EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING IRON DEFICIENCY ANAEMIA AMONG ADOLESCENT GIRLS OF JAWAHARLAL NEHRU INTER COLLEGE KALYANPUR, KANPUR

Mrs. Jasmi Manu 1 , Mr. Mayur Samuel 2 , Miss. Jyotsna Sharma 3 and Mr. Man singh 4 . 1. Asso.Professor, Cum H.O.D of OBS/GYN Nursing. 2. Rama College of Nursing, Rama University Mandhana Kanpur. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 15 August 2018 Final Accepted: 17 September 2018 Published: October 2018

A pre experimental study was conducted to evaluate the effectiveness of structured teaching programme on knowledge regarding iron deficiency anemia among adolescent girls of Jawaharlal Nehru Inter college Kanpur. The research design was one group pretest post test design. The sample of the study is adolescent girls in Jawaharlal Nehru Inter College Kalyanpur. The Sample size was 40, selected by purposive sampling technique. The mean of overall pre test knowledge score was 13.6 and the mean of overall post test knowledge score was 19.9 .Improvement in the knowledge score of the samples from pre test to post was tested for statistical significance using paired t-test (t=2.269), shows significant difference between pre and post test score(p0.05 ) Copy Right, IJAR, 2018,. All rights reserved.

Adolescent would be the best investment for future….Sundarlal 1
Adolescence has been defined by the World Health Organization as the period of life spanning the ages between 13 to 19 years. This is the formative period of life when the maximum amount of physical, psychological and behavioral changes take place. This is a vulnerable period in human life cycle for the development of nutritional anemia, which has been constantly neglected by public health programme 2 . Girls are more likely to be victims due to various reasons in a family with limited resources. 3 Adolescent is a period of second decade of life. They constitute over one fifth of India's population 1 .
Total Nutrient requirements are increase during adolescence age is to support a period of dramatic growth and development. Eating right food at right time will prevent the nutritional deficiencies especially Iron deficiency disorders among adolescence 4 . WHO graded the hemoglobin level 10 g/dl is considered as mild iron deficiency anemia, hemoglobin between 7 g/dl to 10 g/dl is considered as moderate iron deficiency anemia and hemoglobin less than 7 g/dl is considered as severe iron deficiency anemia 5 . Iron deficiency anemia cause approximately half of all anaemia cause worldwide , and affect women more often than men . iron deficiency anemia affected 1.2 billion 6 . People in 2013, anemia due to iron deficiency resulted in about 183,000 death down from 213,000 death in 1990 7 .Nowadays the young adolescent faces many problems because of their life style modifications such as eating Jung foods, fast foods, snacking, skipping of the meals which is common in urban adolescent girls 8 .Some are malnourished due to lack of knowledge about dietary iron, poor socio economic status, low income family which is 1301 common in rural areas and also in menstrual period the adolescent girls used to lose 45 ml of blood (i.e.) 22 mg of iron 8 .
High prevalence of iron deficiency anemia reflects their poor status of nutrition because of their rapid growth combined with poor eating habits and menstruation 6 . In world health report of World Health Organization (WHO) states that the world wide morality rate of iron deficiency anemia is 60,404,000 in 2005 9 . In order to tackle this public health problem a multi-prolonged 12 x 12 initiative has been launched by Family and Community Health Department in India 10 . The initiative is targeted at all adolescents across the country with the aim for achieving hemoglobin level of 12 g/dl by the age of 12 years by 2012. 10 Based on these information the researcher feels that it is important to educate regarding prevention of the iron deficiency anemia among adolescent girls.
Objectives of the study:-1. To assess the knowledge of adolescent girls regarding iron deficiency anemia. 2. To evaluate the effectiveness of structured teaching programme on iron deficiency anemia among adolescent girls. 3. To find out the association between the pre-test knowledge score and selected demographic variables.
Hypothesis:-H 1 :-There is a significant difference between mean pre-test knowledge score and mean post-test knowledge score regarding iron deficiency anemia. H 2 :-There is a significant association of pre-test knowledge score with selected demographic variables Materials and methods used:-Research design: Pre-experimental (one -group) pre-test and post-test design was used for the present study. Research approach: Descriptive evaluatory approach was used for the present study Setting of the study: The study was conducted in Jawaharlal Nehru inter college Kalyanpur Population: Population for the present study was all adolescent girls studying 11 th standard Sampling: Purposive sampling technique was used to select 40 adolescent girls of Jawaharlal Nehru Inter college kalyanpur who fulfilled the sampling criteria for the present study. The structured questionnaire consisted of 2 sections. 1. Demographic data:-Section A-consist of demographic data including age, residence, education of the parents, occupation of the parents, income of the family, type of family , type of diet , number of children and information. 2. Questionnaire:-There are structured closed ended questionnaire to assess the knowledge of adolescent girls regarding iron deficiency anemia .Total 26 items were selected for the questionnaire. A blue print was prepared.
Scoring -1. Score 1 was given to every correct answer. 2. Score 0 was given to every wrong answer. Based on the percentage of scores, level of knowledge was graded as follows.

Data Collection Procedure
The data collection was scheduled in the month of April 2016 two weeks(18-04-2016 TO 30-04-2016). Before the data collection the investigator obtained prior permission from the principal of Jawaharlal Nehru Inter college kalyanpur to conduct the study in their Institution. Written consent taken from the samples.40 samples were selected by purposive sampling technique, who fulfill the inclusion criteria. The structured questionnaire was administered to collect the data from the adolescent girls. Structured teaching programme was administered to the students. The evaluation of STP was planned through post-test after 5 days of implementation of STP programme

Plan for data analysis:
The data obtained from 40 samples were analyzed by adopting the Descriptive statistics as frequency and percentage of samples, mean, standard deviation and inferential statistics. The analysis was to be done based on the objectives and hypothesis to be tested. The investigator planned to analyze the data in the following manner-Section I:-Percentage wise distribution according to their demographic variables Section II:-Pre-test knowledge score regarding knowledge on iron deficiency anaemia Section III:-Post test knowledge score regarding knowledge on iron deficiency anaemia Section IV:-Effectiveness of structured teaching programme on iron deficiency anaemia. Section v:-Association of Pre -Test knowledge score with selected demographic variables.

Section II:-Level of Pre-Test Knowledge Score Among Adolescent Girls Regarding Iron Deficiency Anemia
Among 40 adolescent girls , the majority of respondent(33) 82.5% had average level of knowledge and 12.5% had good level of knowledge and 5% had poor level of knowledge.

Section III:-Level Of Post Test Knowledge Score Among Adolescent Girls Regarding Iron Deficiency Anemia
After structured teaching programme the post test knowledge score among 40 adolescent girls, 2.5% had average level of knowledge and 97.5% had good average level of knowledge.
1303  The mean score before and after administration of structured programme has shown a significant difference .The mean total knowledge score before intervention was 13.6 which has increased to 19.9 after intervention the paired t test 2.269 was found to be significance at a very high level(p=0.05).
From the above inference it is made clear that the structured teaching programme has a positive impact on knowledge of iron deficiency anaemia (p< 0.05) so h 1 is accepted Section V:-Association between the demographic variables and knowledge score of subjects on knowledge iron deficiency anaemia There was no association between the pre-test knowledge score and selected demographic variables such as age in year , residence , education of the parents, income of the parents , type of family, type of diet , number of children, information except occupation of parents .There is an association of knowledge score with occupation of the parents at 0.05 level of significant. Hypothesis is retained only to occupation of parents.chi square value was used to check the association.

Conclusion:-
The study significantly proved that there is a remarkable improvement in the knowledge of adolescent girls regarding iron deficiency anaemia after structured teaching program. There was no significant association between age in year , residence , education of the parents income of the parents , type of family type of diet , number of children, information with regards to iron deficiency anaemia (p<0.05) where as there was an association found between occupation of the parents and knowledge adolescent girls regarding iron deficiency anaemia