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Me finalLY111111111
Soptonwita Saha
Roll No: 22024
Session: 2022-2023 MPH
(Community Nutrition)
Department Of Nutrition and
Biochemistry
General Objective
To determine the comparison of the nutritional status & knowledge
of prevention of anemia between the receivers & non-receivers of iron
& folic acid (IFA) supplement among school going adolescent girls in
Jamalpur district.
Specific Objectives
(1)To determine the socio-demographic
characteristics of school going adolescent girls.
(2)To determine the nutritional status among
school going adolescent girls who receive IFA
supplements in Jamalpur district.
(3)To determine the nutritional status among
school going adolescent girls who do not receive
IFA supplements in Jamalpur district.
(4)To determine the knowledge for prevention
of anemia among the school going adolescent
girls.
Operational Definition
Adolescence : According to World Health
Organization ( WHO) adolescence is the phase of
life between childhood & adulthood from ages 10-
19.
Independent Variable:
•Variables related to socio-demographic
characteristics :
Age
Family size
Education of mother
Occupation of father
Monthly family income
Religion
Variables related to positive factors for WIFS program:
Motivation by parents
Motivation by teachers
•Variables related to negative factors for
WIFS program :
Discouragement by family members & friends
Nausea
Vomiting
•Variables related to knowledge about
anemia. (Agustina, R et al.,2021)
oHeard about anemia
oSymptoms of anemia
oCauses & effects of anemia
oPrevention of anemia
oHeard about IFA supplementation program
(D) Variables related to anthropometric measurement
o Height-for-age
o Weight-for-age
o BMI
Conceptual Framework
Variables related
to Variables related
anthropometric to knowledge of
measurement anemia
Height-for-age Heard about anemia
Weight-for-age BMI Nutritional Symptoms of anemia
status of
Cause & effects of
school going anemia
adolescent girl
Variables related to
Variables related to negative factors for WIFS
positive factors for WIFS programe
programe Discouragement by
Variables related
family members &
Motivation by parents
to socio-
friends
demographic
Motivation by teachers Nausea
characteristic
Vomiting
Age Family
members
Methodology
Selection criteria:
* Inclusion criteria
. School going adolescent girls (10-16 years) who receive iron & folic
acid supplement from selected school.
. School going adolescent girls (10-16 years) who do not receive iron &
folic acid supplement from selected school.
. Students who are willing to participate & give consent.
*Exclusion criteria
. Severely ill & mentally unstable students
Sample size determination: Sample size will be calculated by
using this formula: n= n=z²pq/d²
Here,
n= assumed/ desired sample size
z= the standard normal distribution; usually set at 1.96 at
confidence level.
P=Prevalence of malnutrition is 50% = 0. 5 (Hossen K, Rahman F,
Mashreky SR, 2013)
q = 1- p = 1-0.5 = 0.5
d = Degree of error (5%) = 0. 05 According to the formula,
Sample size n = (1.96)2 × (0.5×0.5)/(0.05)2 = 384.16
Considering 10% of non- response rate, the total sample size will be
n = 384.16/ 0.9 = 426.84 ≈ 427
Sampling technique:
A convenience sampling technique selected from the school going
adolescent girl.
Ethical Issues
The protocol will be approved by protocol approval committee of
NIPSOM.
Ethical clearance of the study will be
obtained from the Institutional Review Board (IRB) of
NIPSOM.
Permission of concerned authority of the mentioned hospital will be
taken.
Informed written consent will be taken from each and every
participant.
Privacy and confidentiality will be maintained strictly.
Participants will have all rights to withdraw from the study.
They will be assured that there would be no harm to them during
study as there is no invasive procedure will be applied.
Reference
Agustina, R et al.(2021). Associations of Knowledge, Attitude,
and Practices toward Anemia with Anemia Prevalence and
Height-for- Age Z-score among Indonesian Adolescent Girls. Food
and Nutrition Bulletin. Vol. 42,No.1,pp.92-108.
Hossen, K., Rahman, F., Mashreky, SR. (2016). Nutritional Status of
Adolescent girls in Bangladesh: findings of a community based
survey. South East Asia Journal of Public Health.Vol.6,No.1,pp.3-7
Institute of Public Health Nutrition.(2015). National Strategy on
Prevention and Control of Micronutrient deficiencies, Bangladesh
(2015-2024). Dhaka : Ministry of Health and Family Welfare