Definition-

It is a systematic process of solving simple or complex, short term or long term problem, by applying certain observational thoughts and action process in scientific way.

It is a process of proceeding from a state of dissatisfaction to a state of satisfaction, which is the attainment of desired objectives or goals.

It is a scientific process that provides a theoretical framework utilized in attaining the solution to complex problem.

PROBLEM SOLVING PROCESS

IDENTIFICATAION OF PROBLEM

Following measures were used of or identification of problem;

Problem identification was done by formal and informal talks and discussion with nurses, ANMs, Aganwadi workers doctors and local population.

Tour the community and learn more about the target population. Interviewing & discussing with the community people about their knowledge regarding

menstrual hygiene. Review of literature.

STATEMENT OF PROBLEMS

A study to assess the effectiveness of structured teaching programme on knowledge regarding

menstrual hygiene among adolescent girls.

Specific objectives

1. To assess the knowledge of adolescent girls regarding menstrual hygiene.

2. To evaluate the effectiveness of structured teaching programme on menstrual hygiene.

3. To determine the association between pretest knowledge score with selected demographic

variables.

METHODOLOGY

Approach

Evaluative approach was considered appropriate because the primary objective of study was to

determine the knowledge deficit among adolescence girls and the effectiveness of planned

teaching program.

Research Design

Single group design with pre and post test O1×O2

Method of data collection

Paper and pencil method

Tool

The tool used was a structured questionnaire. It contained 14 items to assess the knowledge of

adolescence girls regarding menstrual hygiene.

Validation tools

Tool was validated by Dr. Amod Kumar and Dr. Reeti

Setting

The study was conducted in St. Stephen Community Health Centre, Sundar Nagri, Delhi

Sample

Sample consisted of adolescence girls of G4-Sundar Nagri, Delhi

Sample size

15 adolescence girls

Sampling Criteria

Purposive sampling method was used.

Adolescence girls 11 to 19 years of age residing in G-4 Sundar Nagri.

Adolescence girls available during the study period.

Adolescence girls willing to participate in the study.

Assessment of problem

A pretest was conducted to assess the knowledge of adolescence girls regarding menstrual

hygiene. Data analysis revealed that there was knowledge deficit in adolescence girls regarding

the above topic.

Criteria for selection of solution problem

The above mentioned solutions were implemented depending upon:

Ability of the sample group

Practicability

Utility

Resources available

Availability of time

Economy

Alternative solutions planned

Arrange a group discussion

Plan for incidental teaching

Give hand outs, pamphlet

Planned teaching programme

Preparation of posters and charts on the selected topic

Selection of best alternative

Considering the feasibility, time, resource, economy and availability of adolescence girls,

planned teaching programme was chosen from the alternatives.

Implementation of the programme

The programme was conducted in St. Stephen Community Centre on 9 June 2014

between 10 -11am.

Information regarding programme was given to the Dr. Amod Kumar well in advance.

Lecture hall was arranged.

A pre-test was done to check the knowledge of adolescence girls regarding menstrual

hygiene.

The teaching programme was conducted for 2 hours with the help of PPT and charts.

The participants were able to clear their doubts by asking questions.

Evaluation

A post test was done with same questions as pre test after the PTP. Evaluation of PTP was done

by statistically analyzing pre test and post test scores. Result showed marked improvement in

knowledge regarding menstrual hygiene.

Result

The mean post test knowledge score (9.13) was more than mean pre test knowledge score (5.4). There was mean difference of 3.73 between mean pre test and post test score. Hence, the teaching programme was found to be effective in improving the knowledge of adolescence girls regarding menstrual hygiene.

TABLE- 1

Pre- teaching & post teaching knowledge scores of sample on knowledge of menstrual hygiene

Total Items: 14

Total score: 14

S.NO PRE TEST SCORE POST TEST SCORE

1. 6 82. 5 93. 5 84. 5 65. 5 96. 7 97. 7 108. 6 119. 5 1010. 5 911. 3 712. 6 1313. 6 1014. 5 915. 5 9

Total 81 137

Data Presented in table 1 shows that lowest score in pre teaching was 3 while lowest score in

post teaching was 6.

TABLE: 2

Mean Difference of Pre-Teaching Knowledge & Post Teaching Knowledge Scores of the

Sample on knowledge of menstrual hygiene

Knowledge Score Mean Mean Difference

Pre Teaching

Post Teaching

5.4

9.13

3.73

Data presented in table 2 shows that mean post teaching score was higher than mean pre teaching

score by a mean difference of 4.24 indicating that the planned teaching programme was effective

to increase knowledge among adolescence girls regarding menstrual hygiene.

PRE TEST POST TEST0

1

2

3

4

5

6

7

8

9

10

MEAN

Figure: 1 bar diagram depicting comparison between pre test and post test knowledge scores of samples regarding menstrual hygiene

CONCLUSION

On the basis of findings of study the following conclusion were drawn:

Adolescence girls having less knowledge regarding menstrual hygiene. The Planned Teaching Programme was found to be effective in increasing the knowledge

of adolescence girls regarding menstrual hygiene.

RUFAIDA COLLEGE OF NURSING

JAMIA HAMDARD, NEW DELHI

TOPIC- MENSTRUAL HYGIENE AMONG ADOLESCENTS GIRLS

“A study to assess the effectiveness of structured teaching programme on

knowledge regarding menstrual hygiene among adolescent girls.”

SECTION-1

DEMOGRAPHIC DATA

Instructions: - Tick in appropriate column

i. Age (years)a) 11-13 yearsb) 13-15 yearsc) 15- 17 yearsd) 17- 19 years

ii. Religiona) Christianb) Hinduc) Muslimd) Others

iii. Educationa) Primaryb) Secondary c) Higher secondaryd) nil

iv. Occupation of Father a) Governmentb) Privatec) Others

v. Occupation of Mothera) Governmentb) Privatec) Others

vi. Family Income

a) Rs1000-3000/month

b) Rs3000-5000/month

c) Rs5000 and above

vii. Age of Menarche

a) 11-12Years

b) 12-13Years

c) 13-14Years

d) 14-15Years

SECTION- II

1. Generally, what is the age of menstruation to begin?a) 7-9 years b) 10- 14 yearsc) 15- 18 years

2. Menstruation isa) A physiological processb) A curse from Godc) Caused by disease

3. From where does bleeding occur during menstruation?a) Bladder b) Uterus c) Bowel

4. Normally how often does a girl get her menstruation?a) Once a monthb) Twice a monthc) Once in two month

5. When ovulation occur in menstrual cycle?a) Around 20th dayb) Around 14th dayc) Around 28th day

6. How many days menstruation last for?a) <2 daysb) 2-7 daysc) >7 days

7. How much is the normal blood loss during menstruation?a) Between 30-180 mlb) Between 50-280 mlc) Between 10-110 ml

8. What is the ideal material used for sanitary protection?a) Any type of cloth availableb) Cloth kept separately for this purposec) Readymade sanitary pads

9. How often the material used during menstruation to be changed?a) Twice a dayb) Once in a dayc) Whenever it is soaked

10. How the used material to be disposed?a) Wrap in a paperb) Flushed in toiletc) Disposed into the field as it is

11. If cloth is used, what type of cloth to be used?a) Soft cotton clothb) Nylon clothc) Thick cloth

12. How the used cloth be cleaned?

a) Wash with soap and waterb) Wash with plain waterc) Antiseptic lotion

13. How to dry it?a) In sunlightb) In toiletc) In bedroom behind the room

14. How often girl should clean the genitalia?a) Once in a dayb) 2 hourlyc) Each time after passing urine

ANSWER KEY

1) b 2) a 3) b 4) a 5) b 6) b 7) a 8) c9) c10) a11) a12) a 13) a 14) c