RESUMO
Introduction: The physical health of a child is important because it is associated with the mental and social development of children. Mothers are the first care providers of their children. One of the ways to achieve reduction of underfive mortality is to educate the mothers on matters pertaining to child care. Study objectives were to assess the knowledge of Revised Immunization Schedule among mothers of underfive children, to assess the effectiveness of structured teaching programme on knowledge regarding Revised Immunization Schedule among mothers of underfive children and to find the association between pre-test knowledge score of mother of underfive children regarding revised immunization schedule and selected demographic variables. Material and Methods: The research approach used for the study was evaluative approach. The study was conducted in primary health centre, Morgiri, at Patan, Maharashtra, India. Using one group pre-test post-test design. Non-probability Purposive sampling technique was used for selecting 30 mothers of underfive children. On the 1st day Structured knowledge questionnaire was used for collecting data and planned teaching programme on child abuse and neglect was conducted and followed by post test on the 7th day. The data collected, tabulated and analyzed in terms of objectives of the study using descriptive and inferential statistics. Result: Results shows that Out of 30 mothers in pre test 18(60%) had average knowledge, and 12 (40%) of mothers had poor knowledge where as in post test 25 (83%) had good and 5 (17%) mothers had average level of knowledge. Pre test mean knowledge score and standard deviation was 17.4 ±3.54 which increased in post test to 29.5 ± 2.77 and paired ‘t’ test value was 26.404 and p value is < 0. 01. The result shows that there was a significant association between knowledge of mothers and Age (χ2 = 4) p (<0.005) level. Conclusion: The study concludes that structured teaching programme on revised Immunization schedule was Effective in Improving the Level of knowledge among the mothers of underfive children.
RESUMO
Background: Over a period of decades non genetic causes are controlled and mortality and morbidity is considerable reduced due to malformation. Although 50% of causes for malformation are unknown origin, but, with primary prevention 50% of birth defects could be prevented. Research for finding the risk factors are continuous and such results would help to implement preventive strategies to improve maternal and child health.Methods: This is cross sectional; hospital based study, conducted in Krishna Hospital Karad, included all the Pregnant Mother diagnosed to have congenital birth defected foetus through antenatal examinations, delivered baby with diagnoses of congenital malformation, who were admitted at tertiary care hospital Karad.Results: Total 283 cases were diagnosed with birth defects. Parent’s history for tobacco use states that 16 (5.7%) mothers and 149 (53%) of fathers of malformed babies used tobacco. Among these 16 (5%) tobacco user mothers, maximum babies 5 (1.7 %) babies had born with neural tube defect and among fathers 149 (53%) maximum babies 41 (14%) circulatory system defect.Conclusions: There is a need to make the rural women aware about hazardous effects of use of mishri through health education sessions to wean them out of this addiction, which is passed from one generation to the next as a tradition at an early age.
RESUMO
Background: Breast milk is first, natural and nutritious food for newborn that promote sensory and cognitive development as well as protect against infectious and chronic diseases. The aim and objective of the study was to estimate the prevalence and to point out determinants of cessation of exclusive breastfeeding among rural primi-para mothers.Methods: This is a hospital based cross sectional study conducted at rural tertiary health centre located Western Maharashtra, India in the month of November-December 2017. A total of 140 breastfeeding primi-para mothers were enrolled and interviewed by utilizing pretested questionnaire include socio-demographic data, obstetric and breastfeeding history after written consent. Data were analyzed for inferential statistics using SPSS Version 21.Results: Among 140 eligible mothers, max. 84.2% were in age group 18-24 years with high proportions, 72.8% housewives, 90% literate and 75.7% with joint family structure. Max. 92.1% mothers were institutionally delivered. The overall prevalence of cessation of exclusive breastfeeding was 22.85% with gradual and sudden cessation was 20% and 2.85% respectively. Maternal determinants like insufficient breast milk secretion (37.5%), maternal sickness (12.5%) were highly contributed for cessation of breastfeeding whereas, infant illness, 12.5% respectively. The nuclear family structure, caesarean delivery and low birth weight baby were significantly associated with cessation of exclusive breastfeeding. The risk of cessation of exclusive breastfeeding is of 4.5 and 2.5 times higher with maternal nuclear family structure and infant with low birth weight.Conclusions: Prevalence of cessation of exclusive breastfeeding was low among primi-para mothers residing in rural area of western Maharashtra, India. The nuclear family structure, low birth weight baby have had significant effect on cessation of exclusive breastfeeding.