Awareness On Ari
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Awareness on ARI among the families in Sri Ram Nagar Ashok kumar Divya Babu B N. Gayathri S. Nischintha V.G.Sai selvendra kumar
INTRODUCTION Acute infection of any part of the respiratory tract & related structures < 30 days duration, middle ear < 14 days Leading cause of morbidity & mortality in children 4 million child deaths in the world annually 30-60% of paediateric outpatient & 2030% of hospital admission
NEED FOR STUDY Neglected entity inspite of increased public health importance Lack of community based epidemiological surveillance Study formulated with the objective to determine the effectiveness of health education intervention & associated risk factors
Will a health education intervention on acute respiratory infections to 50 families in SRI RAM NAGAR increase the awareness on ARI by 40% over a period of 3 months
OBJECTIVES Assess knowledge on ARI Conduct health education programmes Test effectiveness of the educational intervention Elicit the frequency of ARI among the under fives and the risk factors
REVIEW OF LITERATURE “ A survey in rural community”-BJ medical college, Pune “Perception of severity of acute ARI in under fivesin rural India”, Newton Abbot,UK “Association of vit D deficiency in under fives with acute ARI”, Wayse, Yousafzai, UK “ARI in children” ,longitudinal study in south India “ARI morbidity among under fives and epidemiological factors associated with it”, Niranjan kumar mitra
MATERIALS & METHODOLOGY Study area : Sri Ram Nagar, Coimbatore study population : 50 families Study design : health education intervention study Sampling method : purposive sampling Questionnaire : semistructured Statistical analysis : SPSS 10 software Paired t test, chi square test
TIME LINE CHART
RESULTS
AGE-SEX DISTRIBUTION OF THE STUDY POPULATION AGE GROUP
MALE
FEMALE
21-30
3
18
31-40
7
7
41-50
2
8
51-60
1
2
>60
1
1
TOTAL
14
36
AGE DISTRIBUTION OF UNDER FIVE CHILDREN AGE GROUP
NO. OF CHILDREN
0-1
7
1-2
4
2-3
7
3-4
7
4-5
8
TOTAL
25
SNo
Question
Number of correct Ans (%) Pre
post
Chi value
Level of Sig
1
vulnarable age group to ari
11 (22)
32(64)
17.99
<0.001
2
mode of transmission
9(18)
36(72)
29.45
<0.001
3
exception to symptoms of ari
13(26)
48(96)
51.49
<.001
4
causes of ari
12(24)
31(62)
14.73
<0.001
5
fuel with increased risk of ari
41(82)
48(96)
5.01
<0.01
6
incorrect location of kitchen
16(32)
26(52)
4.11
<0.05
7
risk factor for ari
21(42)
42(84)
18.92
<0.001
8
danger signs of pneumonia
10(20)
42(84)
41.03
<0.001
9
can pneumonia kill a child
30(60)
48(96)
18.88
<.001
10
indoor smoking increases the chance of ari
33(66)
50(100)
20.48
<0.001
11
stopage of breast feeding during an attack
32(64)
43(86)
6.45
<.01
12
home care measures
36(72)
43(86)
2.91
NS(0.08)
13
measures taken for pus in the ear
28(56)
44(88)
12.70
<0.001
14
action to be taken for a child with ari
45(90)
50(100)
5.26
<0.05
60
POST TEST – PRE TEST COMPARISON RESULTS
50 40
PRE POST
30 20 10 0 1
2
3
4
5
6
7
8
9 10 11 12 13 14
S.NO
PRE TEST AVG %
POST TEST AVG%
INCREASE IN %
1
41.26
89.62
48.36
Sno Risk factor
Critical ‘P’ ratio val
PRESENCE OF OVER CROWDING
YES NO
1
2
Over crowding Kitchen location
1.1105
ns LOCATION OF KITCHEN
IN OUT
1.35
ns TYPE OF FUEL
3
Type of fuel
1.18
ns
GAS KEROSENE COAL WOOD
DISCUSSION 48.36% Increase in awareness 80% unaware of danger signs of pneumonia 76% had misconception on its cause 78% did not know that children are more prone 52% understood the importance of location of the kitchen even after intervention 90% took the children to hospital Significant link between the risk factors and ARI could not be established – small sample size
RECOMMENDATIONS Overall betterment of the entire population People adequately informed & encouraged to take necessary precautions Education to mothers
LIMITATIONS
Cross sectional study Based on the memory of the responder Inability to understand certain questions Small sample size
INTRODUCTION Acute infection of any part of the respiratory tract & related structures < 30 days duration, middle ear < 14 days Leading cause of morbidity & mortality in children 4 million child deaths in the world annually 30-60% of paediateric outpatient & 2030% of hospital admission
NEED FOR STUDY Neglected entity inspite of increased public health importance Lack of community based epidemiological surveillance Study formulated with the objective to determine the effectiveness of health education intervention & associated risk factors
Will a health education intervention on acute respiratory infections to 50 families in SRI RAM NAGAR increase the awareness on ARI by 40% over a period of 3 months
OBJECTIVES Assess knowledge on ARI Conduct health education programmes Test effectiveness of the educational intervention Elicit the frequency of ARI among the under fives and the risk factors
REVIEW OF LITERATURE “ A survey in rural community”-BJ medical college, Pune “Perception of severity of acute ARI in under fivesin rural India”, Newton Abbot,UK “Association of vit D deficiency in under fives with acute ARI”, Wayse, Yousafzai, UK “ARI in children” ,longitudinal study in south India “ARI morbidity among under fives and epidemiological factors associated with it”, Niranjan kumar mitra
MATERIALS & METHODOLOGY Study area : Sri Ram Nagar, Coimbatore study population : 50 families Study design : health education intervention study Sampling method : purposive sampling Questionnaire : semistructured Statistical analysis : SPSS 10 software Paired t test, chi square test
TIME LINE CHART
RESULTS
AGE-SEX DISTRIBUTION OF THE STUDY POPULATION AGE GROUP
MALE
FEMALE
21-30
3
18
31-40
7
7
41-50
2
8
51-60
1
2
>60
1
1
TOTAL
14
36
AGE DISTRIBUTION OF UNDER FIVE CHILDREN AGE GROUP
NO. OF CHILDREN
0-1
7
1-2
4
2-3
7
3-4
7
4-5
8
TOTAL
25
SNo
Question
Number of correct Ans (%) Pre
post
Chi value
Level of Sig
1
vulnarable age group to ari
11 (22)
32(64)
17.99
<0.001
2
mode of transmission
9(18)
36(72)
29.45
<0.001
3
exception to symptoms of ari
13(26)
48(96)
51.49
<.001
4
causes of ari
12(24)
31(62)
14.73
<0.001
5
fuel with increased risk of ari
41(82)
48(96)
5.01
<0.01
6
incorrect location of kitchen
16(32)
26(52)
4.11
<0.05
7
risk factor for ari
21(42)
42(84)
18.92
<0.001
8
danger signs of pneumonia
10(20)
42(84)
41.03
<0.001
9
can pneumonia kill a child
30(60)
48(96)
18.88
<.001
10
indoor smoking increases the chance of ari
33(66)
50(100)
20.48
<0.001
11
stopage of breast feeding during an attack
32(64)
43(86)
6.45
<.01
12
home care measures
36(72)
43(86)
2.91
NS(0.08)
13
measures taken for pus in the ear
28(56)
44(88)
12.70
<0.001
14
action to be taken for a child with ari
45(90)
50(100)
5.26
<0.05
60
POST TEST – PRE TEST COMPARISON RESULTS
50 40
PRE POST
30 20 10 0 1
2
3
4
5
6
7
8
9 10 11 12 13 14
S.NO
PRE TEST AVG %
POST TEST AVG%
INCREASE IN %
1
41.26
89.62
48.36
Sno Risk factor
Critical ‘P’ ratio val
PRESENCE OF OVER CROWDING
YES NO
1
2
Over crowding Kitchen location
1.1105
ns LOCATION OF KITCHEN
IN OUT
1.35
ns TYPE OF FUEL
3
Type of fuel
1.18
ns
GAS KEROSENE COAL WOOD
DISCUSSION 48.36% Increase in awareness 80% unaware of danger signs of pneumonia 76% had misconception on its cause 78% did not know that children are more prone 52% understood the importance of location of the kitchen even after intervention 90% took the children to hospital Significant link between the risk factors and ARI could not be established – small sample size
RECOMMENDATIONS Overall betterment of the entire population People adequately informed & encouraged to take necessary precautions Education to mothers
LIMITATIONS
Cross sectional study Based on the memory of the responder Inability to understand certain questions Small sample size
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