RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE,

KARNATAKA.

ANNEXURE – II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

1. / Name of the candidate and address (in block letters)
Permanent Address / Dr. SHWETA. R. CHAPPARBANDI
DEPATMENT OF COMMUNITY MEDICINE,
MAHADEVAPPA RAMPURE MEDICAL
COLLEGE, GULBARGA.-585105
Dr. SHWETA. R. CHAPPARBANDI
c/o Dr R B. CHAPPARBANDI
H.NO 6-744 NEAR PUTTANI
GALLI, RANGEEN MASJID ROAD.
GULBARGA 585101
2. / Name of the Institute / MAHADEVAPPA RAMPURE MEDICAL COLLEGE,
GULBARGA – 585105.
3. / Course of the study and subject / M.D. (COMMUNITY MEDICINE)
4. / Date of admission to the course / 31-05-2011
5. / Title of the Topic / “HEALTH OF ADOLESECENT GIRLS IN RURAL AREA. A CROSS –SECTIONAL STUDY”
6. / Brief resume of the intended work
6.1
6.2
6.3 / Need for study
Adolescent are generally considered healthier than the very young or very old and hence their health problems were not given much prominence. Among adolescent girls constitute a larger vulnerable group particularly in developing countries. The sheer large number of young population and the socio- economic and cultural context of this group which perpetuates gender serotypes leading to discriminatory practices in nutrition and overall behaviour towards girls, early marriage and early pregnancy being a cultural norm, poor access to reproductive and sexual health services and information, increasing trend in violence and sexual abuse pose tremendous challenge for addressing their development and health concerns especially reproductive and sexual health. A large population lives in rural remote areas and below poverty line.
Review of literature
A Study done by Geetha.A.Joseph, Sara Bhattacharji, Abhram Joseph, P.S.S.Roa on general and reproductive health of adolescent girls in rural south India found poor knowledge of girls on nutrition, menstruation, pregnancy and child care1.
A Study done by D Pattaniak, J Lobo, S.K.Kapoor, P.S.N.Menon, on knowledge and attitude of rural adolescent girls regarding reproductive health issue in Ballabgarh, Haryana found 65% of girls knew about correct legal age of marriage, 84.3% were aware of small family and preference for a son 91.7%2.
A study done by C.M.S.Rawat, S.K.Garg, J.V.Singh, M Bhatnagar, H Chopra, S.K. Bajpai on socio demographic correlation of anemia among rural adolescent girls in rural area of district Merrut(U.P) found among 504 adolescent girls 174(34.5%) were found anemic. Significant association of anemia was found with type of family, socio-economic status, father occupation, mother’s education and family size3.
A study done by A Saibaba, M Mohan Ram, G.V.Ramana Rao, Uma Devi, T.S.Syamala on nutritional status of adolescent girls of urban slums and impact of IEC on their nutritional knowledge and practices found that the heights and weights of girls at any given age were for below the standards and deficit increased with age, iron deficiency anaemia was found most common nutritional problem. After IEC intervention significant proportion of girls could correctly identify the food rich in various nutrient4.
A study done by A Haldar, R Rams, T Chatterjee, R Misra, G.K.Joardar on need of awareness generation regarding a component of reproductive and child health programme found 93% of the study population experienced menarche at the time of study, 8.75% of lower age group did not know the use of clean cloth or any cloth during menstruation. Older girls used sanitary napkins more than the younger one. 37.92% did not know how long after marriage they should have children. 36.71% had know idea on spacing. 41.67% like bilateral decision regarding the child bearing. 57.69% favour two child norms. 78.51% favoured hospital doctors for abortion. 46.79% did not favour family planning methods. 32.05% get knowledge of reproductive health from television5.
A study done by D.S.Deo, C.H.Ghattargi on perceptions and practices regarding menstruation: a comparative study in urban and rural adolescent girls found menstruating girls aged from 12-17 yrs with maximum number of girls between 13-15 yrs of age. 40(42.5%) urban and 41(55.4%) rural girls were aware about menstruation prior of attainment of menarche. In urban girl mother was main source information about menstruation (27.5%), while it was teacher in the rural counterparts (27.01%). Other sources of information were friends, relative and books6.
A study done by S Kaur, P.R.Deshmukh, B.S.Garg, on epidemiological co-relation of nutritional anemia in adolescent girls in rural Wardha found prevalence of anemia of 59.8% 7.
A study done by Nidhi Kotwal, Neelima gupta and Rashi Gupta on awareness of reproductive health among rural adolescent school going and dropout girls of Jammu found school dropout girls have more scientific information, than school going girls8.
Objectives of the study
1.  To study health of adolescent girls.
2.  To assess knowledge, attitude and practice in adolescent girls towards health.
3.  To study the personal hygiene among adolescent girls.
4.  To suggest recommendation for the improvement of health status of adolescent girls.
7
7.1 / MATERIALS AND METHODS
Source of data.
Adolescent girls of rural field practice area of M R Medical college that is CHC Hebbal, Gulbarga district.
7.2 / Methods of collection of data
1.  Method: - Data will be collected by personal interviews using a pretested and a pre-structural Performa.
2.  Place of Study: - Adolescent girls of rural field practice area of M R Medical College that is CHC Hebbal, Gulbarga district.
Duration of study: - Jan 2012 to December2012.
Sample size: - 312 adolescent girls.
3.  Data Analysis
The population of rural community health center Hebbal is 3155 and the population of adolescent girls is 9.9%9.
Sample size(9.9% of total population) = 9.9x3155 = 312.34
100
So approximately = 312.
Inclusion criteria
All adolescent girls (married or unmarried) in CHC Hebbal.
Exclusion criteria:
Other than adolescent girls.
7.3 / Does the study require any investigations or interventions to be conducted on patients or other humans or animals? If so please describe briefly / Yes.
All the adolescent girls will undergo
- Hemoglobin estimation test.
- HIV test (only married adolescent).
7.4 / Has ethical clearance been obtained from your institution in case of 7.3? / Yes, ethical clearance has been obtained from ethical committee of M.R. Medical College, Gulbarga
8. / List of references
1.  Geetha.A.Joseph, Sara Bhattacharji, Abhram Joseph, P.S.S.Roa. A study on general and reproductive health of adolescent girls in rural south India. Indian Journal of Pediatrics.1997 March; 34:242-245.
2.  D Pattaniak, J Lobo, S.K.Kapoor, P.S.N.Menon. A study on knowledge and attitude of rural adolescent girls regarding reproductive health issue in Ballabgarh, Haryana. The National Medical Journal of India.2000; 13(3):124-128.
3.  C.M.S.Rawat, S.K.Garg, J.V.Singh, M Bhatnagar, H Chopra, S.K.Bajpai. A study on socio demographic correlation of anemia among rural adolescent girls in rural area of district Merrut(U.P). Indian Journal of Community Medicine.2001oct; 26(4):173-175.
4.  A Saibaba, M Mohan Ram, G.V.Ramana Rao, Uma Devi, T.S.Syamala. A study on nutritional status of adolescent girls of urban slums and impact of IEC on their nutritional knowledge and practices. Indian Journal of Community Medicine.2002; 27(4):151-156.
5.  A Haldar, R Rams, T Chatterjee, R Misra, G.K.Joardar. A study on need of awareness generation regarding a component of reproductive and child health programme. Indian Journal of Community Medicine.2004; 29(2):96-98.
6.  D.S.Deo, C.H.Ghattargi. Perceptions and practices regarding menstruation: a comparative study in urban and rural adolescent girls. Indian Journal of Community Medicine.2005 Jan; 30(1):34-35.
7.  S Kaur, P R Deshmukh, B S Garg. A study on epidemiological co-relation of nutritional anemia in adolescent girls in rural Wardha. Indian Journal of Community Medicine.2006 Oct; 31(4):255-258.
8.  Nidhi Kotwal, Neelima gupta and Rashi Gupta. A study on awareness of reproductive health among rural adolescent school going and dropout girls of Jammu. Stud home Comm Sci.2008; 2(2):149-154.
9. World population prospects: the 2004 revision and world urbanization prospects: the 2004 revision. Population division of the Department of Economic and social affairs of the United Nations secretariat. http://esa.un.org/unpp
9. / Signature of the candidate
10. / Remarks of the Guide / Adolescent represent a major potential human resources for overall development of nation. Focusing on adolescent health is a challenge and an opportunity to address the discriminatory practices of nutrition, early marriage, early pregnancy, poor access to reproductive and sexual health services and information. Hence an modest attempt is being made by the Post Graduate to study the health status of adolescent girls in rural area.
11. / Name and Designation of the Guide (in block letters) / Dr. S.R.NIGUDGI
MD
ASSOCIATE PROFESSOR
DEPARTMENT OF COMMUNITY MEDICINE
M.R. MEDICAL COLLEGE, GULBARGA
Signature of the guide
12. / Head of the Department / DR. RAJESHEKAR KAPATE
MD
PROFESSOR AND HEAD OF
DEPARTMENT OF COMMUNITY MEDICINE
M.R. MEDICAL COLLEGE, GULBARGA
Signature of the Head of the Department
13. / Remarks of Chairman and Principal
Signature