Impact of a school-based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre-post interventional study.


Journal

BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741

Informations de publication

Date de publication:
11 2023
Historique:
revised: 29 06 2023
received: 22 03 2023
accepted: 10 07 2023
medline: 13 11 2023
pubmed: 2 8 2023
entrez: 2 8 2023
Statut: ppublish

Résumé

To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Mixed-methods pre-post intervention study. Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Students of grade six and seven and teachers involved in implementing the intervention. An educational intervention was co-developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half-hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre- and post-intervention tests measured changes in adolescents' knowledge about anaemia. Semi-structured in-depth interviews with teachers and focus groups with students explored their reactions to the intervention. Knowledge score related to anaemia. The percentage of children with correct scores increased by 7.3-49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p < 0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron and folic acid supplements and improved sharing of messages learned with peers and families. Challenges expressed included need for further training, time limitations and hesitancy in teaching about menstruation and pregnancy. Educational interventions carried out for adolescents by teachers in schools are effective in improving awareness and attitude related to anaemia and its prevention.

Identifiants

pubmed: 37530624
doi: 10.1111/1471-0528.17619
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

113-123

Subventions

Organisme : National Institute for Health and Care Research
ID : NIHR17/63/26

Informations de copyright

© 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.

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Auteurs

Shumona Sharmin Salam (SS)

Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.

Umesh Ramadurg (U)

S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.

Umesh Charantimath (U)

KLE Academy of Higher Education and Research, J N Medical College, Belagavi, Karnataka, India.

Geetanjali Katageri (G)

S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.

Bronwen Gillespie (B)

Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.

Jayaraj Mhetri (J)

S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.

Shrinivas Patil (S)

S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.

Ashalata Mallapur (A)

S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.

Chandrashekhar Karadiguddi (C)

KLE Academy of Higher Education and Research, J N Medical College, Belagavi, Karnataka, India.

Phaniraj Vastrad (P)

Model Rural Health Research Unit, Sirwar, Karnataka, India.

Ashwini Dandappanavar (A)

KLE Academy of Higher Education and Research, J N Medical College, Belagavi, Karnataka, India.

Subarna Roy (S)

ICMR-National Institute of Traditional Medicine, Belagavi, Karnataka, India.

Basavaraj Peerapur (B)

Raichur Institute of Medical Sciences, Raichur, Karnataka, India.

Shivaprasad Goudar (S)

KLE Academy of Higher Education and Research, J N Medical College, Belagavi, Karnataka, India.

Dilly O C Anumba (DOC)

Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.

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