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Effectiveness of Nutrition Education Intervention Program for Improving Nutritional Knowledge of Unmarried Adolescent Girls in a Slum of Dhaka City

Md. Aminul Hague Bhuyan
Institute of Nutrition and Food Science, University of Dhaka

Ali Abbas Mohammad Kurshed
Institute of Nutrition and Food Science, University of Dhaka

Ila Ismail
Institute of Nutrition and Food Science, University of Dhaka

Nafis Md. Irfan
Institute of Nutrition and Food Science, University of Dhaka

Abstract/ Executive Summary:

A quasi experimental study was carried out among 80 unmarried adolescent girls living in a slum of Dhaka city to disseminate nutrition education messages for the improvement of nutritional knowledge and awareness. Baseline information about socio-economic condition, food consumption pattern, sanitary and hygiene practices, nutritional knowledge of unmarried adolescent girls were collected by administering a pre tested questionnaire. One poster was formulated and practical food demonstration was also made for better understanding of the message. Effect of the nutrition education intervention was made in terms of pre test and post test knowledge. The monthly income of most of the respondent's family (37.5%) falls into 6001-9000 taka while 25% of family expense less than 6000 per month. Only 17.5% of the family spends more than Tk. 5000 per month on food consumption. The study shows that before intervention 88.8% respondents washed hands before eating, 73.8% respondents washed hands before cooking in food preparatory phase while after intervention both hand washing practice before eating and food preparatory phase were incremented to 100%. Respondent's knowledge about feeding practice in pre and post test shows that only 1.2% of the respondent had proper knowledge and 31.2% had partial knowledge about exclusive breast feeding while after intervention 95% of the respondents had proper knowledge about exclusive breast feeding. Only 8.8% of the respondents thought that colostrum feeding are mandatory for child which was changed to 93.8% after intervention. Before intervention only 15%, 7.5% and 20% of the adolescent girls had correct knowledge about energy yielding, body building and body protecting food respectively. After intervention 93.8%, 90% and 96.2% of respondents had correct knowledge about these three food groups. The improvement of knowledge about feeding practices and functional food groups was found to be statistically significant (P <0.005).

Keywords: Nutrition education, Nutritional knowledge, Sanitary and hygiene practice

Location: Kamrangichar slum of Dhaka City Corporation, Dhaka, Bangladesh

Start Date: 00-07-2011

End Date: 00-06-2012

Program Area: Food Safety and Security

Commodity: Nutrition

Objectives:

To find out the changes in nutritional knowledge, sanitary and hygiene practice of the target group due to nutrition education intervention program. Baseline information about socio-economic condition.

Methodology:

The study was carried out in the Kamrangichar slum of Dhaka City Corporation from July 2011 to June 2012. The selection of the adolescent was done in two stages. In the first stage a list of the households were made which had at least one unmarried adolescent girl and then 80 girls were selected for the study through random sampling. food consumption pattern, sanitary and hygiene practices; nutritional knowledge were collected by administering a pre tested questionnaire. One poster was formulated for the purpose of disseminating knowledge regarding functional food group, personal hygiene & sanitation and care seeking behaviors as per objective of the research. Practical food demonstration was also made for better understanding of the messages. Prepared nutritional poster was shown and selected food items were demonstrated through organizing groups among the selected adolescent girls. There were 20 adolescent girls in each group. Each group was gathered for two times for intervention within a period of 15 days. Analysis was made to find out the effect of the nutrition education intervention in improving gain in nutritional knowledge, sanitary and hygiene practices among unmarried adolescent girl in slum. Statistical analysis All analysis was done by SPSS 16.0 version. Microsoft office 2007 was used to prepare graphs.

Source of Information: Bangladesh Journal of Nutrition, Vol. 28-31, December 2018

Article Link (Online Journal):

Funding Source:

Budget:

Total Budget (Tk.) :

Achievement/Findings:

The study reveals the effectiveness of nutrition education intervention program in improving the nutritional knowledge of unmarried adolescent girls in Kamrangi char area of Dhaka city Bangladesh. The pre test data shows that the study population had very poor knowledge about food groups, feeding practices and sanitary and hygiene practices. After showing the practical food demonstration and poster they had significant improvement about understanding the appropriate food groups, importance of exclusive breast feeding and colostrum feeding, sanitary and hygiene practices to have a good nutritional and health status. However as the study population were slum dwellers they could not change some sanitary practices as well as selecting proper foods for them as it depends on their purchasing power. Finding from other studies shows that knowledge of nutrition among adolescents is poor and they are generally unaware of the need to consume healthy quantities of foods such as fish, meat, eggs, milk, vegetables, and fruits during pregnancy and lactation. Nutritional status of urban adolescent girls living in slum is miserable. A study conducted in the urban slums of Dhaka supported this finding, indicating that mean BMI for adolescent girls was 18.6l^. The findings of the Bangladesh National Nutrition Survey, 1998 (relating to adolescents ages 10-17) reveal high levels of both stunting and thinness among adolescent girls.

Knowledge Management: Journal