A Study to determine the Effectiveness of an Awareness Programme on

Knowledge and Attitude about low weight child between 5-10 yrs
among nurses student

Submitted by

Mr.Sanket Telang

Miss.Megha Gajhabe

Miss.Yogini Sonkusare

Miss.Roshna Meshram

Under the guidance of Mr.Hanokh chakranarayan

1. Introduction:-
 Background of study
 Need for the study
 Title of study
 Problem statement
 Objective
 Hypothesis
 Operational definition
 Assumption
 Research question

2. Ethical concept :-
3. Conceptual framework :-
 Review of literature

4. Research Methodology :-
 Research approaches
 Research design
 Setting of the study
 Sample size
 Sampling techniques
 Criteria for selection of sample

4. Plan for tool preparation

5. Plan for Data collection
6. Plan for Statistical analysis
7. Scope of the study
8. Conclusion
9. Reference
Introduction
Children aged 5 to 10 years are still growing, which means they need the
energy (calories) and nutrients that come from a varied and balanced
diet. If the child is underweight, they may not be getting enough
calories.
As a parent, it can be difficult to tell them that there child underweight .If
the child is in Year 6 (ages 10 and 11), they may have already been
weighed and their height measured as part of the national child
measurement program.

Failure to thrive indicates insufficient weight gain or inappropriate weight

loss in pediatric patients unless the term is more precisely defined. In
children , it is usually defined in terms of weight, and can be evaluated
either by a low weight for the child's age , or by a low rate of increase in
the weight.

Inappropriate weight loss is suggested by a fal in one or more weight

centile spaces on world health organization (who) growth chart depending
on when weight is below the 2nd percentile of weight fire aage
irrespective of birth weight.

Weight loss after birth is normal and most babies return to their birth
weight by three weeks of age. Clinical assessment for inappropriate
weight loss is recommended for babies who lose more than 10% of their
birth weight or do not return to their birth weight after three weeks.
Inappropriate weight loss is also called as Failure to thrive is not a
disease, but a sign of inadequate nutrition which leads to malnutrition.
All children need the energy (calories) and nutrients that come from a
varied and balanced diet.

If the child is underweight, it may be tempting to fill them up with high-

calorie but unhealthy foods, such as sweets, cake, chocolate and sugary
and fatty foods and drinks must be avoided . However, it's important that
the child gains weight in a healthy way, and this means eating a balanced
diet.
Once the child is 5, they should be eating a healthy, low-fat diet like
the one recommended for adults.

Even if a child is underweight, it's still important that they're physically

active.
Physical activity helps them develop strong, healthy bones and muscles.
It's an important part of how they learn about themselves and the world.
And, best of all, it's great fun.
Children over 5 should do a minimum of 60 minutes of activity each day.
But the amount of physical activity your child should do may be different
if they're underweight.

Background of the Study

The prevalence of underweight in children under five years of age
reflects child growth. It is measured as the percentage of children less
than five years of age whose weights are more than 2 standard
deviations below the median of a standard population such as that of
NCHS/WHO table of child weights.
Child malnutrition as reflected by body weight increases their risk of
death, inhibits their cognitive development, and affects health status
later in life. Being underweight may also reflect wasting (i.e. low weight-
for-height ratio) and/or stunting (i.e. low height-for-age ratio.

Need for the Study

Inadequate food intake, infections, psychosocial deprivation, the
environment (lack of sanitation and hygiene), social inequality and
perhaps genetics contribute to under weight may leads to
childhood malnutrition
1. Inadequate food intake such as a lack of proteins can lead to
Kwashiorkor, Marasmus and other forms of Protein–energy
malnutrition.
Title of the study:-
Research on awareness program regarding low weight
child

Problem statement
Study to determine the Effectiveness of an Awareness
Programme on Knowledge and Attitude about low weight
child between 5-10 yrs among nurses student in selected
aganwadi's of nagpur.
Objectives
1) To assess the existing knowledge regarding low weight children
among the nursing student in selected anganwadi's Nagpur
2) To evaluate the effectiveness of awareness programme on
Knowledge regarding low weight child among the nursing student
in selected Anganwadi Nagpur
3) To find out Association between knowledge score of nursing
student regarding low weight child with selected socio-
demographic variables

Operational Definition :
a) Determine:- according to oxford dictionary,
determine" refers to discover the facts about something.

In this study It refers to gathering information regarding

the low weight child among Nurses students of 5-10
years

b) Effectiveness :- According to oxford

dictionary,‘Effectiveness’ refers to the degree to which
something is successful in producing a desired result;
success.

In this study,it refers to optimum knowledge acquired by

the nurses student regarding low weight child after
awarness programme.

c) Awareness program:- Awareness programs means

community-wide or audience- specific programs,
campaigns, or initiatives that increase audience knowledge
and share information and resources to prevent violence,
promote safety, and reduce perpetration
In this study, it refers to increasing the knowledge of low
weight child among selected anganwadi.

c) Knowledge :
According to oxford dictionary,‘Knowledge’ refers to
the facts, information, and skills acquired through
experience or education; the theoretical or practical
understanding of a subject .
In this study, it refers to the correct response of the
items to questionnaire on low weight child which is
measured by Self administered structured
questionnaire.
e) Attitude:-
according to Oxford dictionary it means "the way that you
think, feel or behave"
In this study , it refers to the way of thinking feeling and
behave of knowledge of low weight child or under weight
child among nursing students.
f) Low weight child:-
according to Oxford's dictionary child is underweight if
they're in the bottom 5th percentile for weight compared
to their height.
In this study, it refers to knowledge and attitude of low
weight child .

g) Nursing students:-
according to oxford dictionary it refers to " a student nurse,
will work to promote, maintain and restore the health of
patients by following the clearly laid out hospital
procedures.
In this study, it refers to the students who are in selected
community where underweight children's are present.
h) Anganwadi :
according to Oxford dictionary Anganwadi is a type of
rural child care centre in India. Anganwadi means
"courtyard shelter" in Hindi and otherIndian languages

Assumptions
Nursing students must have knowledge regarding low
weight child or underweight & also have attitude to
handle this type of children

Hypothesis
1. H1:-there is significant difference between the pre &
post test knowledge score of nursing students
regarding low weight child.
2. H2:-There is a significant association between the
knowledge & attitude level of nursing students regarding
low weight child with their selected socio demographic
variable.
Research question
1. Does the awareness programme improve the knowledge
& attitude of nursing students about low weight child
between 5-10 years ?
3. Is there any relationship of socio demographic variable with
improvement of knowledge & attitude about low weight
child between 5-10 years among nursing

Ethical concept
1. Prior written permission will be obtained from local
authority of selected angan wadi .
2. 2.Inform written consent will be taken prior to the selected

anganwadi from sample. students in selected anganwadi's

nagpur.

Conceptual Framework
A framework is the overall conceptual underpinnings of a
study. Every research study has a framework. A conceptual
framework is a theoretical approach to the problems that is
scientifically based and emphasizes the selection,
arrangement and classification of its concept.

Review of literature:-
1. K. Sandhiya (2014):- A compartative study was conducted
on 60 children of 13-14 year to assess to assess The Dietary
Habits of School Children with Underweight and Normal
Weight. This study results shows that majority of normal
weight children followed a good dietary habits compared to
underweight children. And most of the underweight children
had poor dietary habits.
2. Melina Mgongo ,Nikolas A. S. Chotta ,Tamara H.
Hashim, Jacqueline G. Uriyo Damian J. Damian, Babill Stray-
Pedersen ,Sia E. Msuya ,Margareta Wandel and Siri Vangen
(2017):-This study assessed the prevalence and risk factors
associated with underweight, stuntingand wasting among
children aged 0–24 months in six districts of Kilimanjaro
region, northern Tanzania The results of the study point to
the need of a multi-sectoral approach to target child
undernutrition among children less than two years of age .
3. Baithne Nahar , Tahmeed Ahmeshowed that Kenneth H.
Brown, &Md. Iqbal hossain (2010) :-A case control study was
conducted on 6-24 months age children to study the risk
factors associated with server underweight . Children
enrolled in this study were recruited at the time of their
discharge from inpatient treatment for diarrhea & other
acute illness . The result of this study show that the major
risk factors for severe underweight among 6-2 month old
children hospitalized for the treatment of diarrhea were
related to parental education , employment, and income,
child birth other and early child feeding practices

4. Lee D Hudson , Charlotte cumby , Robert E klaber ,

Dasha E nicholls , paul j winyard , Russell M viber. (2013 ) :-
A Telephone survey of an on call was conducted on general
paediatric middle grade doctor to assess low level of
knowledge on the assessment of underweight in children
and adolescents. This study reveals a low level of knowledge
of important clinical feature of paediatric patient presenting
with server underweight, despite the majority of tainnees
having previous experience of managing paediatric patient
with EDs. Knowledge was liye regarding the fatal signs
suggesting cardiovascular compromise and prolonged QTc,
knowledge of important specific complication of the
refeeding syndrome was also low .
6. Stella G. Uzogara (2016):- A Descriptive study
was conducted on underweight the less discuss type
of an healthy weight and its implication on Children
adults and elderly people. This study shows that
underweight is an healthy weight arising from
unintentional weight loss from many causes
especially poor food intake it is prevalent in children
pregnant and lactating women adults and even the
elderly in many countries especially developing
countries
7. Stalin p , joy bazroy , Dinesh Dimri , zile singh,
senthilvel ( 2013) :- a cross sectional study was
conducted on 563 children who were
accomplished by parent on prevalence of
underweight and its risk factor among under five
children. This study shows that almost 50% of
under five years children's are underweight . And
as compared to HUNGaMA survey the prevalence
the prevalence of under weight child in selected
distric was 28% only. Therefore they should be
the primary target for the intervention to fight
against the malnutrition
8. Resham b. Khatri , shiv R. Mishra , Vishnu
Khanal , Bishnu choulsgai (2012) :- a cross
sectional study was conducted on 280 children's
from 90 to households in that total of 280
mothers were included in the analysis to assess
factors associated with underweight among
children of formers kamaiyas in nepal. This study
shows that the proportion of undernutrition
among the children of formerKamaiya families
was higher than the national average. Female
children were more likely to be underweight
9. Patil Amrita Ram gawande, Reena Kulkarni ,
shailaja u. , Nothing S. A , Virupaxayya
swami(2016):-A Explorative study was conducted
on Children's between Age 3 to 5 years on 20
children's to assess the effect of
ashwagandharhrita on underweight . This study
shows that the children improvement in various
respect like weight gain skinfold thickness BMI
for significant then control group and also nidra ,
kshuda and measures of mobility are statistical
significant
Research Methodology
1. Approaches:- research approaches indicates the
basic procedure for conducting research .The
choice of the appropriate approach depends on
the purpose of the study the main objective of
the study was to find out the association
between knowledge and attitude about low
weight child and selected demographic variables.
Hence pre experimental approach was adopted in
this study pre experimental approach is study in
which researcher investigate group of people.
2. Type of the study design:-Per Experimental
design one group pre-test and post test design
.Symbolic representation of pre experimental one
Group pre-test and post-test design
Per-test (O1) Intervention Post-test (O2)
(X)
Measurement Administering Measurement
of knowledge Awareness of knowledge
& attitude programme & attitude
before after
intervention intervention

To get the adequate number of sample.

4. Sample size :-
 60 nursing students posted in aanganwadi
5. Sampling technique:-
6. Method of selection of study subjects
a) Inclusive criteria :-
 Nursing student who are in ANM or GNM or Basic
Nursing students who are posted in particular
Nursing students who are in 2nd or 3rd year of
Nursing student who are available at the time of
b) Exclusive criteria :-
Nursing students who are not willing to participate
in the study.
Nursing students who residing in urban areas.
 Plan for tool preparation
The Tool consist of two section
 Plan of data collection
Plan for Statistical Analysis

Scope of study
1. The study will help to understand the
knowledge about low weight children among
the nurses student and will clear the concept of
low weight children or underweight children
among nurse in selected Anganwadi at Nagpur
city
2. The study will also help in increasing the
 knowledge and awareness about the low
weight child

Method of selection of comparison /control group:-

Evaluative research approach. This study
design is pre experimental one group pre
test post test design, so there is no
comparison or control group. Investigator
the same inclusive and exclusive criteria
with Convenient sampling technique.

Matching criteria :-
Matching criteria for this study is pre test and
 post test knowledge score of the nursing students
in
selected angan wadi.

Specification of instruments and

related measurements
Material no. 1 :-A tool is an instrument or
equipment used for
collection of data which is a
structured questionnaire.
Structure questionnaire consists of two
sections Part A: Demographic data consists of 7
questions Part B: Knowledge items consists of 30
questions

Specification of instruments:-structured knowledge

questionnaires using as an instrument for this study.
The details about structured knowledge
questionnaires mentioned below in table.
 Measurement of knowledge score
regarding low weight child among the
nursing students of selected
angan wadi.
Category of Score in percentag
knowledge
1. Inadequate  <50%

2. Moderately  50-70%

3. Adequate  >75%

Conclusion
So low weight child is a condition in
which the child has undernutrition. So,
it is necessary for nursing student
 regarding the knowledge of low weight
child so that they will promote that
knowledge to the parents of low weight
child who comes daily anganwadi and
provide the proper knowledge to the
parents regarding the diet for the
particular low weight for their
underweight child .
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