RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES



RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE KARNATAKA

ANNEXURE-II

PROFOMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

| | | |

|1. |NAME OF THE CANDIDATE AND ADDRESS |Ms. RESHMA.H., |

| | |I YEAR M.Sc. NURSING, |

| | |ADARSHA COLLEGE OF NURSING |

| | |BANGALORE-43. |

| | |KARNATAKA. |

| | | |

|2. |NAME OF THE INSTITUTION |ADARSHA COLLEGE OF NURSING |

| | |BANGALORE-43. |

| | | |

|3. |COURSE OF STUDY |M.Sc. NURSING, |

| |AND SUBJECT |CHILD HEALTH NURSING. |

| |DATE OF ADMISSION |01.06.2010 |

|4. | | |

| | |“A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON |

| | |KNOWLEDGE AND PRACTICES IN WEANING AMONG MOTHERS OF INFANTS AT RURAL AND URBAN AREA, |

| | |BANGALORE.” |

|5. |TITLE OF THE TOPIC: | |

6.0 BRIEF RESUME OF THE INTENDED WORK:

6.1 INTRODUCTION:-

“Children are like wet cement,

whatever falls on them, makes an impression”.

-Dr. Haim Ginott.

Universally, children’s Day is celebrated on 14th November every year and was adopted by the United Nations General Assembly. Celebrating children’s Day is about giving children “the right to enjoy and grow into healthy, educated citizens of the country”.1

Breast feeding provides an unparalleled manner to supply complete and ideal nourishment for the infant in the beginning of life. Although, some studies show that exclusive breast feeding for more than 6 months may also increase malnutrition. At this age breast-milk alone is not enough to meet the needs of infant. Ideally, an infant should be exclusively breast fed for 6 months followed by additional foods being gradually introduced.2

In 2002, the 55th world health assembly adopted a guideline based on recommendation by WHO and UNICEF, that “the infant milk substitute, feeding bottles and infant food amendment Act, 2003” this National guideline formulation came into action from 1st Jan 2004 on wards.1

Government of India adopted a National policy for children in Aug-1974, describes the “Right of the Child”. The policy declares: “It shall be the policy of the state to provide adequate services to children both before and after birth and through the period of growth, to ensure their full physical, mental and social development. The state shall progressively increase the scope of such services so that, within a reasonable time, all children in the country enjoy optimum conditions for their balanced growth”. The policy recognizes children as “the Nations supreme important asset” (Park.K. 2005).1

A National Nutritional Policy adopted by the Government of India under the aegis of the department of women and child Development in 1993, laid due emphasis on nutrition and health education among mothers of infants to reduce the occurrence of malnutrition. The reason being, “A NATION SMILES THROUGH ITS CHILDREN”.3

Healthy people 2010 policy set an objective in reduction of fetal and infant death. The policy set a target on Infant mortality rate at 4.2 per 1000 live birth in 2010.4 The previous infant mortality statistical rates are;

➢ 2002 - 67/1000 live births

➢ 2008 - 52/1000 live births

➢ 2010 - 50.78/1000 live births5

6.2 NEED FOR STUDY

According to world face book 2010 estimation India is having highest IMR 50.78/1000 live births, among that Karnataka place top in south Indian states 43/1000 live births, compared with 38/1000 live births in Maharashtra and 30/1000 live births in Tamil Nadu.6

WHO (2000-2004) recommends a gradual weaning period from 6 months to 2 years and allows the child to receive the benefits of breast feeding, while also consuming the necessary nutrients from the complementary foods.7

Introduction of complementary foods prior to the recommended length of exclusive breast feeding will increase child’s weight and height is a common misconception among mothers in developing Nations. Preparation of food should contain adequate required nutrients appropriately with suitable texture and temperature. Improper knowledge of appropriate weaning practices and perception of the child’s hunger leads to malnutrition and illness.7

Pearson JA., Hedges R.E.M, Molleson T.I, Ozbek M. (2010) conducted a study on exploring the relationship between weaning and infant mortality to identify the mortality data. The data revealed that infant death were due to weaning foods with low-income content, poor nutritional value and food prepared in Non-sterilized containers. The study suggests that weaning food is to be introduced in the first year of life to achieve a positive effect on their survival.8

Shah.N. Ramankutty.V., Premilal.P.G. Sathy.N., conducted a study at hospital among 400 children under 5 years in South Kerala. Young age, delayed weaning, immunization and sharing bedrooms were the probable significant risk factors for illness. Discontinuation of breast feeding in young infants, delayed weaning causes malnutrition and hypovitaminosis among the children. The study suggested that, primary care takers of the children need sound knowledge in order to overcome malnutrition and deficiency disease.9

Hence, the researcher felt that the need to assess the effectiveness of the structured teaching programme on knowledge and practices on weaning among mothers in rural and urban area at Bangalore. This will be useful for the mothers for future citation.

6.3 REVIEW OF LITERATURE:-

Review of literature is a key in research process. According to Nancy burns, the review of literature is a research report and it is a summary of current knowledge about a particular problem and includes, what is known and not known about the problem. The literature is received to summarize knowledge for use in practice or to provide basis for conducting a study.10

A study was conducted at AIMS residential colony to assess the weaning practices among mothers of infants in the age group of 6-12 months and compared these practices among different demographic variables. 50 mothers of infants were assessed by using self administered questionnaires and were grouped in two categories according to their age of commencement of weaning, 42 (84%) infants were received weaning foods in addition to milk, were 8 (16%) were practicing delayed weaning. Even several problems were observed in early weaning which revealed infrequent feeding, usage of expensive commercial cereals in diluted form, improper food preparation practices etc. The study concluded that mothers of this community lacked knowledge in appropriate weaning practices and balanced diet.11

A comparative study was conducted among 250 mothers of Anglo- American and Asian-Indian American, ages one, three, six, nine and 12 months who reside in south east US. The information collected was regarding sources of information about infant feeding practices and dietary intakes by 24 hours recalling method. Anglo- American mothers breast fed for longer duration and introduced formula and solid foods into the infants diet at a later age (p ................
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