EFFECTIVENESS OF COMMUNITY CHANGE AGENTS ON KNOWLEDGE AND ATTITUDE REGARDING REPRODUCTIVE HEALTH AMONG WOMEN IN SELECTED VILLAGES ADOPTED

BY OMAYAL ACHI COMMUNITY HEALTH CENTRE, THIRULALLUVAR DISTRICT,CHENNAI, 2011.

DISSERTATION SUBMITTED TO THE TAMIL NADU DR.M.G.R.MEDICAL UNIVERSITY

CHENNAI.
IN PARTIAL FULFILMENT OF REQUIREMENT FOR THE DEGREE OF MASTER OF SCIENCE IN NURSING

APRIL 2012

EFFECTIVENESS OF COMMUNITY CHANGE AGENTS ON KNOWLEDGE AND ATTITUDE REGARDING REPRODUCTIVE HEALTH AMONG WOMEN IN SELECTED VILLAGES ADOPTED BY OMAYAL ACHI COMMUNITY HEALTH CENTRE, THIRULALLUVAR DISTRICT, CHENNAI, 2011.

Certified that this is the bonafide work of

Ms.NARMATHA.S
OMAYAL ACHI COLLEGE OF NURSING, PUZHAL, CHENNAI 600 066.

COLLEGE SEAL

SIGNATURE:

_________________

Dr.(Mrs).S.KANCHANA
B.Sc.(N)., R.N., R.M., M.Sc.(N)., Ph.D., Principal & Research Director in Nursing, Omayal Achi College of Nursing, Puzhal, Chennai 600 066, Tamil Nadu.

Dissertation Submitted to THE TAMIL NADU DR.M.G.R.MEDICAL UNIVERSITY

CHENNAI.
In partial fulfilment of requirement for the degree of

MASTER OF SCIENCE IN NURSING APRIL 2012

EFFECTIVENESS OF COMMUNITY CHANGE AGENTS ON KNOWLEDGE AND ATTITUDE REGARDING REPRODUCTIVE HEALTH AMONG WOMEN IN SELECTED VILLAGES THIRULALLUVAR DISTRICT, CHENNAI, 2011.
Approved by the Research Committee in December 2010. PROFESSOR IN NURSING RESEARCH Dr.(Mrs).S.KANCHANA
B.Sc.(N)., R.N., R.M., M.Sc.(N)., Ph.D.,

__________________________

Principal & Research director in Nursing, Omayal Achi College of Nursing, Puzhal, Chennai 600 066, Tamil Nadu. CLINICAL SPECIALITY HOD Dr.(Mrs).S.KANCHANA
B.Sc.(N)., R.N., R.M., M.Sc.(N)., Ph.D.,

__________________________

Principal & Research director in Nursing, Omayal Achi College of Nursing, Puzhal, Chennai 600 066, Tamil Nadu CLINICAL SPECIALITY RESEARCH GUIDE Mrs.CELINA ------__________________________
B.SC.(N)., R.N., R.M., M.SC.(N). Ph.D,

Vice Principal & Professor of Nursing Community health Nursing, Omayal Achi College of Nursing, Puzhal, Chennai 600 066, Tamil Nadu. MEDICAL EXPERT Dr.K.R.RAJANARAYAN
B.Sc.M.B.B.S.,FRSH(LONDON) Honorary professor in community medicine Omayal Achi college of Nursing

Puzhal, Chennai 600 066, Tamil Nadu. Dissertation Submitted to

THE TAMIL NADU DR.M.G.R.MEDICAL UNIVERSITY CHENNAI

MASTER OF SCIENCE IN NURSING APRIL 2012

ACKNOWLEDGEMENT
I thank God almighty for the abundant blessings throughout my career and personal life.

I wish to extend my heartful gratitude to the Managing Trustee, Omayal Achi College of Nursing who gave me an opportunity to pursue my post graduate education in this esteemed institution.

I express my sincere thanks to Dr.Rajanarayanan, B.Sc., M.B.B.S., FRSH [London], Research Coordinator, ICCR, Honorary Professor in Community Medicine for his valuable suggestion and guidance throughout the study.

I express my deep sense of indebtness to Dr.(Mrs).S.Kanchana, the Principal and Research Director, ICCR, Omayal Achi College of Nursing for her effort in rendering me an opportunity to do my M.Sc. Nursing and being a constant source of inspiration, encouragement invaluable guidance and theme oriented practical directions throughout the study. I express my humble gratitude to Prof. (Mrs.)Celina.D, Vice Principal and my clinical specialty research guide for her valuable guidance, encouragement, thought provoking valuable advices and inspiration throughout the study.

I immensely thank to Mrs.Manonmani.K, Class coordinator for her valuable suggestions, driving force and support throughout the study.

I extend my grateful endless thanks to Mrs.Thilagam, Lecturer, Mrs.Jayalakshmi, Lecturer, and Mr.Chitravel, Lecturer, of Community Health

Nursing Department, for their timely corrections, support and motivation till the final fraction of the study. I thank the ICCR Executive Committee Members for their suggestions during the Research proposal, Pilot study and Mock viva presentations.

I owe my sincere thanks to Mrs.Mythili, Incharge, OACHC constant and scholarly suggestions and guidance in the study.

for her

I specially thank all the Presidents, Self Help Group Leaders, community change agents and women of Arakkampakkam, Gowdipuram, Keezhkondaiyar and Karalapakkam rural community, Thiruvalluvar District who took part in the study. Without their unconditional cooperation and participation it would not have been possible to complete this study.

I am indeed thankful to all the Nursing and Medical Experts in the field of Preventive Community Medicine and Community Health Nursing who gave constructive criticisms, modified, refined and validated the content of the tool.

I acknowledge my sincere gratitude to Mr.Venkatesan, Biostatistician for his help in statistical analysis of the study.

I extend my thanks to the Librarians of Omayal Achi College of Nursing and the librarians of The Tamil Nadu Dr.M.G.R.Medical University, for their cooperation in collecting the related literature for this study.

I express my sincere gratitude to Mrs.N.Uma M.A.B.Ed for editing the manuscript and tool in English.

I express my sincere gratitude to Mrs.R.M.Meenal M.A.M.Ed for editing the manuscript and tool in Tamil.

I thank my peer evaluators for doing the peer evaluation of the research project.I thank my research assistant for the timely help in data collection. I am at loss of words to express my thanks to my beloved parents Mr. T.Srinivasan, Mrs.S.Kungumam and my dear sisters Ms.Amuthavalli, Ms.Vinodhini for their constant support and love throughout my course of study .

My deepest thanks and gratitude to my husband Mr.Senthil kumar and my brother Mr. Prakash for their unconditional support and timely help in the technical aspects especially in statistical analysis.

My immense thanks to Mr.Suresh and Ms.Rekha the computer operators of Omayal Achi College of Nursing for their timely help.

I extend my sincere thanks to Mr.G.K.Venkataraman, of Elite computers, for typing the manuscript and enabling me to submit on time.

TABLE OF CONTENTS
CHAPTER ABSTRACT I INTRODUCTION Background of the study Need for the study Statement of the problem Objectives Operational Definitions Assumptions Null hypotheses Delimitation Conceptual framework Outline of the study report II REVIEW OF LITERATURE Review of related literature III RESEARCH METHODOLOGY Research design Variables Setting Population Sample Criteria for sample selection Sample size Sampling technique CONTENTS PAGE NO.

CHAPTER

CONTENTS Development and description of the tool Content validity Pilot study Reliability of the tool Procedure for data collection Plan for data analysis

PAGE NO.

IV

DATA ANALYSIS AND INTERPRETATION

V VI

DISCUSSION SUMMARY, CONCLUSION, IMPLICATIONS, RECOMMENDATIONS AND LIMITATIONS BIBLIOGRAPHY APPENDICES

LIST OF TABLES
TABLE NO. 1(a) Frequency and percentage distribution of demographic variables such as age of the women, educational status, occupational status and monthly family income. 1(b) Frequency and percentage distribution of demographic variables such as religion, type of family, sources of reproductive health information and members of voluntary group. 1(c) Frequency and percentage distribution of demographic variables such as family history of reproductive tract infection, family history of cervical cancer and family history of breast cancer. 1(d) Frequency and percentage distribution of demographic variables such as marital status, age at menarche, menstrual history, age at marriage and years of married life. 1(e) Frequency and percentage distribution of demographic variables such as status of having children, mode of delivery, place of delivery, previous history of abortion or stillbirth and previous history of RTI, STI or other gynecological problems. 2 Frequency and percentage distribution of pre and post test level of knowledge on various aspects of reproductive health among women. 3 Comparison of pre and post test level of knowledge and attitude regarding reproductive health among women TITLE PAGE NO.

TABLE NO. 4

TITLE

PAGE NO.

Correlation between mean differed knowledge and attitude score of women regarding reproductive health.

5(a)

Association of mean differed knowledge score with selected demographic variable of women such as members of voluntary group, family history of reproductive tract infection, family history of cervical cancer and family history of breast cancer.

5(b)

Association of mean differed knowledge score with selected demographic variable of women such as marital status, and previous exposure to reproductive tract infection of gynecological problem.

5(c)

Association of mean differed attitude score with selected demographic variable of women such as educational status and occupational status.

5(d)

Association of mean differed attitude score with selected demographic variable of women such as family history of cervical cancer and years of married life.

LIST OF FIGURES
FIGURE NO. 1 2 3 TITLE Global Statistics of cervical cancer Conceptual framework The overall pre and post test level of knowledge of the women on reproductive health. The overall pre and post test level of attitude of the women on reproductive health. PAGE NO.

LIST OF APPENDICES

APPENDIX A B

TITLE Ethical clearance certificate Letter seeking and granting permission for

PAGE NO. i ii

conducting the main study Content validity (i) Letter seeking experts opinion for content validity (ii) (iii) List of experts for content validity Certificate of content validity

D E

Certificate of English editing Certificate of Tamil editing Informed consent

(i) (ii)

Informed consent request form Informed consent form

Copy of the tool for data collection G H I J English Scoring key

Plagiarism report Coding for the demographic variables. Blue print Intervention tool- structured training module on

reproductive health - English - Tamil Structured flashcards. training module, pamphlets and