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TITLE
CERTIFICATE
DECLARATION
ACKNOWLEDGEMENT
CONTENTS
LIST OF TABLES
LIST OF PLATES
LIST OF INSERTS
LIST OF FIGURES
LIST OF APPENDICES
I. INTRODUCTION
II. REVIEW OF LITERATURE
A. Magnitude Of Health / Nutrition Problems Among Women And Children In India
1. Health/Nutrition Profile Of The Country
2. Health/Nutrition Scenario Of Women And Children in Kerala
B. Nutrition / Health Education (NHE) - An Intervention Strategy To Improve The Nutrition And Health Status
1. Definition Of Terms
2. Essential Elements Of Nutrition/Health Education (NHE) - Messages, Methods And Materials
3. Training Research In Nutrition Health Education
C. Nutrition / Health Education (NHE) Component Of The Ongoing Developmental Programmes For Women And Children - A Situational Analysis
III. RESEARCH DESIGN
A. Phase I: An Appraisal Of Preliminary Information
1. An Appraisal Of NHE Component Of The Existing Training Curricula For The Community Health Workers Of Kerala.
2. Eliciting Need Based Information From The Micro Community
1. GEOGRAPHICAL LOCATION OF THE STUDY AREA
3. Prioritisation Of The NHE Topics By The Micro Community
I LIST OF TOPICS PRIORITISED BY THE COMMUNITY
B. Phase II: Developmental Of Comprehensive NHE Packages On Four Selected Topics Along With Educational Materials In Local Language (Malayalam)
1. Statement Of Learning Objectives
2. Selection And Use Of Suitable Messages And Innovative Methods
3. Development And Use Of Appropriate Educational Materials
a. Visual aids
I. A & B. CHARTS TO ILLUSTRATE THE IMPORTANCE OF GREEN LEAFY VEGETABLES.
II. BAR DIAGRAM TO PRESENT THE LOCAL SOURCES OF VITAMIN C TO PROVIDE RDI
III. AN ILLUSTRATION ON CEREAL-PULSE COMBINATION
V. CHART TO PRESENT THE DEVELOPMENT STAGES OF AN INFANT
IV. CHART TO PRESENT STEP BY STEP PROCESS INVOLVED IN SPROUTING OF PULSES
VI. IMPORTANCE OF ORT - AN ILLUSTRATION OF THE EXPERIMENT WITH POTTED PLANT, GIVING ITS ASSOCIATION WITH DIARRHOEA MANAGEMENT
VII. A. LOCALLY AVAILABLE SOURCES OF ENERGY YIELDING FOODS
B. LOCALLY AVAILABLE SOURCES OF BODY BUILDING FOODS
C. LOCALLY AVAILABLE SOURCES OF PROTECTIVE FOODS
VIII. PREPARATION OF HOME-MADE ORS - DEMONSTRATION IN PROGRESS
b. Activity aids
II SELECTED FOLKART FORMS AND THEIR THEMES
IX. A & B.
X A & B.
XI A & B. THARATTUPATTU - A FOLK PRESENTATION ON IMPORTANCE OF WEANING AND SUPPLEMENTARY FOODS
XII A & B. KATHAPRASAMGAM - A FOLKART PRESENTATION ON SAFE DRINKING WATER
XIII A & B. VANCHIPPATTU - A FOLK PRESENTATION ON DIARRHOEA MANAGEMENT
XIV A & B. OATTANTHULLAL - A FOLKART PRESENT ATION ON PERSONAL AND ENVIRONMENTAL HYGIENE
c. Printed materials
III SELECTED INDOOR GAMES AND THEIR THEMES
4. Reviewing And Finalisation Of The Four NHE Packages And Educational Materials.
XV AFFORDABLE RECIPES INCORPORATING LOCALLY AVAILABLE LEAFY VEGETABLES MAIN DISHES
XVI AFFORDABLE RECIPES INCORPORATING LOCALLY AVAILABLE LEAFY VEGETABLES - SIDE DISHES
A. LEARNING PACKAGE ON
XVII LEARNING MATERIALS USED IN THE PACKAGE ON
B. LEARNING PACKAGE ON
XVIII LEARNING MATERIALS USED IN THE PACKAGE ON
C. LEARNING PACKAGE ON
XIX LEARNING MATERIALS USED IN THE PACKAGE ON DIARRHOEA MANAGEMENT
D. LEARNING PACKAGE ON
XX LEARNING MATERIALS USED IN THE PACKAGE ON PERSONAL AND ENVIRONMENTAL HYGIENE
C. Phase III: Appropriateness And Feasibility Evaluation Of The Four Newly Developed NHE Packages
1. Field-Testing Of The NHE Packages Involving Community Women
a. Selection of place and sample
IV SELECTION CRITERIA OF THE SAMPLE USED FOR THE EVALUATION OF THE FOUR NHE PACKAGES
b. Programme implementation
c. Programme evaluation
2. Training Of Community Health Workers To Use The Newly Developed NHE Packages And Materials
3. Feasibility Evaluation Of The Four NHE Packages By The Community Health Workers
4. Statistical Data Analysis
IV. RESULTS AND DISCUSSION
A. An Appraisal Of The Nutrition / Health Education (NHE) Component Of The Existing Training Curricula For The Community Health Workers
1. Learning Objectives
2. Content And Messages
3. Method And Materials
4. Evaluation
B. General Profile Of The Microlevel Community
1. Socio-Economic Profile
V EDUCATIONAL LEVEL OF THE POPULATION
VI ECONOMIC STATUS OF THE FAMILIES
2. Food And Health Habits And Practices
VII FREQUENCY OF USE OF COMMON FOODS BY THE FAMILIES
VIII INITIATION OF BREAST-FEEDING
IX TIME OF INTRODUCTION OF SUPPLEMENTARY FOODS
X INFANT WEANING PRACTICES OF THE MOTHERS
XI PERSONAL HYGIENIC MEASURES ADOPTED BY THE FAMILIES
XII PRACTICES OF CLEANLINES IN AND AROUND THE HOUSE
XIII FOOD SANITATION PRACTICES OF THE FAMILIES
XIV FREQUENCY OF OCCURANCE OF COMMON CHILDHOOD DISEASES
C. Feasibility Evaluation Of The Newly Designed Nutrition / Health Education (NHE) Packages
1. Evaluation Of The Learning Package On
XV CHANGES IN KAP SCORES ON
XVI DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
XVII VARIANCE RATIO OF KNOWLEDGE SCORES ON
XVIII VARIANCE RATIO OF ATTITUDE SCORES ON
XIX VARIANCE RATIO OF PRACTICE SCORES ON
XX CORRELATION MATRIX OF KAP SCORES ON
XXI ADEQUACIES IN PLANNING AND PREPARATION OF MEALS
XXII PER CAPITA FOOD CONSUMPTION OF THE SAMPLE IN COMPARISON WITH RDI (ICMR, 1989)
2. Evaluation Of The Learning Package On Infant Nutrition
XXIII CHANGES IN KAP SCORES ON
XXIV DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
XXV VARIANCE RATIO OF KNOWLEDGE SCORES ON
XXVI VARIANCE RATIO OF ATTITUDE SCORES ON
XXVII VARIANCE RATIO OF PRACTICE SCORES ON
XXVIII CORRELATION MATRIX OF KAP SCORES ON
XXIX EXTENT OF USE OF WEANING FOODS BY THE MOTHERS BEFORE AND AFTER THE TRAINING PROGRAMME
XXX CHANGES IN BELIEFS REGARDING INFANT WEANING FOODS
3. Evaluation Of The Learning Package On
XXXI CHANGES IN KAP SCORES ON
XXXII DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
XXXIII VARIANCE RATIO OF KNOWLEDGE SCORES ON
XXXIV VARIANCE RATIO OF ATTITUDE SCORES ON
XXXV VARIANCE RATIO OF PRACTICE SCORES ON
XXXVI CORRELATION MATRIX OF KAP SCORES ON
XXXVII OPINIONS AND PRACTICES OF MOTHERS REGARDING
4. Evaluation Of The Learning Package On
XXXVIII CHANGES IN KAP SCORES ON
XXXIX DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
XL VARIANCE RATIO OF KNOWLEDGE SCORES ON
XLI VARIANCE RATIO OF ATTITUDE SCORES ON
XLII VARIANCE RATIO OF PRACTICE SCORES ON
XLIII CORRELATION MATRIX OF KAP SCORES ON
XLIV CHANGES IN HYGIENIC PRACTICES OF THE SAMPLE
D. Feasibility Evaluation Of The Nutrition / Health Education (NHE) Packages By The Community Health Workers
1. Evaluation Of The Learning Package On
XLV KAP SCORES ON
XLVI DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
2. Evaluation Of The Learning Package On
XLVII KAP SCORES ON
XLVIII DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
3.Evaluation Of The Learning Package On
XLIX KAP SCORES ON
L DEVIATIONS BY KAP SCORES FROM THE BASAL LEVELS
4. Evaluation Of The Educational Package On
LI KAP SCORES ON
LII DEVIATIONS OF KAP SCORES FROM THE BASAL LEVELS
E. General Evaluation Of The Training Programmes By The Community Women And Community Health Workers
LIII OPINION OF THE PARTICIPANTS REGARDING THE NHE PACKAGES AND TRAINING PROCEDURES
LIV OPINION OF THE PARTICIPANTS ABOUT DURATION OF TRAINING PROGRAMMES
2. KAP PROFILE AFTER SIX MONTHS OF THE EDUCATIONAL INTERVENTIONS USING THE FOUR NHE PACKAGES - AS OBTAINED BY THE INVESTIGATOR
3. KAP PROFILE AFTER SIX MONTHS OF THE EDUCATIONAL INTERVENTIONS USING THE FOUR NHE PACKAGES AS OBTAINED BY-THE HEALTH WORKERS
V. SUMMARY AND CONCLUSION
The major findings of this investigation
BIBLIOGRAPHY
APPENDICES
I. PROFORMA FOR THE EVALUATION OF THE NHE TRAINING CURRICULUM
II. QUESTIONNAIRE FOR CONDUCTING BASELINE SURVEY
III. QUALITY CRITERIA FOR VISUAL AIDS
IV. CHECK LIST TO EVALUATE THE ACCEPTABILITY AND FIELD APPLICABILITY OF THE RECIPES
V.CHECK LIST FOR FIELD-TESTING THE FOLKART FORMS AND GAMES
VI - A. BOMBING THE CITY- A GAME ON BASIC THREE FOOD GROUPS
VI - B. CARD GAME ON SOURCES AND FUNCTIONS OF NUTRIENTS C. FINDING THE PARTNER - A GAME ON MIXED MEAL PREPARATION
VI - C.FINDING THE PARTNER: A game on
VI - D. ROAD-TO-HEALTH GAME: ON USE OF INFANT WEANING FOODS
VI - E. BINGO GAME: ON DIARRHOEA MANAGEMENT
VI - F. SNAKE AND LADDER GAME ON PERSONAL AND ENVIR ONMENTAL HYGIENE
VII.CHECK LIST TO EVALUATE PRINTED MATERIALS
VIII. A. CHECK LIST TO ASSESS KAP OF THE MOTHERS BEFORE AND AFTER TRAINING ON
VIII - B. CHECK LIST TO ASSESS KAP OF THE MOTHERS BEFORE AND AFTER TRAINING ON
VIII - C. CHECK LIST TO ASSESS KAP OF THE MOTHERS BEFORE AND AFTER TRAINING ON
VIII - D. CHECK LIST TO ASSESS KAP OF THE MOTHERS BEFORE AND AFTER TRAINING ON
IX. QUESTIONNAIRE TO EVALUATE THE TRAINING PROCEDURES AND COURSE MATERIALS