RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE,

KARNATAKA.

SYNOPSIS FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1 Name of the Candidate and

Address

Mr. VIJAYANAIK. C

1ST YEAR MSC NURSING

DIANA COLLEGE OF NURSING, NO.68,

CHOKKANAHALLI, JAKKUR POST,

BANGALORE-64.

2 Name of the Institution Diana College of Nursing, No.68,

Chokkanahalli, Jakkur Post, Bangalore-64.

3 Course of Study and Subject Master of Science in Nursing

Community Health Nursing

4 Date of Admission to Course 27.07.2011

5 Title of the Topic A Study to Assess the Effectiveness of

Planned Teaching Programme on

Prevention of Malaria Among Adults

Residing in Selected Villages of Rural

Bangalore, Karnataka.

1

6. Brief Resume of the Intended Work:

Introduction

The word malaria is based on the association between the illness and the “bad air” of the

marshes where the mosquito breed. Malaria is an old disease that first appears in recorded

history in 1700 B.C. China. Worldwide malaria is the most prevalent vector borne disease

occurring in over 100 countries. More than 40% of the world’s population is considered at

risk. 90% of cases occur in Africa. There is no vaccine available to protect against this

disease, which affects from 300 to 500 million people a year & results in over 2 million

deaths.1

Health is the condition of being sound in body, mind or spirit, especially freedom from

physical disease or pain. It is greatly affected by the surrounding environment. The impact

of environment on health has been realized since times immemorial. People have been

taking various steps to modify their environment to promote healthy living but certain

health problems are still dominant and constitute major public health issues especially

communicable diseases.2

Communicable diseases are those diseases spread by direct contact with an infectious agent.

Among the communicable diseases, malaria is widely prevalent. Malaria is an infectious

disease caused by parasite belonging to plasmodium and transmitted from man to man by the

bite of species of infected female anopheles mosquitoes.3

The burden of malaria remains unacceptably high, and the greatest burden is borne by the

African continent. There is new wide agreement on the control strategies and tools, and a

considerable increase in global resources invested in malaria control efforts. However,

challenges remain, especially with achieving the necessary population coverage with these

2

interventions in order to change the epidemiology of the disease. Existing tools may not be

optimal, and are liable to fail with time, just as previous ones did. Current global ant malarial

efforts need to be underpinned by a strong research and development agenda. If all these

factors are taken into consideration, reducing the burden of malaria would seem more likely a

reality than a myth in the foreseeable future.4

In India, since 1997, with the launching of MPO, there was a constant decline of malaria

incidence. During 2003, about 1.65 million cases were reported with 943 deaths; however,

malaria has remained as an endemic disease in the country. North- Eastern states contribute

to about 10 percent of total cases and about 14 percent of total deaths due to malaria because

of topography & climatic conditions being favorable for malaria transmission.5

Health education at primary level of prevention aims to prevent the malaria. It helps in

reducing the morbidity and mortality of malaria. It also helps in improving the knowledge of

the community people related to malaria. Nurses play a major role in preventing the various

diseases in the community by delivering health education.2

6.1. Need for the study

“Every human being is the author of his own health or disease”.

Malaria is worldwide problem with transmission in 103 countries affecting more than 1billion

people causing between 1 and 3 million death per annum.6

Malaria is an infectious disease, which spreads person to person through mosquito, which

affects both the sexes of all the age groups irrespective of rural and urban community.

It was reported about the global incidence of malaria, that the 2.5 billion people at risk, more

than 500 million become severely ill with malaria every year.7

3

Environment is crucial for the health and wellbeing of individuals and communities. It is the

sum of all natural man-made things that surrounds the human being. Healthy environment is

one of the factors which influence health of the individuals. It includes physical, social and

biological environment.8

Biological environment is responsible for the diseases due to poor environment health in

terms of unprotected water, air pollution, soil pollution, poor housing and vectors. The poor

environment sanitation can lead to various communicable diseases including malaria.8

It was reported that malaria is endemic in all the seven countries of South East Asia. The total

numbers of cases are almost static in 10 years. Annually 0.2% of the population suffers with

malaria. However, it is 1.5% in rural area and 60% of deaths due to malaria are reported from

rural area. In 1984, there were 24% cases of P. falciparum malaria out of them 57% were in

rural area however, in 1995 the total cases increased to 36% and rural area proportion

increased to 75.9

WHO in 2000 reported that the disease is endemic in 74 developing countries, infecting more

than 200 million people, of these, 20 million suffer severe consequences from the disease.10

In 2006 WHO reported that Malaria is one of the leading causes of illness and death in the

world. Between 300 to 500 million people contract malaria every year and up to 2.7 million

die from it. Nine out of ten of these deaths occur in Africa. The rest occur in Asia and Latin

America.11

In India, nine Anopheline vectors are involved in transmitting malaria in diverse geo-

ecological paradigms. About 2 million confirmed malaria cases and 1,000 deaths are reported

annually, although 15 million cases and 20,000 deaths are estimated by WHO South East

Asia Regional Office. India contributes 77% of the total malaria in Southeast Asia. Multi-

4

organ involvement/dysfunctions reported in both Plasmodium falciparum and P. vivax cases.

Most of the malaria burden is borne by economically productive ages. The states inhabited by

ethnic tribes are entrenched with stable malaria, particularly P. falciparum with growing drug

resistance.12

National Vector Borne Disease Control Programme in 2008’s report revealed that there were

over 1 million cases of malaria in India in 2008 and these figures itself are believed to be a

gross under estimation.13

In the year 2006, a total of 62864 cases of malaria were reported from Karnataka state and

Mangalore accounted for 15664 (24%) of these cases. Of the 16446 cases of P. falciparum

malaria reported from Karnataka in the same year, 4903 (29%) cases were from Mangalore.

Among 29 malaria related deaths from Karnataka, 11 were from Mangalore.

In the year 2007, there has been a marginal decline in the total number of cases in Karnataka

state. However, there have been 8 deaths confirmed by the health authorities. The actual

number of deaths may be 5-6 times the official figure as all cases are not reported and even

among the reported deaths, all cannot be confirmed for want of evidence in the form of a

preserved blood smear of the victim.14

The Govt. of India launched National Malaria Control Program (NMCP) in 1953. Later, it

was decided by Govt. of India to eradicate the disease and therefore National Malaria

Eradication Programme (NMEP) was launched in 1958.

National Anti-malaria Programme (NAMP) was launched in the year 1999 due to resurgence

of malaria. Malaria was resurged due to the administration, technical and operational failures

in NMEP.5

5

Despite of enormous control efforts, the resurgence is increasing problem of malaria. Despite

the introduction of many advanced, rapid and sensitive diagnostic techniques for early

detection of disease, life threatening complications do occur with Plasmodium falciparum

infections. The fatality rate of falciparum malaria is around 1 percent and 80% of these deaths

are caused by cerebral malaria.6

During my experience in the villages, I observed that malaria is occurring more in the rural

areas and adults did not have sufficient knowledge regarding prevention of malaria. Hence, I

felt that there was a need to educate the adults residing at rural villages related to prevention

of malaria.

6.2. Review of Literature

A literature review is written summary of the state existing knowledge on a research problem.

The task of reviewing research literature involve the identification, selection, critical analysis,

written description of existing information on a topic.15

Review of literature refers to the activities in identifying and searching for information on a

topic and developing a comprehensive picture of the state of knowledge on the topic.16

The purpose of review of literature is to obtain comprehensive knowledge and in depth

information through systematic &cultural review of scholarly publications, unpublished

scholarly print materials, audio visual materials & personal communications.

The Review of Literature will be organized under following headings:

A. Review of literature related to prevention of malaria among adults.

B. Review of literature related to national health programme on malaria.

C. Review of literature related to incidence and prevalence of malaria.

6

D. Review of literature related to role of nurse in prevention of malaria.

E. Review of literature related to planned teaching programme on prevention of

malaria among adults.

A. Review of Literature related to prevention of malaria among adults:

WHO in 2009 reported that prevention of malaria focuses on reducing the transmission of the

disease by controlling the malaria-bearing mosquito. Two main interventions for malaria

control are:

Use of mosquito nets treated with long-lasting insecticide, a very cost-

effective method;

Indoor residual spraying of insecticides.17

A study was conducted to evaluate the impact of deltamethrin- impregnated mosquito nets on

malaria incidence, mosquito density, any adverse effect among users and collateral effects on

bed bugs and houseflies. A field trial was carried out over a period of three years in two

adjacent military stations at Allahabad (UP), keeping one as a trial and other as a control

station. During first year, baseline data were collected and during next two years residual

spray was replaced with use of deltamethrin impregnated mosquito nets in trial station. The

use of deltramethrin- treated bed nets resulted in a significant decline in malaria incidence

and annual parasite index (API). 18

In 2006, a study was conducted on A community-based health education programme for bio-

environmental control of malaria through folk theatre (Kalajatha) in rural India. This study

was carried out under the primary health care system involving the local community and

various potential partners. Kalajatha was found to be a very effective medium in promoting

health education and possibly behavioral changes to the rural community.19

7

It has been studied that chloroquine is the best and safest drug for prophylaxis. It prevents the

clinical signs and symptoms and is a suppressive prophylactic. Daily proguanil in a dose of

200 mg in addition to chloroquine is more effective in regions where chloroquine resistance

occurs.20

It was reported that malaria can be prevented by mosquito screening, protective clothing,

insect repellants, by health education, case finding, chemoprophylaxis by choloroquine,

myloquine, proguanil, doxycycline, chloroquine co administered with proguanil.21

It can also be prevented by intermittent drying of water containers, clearing the jungle

drainage and filling up of water collections, use of larvicides, administration of drugs e.g.

proquanil, chloroquine and amodiaquin etc. 39

It has been studied that people travelling to malaria zone & desiring to protect themselves

from getting malaria, should be put on chloroquine therapy i.e. 2 tablets or 300 mg, once a

week. They should start 1 week before and continue for 6 weeks or till they leave the malaria

zone.22

There are 3 types of malaria vaccines:

1) Anti- Sporozoite vaccines, designed to prevent infection.

2) Transmission- blocking vaccines, designed to arrest the development of parasite in the

mosquitoes, thereby reducing or eliminating transmission of the disease.

3) Anti-sexual blood stage’ vaccine designed to reduce severe and complicated

manifestations of the disease.20

8

B. Review of Literature related to national anti-malaria control programme:

National Malaria Control Programme was launched during the year 1953, in entire country,

which was followed by National Malaria Eradication Programme since 1958. In the year

1977 Modified Plan of Operation was launched in which laboratory facilities were

decentralized from district to block level.

Malaria Action Plan was executed in the year 1995, where emphasis was given on revised

drug schedule in high-risk areas. With the change in policy, the programme was renamed as

National Anti-Malaria Programme during the year 1999.

Year 2003 was another milestone where vector borne diseases like Malaria, Filaria, Dengue,

Chikungunya, Kala Azar & Japanese Encephalitis were kept in one umbrella and programme

is named as National Vector Borne DiseaseControlProgramme. The programme is under

execution in 50 districts through 40 District Malaria Units. Enhanced Malaria Control Project

had commenced since 1997 in 90 blocks with the support of World Bank. 5 more blocks were

added in the project during the year 2004. The project has closed in December 2005 & now

activities of the project are under sustenance.23

National drug policy for Malaria has been framed in the year 2007 keeping in view of proper

deployment of effective anti malarial drugs and its judicious use for the treatment of

clinically suspected and confirmed malaria cases. The main purpose of the national anti-

malaria drug policy is to provide a framework for the safe and effective treatment of

uncomplicated and severe malaria as well as prevention of malaria. Its main aim is to reduce

morbidity.

9

Now New Project with world Bank support will commence w.e.f. 1 st April 2009 and will

continue upto August 2013 in 9 districts i.e. Jhabua, Betul, Guna, Sidhi, Shahdol,Mandla,

Dindori, Balaghat & Chhindwara of M.P. Here emphasis is given for use of ACT in

confirmed Falciparum malaria cases.2

A study was conducted on difficulties in organizing first indoor spray programme against

malaria in Angola under the President’s Malaria Initiative (PMI). It was concluded that the

first PMI programme to control malaria in Africa failed to have an impact in southern Angola

because of hurried and inadequate preparation, based primarily on administrative reports of

malaria prevalence. 24

Operational efficiency of the National Anti-Malaria Program in “High-risk” rural areas of

vadodara District was evaluated. From 269 high risk villages, 20 villages were selected

randomly from 10 taluks. The study concluded that monthly blood examination rate (MBER)

targets could not be achieved in 8 out of primary health centers. The performance of 50% of

malaria clinics and 94% of the villages was poor to average. The study has found that there

were lapses in the operation of the NAMP.6

Active case detection survey of malaria cases in Surat City: a field-based study was done. It

was felt that there is still a need to propagate about services provided by the malaria workers

so that more and more people can utilize their services. People should be made more aware

regarding the services provided by the malaria workers. It is also suggested that more

vigorous ant malarial activities like use of (Insecticide treated mosquito nets), (information,

education and communication) materials should be carried out in the slum areas of Surat

City. It may also be concluded that more understanding of the “barriers” is required to

improve utilization of government services by the community.25

10

C. Review of Literature related to incidence and prevalence of malaria:

Malaria in human is caused by a protozoan of the genus plasmodium and the four sub

species, falciparum, vivax, malariae and ovale. Plasmodium falciparum causes the most

severe form of the disease in humans. The disease is transmitted through the bite of anopheles

mosquito.26

Malaria is one of the oldest known disease, with the first recorded case appearing in 1700 BC

in china. In ancient Chinese, it was called “the mother of fevers”.

It was studied that malaria is essentially a disease of the poor countries and is included under

tropical diseases by WHO. Of the estimated 500 million episodes and 2.7 million deaths

occur from malaria every year. Over 90% occur in the African subcontinent and two-thirds of

the rest are concentrated in just six countries viz. India, Brazil, Sri Lanka, Vietnam,

Cambodia, and the Solomon Islands.27

It has been studied that the global death tolls from malaria is rising and this is attributed

mostly to plasmodium falciparum infections. Plasmodium vivax, ovale, and malariae

infections are generally benign and complications leading to significant morbidity and

mortality are uncommon except occasional death of the patient from rupture of an enlarged

spleen.1

Informal consultative committee in 2007 reported that although the incidence of malaria in

India has come down from about 6.5 million cases in 1976 to about 1.89 million cases in

1990, after the introduction of modified plan of operations, malaria continues to be a major

public health concern in the country.28

11

It was reported that malaria is the most important parasitic disease of the mankind, and the

most important cause of morbidity and mortality in the tropical world. About 40% of the

world’s population lives in malaria endemic areas at present, 200-400 million cases of

malaria occur every year, contributing to an annual mortality of 1-2 million. The incidence of

malaria has remained as much for the last two decades.21

It was found in 2003 that 20–30 million malaria episodes reported annually, and 74,000

deaths and daily of 0.95 million cases are reported in India.29

It was reported that during the pre- independence days, malaria was killer number 1. It was an

important cause of infant mortality. It used to cause a loss to the national exchequer of 75,000

million rupees annually. It was responsible for reduced work capacity & fall in agricultural &

industrial output. In the immediate post-independence years, malaria was responsible for 75

million attacks, 0.75 million deaths & loss of 10,000 million rupees every year.30

A study was conducted on determinants of household demand for bed nets for malaria

prevention in a rural area of southern Mozambique. The results suggest that either full or

partial subsidies may be necessary in some contexts to encourage households to obtain and

use nets. Given the possible substitution effects of combined malaria control interventions,

and the danger of not taking into consideration household preferences for malaria prevention,

successful malaria control campaigns should invest a portion of their funds towards educating

recipients of IRS (indoor residual spraying) and users of other preventive methods on the

importance of net use even in the absence of mosquitoes.31

D. Review of Literature related to role of nurse in prevention of malaria:

12

Prevention and control of malaria is required to reduce the morbidity and mortality. The

nurses, health guides and multipurpose workers need to be fully trained to detect and treat

cases of malaria and refer to hospital, if required. It includes early diagnosis and treatment,

chemoprophylaxis, mass drug administration, mosquito control measures.32

Role of the nurses in communicable diseases like malaria control and management are

planning, demonstrating & supervising nursing care in the home, helping the family secure

medical care, & teaching means of prevention & methods of control. The nursing functions

that are peculiar to communicable diseases include epidemiology, case finding, follow up of

contacts, reporting & administration. The nurse must know the incidence, prevalence &

mortality rates of communicable diseases in the local areas where she works. The nurse must

be familiar with all resources for prevention & care of communicable diseases such as

immunization materials & hospitals.33

A study was conducted on developing capacity of nurses in response to AIDS, TB and

Malaria epidemic. It was concluded that these problems are common community health

problems and the nurses and midwives are front line health workers in the implementation of

HIV/AIDS, TB and malaria control programme, but they are not utilized/empowered to the

maximum. They play an important role in decreasing the morbidity rate of HIV/AIDS, TB

and malaria, because they are around patients, families and in the local community. Nurses

and midwives need continuous training to improve knowledge and skills in new methods to

be able to better identify HIV/AIDS, TB and malaria patients as well as in case management.

The nurse/midwives need training to improve skills in advocacy and in collaboration.34

Nurse Practitioner Healthcare Foundation in 2007 reported about Improving Health Status

and Quality of Care through Nurse Practitioner Innovations. Healthcare professionals play a

key role in providing travel health care services. They concluded that nurse practitioners can

13

be helpful in prevention of infectious diseases especially malaria among travelers. They also

need systematic avenues to ensure that patients receive the information they need before

traveling. By raising awareness of the need for travel health, increasing system capacity to

enhance access, and engaging in research to understand and define the scope of need,

healthcare providers can improve the overall health of travelers, their communities, and the

nation.35

E. Review of Literature related to planned teaching programme on prevention of

malaria among adults:

Drugs alone are not enough; it is also necessary to ensure they are used correctly. The Impact

Malaria program includes Information, Education and Communication (I.E.C) initiatives for

all those involved in the fight against malaria. These initiatives are intended to disseminate

information with the most up-to-date recommendations concerning malaria diagnosis and

treatment.21

It has been reported that health education is one of the important measure by which

community can be educated regarding the preventive methods to be used against malaria with

the use of mass media, group education or individual education methods.32

Health education on malaria should be regarding programme components, public

participation, causative factors, treatment schedules, preventive aspects, avoiding stagnation

of water, avoiding mud-plastering, avoiding white washing of houses after spraying for a

period of 10 weeks etc. is essential.28

A study was conducted to assess the effect of health teaching regarding malaria among

women residing in Gawalinagar slums of Pimpri Chinchwad Municipal /Corporation area. A

quasi-experimental design was used for the study. The sample compromised of 30 women

14

residing in slums of Gawalinagar slums of Pimpri Chinchwad Municipal Corporation area.

Convenient sampling technique was used to for it. The study concluded that health teaching

was effective in improving the knowledge of women residing in slums of Municipal

corporation area.36

A study was conducted on Community factors associated with malaria prevention by

mosquito nets: an exploratory study in rural Burkina Faso. Malaria-related knowledge,

attitudes and practices (KAP) were examined in the community prior to the establishment of

a local insecticide-treated bed net (ITN) programme. Structured questionnaire was

administered to a random sample of 210 heads of households in selected villages to assess

their knowledge. It was found that Mosquito nets are mainly used during the rainy season and

most of the existing nets are used by adults, particularly heads of households. Mosquito nets

treated with insecticide (ITN) are known to the population through various information

channels. People are willing to treat existing nets and to buy ITNs, but only if such services

would be offered at reduced prices and in closer proximity to the households. These findings

have practical implications for the design of ITN programmes in rural areas of sub-Saharan

Africa (SSA).37

A study was conducted on Self-reported use of anti-malarial drugs and health facility

management of malaria in Ghana. The objective of the study to assess the appropriateness of

self-reported use of anti-malarial drugs prior to health facility attendance, and the

management of malaria in two health facilities in Ghana. A structured questionnaire was used

to collect data from 500 respondents. The study concluded that the prevalence of

inappropriate use of anti-malarias in the community in Ghana is high. There is need for

enhanced public health education on home-based management of malaria and training for

15

workers in medicine supply outlets to ensure effective use of anti-malaria drugs in the

country.38

Statement of the Problem

A Study to Assess the Effectiveness of Planned Teaching Programme on Prevention of

Malaria among Adults Residing in Selected Villages of Rural Bangalore, Karnataka.

6.3. Objectives of the Study

1) To assess the knowledge of adults regarding prevention of malaria before the

intervention in control and experimental group.

2) To assess the effectiveness of planned teaching programme on prevention of malaria

after the intervention in control and experimental group.

3) To find out association between posttest knowledge scores on prevention of malaria

among adults and demographic variables in experimental group.

Operational Definitions

Effectiveness: It refers to statistical difference in pretest and posttest knowledge score of

questionnaire related to prevention of malaria among adults residing in the rural villages.

Assess: It refers to statistical measurement of knowledge on prevention of malaria among

adults of rural villages using structured knowledge questionnaire.

Adults: It refers to individuals of both the sexes between 18 –65 yrs of age residing in the

rural villages.

16

Planned teaching programme: It refers to systematically organized series of content on

prevention of malaria. It include; general information, causes, signs and symptoms of malaria

and its prevention.

Prevention of malaria: It refers to measures taken at primary, secondary and tertiary level

on prevention of malaria. It includes teaching to adults residing in rural villages through

lecture cum discussion method on prevention of malaria.

Hypothesis

Ho1: There is no significant difference between pretest and posttest knowledge scores on

prevention of malaria among adults in experimental group and control group.

Ho2: There is no significant difference between posttest knowledge scores on prevention of

malaria between control group and experimental group.

Ho3: There is no significant difference between posttest knowledge scores and demographic

variables of adults in experimental group.

Assumptions

1) Adults of the rural villages may have some knowledge on prevention of

malaria.

2) The planned teaching programme on prevention of malaria may increase some

knowledge among adults residing at rural villages.

Limitations

The study is limited to:

Adults of villages of rural area.

Rural Bangalore district.

17

7. Material and Methods

7.1. Source of Data The data will be collected from adults of

rural villages, Karnataka.

7.2. Method of Collection of Data

Research Design

A quasi experimental approach with control

group design will be use to find the

effectiveness of planned teaching programme

on prevention of malaria among adults

residing in rural villages.

Setting Villages of rural Bangalore district,

Karnataka will be the setting for the study.

Population Adults of villages of rural Bangalore,

Karnataka.

Sample The adults, villages of rural Bangalore will

be the sample.

Sample Size 120 adults of villages of rural Bangalore will

be the samples for the study.

60 adults for experimental group.

60 adults for control group.

Sampling Technique Convenient sampling technique will be used

to select the sample residing at villages of

rural area Bangalore, Karnataka.

18

Sampling Criteria Inclusion criteria

1} Adults available at the time of data collection.

2} Adults willing to participate in the study.

Exclusion criteria

1} Adults who undergone malaria treatment will be excluded from my study.

Tool 1} Structured knowledge questionnaire will

be used to assess the knowledge of the adults

residing at villages of rural Bangalore.

2} Planned teaching programme will be used

to teach adults residing at villages of rural

Bangalore, Karnataka.

Data Collection Permission will obtained from concerned

panchayat leader to collect the data. Further,

consent will be taken from every subject and

confidentiality will be maintained. The data

will be collected by the investigator himself.

Data Analysis, Data Presentation Descriptive and inferential statistics will be

used for data analysis. The collected data will

be organized and tabulated and analyzed by

using descriptive statistics such as

percentage, mean and standard deviation. The

inferential statistics such as chi-square test

and paired ‘t’ test will be used. The findings

will be presented in the form of tables,

diagrams and figures.

19

7.3. Does the study require any investigation or intervention to be conducted on patients

or other humans or animals? If so, describe briefly.

Yes, the study will be conducted on adults at villages of rural Bangalore, Karnataka.

7.4. Has ethical clearance been obtained from your institution in case of 7.3?

Yes, informed consent will be obtained from concerned authority of institution, subjects and

authority of villages of rural Bangalore, Karnataka. Prior to study, privacy, confidentiality

and anonymity will be guarded. Scientific objectivity of the study will be maintained with

honesty and impartiality.

Ethical committee

Title of the topic A Study to Assess the Effectiveness of

Planned Teaching Programme on Prevention

of Malaria Among Adults Residing in

Selected Villages of Rural Bangalore,

Karnataka.

Name of the candidate Mr. Vijayanaik. C

Course of study and subject Master of Science in Nursing

Community Health Nursing.

Name of the guide Prof. Veda Vivek

Principal and Head of the Department.Department of Community Health Nursing,Diana College of Nursing, Bangalore-64.

Ethical committee Approved

20

Members of Ethical Committee

1. Prof. Veda Vivek

Principal and Head of the Department.

Department of Community Health Nursing,

Diana College of Nursing, Bangalore-64.

2. Prof. Elizabeth Dora

Head of the Department.

Department of Child Health Nursing,

Diana College of Nursing, Bangalore-64.

3. Prof. Kalaivani

Head of the Department.

Department of Obstetrics and Gynecological Nursing,

Diana College of Nursing, Bangalore-64.

4. Prof. Vasantha Chitra

Head of the Department.

Department of Medical Surgical Nursing,

Diana College of Nursing, Bangalore-64.

5. Prof. Kalai Selvi

Head of the Department.

Department of Psychiatric Nursing,

Diana College of Nursing, Bangalore-64.

6. Prof. Rangappa

Biostatistician,

Bangalore.

21

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22

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9 Signature of Candidate

10 Remarks of the Guide There is a great need to Assess the Effectiveness of

Planned Teaching Programme on Prevention of

Malaria Among Adults Residing in Selected

Villages of Rural Bangalore, Karnataka. Hence, the

research topic selected for the candidate is suitable.

11 Name and Designation of

11.1. Guide

PROF. VEDA VIVEK

PRINCIPAL AND HEAD OF THE DEPARTMENT.DEPARTMENT OF COMMUNITY HEALTH NURSING,DIANA COLLEGE OF NURSING, BANGALORE-64.

11.2. Signature

11.3. Co-Guide

11.4. Signature

11.5. Head of Department Prof. Veda Vivek

Principal and Head of the Department.Department of Community Health Nursing,Diana College of Nursing, Bangalore-64.

11.6. Signature

12 12.1. Remarks of thePrincipal

This study is feasible to conduct and will be

beneficial to nursing profession and community,

hence permitted to conduct study.

12.2. Signature

26

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