in selected primary schools in Bangalore.

6. BRIEF RESUME OF THE INTENEDEN WORK

6.1 Need for the study:

Children are the world’s most valuable asset and their good health indicates the standard of living of the country so, health is as important branch of child health.

School of public HealthUniversity:

Malnutrition disorders affect more than 30% of school children in Egypt, This problem appears to be largely attributed to poor dietary quality and micronutrient deficiencies such as iron and vitamin A. Inadequate nutrition intake has important implication because malnutrition has been shows to negatively affect the cognitive development of Primary school children. They also suggest that unhealthful eating habits especially a lack of breakfast, negatively affect children’s interaction with school teachers and their ability to excel in their studies.

Until 1998, iodine deficiency was a public health problem in the Philippines. A law entitled An ant promoting salt iodization Nationwide (ASIN) has been passed and implemented by the government to eliminate iodine deficiency. The contribution of salt iodization as well as dietary of Filipino school children remains to be determined OBJECTIVE: The objectives of the study were to ermine the relationship between iodine status and levels of psychomotor and cognitive performance in first –grade children aged 6 to 10 years and to examine the extent to which dietary, biochemical health and environmental; factor contribute to children’s mental performance.

According to the figure published by the national malnutrition bureau (NMMB) 43.8% childhood suffer from extreme malnutrition.

It is true that the worst forms of malnutrition are found among the pre school child. But it is also true that there is a great deal of morbidity and learning disabilities among children of school age because of which heavy investment in Primary education programme have not had the desired impact.

According to Hiroshi Nakajima teaching both Pre- service and inservice is one of the major factor in successful school health education programme. Teacher in most countries have had little or no preparation for the task of providing health education.11

The investigator felt that these deficiencies can very well be prevented by imparting knowledge to teacher who in turn will educate the student Hence the investigator was strongly motivated to undertake this study.

6.3REVIEW OF LITERRATURE:

The purpose of this topic is to give an account of the literature reviewed by the investigator for studying problem. Review of literature involve the systematic identification location scrutinizing and survey of written materials that contain information of a research problem.

  1. Food and Nutrition Bull, 2205

Centre for international child health, institute of child health, university college London

Studies of an association between school performance , enrollment, attendance, achievement, class room behavior and school dropout and nutritional status are discussed and the evidence of an effect of school meals evaluated. Many studies have shown associations between hunger, poor dietary intakes, stunting, under weight, poor school performance after controlling for socio-economic condition.

  1. Department of Pediatrics, Nutrition unit, USA.

Malnutrition in late infancy and child hold remains a significant public health issue in developing nations as well as for those in transition to an industrialized economy. In addition , in these settings and particularly in developed nations . in this review we present recent studies that have examined relationship between child hold under nutrition and 3 general areas of performance, physical activities cognition and behavior. Malnourished children have been shown to have decreased physical activity and endurance and poorer cognitive function and school performance . Multiple single micronutrient deficiencies , including Vit-B12 , Thyamine, Zinc and Iron have been associated with poorer cognative performance. SUMMARY- the effects of impaired nutritional status during childhold may have long standing consequences for the health and performance of children during their adult years.

  1. J Sc Health. 2005 August 75(6)

Nutrition and student performance at school

This article reviews research from published studies on the association between nutrition among school aged children and their performance in school and on test of cognative function. Articles are separated into 4 categories: food insufficiency, iron deficiency and supplementation and importance of breakfast. Food insufficiency is a serious problem affecting children’sability to learn. Research indicates that the school breakfast program seems to improve attendance rates and decrease tardiness.

  1. Indian Pediatrics

National institute of nutrition, Indian council of medical research, Hyderabad

Impact of mid day meal program on educational and nutritional status of school children of Karnataka.

To asses the effect of the mid day meal programe on enrolment, attendance, dropouts rate and retention rate in the schools and its impact on nutritional status as well as on school performance. DESIGN; comparison by multistage random sampling. SUBJECTS: primary school children who are attending the school in the mid day meal and non-midday meal areas. RESULTS: the total of 2694 children from 60 schools were covered in the study. RESULT OF THE STUDY : indicted better enrollment and attendance, highr retention rate with reduced drop out rate. CONCLUSION: MDM programe is associated with better educational and nutritional status of school children in Karnataka.

6.3STATEMENT OF THE PROBLEMS

A study to asses the Nutritional status of children and the level of knowledge among teacher’s in selected primary schools in Bangalore.

6.4OBJECTIVES OF THE STUDY

  1. Asses the level of nutritional status of primary school children
  2. Asses the knowledge level of primary school teachers on prevention of nutritional deficiency among primary school children.
  3. Prepare a learning module based on the knowledge scores.
  4. To co-relate knowledge level of teacher’s and the nutritional status of children .
  5. OPERATIONAL DEFINATION
  1. Nutritional status – Anemia, Vitamin A deficiency, Vitamin B- complex deficiency, protein –energy malnutrition and vitamin D deficiency
  2. Children in the age group of 6-8 yrs and those who are studying in 1st and 2nd std.
  3. Knowledge- information and skills acquired to experience or education.
  4. Teachers those who have undergone T.C.H training.
  5. School – only Govt Primary Schools of Karnataka.

6.6ASSUMTION

School Teachers may not have adequate knowledge about the nutritional status and the deficiency disorders of the school children.

Administering of learning module may provoke the knowledge and practice of school teachers in prevention of nutritional deficiency .

6.7DELIMITATION.

The study is delimited for a period of one month.

6.8PROJECTED OVERCOME

Samples are delimited only to T.C.H teachers.

  1. MATRRIALS & METHODS:
  2. SOURCE OF DATA:

Teachers and children from selected primary schools at Bangalore.

7.2 METHODS OF DATA COLLECTION:

Research approach non experimental descriptive study

7.2.1RESERCH DESIGN:

The research design adopted for this studies descriptive survey

7.2.2SETTING OF THE STUDY;

The study will be conducted in five selected primary school at Bangalore Karnataka.

7.2.3SAMPLING TECHNIQUE:

The convenient sampling technique will be used to collect date from the available group falling under inclusion criteria .

7.2.4SAMPLING CRITERIA

INCLUSION CRITERIA:

  • Children and teachers who are in primary school
  • Children and teachers willing to participate in the study
  • Available at the time of data collection belongs to selected area in Bangalore.

EXCLUSION CRITERIA

  • Children with any illness.
  • Children with under any other treatment.
  • SAMPLE SIZE:

Two Teachers and Ten children from each selected primary schools

7.2.6TOOLS OF THE RESERCH:

SECTION- I- socio Demographic status

SECTION-II- Part A- Structured questioner for teachers.

Part b- Observation check list for children.

7.2.7COLLECTIOON OF DATA:

Data will be obtained from the teacher by administering a Structure questionnaire tool and investigator will do nutritional assessment for the children using the observation checklist

I. To analyse the investigators obtains written permission from the concern authorities of the respective schools for collection of data

II. Questionnaire Will be administered to the teachers with in the stipulated time approximately 30 to 45 mints for the completion of questionnaire.

III. The investigator will mark the observation check list by doing physical assessment for children .

7.2.8. METHOD OF DATA ANALYSIS;

  • The data will be analyzed using descriptive and inferential statistics.
  • Descriptive statistics using Frequency and Percentage Distribution.
  • Inferential statistics using co-relation and co-efficient .

7.3 Does the study require any investigation is intervention to be conducted onpatients or other humans or animals?

No, the study does no require any investigation conducted on patient or other human and animals

7.4Has ethical clearance been obtained from here institution in case of 7.3

Yes, permission will be obtained from the concerned persons before the study.

Informed consent will be obtained from the institution, authorities and subjects

Scientific objectives of the study will be maintained with honesty and impartiality. The topic for the study is approved by ethical committee of the institution.

  1. LIST OF REFERENCES:

1.BT. Basavantappa 1999,Community Health Nursing , Jaypee publication Page No 327

2. K. Park 2005, Text book of preventive and social medicine, Bhananot Publishers, New Delhi, Page No, 426-427

3. Gupta S.P> Statistical Method, New Delhi, Sulthan Chand and sons, 1987, 34,52

4. O.P Ghai Essentials Pediatrics 2005 CBS distributors New Delhi 115,116

5. Dhilson, HS 1992- Schoo health education at the cross road, hysione 11

6.Go;palen.S 1995- Education for nutrition promotion Twasth Hind 10 and 12:15

7. Hiroshi Nakajime – 1996 Health Promoting Schools Would Health 4:3

8. Food Nut Bull,2005 Jun 26 – Grantham –McGregor, University London

9. PMID (Pub Med – Index fore MEDLINE) , ZainiUniversity of Malaya

10. PMID 1547 1423 (Pub med Index for MEDLINE), Farnald.L

11. PMID (Pub med Index for MEDLINE) Lumeng .J.C, Kaplan S. kanan

12. Indian Pediatrics National Instute of Nutrition, Indian Council of

Medical Research – HyderabadIndia