The Study of assess the Knowledge and Practices of

Anganwadi workers on selected child care activities

in Anganwadi centers of Bangalore rural community

PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

SUBMITTED BY :
Miss. SRAVANI. B
M.Sc., NURSING, 1st YEAR
2010 2012 BATCH

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

1

BANGALORE KARNATAKA

PROFORMA FOR REGISTERATION OF SUBJECT FOR

DISSERTATION

1.

Name of the Candidate

Mis. B. SRAVANI,

and Address

1st Year M.Sc., (Nursing)

DHANWANTHRI
College of Nursing,
NH-4,

Sondekoppa

Circle,

Nelamangala - 562123,
BANGALORE.
2.

Name of the Institution

DHANWANTHRI,
COLLEGE OF NURSING

3.

Course of Study and Subject

Master degree inNursing

Paediatric Nursing

4.

Date of Admission

5.

TITLE OF THE TOPIC :

08-04-2010

A study of assess the knowledge and practices of Anganwadi

Workers on selected Child Care Activities in Anganwadi
Centres of Bangalore rural Community

INTRODUCTION
The knowledge and practices of Anganwadi Workers regarding
growth monitoring and supplementary feeding was assessed by
frequency

and

percentage

distribution

29.2%

and

30.8%

of

Anganwadi Workers having below average knowledge regarding

growth monitoring and supplementary feeding respectively.

In

relation to practices 70.8% of Anganwadi Workers having high level

practices regarding growth monitoring and 69.2% of Anganwadi
Workers having high level practices regarding supplementary feeding.
The item analysis showed that 61.5% of Anganwadi Workers
were not having good understanding about the meaning of growth

and development. Only 36.9% subjects knew the significance of lines

on the growth chart.

In regards to practices, only 40%d of

respondents mentioned that plotting was done immediately on the

growth chart.

Only 18.5% of Anganwadi Workers informed to the

mother about the weight of the child in the weighing session.

In

regards of supplementary feeding 53.3% of Anganwadi Workers knew

about the calories and proteins provided through the supplementary
feeding.

Only 12.3% of Anganwadi Workers never added the

Vegetables in preparation of supplementary food.1

The findings of the relationship between Anganwadi Workers
knowledge and practices with age and education shows no significant
association (P:0.05 level)

in both the areas.

The findings of

relationship between Anganwadi Workers knowledge and practices

regarding supplementary feeding shows no significant association
(P=0.05 level) with the experience.

But, the findings of the

relationship between Anganwadi Workers practices regarding Growth

Monitoring and experience reveals significant association (P=0.05
level).

The

relationship

between

knowledge

and

practices

of

Anganwadi Workers regarding growth monitoring and supplementary

feeding computed with the help of coefficient correlation. The study
findings shows that the value between the knowledge and practice
regarding growth monitoring was 0.2070, where as the value between
knowledge and practices regarding supplementary feeding was
0.3949.

It shows negligible relation between the knowledge and

practices regarding growth monitoring and supplementary feeding.

To reinforce the knowledge and practices, the investigator
prepared a self-instructional module on growth monitoring and
supplementary feeding. The investigator recommends that periodical
on job training, close supervision and demonstrations will help the
Anganwadi Worker to provide services efficiently for the welfare of the
child.2

6.1 NEED FOR THE STUDY

Malnutrition is the major cause of death among children in India.

According Dr. B.M. Chauhan (1981), the magnitude of the problem is that
every one lakh children

die either directly or indirectly attributable

5

malnutrition. The ICDS programme acknowledged that young child is most

vulnerable to malnutrition, which leads to morbidity and mortality of
children under six years.

This program helps to promote holistic

development of children under six

years through Anganwadi at the

community level.3

The Anganwadi worker in ICDS programme assumes a pivotal role in

Anganwadi centre due to her

close and continuous contact with the

community. By virtue of her position in the community, the Anganwadi

worker has more chances to interact and to educate the mothers. For that
the Anganwadi worker should have basic knowledge of child care activities.
The functions/activities of the Anganwadi worker are :
1)

Community survey and enlisting beneficiaries

2)

Organize supplementary feeding

3)

Growth monitoring

4)

Primary health care and First Aid

5)

Non formal Pre-School Education of the children between 3-6 years

of age.

6)

Assisting the health staff in immunization, distribution of Vit. A and

Iron & Folic Acid and health check up.

7)

Referral Services

8)

Health and nutrition education of pregnant and nursing mothers as

well as mothers of the children.

9)

Maintaining liaison with other institution and organizing and

conducting functional literacy.

Among all these functions growth monitoring and

supplementary

feeding are directly linked with the prevention and control of malnutrition
in children. And also these two activities are independent activities carried
out by the Anganwadi worker in relation to promotion

of health of the

children.

The studies also revealed that there is a need to strengthen the

Anganwadi worker in these areas.

Study conducted by on growth monitoring revealed that several

Anganwadi workers are not taking precautions while measuring weights of
the children and they are not informing the progress of the child to the
mothers.4

Study conducted revealed that several Anganwadi workers are not

following the norms laid down for enrolling the beneficiaries and they are

also providing supplement to all children equally, irrespective of their age,

nutritional grade and served twice to the children who wanted more.
Another study in 1992 stated that there is a need to improve the skills in
growth monitoring and supplementary feeding and recommended shortterm

feeding

and

frequent

in-service

training

programmes

to

the

Anganwadi Workers.

As the investigator observed that the Anganwadi Workers are not

having adequate knowledge in performing their set functions specially with
emphasise to growth, monitoring and supplementary nutrition.

The

Anganwadi workers also are not following principles while checking growth
monitoring and distribution of supplementary food. The investigator also
found that there is no study related to knowledge and practices of
Anganwadi workers in Bangalore rural Anganwadi Centres.

The investigator felt that the Anganwadi worker should be self

sufficient

to

deliver

these

activities

in

prevention

and

control

of

malnutrition among children at grass root level by providing services at

doorstep.
The investigator found that the Anganwadi worker not only identify
the malnourished children but also children at risk for malnutrition

through growth monitoring and supplementary feeding. Since these two

activities takes major contribution in maintaining the health of the
children, the investigator taken these two activities in the study in a limited
time.5

6.2 REVIEW OF LITERATURE

Deals with a review literature relevant to the study Review refers to
an extensive through and systematic examination of publications related to
the research project, critical review refers to the examination of the
strengths and weakness of appropriate publications (Seeman 1987).
Review literature gives an insight in to various aspects of the problem
under study.It helps the investigator in designing

the framework,

developing the methodology and tools for data collection and planning the
analysis of data.

The review literature presented is organised in to 3 broad heading.

1.

Research studies on Integrated Child Development Services.

2.

Research studies on growth monitoring.

3.

Research studies on supplementary nutrition.

1.

RESEARCH STUDIES ON INTEGRATED CHILD DEVELOPMENT

SERVICES
10

Study conducted on an epidemiological and qualitative study in 4

states (Andhra Pradesh, Bihar, Madhya Pradesh, Orissa).
findings revealed that participation of study children in
feeding was better 83% compared to expectant 66%
mothers.

The study

supplementary

and nursing 60%

Nutritional status of children (1-5 years) in ICDS

areas

was

marginally better, compared to non ICDS areas through not statistically

significant.

The study also revealed that many Anganwadi Workers not

aware of zero error correction of the weighing scales and fixing the mid
point for measuring the arm circumference while using tricoloured tape.
The task of periodical weighing and plotting weight on the growth chart is
mechanically done and little attention was paid on interpretation to
educate the mother about nutritional status of their children. 6

Study conducted on an evaluation study on impact of the integrated

Child Development Services in Rae Bareli

(Uttar Pradesh).

The

Investigator assessed the changes in feeding practices, growth and

development, prevalence of malnutrition and utilization of health care
services by using a suitable control population from non ICDS area. The
study finding reveals that in the study area 55.3% children were weaned
between 6-12 months, while the majority (53.1%) in the control group were
weaned between the ages of 12-18 months (P > 0.001). Weight for age was
11

significantly higher in ICDS area. Prevalence rate of severe degree of PEM

(grade III & IV) was 3-2 per 100 in control (P < 0.001). Only 14% of the
children were benefited by the supplementary nutrition services in the
ICDS group where as the utilization of primary health care services was
more in the ICDS group (P < 0.001).7

Conducted a study to determine the impact of the ICDS programme

on the nutritional status of Indian Children (0-6 years) and evaluate the
coverage of the scheme as the programme completed 18 years of its
effective operation. The study was conducted in unicenter special study
project by adopting base line surveys, multy center longitudinal and
periodic studies. The study findings revealed that there is an increase in
the percentage of children with normal nutrition. 50% to 75% in base line
data of 1990 survey.

There is highly significant decrease in severely

malnourished children from 21% in 1976 to 7% in 1990 and the

programme was evident in all sections of the society and also in nutritional
coverage of the children increased from 25% in 1973 to 53% in 1990 in
comparison to 42% non ICDS blocks.8

Conducted a study

to evaluate the competence, knowledge and

skills of Anganwadi workers to some aspects of health care to affect their

performance as paramedical workers in Nupur Bedi block in Punjab. In

12

this study the 92 Anganwadi workers included and the investigator

administered the structured questionnaire d about recoding of weight,
infant feeding, recording of temperature, immunization procedures and
treatment of minor ailments.

The study findings show that only 46.5%

knew about adjustment of scale at 0 83.07% mentioned one month as

optimal time interval for weighing the child.

12.30% knew when more

frequent weighing of children may be useful. None of the workers d knew

charting of the weight.9

Conducted a study to evaluate utilization of ICDS scheme in children

1-5 years in the rural ICDS block sanwer in Madhya Pradesh. The study
conducted in six Anganwadi areas in ICDS block (709) children) and 5
randomly selected matched non ICDS rural areas (500 children) by
adopting the door to door survey method in order to evaluate the
nutritional and immunization services. The study findings show that the
difference was not statistically significant for nutritional status in two
blocks, but

remarkably better immunization status ( P < 0.005) was

observed in non ICDS block. The comparative figures for nutritional status
in ICDS and non ICDS block in normal and Grade 1 malnutrition were
74.3% and 72.4% in grade II malnutrition were 18.1% and 20.8% and in
grade III malnutrition were 7.05% and 6.8% respectively.

Indicating no

significant difference in nutritional status between the groups.

13

10

Conducted a comprehensive investigation on impact of ICDS in

Karnataka Dist. To assess the impact of the ICDS programme with specific
reference to the innovative refresher training imparted to the Anganwadi
workers.

The study was conducted in 80 ICDS projects and 2650

Anganwadi Workers coverage. All CDOPs of the selected projects and 2

supervisors from each project included.

The interview and participant

observation method adopted for the study. The study finding revealed that
ICDS has helped in improving the health and nutrition status of the
children below 6 years age to better

practices and lower levels of

malnutrition.

Better knowledge and awareness about health and child care

practices among the mothers and it significantly higher to trained
Anganwadi workers. The trained Angawadi workers were able to perform
better in providing the basic services regularly, properly and effectively.11

2. RESEARCH STUDIES RELATED TO GROWTH MONITORING

Conducted a study to assess the knowledge of Anganwadi workers

about growth monitoring in Delhi.

This study was conducted on 100

Anganwadi workers in an ICDS block. Alipur in Delhi by administering the

pretested, semi structured open-ended questionnaire (35 questions) by
using interview schedule.

The analysis revealed that almost all 99% of

14

Anganwadi workers had adequate knowledge regarding the significance of

the lines on the growth chart and the importance of ascending and
descending growth curves. However only 43% of Anganwadi workers had
the correct knowledge regarding age at which growth monitoring can be
started and 37% had wrong knowledge stating that correct age is not
required for growth monitoring.

Majority of Anganwadi workers did not

have correct knowledge regarding Mid Upper Arm Circumference.

The

investigator concluded that use of weight chart appears appropriate and

more

over

it

can

be

handled

easily

with

minimum

educational

qualifications.12

Conducted a study to examine various aspects of growth monitoring

programems and success of growth monitoring programme in India. The
study conducted on 3704 rural children, 0-6 years of age). It was observed
that growth of almost half of the children and never been monitored and
monitored inadequately in another 25% of case while every few mothers
(1%) could interpret the growth charges correctly, 87% of functionaries do
this. There was a significant and positive relationship between maternal
knowledge and functionary knowledge of the growth chart and coverage of
children for Growth Monitoring.

Analysis of covariance of the effect of

15

growth monitoring did not have an impact on the nutritional status of

children.

A report of the national seminar on Growth Monitoring, New Delhi,

National Institute of Public Co-operation and Child Development, New
Delhi (1987) after an evaluation of 17 selected ICDS, revealed that although
growth charges were available in 70.5% of the selected Anganwadi centres,
they were used only in 51%. The main reason of not using was the lack of
skills. Weighing, age assessment, plotting of charts and interpretation of
growth charts were carried out inadequately

by the Anganwadi worker.

The important component of community participation was also lacking. 13

Conducted an experimental prospective study investigate the
material comprehension of two differential growth charts and to identify
the growth of mothers with poor comprehension in Srilanka at Desousa
Hospital,

Colombo.

932

mothers

were

interpretation of the type of growth chart.

studied

regarding

their

A total of 413 mothers

interpreted the road-to-health chart and 519 mothers interpreted the

revised chart.

The result finding show that (62.4%) 324 mothers who

interpreted the revised chart had good comprehension. Only 20.6% (85)
mothers had similar comprehension with the road-to-health chart.
Education had an impact on comprehension of the growth chart.

16

The

investigator concluded the design of the growth chart has a powerful effect
on maternal comprehension of growth patterns.14

Conducted a study (1990)d to assess the knowledge and skills about

growth monitoring among Child Development Officers (CDPOs) by adopting
interview technique.

The sample size was 48.

Majority of subjects had

correct knowledge on growth monitoring helps in early detection of growth

retardation. While about 83% felt that a flattened growth curve indicates
no weight gain.

The percentage of CDPOs who were able to interpret and

read correctly about what ascending,

curves indicates no weight

descending and flattened growth

gain and descending growth curve indicates

decrease in weight respectively.

The investigators concluded that more

emphasis should be given on growth monitoring during in service training

courses of MPHW workers for early detection of growth monitoring.15
Conducted a study on the knowledge and skills and practices of
Anganwadi workers in the slums of Baroda City by adopting interview and
participating observation method.

The sample size was 25.

The study

results shows that all Anganwadi workers were able to interpret correctly
the nutritional grade of children by curved lines printed on the chart. They
were also able to describe the decrease in the weight of a child compared to
a previous month as a sign of growth retardation.

None of the workers

interpreted a stationary weight as a significant sign of growth retardation.

17

This

study

was

demonstrated

remarkable

competency

in

Anganwadi workers capable of accurate weighing plotting of growth data

and interpretation of Nutritional grades to the recognition growth
indicators of growth and malnutrition.

The investigators concluded that

their findings of excellent performances by Anganwadi workers in the area

of Nutritional

surveillance and assessment suggests that the lack of

attention to growth and growth flattening is a result of faulty training and

not ability on the part of workers themselves.16

Study done in Lesotho in 1985-86 to assess whether growth charts

increased the impact of nutrition education and growth monitoring in
maternal learning about weaving practices and diarrhea. 776 mothers were
given 3 monthly sessions of group nutrition education along with growth
monitoring of

children and individual counseling, growth chart were

taught to one of two groups. The study findings suggest that well designed
clinic-based nutrition education and growth monitoring can have a
significant impact on maternal nutrition knowledge.17

3.

RESEARCH STUDIES RELATED TO SUPPLEMENTARY FEEDING

18

Conducted our

evaluation study on National supplementary

nutrition programmes. The study revealed that in ICDS project, prevalence

of PEM rate and incidence of low birth weight babies reduced. The quality
of Anganwadi worker which is conducted mainly by voluntary agencies
needs an improvement . The coverage of children in 0-3 years inadequate.
The programme is catering primarily to children in the year 3-6 years age
group. Nutritional therapy for severely malnourished is not implemented
properly, severely malnourished children are not given increased amount of
supplementary nutrition. Growth monitoring activities are done at times
for detection of malnutrition rather that prevention of malnutrition.
Irregular

supply

of

supplementary

nutrition

due

to

difficulty

administration.18

Conducted a study (1992) on nutritional beliefs amongst Anganwadi

workers in Delhi.

They assessed the 92 Anganwadi workers regarding

knowledge about nutritive value of common foods, dietary beliefs during

antenatal period, lactation and during a few common diseases. The study
revealed that all the workers were aware of the fact that during pregnancy,
mothers require extra calories in order to meet the demands of foetus.
79.3% believed that multimix of cereals, pulses and oil prepared at home is
much more nutritive than commercial weaning foods besides being
cheaper. Nearly 1/4of the workers believed that both non-vegetarian foods

19

as well as pulses should be avoided during the later half of pregnancy.

Only 14.2% Anganwadi workers were not in favour of giving any food
during episode of diarrhea. While 27.2% believed that less food should be
given to children suffering from pneumonia. It is suggested that there is
need for upgrading the knowledge of Anganwadi workers by continued in
service health teaching.18
Conducted a study on use of food products in supplementary
feeding programems in twin cities of Hyderabad in A.P.

For this study

selected 85 feeding centres randomly. 850 child beneficiaries, 300 women

beneficiaries and 85 functionaries were included in the study as a sample.
The study findings indicated that the functionaries of ICDS far better
knowledge regarding the ingredients of Supplementary Food & Weaning
Food Products and its preparation and storage than the other functionaries
of Balwadi. Majority of the functionaries stated

that the age and

familyincome wer criteria for selection of beneficiaries.

24% the

functionaries stated that poor health/nutritional status of beneficiaries is

the criteria for existing the subjects of the program.19

Conducted an experimental study to assess the impact of the

supplementary program for preschool children in the rural areas around
Hyderabad City.

The results of the clinical, auturopometric and dietary

surveys indicated that the programme had substantially improved the

20

protein calorie nutritional status of the children. The results of the survey
of the community revealed that majority were in favour of the programme
and its continuation. Economic and social status, literacy and availability
of time were found to be the some of the factors influenced not only the
attitude but also the active participation of the community.
In Andhra Pradesh 60 Anganwadi centres included. The study
revealed that 83% of the children received supplementary feeding. 60% of
the children received the supplement for 25 days only 13% mothers said
that their children received supplement for period of less than 10 days.
59% children consumed food at the Anganwadi center.

More than 40%

mothers were not able to tell about the quality of supplement.20

6.3 STATEMENT OF THE PROBLEM

A study to assess the knowledge and practices of Anganwadi workers

on selected child care activities in Anganwadi centres of Bangalore rural
Community.

6.4 OBJECTIVES OF THE STUDY

21

1.

To assess the knowledge of Anganwadi Workers regarding selected

child care activities.

2.

To assess the practices of Anganwadi Workers regarding selected

child care activities.

3.

To identify the relationship between knowledge of Anganwadi workers

and selected variables such as age, education and experience.

4.

To identify the relationship between the knowledge and practices of

Anganwadi workers regarding selected child care activities.

6.5 HYPOTHESIS
There is no relationship between knowledge and practice of Anganwadi
Workers regarding growth monitoring and supplementary feeding.

6.6 OPERRATIONAL DEFINITIONS

1.

Knowledge : Verbal response given by the Anganwadi worker

regarding growth monitoring and supplementary feeding programme
to the questionnaire administered by the investigator.

22

2.

Practices : Refers to the activities of the Anganwadi workerrelated to

growth monitoring and supplementary feeding.

3.

Anganwadi worker is an employee (women) who is undergone training

for a specified period.

4.
a)

Selected child care activities:Growth monitoring :- As per schedule weighing and recording
the weights of children (0-6yrs.)on the growth chart

b) Supplementary feeding :- Food that is given to all beneficiaries

6.7 ASSUMPTIONS
1.

It is assumed that younger age Anganwadi workers will have less

knowledge and less practices than the older age Anganwadi workers.

2.

Anganwadi workers with higher education will have more knowledge

and more practices

than the Anganwadi workers with less

education.
3.

Experienced Anganwadi workers will have more knowledge & more

practices than the less experienced.

6.8 DELIMITATIONS OF THE STUDY :

23

1.
2.

The study is delimited to the rural Community of Bangalore

The study is delimited two child care activities like growth
monitoring and supplementary feeding programme.

The findings of the study will help the investigator to preparer self
instructional module regarding growth monitoring and supplementary
feeding to reinforce the knowledge and practices of Anganwadi Workers.

24

7. MATRIALS AND METHODS

7.1 Source of data

Deals with the steps taken to conduct the present study, assessing
knowledge

and

practices

of

Anganwadi

workers

monitoring and supplementary nutrition programme.

regarding

growth

It presents the

choice of research approach, description of setting, population sample,

method of data collection, sampling technique, sample size, technique of
data collection, development and description of the tool and plan of data
analysis.

7.1.1 RESEARCH APPROACH

The research design used for his study is the descriptive survey
method.

The survey method gathers the data from a relatively large

number of subjects at a popular time (John Best). Since the present study
is conducted by interviewing technique and to analyze the findings, the
descriptive survey method chosen as the most appropriate method for this
study. The present study is aimed to assess the knowledge and practices of
Anganwadi workers regarding growth monitoring and supplementary

25

nutrition programme. Basing on the findings, the investigator planning to

prepare and distribute a self instruction module.

7.1.2 SETTING
Bangalore rural Community is selected for the purpose of data
collection. The total population of Bangalore community rural nearly about
12 Lakhs.

The Bangalore rural ICDS Project divided in to four sectors

consists of hundred Anganwadi centres. Each sector having 25 Anganwadi

centres and each sector supervised by the one sector supervisor. Most of
the Anganwadi centres run in the Government buildings. 5% of centres
were run in the rented buildings. Most of the centres having store room
facility. No separate kitchen. Only 2% of the centres having toilet facilities.
All the centres having safe drinking water facility within the reach.

7.1.3 POPULATION
The population for the study is all the trained Anganwadi workers
who were working in the Anganwadi centres of Bangalore rural Community.

7.2 METHOD OF DATA COLLECTION

26

Interviewing is in a sense , oral questionnaire. Instead of writing in

response, the subject or interviewer can provide information needed orally
and face to face. The interview method permits greater depth of questioning
and probing for data and the response rate tends to be quite high in
face to face interviews. Interview method helps in clarifying the ambiguous
or

confusing

questions.Hence,

due

its

manifold

advantages

and

appropriativeness, it was decided to use this method for data collection in

the present study.
7.2.1 SAMPLE TECHNIQUE
All available subjects at the time of data collection taken as the sample for
the study._Purposive sampling technique will be use.
7.2.2 SAMPLE SIZE
65 Anganwadi Workers
.
7.2.3 INCLUSION CRITERIA FOR SAMPLING
1.

All the trained Anganwadi workers

who are working in the

Anganwadi Centres of Bangalore rural Community.

2.

Able to speak and write kannada

7.2.4 EXCLUSION CRITERIA FOR SAMPLING

27

1.Untrainer aganawadi worker

2. Who is not able to write in kannada

7.2.5 TOOL FOR DATA COLLECTION

To assess the knowledge and practices of Anganwadi Workers

regarding growth monitoring and supplementary feeding, the tool was
designed in the form of structured questionnaire. The tool was developed
with the help of an extensive review of their curriculum, literature from
various text books and journals. The investigator held discussions with
nursing, medical, Anganwadi training tutors and with the nutritionists and
prepared the tool for the study.

The Tool was divided in to 3 parts :

Part I

Dealt with demographic data of Anganwadi worker such as

age, education, experience, religion, income, marital status,
type of food consumed on the job training.

Part-II

Dealt with assessment of data in relation to knowledge of

Anganwadi

workers

supplementary feeding.

regarding

growth

monitoring

and

Total number of questions were 56

with a total score of 56, for each correct response score one
was given. This part was divided in 2 sections.
28

Section A: Consist of 31 questions related to information regarding growth

monitoring. The total score was 31.
Section B: Consists of 25 questions related to supplementary feeding.
Total score was 25
Part III

Consists of questions related to practices of Anganwadi

workers regarding growth monitoring and supplementary
feeding. This par also divided in to 2 sections. The total score
was 58. Scorer given in grading 2,1,0. The most appropriate
response was awarded 2 score.

Section A: Consists of 16 questions related to practices of growth

monitoring maximum score was 32
Section B: Consists of 13 questions related to practice of supplementary
feeding programme. Maximum score was 26

7.2.6 DATA COLLECTION METHOOD

Prior to the actual data collection permission will be obtained from
the Development of Child Welfare, Bangalore and subsequent permissions
were taken from the respective people. All available sample at the time of
data collection interviewed.
7.2.7 METHOD OF DATA ANALYSIS AND INTREPRETATION

29

The investigator planned to analyse and interpret the data with the
help of descriptive and inferential statistics.
Part-I :

Formulating frequency distribution and pie diagrams for the

demographic characteristics of the Anganwadi workers.

Part II :

Formulating,

frequency

and

percentage

distribution

of

Anganwadi workers according to their response scores of

knowledge, and verbal responses on practices in terms of
mean, median and standard deviation.
Part III :

Testing

the

relationship

between

Anganwadi

workers

knowledge and practices with selected variables with the help

of chi-square test.
Part-IV :

Testing the relationship between knowledge and practices

regarding growth monitoring and supplementary feeding with
the help of coefficient correlation.

7.2.8 VARABLES
Indpendent variable : To assess the knowledge and practices of
Aganawadi

workers

regarding

30

growth

monitoring

and

supplementary feeding the tool was designed in the form of

structural questionnaire.
Dependent variable : knowledge and practices of Aganawadi worker on
selected child care activities
7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INVENTION
TO BE CONDUCTED ON PATIENTS OR OTHER HUMANS OR
ANIMALS ?
NO
7.4 HAS THE ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR
INSTITUTION?
YES. Permission will be obtained from the research committee of the
DHANWANTHRI College of nursing Bangalore.

LIST OF REFERENCES

1. Achar, S.T. and Viswanathan, J. Text Book of

Pediatrics in Developing

Tropical Countries. 2nd ed. 1982, Orient Longman, Madras.

31

2. Avery Mary Ellen and First

R. Lewis. Pediatric Medicine, Copyright,

1989, Williams and Wilkins, U.S.A.

3. Best, W.John and Khan, V. James. Research in Education 6th ed., 1992,
Prentice Hall of India, New Delhi.
4. Foster Bunsberger and Anderson. Family Centred Nursing Care of
Children Copy right, W.B. Saunders, Company Philadelphia, 1989.
5. Garret, E. Henry. Statistics in Psychology and Education. Vakila Feffer
and Simans Ltd., Bombay.
6. Ghai, O.P. Essential Pediatrics. 2nd ed, 1990, Interprint, New Delhi.
Gupte Sura
Kempe, Silver and O. Brien (1982) Current Pediatrics Diagnosis and
Treatment. 7th ed., 1982, Huntsmen offset Printing Pvt. Ltd., California.
9. Mangal, S.K. Statistics in Psychology and Education, 1987, Tata McGraw
Hill Company Ltd., New Delhi.
10. Marlow, R. Dorothy and Redding, A Barbara. Text Book of Pediatric
Nursing 6th ed., 1988, W.B. Saunders Company, Philadelphia.
11. Nelson, E. Waldo. Text Book of Pediatrics,
Company, Philadelphia.

32

1991, W.B. Saunders

12. Park. K. Text Book of Preventive and Social Medicines 14th ed., 1994,
M/s Bansari Das Bhanot Publishers, Jabalpur.
13. Polit, F. Denise and Hungler, P. Barnadette.
Principles and

Nursing Research

Methods. 2nd ed., 1983, J.B. Lippincott Company,

Philadelphia.
14. Singh Harzit. Text Book of Pediatric Nursing 1st ed., 1996, inter
print, New Delhi.
15. Tambulwadkar, R.S. Pediatric Nursing.

(Copy right), 1994, Vora

Medical Publishers, Bombay.

16. The Community Health Worker. Working Guidelines for Training
Guidelines for adoption. 1989, Jaypee Brothers, New Delhi.
17. Chaturvedi S. Shrivastava BC, Singh JV impact of 6 years exposure to
ICDS

Scheme on

Growth

and

Health

status of target children U.P.

Indian Journal Medical Research 1986 12: P 766-774

18. Dr. P.C. Sen Nutrition Policy and programmes in India, Swastu Hind
1981, August. P. No. 26.
19. Ghosh S. Successful growth monitoring Indian Pediatrics 23 : 1986,
1987, 1997.

33

20. Copidas T (et al) Does

growth

monitoring

work as it ought to in

countries of low literacy? Journal Tropical Pediatrics 1990 Dec. 36 (6) :

P 322-327.

10

SIGNATURE OF THE CANDIDATE

REMARKS OF THE GUIDE

NAME AND DESIGNATION OF

10.1. GUIDE
10.2 SIGNATURE
10.3 CO-GUIDE ( IF ANY)
10.4 SIGNATURE

11.

11.1 HEAD OF THE DEPARTMENT

11.2 SIGNATURE

34

12.

12.1 REMARKS OF THE

CHAIRMAN/ PRINCIPAL
12.2SIGNATURE

35