Impact of a school‐based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre–post interventional study

Objective To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design Mixed‐methods pre–post intervention study. Setting Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka,...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2023-11, Vol.130 (S3), p.113-123
Hauptverfasser: Salam, Shumona Sharmin, Ramadurg, Umesh, Charantimath, Umesh, Katageri, Geetanjali, Gillespie, Bronwen, Mhetri, Jayaraj, Patil, Shrinivas, Mallapur, Ashalata, Karadiguddi, Chandrashekhar, Vastrad, Phaniraj, Dandappanavar, Ashwini, Roy, Subarna, Peerapur, Basavaraj, Goudar, Shivaprasad, Anumba, Dilly O. C.
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container_issue S3
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container_title BJOG : an international journal of obstetrics and gynaecology
container_volume 130
creator Salam, Shumona Sharmin
Ramadurg, Umesh
Charantimath, Umesh
Katageri, Geetanjali
Gillespie, Bronwen
Mhetri, Jayaraj
Patil, Shrinivas
Mallapur, Ashalata
Karadiguddi, Chandrashekhar
Vastrad, Phaniraj
Dandappanavar, Ashwini
Roy, Subarna
Peerapur, Basavaraj
Goudar, Shivaprasad
Anumba, Dilly O. C.
description Objective To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design Mixed‐methods pre–post intervention study. Setting Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Population Students of grade six and seven and teachers involved in implementing the intervention. Methods An educational intervention was co‐developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half‐hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre‐ and post‐intervention tests measured changes in adolescents' knowledge about anaemia. Semi‐structured in‐depth interviews with teachers and focus groups with students explored their reactions to the intervention. Main outcome measures Knowledge score related to anaemia. Results The percentage of children with correct scores increased by 7.3–49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p 
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C.</creator><creatorcontrib>Salam, Shumona Sharmin ; Ramadurg, Umesh ; Charantimath, Umesh ; Katageri, Geetanjali ; Gillespie, Bronwen ; Mhetri, Jayaraj ; Patil, Shrinivas ; Mallapur, Ashalata ; Karadiguddi, Chandrashekhar ; Vastrad, Phaniraj ; Dandappanavar, Ashwini ; Roy, Subarna ; Peerapur, Basavaraj ; Goudar, Shivaprasad ; Anumba, Dilly O. C.</creatorcontrib><description>Objective To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design Mixed‐methods pre–post intervention study. Setting Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Population Students of grade six and seven and teachers involved in implementing the intervention. Methods An educational intervention was co‐developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half‐hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre‐ and post‐intervention tests measured changes in adolescents' knowledge about anaemia. Semi‐structured in‐depth interviews with teachers and focus groups with students explored their reactions to the intervention. Main outcome measures Knowledge score related to anaemia. Results The percentage of children with correct scores increased by 7.3–49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p &lt; 0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron and folic acid supplements and improved sharing of messages learned with peers and families. Challenges expressed included need for further training, time limitations and hesitancy in teaching about menstruation and pregnancy. Conclusions Educational interventions carried out for adolescents by teachers in schools are effective in improving awareness and attitude related to anaemia and its prevention.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17619</identifier><identifier>PMID: 37530624</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>adolescent ; Adolescents ; anaemia ; Anemia ; education ; Folic acid ; Intervention ; Iron deficiency ; Menstruation ; Mixed methods research ; Nutrient deficiency ; Nutrition ; school ; Students ; Teenagers</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2023-11, Vol.130 (S3), p.113-123</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley &amp; Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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C.</creatorcontrib><title>Impact of a school‐based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre–post interventional study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design Mixed‐methods pre–post intervention study. Setting Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Population Students of grade six and seven and teachers involved in implementing the intervention. Methods An educational intervention was co‐developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half‐hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre‐ and post‐intervention tests measured changes in adolescents' knowledge about anaemia. Semi‐structured in‐depth interviews with teachers and focus groups with students explored their reactions to the intervention. Main outcome measures Knowledge score related to anaemia. Results The percentage of children with correct scores increased by 7.3–49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p &lt; 0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron and folic acid supplements and improved sharing of messages learned with peers and families. 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C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a school‐based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre–post interventional study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2023-11</date><risdate>2023</risdate><volume>130</volume><issue>S3</issue><spage>113</spage><epage>123</epage><pages>113-123</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design Mixed‐methods pre–post intervention study. Setting Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Population Students of grade six and seven and teachers involved in implementing the intervention. Methods An educational intervention was co‐developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half‐hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre‐ and post‐intervention tests measured changes in adolescents' knowledge about anaemia. Semi‐structured in‐depth interviews with teachers and focus groups with students explored their reactions to the intervention. Main outcome measures Knowledge score related to anaemia. Results The percentage of children with correct scores increased by 7.3–49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p &lt; 0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron and folic acid supplements and improved sharing of messages learned with peers and families. Challenges expressed included need for further training, time limitations and hesitancy in teaching about menstruation and pregnancy. Conclusions Educational interventions carried out for adolescents by teachers in schools are effective in improving awareness and attitude related to anaemia and its prevention.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37530624</pmid><doi>10.1111/1471-0528.17619</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6893-1504</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects adolescent
Adolescents
anaemia
Anemia
education
Folic acid
Intervention
Iron deficiency
Menstruation
Mixed methods research
Nutrient deficiency
Nutrition
school
Students
Teenagers
title Impact of a school‐based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre–post interventional study
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