A Quasi Experimental Study To Assess The Effectiveness Of Structured Teaching

programme On Knowledge Regarding Revised National Immunization

Schedule Among Mothers Of Under Five Children In
Selected Urban Community Area,
Hyderabad, Telangana

By

SHAIK YASAR

MUDAVATH SRINU

K BHARATH REDDY

THOTLA MALATHI

Project Submitted To

Dr.NTR University of Health Sciences, Vijayawada, AP.

AWARE COLLEGE OF NURSING ,HYDERABAD.

DR.NTR UNIVERSITY OF HEALTH SCIENCES,

VIJAYAWADA.2018
A Quasi Experimental Study To Assess The Effectiveness Of Structured Teaching
programme On Knowledge Regarding Revised National Immunization
Schedule Among Mothers Of Under Five Children In
Selected Urban Community Area,
Hyderabad, Telangana

By
SHAIK YASAR

MUDAVATH SRINU
K BHARATH REDDY

THOTLA MALATH

Project Submitted To

Dr.NTR University of Health Sciences, Vijayawada, AP.

In partial fulfillment
Of the requirement for the degree of
B.Sc Nursing Under the guidance of
Mrs. Arunakumari
H.O.D, Medical Surgical Nursing
Aware College Of Nursing
Hyderabad. 2018
 AWARE COLLEGE OF NURSING, HYDERABAD,

DR.NTR UNIVERSITY OF HEALTH SCIENCES

VIJAYAWADA, AP

A Quasi Experimental Study To Assess The Effectiveness Of Structured Teaching

programme On Knowledge Regarding Revised National Immunization
Schedule Among Mothers Of Under Five Children In
Selected Urban Community Area,
Hyderabad, Telangana

By

SHAIK YASAR

MUDAVATH SRINU
K BHARATH REDDY
THOTLA MALATHI

Project Submitted To

Dr.NTR University of Health Sciences,

Vijayawada, AP. 2018
 DECLARATION BY THE CANDIDATE

We hereby declare that this project work entitled “A Quasi Experimental Study To
Assess The Effectiveness Of Structured Teaching Programme On Knowledge
Regarding Revised National Immunization Schedule Among Mothers Of Under
Five Children’s In Selected Community Area, Hyderabad, Telangana. Is a bonafied
and genuine research work carried out under the guidance of Mrs,Aruna Kumari
H.O.D, Medical Surgical Nursing, Aware College of Nursing, Hyderabad.

Signature of the candidates,

Date:

Place: Hyderabad.
 CERTIFICATE BY THE GUIDE

This is to certify that the project work entitled “A Quasi Experimental Study To

Assess The Effectiveness Of Structured Teaching Programme On Knowledge

Regarding Revised National Immunization Schedule Among Mothers Of Under

Five Children’s In Selected Community Area, Hyderabad,Telangana. Is a bonafide

research work done by Mr.SK Yasar, Mr.M Srinu, Mr.K Bharath reddy, and Mrs.T

Malathi in partial fulfilment of the requirement for the B.Sc Nursing.

Signature of the guide

Mrs.Aruna Kumari,

H.O.D,

Medical Surgical Nursing.

 ENDORSEMENT BY THE HOD/ PRINCIPAL/ HEAD OF THE
INSTITUTION

This is to certify that the project work entitled “A Quasi Experimental Study To Assess

The Effectiveness Of Structured Teaching Programme On Knowledge Regarding

Revised National Immunization Schedule Among Mothers Of Under Five

Children’s In Selected Community Area,Hyderabad,telangana is a bonafide research

work done by Mr.SK Yasar, Mr.M Srinu, Mr.K Bharath reddy, Mrs.T Malathi in

partial fulfilment of the requirement for the B.Sc Nursing.

Seal and signature of the principal

Mrs. Ch.Sunitha

Principal,

Dept.ofCommunity HealthNursing

Aware College Of Nursing.

Date:

Place: Hyderabad.
 ACKNOWLEDGEMENT

This piece of work is the fruit of assistance of several people, while it is

impossible to mention all by names, there are some whom the investigators particularly
would like to thank.

We express our glorious gratitude towards Lord Almighty for the blessing,
guidance, wisdom and production which enabled me to complete the project successfully.

We express our heartfelt gratitude to Director, Dr.Irshad Ahmed of Aware

College of nursing for providing opportunity to study in this college.

The investigators would like to express their sincere thanks to Mrs.Ch.Sunitha

(Principal) Aware college nursing, Hyderabad for her co-operation, timely help and
valuable suggestions and guidance at many crucial during the study.

The investigators extend heart full thanks to Mrs.Aruna Kumari, Asst. Professor
of Aware college of nursing for her clear sense of direction enduring guidance and
support rendered throughout the study.

We express our sincere thanks to our class coordinator Mrs. Anjani Devi and all
other Lecturers of Aware college of Nursing, for their support and assurance for helping
during course of the study.

The investigator extends sincere thanks to the participants of pilot study and main
study for their cooperation in collecting the data without whom the study would have not
been completed.

We extend our deep sense of gratitude and hearty thanks to all experts who had
spent their valuable time in validating the tool and who contributed their valuable
suggestions in making a suitable tool for the study.

The investigators deeply indebted for their parents, family members and friends
for their support, prayers and guidance throughout this study period.
 We sincerely thank the Librarian and Non-Teaching Staff of Aware College of
nursing their valuable help in selecting Journals/ books during reference work.

Date: Signature of the candidates

Place: Hyderabad.
 ABSTRACT

“A Quasi Experimental Study To Assess The Effectiveness Of Structured Teaching

Programme On Knowledge Regarding Revised National Immunization Schedule
Among Mothers Of Under Five Children In Selected Community
Area,Hyderabad,telangana” is a bonafide research work done by Mr,SK Yasar,
Mr.M Srinu, Mr.K Bharath Reddy, Mrs.T Malathi in partial fulfilment of the
requirement for the degree of B.Sc Nursing at Aware college of nursing. Affiliated to the
Dr.NTR University of Health Sciences, Vijayawada, AP.

Objectives of the study

1. To assess the level of knowledge on revised national immunization schedule

before and after structured teaching programme among the mothers of under five
children in selected urban community area
2. To determine the effectiveness of structured teaching programme on revised
national immunization schedule among the mothers of under five children in
selected urban community area
3. To find out the association between post-test knowledge score regarding revised
national immunization schedule among the mothers of under five children with
their demographic variables

Major findings of the study

the mothers of under five children 43% are between 26-30 years, 29% are
between 21-25 years of age, 22% are between 31-35 or above age and 6.6% of
mothers are below 20 years
Out of 30 samples 47% are Hindus and 33% are Christians, 20% are Muslims
Primary educated mothers are 26%, 37% are studied SSC, 31% are studied
intermediate, 6% of mothers are studied degree or above
60% of mothers are having nuclear family, 29% of mothers are having joint
family, 5% mothers having extended family, 6% of mothers are single.
 Out of 30 samples 75% of mothers are house wife’s, 9% of mothers are labour,
6% of mothers are business and 10% of mothers are employee.
Out of 30 samples 24% of mothers having ONE child, 46% of mothers rae having
TWO children, 18% of mothers are having THREE children and 12% of mothers
are having ABOVE THREE children
Discussion and conclusion

The knowledge score of mothers of under five children were assessed by

structured questionnaire. The study reveals that the knowledge level of the mothers of
under five children increased after structured teaching programme. it is observed that the
pre-test score was 83.3% of the mothers of under five children having below average
knowledge, where in the post-test 0% of mothers are obtained below average score. The
pre-test mean was 17.53 and standard deviation is 1.61, post-test mean was 25.86 and
standard deviation is 8.44. there was a significant difference between the pre-test and post
test score of clients at the level of significance.

The relationship is tested between the mothers of under five children

knowledge with selected variables such as age, religion, education, occupation, type of
family, number of children. Result shows that mothers of under five children of age
below 20 years has 6.6% of above average knowledge, the mothers who are aged
between 21-25 years are 16.6%of average knowledge and 13.3% of mothers have above
average knowledge, 10% of mothers have average knowledge and 20% of mothers have
above average knowledge with in the age group of 26-30 years,3.3% are average
knowledge and 20% of mothers have above average knowledge in the age group of above
30 years.

Among 30 samples Hindu mothers are having 13.3% of average knowledge and
33.3% of mothers have above average knowledge,10% of Christian mothers have average
knowledge and 23.3% of Christian mothers have above average knowledge, 3.3%of
Muslim mothers will have average knowledge,13.3% of Muslim mothers have above
average knowledge.
 Result shows that 6.6% mothers have average knowledge who are
studied primary education,20% mothers have above average knowledge who are studied
primary education, 10% of mothers have average knowledge who are studied SSC,26%
mothers have above average knowledge who are studied SSC,13.3% of mothers have
average knowledge who are studied intermediate,16.6% of mothers have above average
knowledge who are studied intermediate,6.6% of mothers have above average knowledge
who are studied degree are above.

Among 30 samples in the nuclear family 16.6% of mothers having

average knowledge and 43.3% of mothers having below average knowledge, the mothers
in joint family 6.6% of mothers have average knowledge and 20% of mothers have above
average knowledge, in the extended family 3.3% of mothers are average knowledge and
3.3% of mothers have above average knowledge, in the single family 3.3% of mothers
have average knowledge and 5% of mothers have above average knowledge.

In regarding their occupation mothers who are house wife’s 20% of

mothers have average knowledge and 54% of mothers have above average knowledge
and the mothers who are labour 3.3% of mothers have average knowledge and 6.6% of
mothers have above average knowledge, the mothers who are doing business 3.3% of
mothers are average knowledge and 3.3% of mothers have above average knowledge, the
mothers who are employee 3.3% of mothers are having average knowledge and 6.6% of
mothers having above average knowledge.

The results shows that mothers who are having ONE child 10% of
mothers are having average knowledge and 13.3% of mothers having above average
knowledge, the mothers who are having TWO children 6.6% of mothers have average
knowledge and 40% of mothers have above average knowledge, the mothers who are
having THREE children 3.3% of mothers are having average knowledge and 15.3% of
mothers are having above average knowledge, the mothers who are having more than
Three children 10% of mothers have average knowledge and 3.3% of mothers are having
above average knowledge.
 TABLE OF CONTENTS

SL. No CONTENTS PAGE

NO

1. INTRODUCTION 1-5

2. OBJECTIVES 6-10

3. REVIEW OF LITERATURE 11-14

4. METHODOLOGY 15-28

5. ANALYSIS AND INTERPRETATION OF THE 20-43

DATA

6. DISCUSSION, SUMMARY, CONCLUSION AND 44-47

RECOMMENDATION

7. BIBLIOGRAPHY 48

8. ANNEXURES 49-82
 LIST OF TABLES
Table Tables Page
No No

1. Knowledge level of mothers of under five children before and

after structured teaching programme 49

2. Comparison of pre-test and post-test knowledge level of mothers

of under five children to determine the effectiveness of structured
31
teaching programme on revised national immunization schedule

3. Association between knowledge of mothers of under five children

regarding revised national immunization schedule and age
32
4. Association between knowledge of mothers of under five children
regarding revised national immunization schedule and religion
34

5. Association between knowledge of mothers of under five

children regarding revised national immunization schedule and
36
education
6. Association between knowledge of mothers of under five children 38
regarding revised national immunization schedule and type of
family

7. Association between knowledge of mothers of under five 40

children regarding revised national immunization schedule and
occupation
8. Association between knowledge of mothers of under five children
regarding revised national immunization schedule and number of
42
children
 LIST OF FIGURES
Fig. Figure Page
No No
1. percentage distribution of mothers of under five children according to
their age
22

percentage distribution of mothers of under five children according to

their religion
2 23

percentage distribution of mothers of under five children according to

their education
3 24
percentage distribution of mothers of under five children according to
their type of family
4 25

percentage distribution of mothers of under five children according to

their occupation
5 26

percentage distribution of mothers of under five children according to

their number of children
6 27

percentage distribution of mothers of under five children according to

who is received vaccination for their age
7 28

percentage distribution of knowledge level of mothers of under five

children before and after structured teaching programme by pretest and
8 post-test. 30

Comparison of pre-test and post-test knowledge level of mothers of

under five children to determine the effectiveness of structured teaching
9 programme on revised national immunization schedule 31

Distribution of association of the knowledge of mothers of under five

children regarding revised national immunization schedule and age
10 33
Distribution of association of the knowledge of mothers of under five
children regarding revised national immunization schedule and religion
11 35
 Distribution of association of the knowledge of mothers of under five
children regarding revised national immunization schedule and
12 education 37

Distribution of association of the knowledge of mothers of under five

children regarding revised national immunization schedule and type of
13 family 39

Distribution of association of the knowledge of mothers of under five

children regarding revised national immunization schedule and
14 occupation 41

Distribution of association of the knowledge of mothers of under five

children regarding revised national immunization schedule and
15 43
 LIST OF ANNEXURES

Annexure ANNEXURE Page No

No

I. Letter seeking permission for conducting the pilot study 49

from the medical officer

II. Letter seeking permission for conducting the main study 50

from the medical officer

III. Letter seeking permission for conducting the research 51

study

IV. Letter seeking expert’s opinion and suggestions for 52

content validity of research tool

V. Content validity certificate 53

VI. List of experts 54

VII. Letter seeking consent of the subjects for participation in 55

the study

VIII Consent form 56

IX Self-administered questionnaire 56-65

X Structured teaching programme 66-81