Introduction
The words birth control, contraception and family planning are often used interchangeably and although they are not identical in meaning. The term birth control refers to regulation of the number of children that are conceived or born. Contraception refers to the prevention of pregnancy, which is accomplished by specific contraceptive or birth control methods. Family planning has the broadest connotation.1
Current population of India in 2011 is 1.21 billion. Current population in Rajasthan is 68,548,437. In India total fertility rate in India is 2.62 children born 2
The current realization that socio-economic development and wellbeing of a society can be affected by astronomical increase in population has led to the establishment of family planning programmes. Family planning is a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitude and responsible decision by individuals and couples in order to promote the health and welfare of the family group and thus contribute effectively to the social development of a country.3
Women remain one of the most underserved segments of the Indian population, an alarmed number of women who want to space or limit their families currently do not have assess to or cannot afford or use appropriate means to do so. Although India was the first country to adopt family planning as a national programme during 1951 – 52, the demographic situation in the country is still a matter of grave concern. The low use of spacing methods is reflected in early child bearing and short birth intervals. Where ever services exist, women are constrained from using the family planning methods by cultural mores or pressure to rebuild the population.4
Globally, Family planning is recognized as a key life intervention for mothers and their children. An estimated one fourth of maternal mortality could be prevented through avoiding unintended pregnancies, while family planning is important throughout an individuals and couples reproductive life, postpartum family planning (PPFP) focuses on the prevention of unintended and closely spaced pregnancies through the first 12 months following childbirth. Nearly 65% of women, globally, in their first year postpartum, have an unmet need for family planning. Poised to become the most populous country in the world by the year 2020.5
Objectives
To assess pre-test and post-test knowledge score of antenatal mothers regarding post-partum intra uterine contraceptive devices.
To administer the video assisted teaching programme regarding post-partum intra uterine contraceptive devices.
To find out the association between pre-test knowledge score of ante natal mothers regarding postpartum intrauterine devices with selected socio demographic variables.
Hypothesis
H1: There is a significant difference between the mean pre-test and post-test knowledge scores of antenatal mothers regarding post-partum intrauterine contraceptive devices.
H2: There is a significant association between pre-test knowledge score of antenatal mothers regarding post-partum intra uterine contraceptive devices with selected socio-demographic variables.
Material and Method
Research Design
The research design selected for the present study was one group pre-test post-test research design.
Table 1
|
Pre test |
Intervention |
Post test |
Group |
Depended Variable |
Independent Variable |
Depended Variable |
|
O1 |
X |
O2 |
|
Knowledge of Antenatal Mothers |
Video assisted teaching programme |
Knowledge of Antenatal Mothers |
Ethical consideration
After obtaining permission from research committee of Geetanjali College of nursing, prior permission was obtained from centers head from selected Anganwadi, at Udaipur. Consent was taken from each participant who had participated in the study.
Description of the tool
Scoring
The knowledge of antenatal mothers regarding the outcomes of PPIUCDwas scored as follows, one mark for each correct answer and zero marks for incorrect answer. Themaximum score was 28, to interpret level of knowledge the score was distributed as follows; Interpretation of knowledge:
An answer key was prepared for scoring answer to the structured knowledge questionnaire.
Data collection and data analysis
The data was presented under the following sections
Section-I: Description of socio-demographic variables of the respondents.
Section-II: Distribution of respondents according pre-test and post-test level of knowledge score.
Section-III: Effectiveness of video assisted teaching programme on knowledge of antenatal mothers regarding PPIUCD.
Result
Table 2
Knowledge Level |
Pre test |
Post test |
||
Frequency |
Percentage |
Frequency |
Percentage |
|
A.Inadequate [<50%] |
150 |
100 |
0 |
0 |
B.Moderate [51-75%] |
0 |
0 |
0 |
0 |
C. Adequate [>75%] |
0 |
0.0 |
150 |
100 |
Table 3 The result showed that, in pre-test 100% of the respondents had inadequate knowledge, 00.00 % of the respondents had moderate knowledge and none of the respondents had adequate knowledge and in post-test 00.00% of the respondents had adequate knowledge and 00.00% of the respondents had moderate adequate knowledge and 100.00% of the respondents had an inadequate knowledge regarding PPIUCD.
Table 3
|
Mean |
Mean % |
SD |
Enhancement |
Enhancement % |
df |
T value |
Inference |
Pre test |
11.3 |
40.35 |
3.80 |
11.74 |
50.95 |
149 |
31 |
S |
Post test |
23.04 |
82.28 |
2.87 |
Table 4 The result showed that the mean post-test knowledge score23.04 (82.28%) is greater than the mean pre- test knowledge score 11.3(40.35%). The enhancement in the knowledge of respondents is 11.74 (50.95%) supporting the post-test knowledge score was higher than the pretest knowledge score. The data further represent that the ‘t’ value 31 is significantly higher than the table value 1.96 at 0.05 level of significance. This indicates that there was difference in pre-test and post-test knowledge score of respondents and video assisted teaching was effective in improving the knowledgeof antenatal mothers regarding PPIUCD.
H1 - There is a significant difference between the pre and post-test knowledge score of antenatal mothers regarding PPIUCD. Hypothesis was tested at 0.05 levels. The calculated ‘t’ value 31 is significantly higher than the table value 1.96 at 0.05 level of significance. This indicates that there is significant difference between the pre-test and post-test knowledge score hence the hypothesis H1 is proved and accepted.
Conclusion
This study concluded that there is improvement in the level of knowledge of Antenatal mothers which indicates that the Video assisted Teaching Programme was effective. The demographic variables of Antenatal mothers significantly associated with the pre-test knowledge score. The development of Video assisted Teaching Programme will help the Antenatal mothers to enhance their knowledge regarding PPIUCD.