Effectiveness of a Structured Teaching Programme on Nutrition and Reproductive Health Knowledge among Adolescent Girls in selected villages of Gurugram: A Pre Experimental Study
Keywords:
Adolescent girls, Nutrition education, Reproductive health, Structured teaching programme, Anaemia, Rural India, Health promotion Health promotionAbstract
Background: Adolescent girls in India face a dual burden of undernutrition and poor reproductive health literacy, contributing to adverse health outcomes across the life course. Despite the implementation of national adolescent health programmes, significant knowledge gaps persist, particularly in rural areas.
Objectives: To assess the effectiveness of a structured teaching programme (STP) on improving knowledge related to nutrition and reproductive health among adolescent girls in rural Gurugram, Haryana.
Methodology: A pre-experimental one-group pretest-posttest design was employed among 124 adolescent girls aged 12–16 years, selected from two government schools in rural Gurugram. A structured questionnaire assessed knowledge on topics including balanced diet, anaemia, puberty, menstruation, and contraception. Following the pretest, participants received an interactive STP using multimedia tools, role-play, and food demonstrations. Posttest data were collected after one week and analyzed using paired t-tests and descriptive statistics.
Results: At baseline, 58.1% of girls were underweight (BMI <18.5), and 75.8% were anaemic, indicating a high burden of nutritional deficiency. Pre-intervention knowledge scores were low (mean = 11.2 ± 3.8 out of 30). One week post-intervention, the mean score increased significantly to 21.2 ± 3.1 (p < 0.001), with a large effect size (Cohen’s d ≈ 1.27). The intervention led to significant improvement across all topic areas.
Conclusion: The structured teaching programme was highly effective in enhancing knowledge of nutrition and reproductive health among adolescent girls. Its culturally appropriate and interactive format contributed to high engagement and substantial learning gains. Integration of such interventions into school health and community platforms like RKSK could be a cost-effective strategy for improving adolescent health outcomes in rural India.
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References
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), 2019–21: India Fact Sheet. Mumbai: IIPS; 2021.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva: WHO; 2011.
Ministry of Health and Family Welfare, Government of India. Rashtriya Kishor Swasthya Karyakram: Strategy Handbook. New Delhi: MoHFW; 2014.
UNICEF. Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. Bangkok: UNICEF; 2018.
Patil R, Somasundaram K, Gautham M. Impact of nutrition education on adolescent girls: A school-based study in rural South India. J Family Med Prim Care. 2021;10(2):912–8.
Nair MKC, George B, Thankachi Y, Leena ML, Prasanna R, Mathew A, et al. Effectiveness of an educational intervention on nutritional anemia among adolescent girls in rural Kerala. Indian J Pediatr. 2019;86(10):858–63.
Dambhare DG, Bharambe MS, Mehendale AM, Garg BS. Nutritional status and menarche in adolescent girls of rural Wardha. Indian J Pediatr. 2012;79(4):501–5.
Kaur M, Kochar GK. Nutritional anemia and its effect on cognitive function among adolescent females. Indian J Community Med. 2009;34(4):308–12.
Verma A, Kumar P, Rathaur VK. Effect of structured teaching program on knowledge and practice of menstrual hygiene among adolescent girls. J Evid Based Med Healthc. 2017;4(25):1447–51.
World Health Organization. Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. Geneva: WHO; 2018.
Rao S, Kanade A, Joshi S, Yajnik C. Nutritional status and its association with menstrual irregularities among adolescent girls. Indian J Pediatr. 2009;76(9):885–9.
Choudhary N, Parveen A. Effectiveness of structured teaching programme on knowledge regarding anaemia among adolescent girls. Int J Health Sci Res. 2020;10(6):159–65.
Mishra A, Singh D. Effectiveness of an educational program on prevention of nutritional anemia among adolescent girls. Indian J Public Health Res Dev. 2018;9(11):160–4.
Awasthi S, Pande VK. Prevalence of anaemia and its determinants in urban school-going adolescents of India. Indian Pediatr. 2000;37:149–56.
Ministry of Health and Family Welfare, Government of India. Weekly Iron and Folic Acid Supplementation (WIFS) Guidelines. New Delhi: MoHFW; 2013.
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