An Interventional Study To Assess Improvement In Knowledge

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An Interventional Study To Assess
Improvement In Knowledge Attitude Of
Peripheral Health Workers Towards Zinc Its
Role In Diarrhoea Management

• Dr. Kavita Thakur (Principal Investigator)
  R.M.O
• Dr. Vijay. S. Singh Asso. Prof.
• Dr. B.B. Adsul Asso. Prof.
• Dr. R. M. Chaturvedi -- Prof. Head
• Department of Community Medicine,
• Lokmanya Tilak Municipal Medical College
  General Hospital, Sion, Mumbai-22

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VE ATTITUDE
KNOWLEDGE
KNOW
UNDERSTAND
DECIDE
ACT
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BACKGROUND

• Zinc plays important role in
• Health Disease.

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• Zinc
• adopted as part of Indian
• National Programme for Management of
  Diarrhoea (2/11/2006)

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BUT ...

• At field level,
• Some delay ? Implement Zinc-related
  interventions.
• Reasons?

Lack Of Training
Lack Of Awareness
Limited Information
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SITUATION ANALYSIS
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RATIONALE
GAP Guidelines, Training ? Knowledge
Policy change in National Programme for
Management of Diarrhoea
Policy Implementation

• Hence, this study came into being to assess
  the quantifiable role of intervention in reducing
  this gap.

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OBJECTIVES

• To study Baseline and Post-Intervention knowledge
  and attitude among the study population.
• To quantify the effect of Intervention on
  knowledge and attitude of the study population.

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MATERIALS METHODS
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CONCEPTUAL FRAMEWORK
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INTERVENTION IEC
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RESULTS
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STUDY POPULATION PROFILE
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POST INTERVENTION RESULTS
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Effect Of Education Training On Impact Of
Intervention
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LIMITATIONS

• This study only assessed
• Impact Of Intervention on
• Knowledge Attitude
• But
• Not on the Practice !

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CONCLUSION

• Although 2 had heard about Zinc
• Post- Intervention, Improvement in Knowledge
  Attitude ? 90
• The impact of intervention a Level of
  Education.
• The impact on Attitude a Training
• But in case of Knowledge Gain, Untrained health
  workers showed more improvement.

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RECOMMENDATIONS
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• What is required to plan?
• This study demonstrated the importance of
  Training Workshops for effective implementation
  of program.
• Zinc Awareness outreach activities? Public,
  Medical Practitioners Health Workers.
• Further effective reinforcement ? Ongoing
  Training using IEC activities, workshops.
• Dept. Of PSM Public Health.

For
How
Who will do it?
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What Next ?

• Dissemination Workshops in other potential
  needy regions is recommended for replicating the
  results
• The study to evaluate the impact of intervention
  on practices is recommended .
• In fact, I have already started......?

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REFERENCES

• Kishore.J. National Health Programs Of India. New
  Delhi,Century Publications. Edition 8th 412-413
• Bhandari et al. Effectiveness of Zinc
  Supplementation Plus Oral Rehydration Salts
  Compared With Oral Rehydration Salts Alone as a
  Treatment for Acute Diarrhea in a Primary Care
  Setting A Cluster Randomized Trial
• Kenneth H. Brown, MD TECHNICAL BRIEF Information
  Gaps for Scaling-up Programs to Improve Zinc
  Nutrition
• Gupta, Dhirendra N.et al Operational Feasibility
  of Implementing Community-Based Zinc
  Supplementation Impact on Childhood Diarrheal
  Morbidity
• Sazawal S, Black RE, Menon VP, Dinghra P,
  Caulfield LE, Dhingra U Bagati A (2001) Zinc
  supplementation in infants born small for
  gestational age reduces mortalitya prospective,
  randomized, controlled trial. Pediatrics 108
  12801286.

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• The Zinc Investigator's Collaborative Group,
  Bhutta ZA, Bird SM, Black RE, Brown KH, Gardner
  JM, Hidayat A, Khatun F, Martorell R, Ninh NX,
  Penny ME, Rosado JL, Roy SK, Ruel M, Sazawal S
  Shankar A (2000)
• Therapeutic effects of oral zinc in acute and
  persistent diarrhea in children in developing
  countries pooled analysis of randomized
  controlled trials. Am J Clin Nutr 72 15161522.
• The Zinc Investigators' Collaborative Group,
  Bhutta ZA, Black RE, Brown KH, Gardner JM, Gore
  S, Hidayat A, Khatun F, Martorell R, Ninh NX,
  Penny ME, Rosado JL, Roy SK, Ruel M, Sazawal S
  Shankar A (1999) Prevention of diarrhea and
  pneumonia by zinc supplementation in children in
  developing countries pooled analysis of
  randomized controlled trials. J Peds 135
  689697.
• WHO/UNICEF (2004). Clinical management of acute
  diarrhoea. Geneva WHO/Unicef joint statement.
  WHO/FCH/CAH/04.7.
• Olivier Fontaine Bringing Zinc to the people
  Global progress in implementing revised
  WHO-UNICEF Recommendation for clinical management
  of Diarrhoea.ICDDR-17-18 April 2005
• Christa L Fischer Walker et al. Zinc and low
  osmolarity ORS for diarrhoea a renewed call to
  action Publication Bulletin of the World Health
  Organization Type Policy and Practice Article
  DOI 10.2471/BLT.08.058990

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IGNORANCE KILLS !
BUT THE CHALLENGE IS HOW TO ENTER ONES MIND
WIPE OUT IGNORANCE
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Let Knowledge wipe out All our Ignorance !
ONLY THEN ALL OUR INTERVENTIONS PROGRAMMES
WILL BE SUCCESSFUL