RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

BANGALORE, KARNATAKA.

PRESENTED BY:

IRAM YASEEN
IST YEAR MSC NURSING

(COMMUNITY HEALTH NURSING)

SPURTHY COLLEGE OF NURSING

No. 328, Marasur Gate, Anekal Main Road,

Bangalore.

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 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA.

PROFORMA FOR REGISTRATION OF SUBJECT FOR SYNOPSIS

1 NAME MS. IRAM YASEEN
OF THE MSC NURSING Ist YEAR
CANDIDATE

2 NAME OF THE SPURTHY COLLEGE OF

INSTITUTION NURSING, BANGALORE.

COURSE OF THE STUDY MASTERS IN NURSING

3
AND SUBJECT COMMUNITY HEALTH
NURSING.

4 DATE OF ADMISSION

5 TITLE OF THE STUDY “A STUDY TO ASSESS THE EFFECTIVENESS

OF STRUCTURED TEACHING PROGRAMME ON
KNOWLEDGE REGARDING DENGUE FEVER AM-
ONG THE ADOLESCENTS IN THE SELECTED AR-
EAS OF ANEKAL, BANGALORE.

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6 BRIEF RESUME OF THE INDENDED WORK

INTRODUCTION:

“In the end, it’s not the years in yours life that count. It’s the life in your years ”

“ABRAHAM LINCOLN”

Dengue is the most important mosquito borne, human viral disease in many tropical areas and
subtropical areas in India the disease has been essentially described in the form of case series. We
reviewed the epidemiology of dengue in India to improve understanding of its evolution in the last
50 years support the development of effective local prevention and control measures. Early
outbreak reports showed an epidemic pattern of transmission with sporadic outbreaks, with low to
moderate number of cases, usually localized to urban centers and neighboring regions. But
occasionally spreading and causing larger epidemics.

The term “Dengue” is a Spanish attempt at the Swahili phrase “Ka-dinga pepo” meaning
“cramp like seizure caused by an evil spirit’’ it emerged during a caribbean outbreak in 1827-
1828. The first case report dates back from 1789, who coined the term “break bone fever” because
of the symptoms of myalgia and arthralgia. It is also called as “Dandy fever”.

Dengue is an acutely infectious mosquito borne viral disease characterized by episodes of

“saddle back” fever muscle and joint pain. Accompanied by an initial erythema and terminal rash
of varying morphology. It is a life threatening fever and it is transmitted through the Aedes
mosquito, an indoor vector of man. Dengue fever is an acute infectious viral disease also known as
“Break bone fever”. It is an Arthropod borne (Arboviral) illness in human. It is caused by
group B arbovirus and the virus has four distinct antigenic serotype i.e., (1,2,3,4 ) which is a
flavivirus (A genus of single stranded non segmented RNA viruses, once affected person acquire
long life serotype specific immunity. The disease is endemic in regions where mosquitoes are
present throughout the year epidemic outbreak of Dengue. Viral fevers have become frequent in
recent years in India.

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6.1 NEED FOR STUDY:

“Those who would benefit most from services are least likely to obtain it”

K.PARK

Dengue is the most important mosquito borne viral disease endemic in more than 100 countries.
Dengue has become a major public health problem in tropical and subtropical regions in recent
year in spite of a poor or number of Dengue surveillance system in developing countries, the
number of cases recording and reported has increased markedly. Dengue outbreak often is not
recognized until hundreds of people are affected.

According to the most recent data, 110473 dengue cases were documented in India
between January and October 2022, which is similar to the number of cases reported in 2018
(101192).
According to the World Health Organization in (2015) Dengue ranks as the most
important mosquito borne viral disease in the world. The overall incidence of dengue as well as the
explosive out breaks of dengue has been increasing dramatically over the last several years. Older
data suggested an estimated 50 -100 million cases of dengue fever and 500000 cases of dengue
hemorrhagic fever occur worldwide with 22,000 deaths mainly in children. Recent estimates find
those 128 countries worlds wide are at a risk for dengue infection.

According to data released by the directorate of the ( NVBDCP) national vector borne
disease control programme (2018- 2019) India has reported more than 67,000 cases of dengue fever.
The 67,377 total cases reported, Karnataka bore the highest burden out of the country with 12,756
cases. It also accounted for eight of India’s 48 fatalities due to the vector-borne disease, which is
typically transmitted by the Aedes Aegypti and Aedes albopictus mosquitoes. In addition to
Karnataka, other high-burden states include Maharashtra, with 7,863 cases; Uttarakhand, with 7,513
cases; Gujarat, with 5,819 cases; Kerala, with 3,075 cases; Bihar, with 1,588 cases; and Delhi, with
1,431 cases. State capitals have been affected, with Bihar state capital Patna reporting 1,135 cases.

Health officials said dengue in Karnataka has been following a pattern of spiking every

alternate year. According to data, 393 cases were recorded during the first three months (January

to March) in 2019. While 1,539 cases were recorded in 2021 in the first three months. However

the significantly low number of cases in 2020 could also be due to the pandemic restrictions, said
a senior health official from the National Vector Borne Disease Control Programme (NVBDCP).

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PARASURMAN GANESHKUMAR, MANOJ V ET.AL (2017): conducted a systematic
review and Meta-analysis of dengue fever in India we searched for studies published until
2017 reporting the incidence, the prevalence or case fatality of Dengue in India. Their primary
outcomes were prevalence of laboratory confirmed dengue infection among clinically
suspected patients. Seroprevelence in the general population. And case fatality ratio among
laboratory confirmed Dengue patients. The 2285 identified articles on Dengue, they included
233 in the analysis where in 180 reported Seroprevelence of laboratory confirmed Dengue
infection, seven reported Seroprevelence as evidenced by IgG or neutralizing antibodies
against Dengue and 77 reported case fatality. The overall estimate of the prevalence of
laboratory confirmed Dengue infection among clinically suspected patients was 38.3% (95%
CL: 34.8%-41.8%). The pooled estimate of Dengue seroprevalence in the general population
and CFR among laboratory confirmed patients was 56.9 % (95%CL: 2-3.4) respectively. There
was significant heterogeneity in reported outcomes (p –values <0.001).

BECKETTCG, KOSASIH H, TAN R ET.AL (2004): A prospective study was conducted on

enhancing knowledge and awareness of Dengue fever among 1,373 males and 967 females. The
data was collected from two textile factories by questionnaire method. The result revealed that
only 0.3% of the participants scored excellent 15-14 points on the pretest whereas 8.4% scored
excellent on the post test. Fewer participants scored very poor 2 -0 points on the posttest as
compared to the pretest 1.4% vs. 4.0%. The average raw score for the pre and posttest were 7.8
and 10.1 respectively Improvement of individuals score correlated highly with educational level.

6.2 REVIEW OF LITERATURE:

Review of related literature is an integrated component of a study or research project. It

enhances the depth of the knowledge and inspires a clear into the crux of the problem, literature
review through light on the studies and their findings reported about the problem under study.

DR SOUMITRA SETHIA, ADITI VEDA, DR SOUMYA SETHIA, SANIDHYA SETHIA

(2018): A cross-sectional study was conducted on Knowledge, Attitude and Practice Regarding
Dengue & Preventive Measures practiced in urban slums of central India. To determine
knowledge, attitude and practice (KAP) regarding dengue fever in residents of urban slums .The
study was conducted among 100 willing families residing in randomly selected urban slums of a
metro city of central India. This study was conducted between months of May-June 2018 in
urban slum of the city. A total of 319 respondents were successfully inter-viewed out of which

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30.72% (maximum) respondents belonged to the age group of 26-35 years. With regards to the
knowledge about dengue 52.98 % respondent knew that the vector for dengue is a mosquito and
43.57% respondents knew about breeding places of mosquitoes. Maximum (57.37%) respondents
were relying upon mosquito mats/coils/liquid vaporizer and 34.80 % were used mosquito spray.
The study revealed that Good dengue prevention demands the involvement of the community.
Better information is needed to guide dengue prevention programs in their efforts to engage with
the community.

SENTHILVEL VASUDEVAN, P PRAHAN KUMAR (2017): A cross sectional study was

conducted on knowledge attitude and practice regarding dengue among adult population visiting
a tertiary care hospital in Pondicherry. The study was conducted among 200 samples the study
protocol was approved by ICMR and Institutional (PIMS) Ethical Committee. Participants were
included in the study based on the following criteria; More than 20 years of age, Permanent
resident of Pondicherry. Out of the 200 participants 68% were males and 32% were females.
Most of them (64%) had gone to schools, while 9.5% were illiterates. Of the 200 participants, 180
(90%) knew that mosquito is the vector for Dengue. 162 (81%) of participants felt hospitalization
is necessary for dengue management. 80% of participants mentioned use of ceiling fan as a
predominantly used preventive measure against mosquito bite, whereas 43% of them use
mosquito coils to avoid mosquito bites. Majority of the respondents (66%) spend less than Rs.100
($ 1.47) in a month for various mosquito preventive measures. The knowledge about dengue was
good, although more awareness needs to be created to identify the clinical signs of dengue. The
overall attitude and practices of the participants towards dengue care, prevention and control is
good.

VINOTHGNANA CHELLAIYAN, ARAVIND MANOHARAN, MURALI

RAMCHANDRAN (2016): A cross sectional study on Knowledge and awareness towards
dengue infection and its prevention in rural area of Tamil Nadu, The study was cross sectional
study, conducted in Kadambadi village of Kanchipuram district, Tamil Nadu. The study was
conducted among 224 study participants from June - August 2016. Systematic random sampling
was followed for selecting the houses. A pretested, semi structured questionnaire was used.
Significance of difference in proportions (qualitative variables) was calculated using Chi square
test. Significance of p value was taken as p< 0.05. Among the study participants, 210 (93.7%)

6
heard about dengue infection. 50% of participants responded correctly the symptoms of dengue
infection. 89% responded correctly that dengue is transmitted by Aedes mosquito. Around 40%
of the participants had correct knowledge about the breeding habitat and biting habit of Aedes
mosquito. Study participants use various methods - mosquito coils (63.4%), mosquito nets
(14.7%) for mosquito bite prevention. 24.1% does not follow any method of mosquito bite
prevention. The study participants heard about dengue symptoms and mosquito transmitting
dengue infection, less than half were aware about breeding habits of Aedes mosquito and 25%
did not follow any method of mosquito bite prevention practices.

TAMIL SELVAN, NAGARA M, SARAVANAN P, SOMASHEKAR (2016): A Prospective

and descriptive study was conducted on all the laboratory confirmed cases of dengue fever in
children admitted at SIMS and RC over a period of 1 year from December 2015 to November
2016. Among 568 children studied, majority of them were males 63.3% and in the age group of
10-18 years 39.4%. The most common symptoms noticed were fever 90.1% followed by myalgia
88.3%, decreased appetite 88.2%, retro orbital pain in 84.5%, vomiting 84.1% and the least
common symptoms noticed were convulsions 0.8% and altered sensorium 1%. The most
common signs were skin rash 65.4% and ascites 31.6% and least common sign was splenomegaly
8.4%. The most common complications seen were hepatic dysfunction 30.6% followed by shock
18.6% and pleural effusion 15.8%. The least complication noticed was encephalitis 0.7%. Death
was nil in our study. This study concludes male children in the age group of 10 - 18 years were
more affected. The common symptoms observed were fever, myalgia, decreased appetite and
headache and commonest signs were skin rash and ascites. The common complications presented
were hepatic dysfunction and shock with no mortality indicating the presence of less virulent
organisms.

SU WEI NG, SOK YEE LIM, MINI RANI ET.AL (2016): A quasi experimental study was
conducted on to determine the effectiveness of health education on knowledge of dengue fever
and preventive measures among high school students in a selected private school, Malaysia.
Nonprobality convenient sampling was used to choose 63 subjects in the pre-test and 60 subjects
in the post-test. The Cronbach’s alpha coefficient measured was 0.7 all subjects knew about
dengue fever but they had brief understanding about dengue causes, sign and symptoms, mode of
transmission and preventive measures. The level of knowledge on dengue fever and preventive

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measures among high school students before health education was (M=60.44, SD=23.087) and
after health education (M=76.55, SD=15.508). There was a significant difference statistically in
the scores with p-value <0.05 with the confidence interval (CI) (54.48, 66.41) and (72.54, 80.55)
respectively. The School students could be the additional resources and mediators to plead for
meticulous dengue fever preventive measures. Hence, health education in the high school level is
necessary.

HADDAD TALAL H, ALKHUDAYDI ALI S, SHOBRAK FAISAL M, ET AL (2015): A

cross sectional study was conducted on Knowledge Attitude and Practice Regarding Dengue
Fever among Secondary School Students in Jeddah city. A study was carried out in 2015 among
440 secondary school students .Students were randomly selected and given a questionnaire to be
filled by themselves. Data was collected and analyzed by using statistical package for social
science software program. The results of this study showed that, the students have adequate
knowledge toward dengue fever. Mass media (TV and radio) were the main source of information
about Dengue Fever. Gender of the students was the main predictor for knowledge score of
student toward dengue fever followed by parental education level. 75% of the respondents refuse
to living with Dengue fever patients. Cover the water containers and use of pesticides were the
most protective used methods .The study revealed that general results of the total knowledge of
the students regarding to Dengue Fever was good and the most significant factor that assess the
knowledge of the students is the gender of them.

JIMMY ANTONY, TM CELINE (2014): A descriptive study was conducted on dengue fever
reported in a Medical College Hospital Department of Community Medicine, Kolenchery,
Ernakulam District, Kerala. The study was conducted on 341 cases in which 60-70% were males
and 39.29% were females. In both males and females, the high proportion of cases were reported
in adult age groups (>20 years). Case fatality rate of dengue fever is 1.2%, with 0.97% in males
and 1.49% in females. Out of 341 cases, 333 (97.65%) were Classical Dengue Fever and
remaining 8 cases (2.34%) were dengue hemorrhagic fever. The study revealed that more cases of
dengue fever were reported in the adult age group (20 years and above) and in males compared to
low age groups (<20 years) and females. It highlights the involvement of work component in the
occurrence of disease. Community-based action program is required for source

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reduction activities in the outdoor area for arresting the breeding and multiplication of Aedes
mosquitoes and thereby to reduce the morbidity and mortality of dengue fever.

CHINNAKALI P, GURNANI N, UPADHYAY RP (2012): A cross sectional study was

conducted among outpatient department of All Indian institute of Medical College (AIIMS) New
Delhi. It is a tertiary care hospital, regarding Dengue fever control on October 2007 in New
Delhi to assess the knowledge and practices related to control of Dengue fever. The systematic
sampling procedure was adopted and a pre-tested questionnaire was used and total of 215
individuals included in the study. The results shows that majority of the respondents [96.3 %]
had heard about Dengue .The important sources of information were television [54.9%] and
newspapers and magazines [51.7%]. Around 89% of the study participants considered dengue as
serious problem nearly 82% aware of the correct breeding sites of Aedes mosquito. The study
concludes the awareness of regarding Dengue and mosquito control measures was satisfactory to
an extent, and also advised to include the content in college level to bring awareness.

SIDANA, RUCHI (2011): Conducted study of manifestations of Dengue fever in infants and
children. In this study, an attempt has been made to study the various cutaneous manifestations
can be taken as suspicion index for Dengue fever and can be helpful in early diagnosis and
treatment so that the progression of Dengue fever to dengue hemorrhagic fever. 100 cases of
Dengue fever between age of 3 months to 15 years presenting with symptoms and signs of
dengue fever as per WHO criteria were recorded and were analyzed. Out of 100 cases of Dengue
fever, 54 patients had cutaneous involvement (54%) which is considerably significant.
Conclusion: Though dengue is a systemic illness, more than half of the patients showed
cutaneous involvement and 50% of patients had onset of skin rash consistently with fever which
can help in suspecting dengue illness.

KT ANG (2010): A study was conducted on establishing the fact that primary care practitioners,
as the first point of patient contacts, play a crucial role in advising patients suspected of having
Dengue Fever, A aim of the study was to take early preventive measures to break the chain of
Dengue transmission. A total of 236 patients admitted to two government hospitals for suspected
dengue fever were interviewed using a structured questionnaire over a one week period in
December 2008. It was found that 83.9% of the patients had sought treatment at a Primary Care
(PC) facility before admission to the hospital, with 68.7% of them seeking treatment on two or

9
more occasions. The mean time period for seeking treatment at primary care clinic was 1.4%
compared to almost five 4.9% for admission. The result of the study was majority of patients (96-
98%) reported that primary care practitioners had not given them any advice on preventive
measures to be taken even though 51.9% of the patients had been told they could be having
Dengue Fever. The conclusion of this study showed the need for primary care providers to be
more involved in the control, cause, spread, and prevention of Dengue Fever in the community.

FAISAL SHUAIB, DANA TODD ET. AL (2010): A cross sectional study was conducted related
to knowledge, attitudes and practices (KAP) of residents of Westmoreland, Jamaica. A sample
size is 192 parents attending child health clinics in the Parish of Westmoreland. More than half of
the parents (54%) had good knowledge about signs, symptoms, and modes of transmission of
dengue. Approximately 47% considered dengue to be a serious but preventable disease to which
they are vulnerable. Nevertheless, a majority (77%) did not use effective dengue preventive
methods such as screening of homes and 51% did not use bed nets. Educational attainment (OR,
2.98; CI, 1.23–7.23) was positively associated with knowledge of dengue. There was no
correlation between knowledge about dengue and preventive practices (p=0.34). Radio and TV
were the predominant sources of information about dengue fever. Our findings suggest that the
good knowledge about dengue fever among residents of Westmoreland did not translate to
adoption of preventive measures. Health program planners and practitioners need to identify and
facilitate removal of barriers to behavior change related to control of dengue fever among the
population.

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TAIMUR SALEM (2009): A cross sectional survey was conducted among selected
communities with the aim of different socio – economic backgrounds in Karachi of Pakistan. A
sample size of 440 adults (aged 18 years and above) were interviewed using a pre-tested
questionnaire regarding their knowledge, attitude and practices about Dengue Fever. A composite
scoring system based on the answers given in the questionnaire was used to establish the level of
awareness in the population. The division of higher and lower socio-economic groups were based
on their income and locality, both these variables were determined as a part of survey. Data from
400 respondents (244 males, 156 females) was used for primary analysis. The result of the study
was about 35% of sample had adequate knowledge about dengue fever and its vector. Knowledge
had significant associations with education (P=0.004) and socio - economic status (P=0.02). The
conclusion of the study was high socio - economic group showed better preventive practices.

NALONGSACK S, YOSHIDA Y, MORITA S (2009): A cross sectional study was conducted

to assess the knowledge, attitude, and practice of people regarding Dengue disease in 9 villages
of the Pakse district. Purposive sampling was done to collect data from 230 subjects. They had a
fair knowledge about the vector 163 (70.9%). For 101 (43.9%) respondents, their main source of
information about Dengue was health education, and friends and relatives. It is encouraging that
217 (94.3%) respondents had a positive attitude that Dengue Fever can be treated, and that 222
(96.5%) knew they should visit a doctor when they suffer from it. About 196 (85.2%) people
stored water at home but infrequently changed it. The study indicated that the community was
quite familiar with Dengue Fever but that there was some confusion about vaccination and water
storage for domestic use. Dengue awareness activity should be included at the school and college
level. The conclusion of the study was that, the health education plays an important role in
conveying health information to the public, and that regular visits of health personnel to the
villagers should be ensured.

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HALDAR A, GUPTA UD, MAJUMDAR KK (2008): cross sectional study was conducted in
urban field practice area of Calcutta National Medical College to determine perception of general
population on the disease Dengue. A total 161 individuals were interviewed regarding the
different aspects of the Dengue fever. The result showed that out of total respondents, majority
(68.9%) had knowledge that fever is the main symptom of the disease, though only 6.2% knew of
retro-orbital pain as the pathognomonic symptom of the disease. Out of total respondents 83.3%
were unaware regarding modes of transmission of disease and the level of awareness is
significantly higher among educated group (p < 0.05). 69.6% were unaware about the prevention
of disease but there is no significant variation in relation to literacy status. Regarding awareness
about vector control 60% of the respondents belonging to the lower socio economic class were
unaware followed by 58.6% of the upper lower class. Only 39.1% had knowledge about breeding
places of Aedes Aegypti. The main source of information was found to be mass media (65%) and
7% of the respondents did not get any information about Dengue. Specific intervention measures
such as Information Education Communication to be provided to the urban slum community for
prevention and control of Dengue/Dengue haemorrhagic fever.

LEERA KITTIGULA, PIYAMARD PITAKARNJANAKUL (2007): A comparative study

was conducted on the differences of clinical manifestations and laboratory findings in children
and adults with dengue virus infection in Thailand 2004. Based on serology-confirmed dengue
virus infection, there were 286 dengue patients including 15 (5.3%) dengue fever and 271
(94.7%) dengue haemorrhagic fever. Among Dengue Hemorrhagic Fever cases, clinical
classifications were Dengue Hemorrhagic Fever I, 40.9%; Dengue Hemorrhagic Fever II, 43%;
and Dengue Hemorrhagic Fever III or dengue shock syndrome 10.8%. Of all dengue patients,
231 cases (80.8%) were children aged less than 15 years and 55 cases (19.2%) were adults. The
highest proportion of child cases was DHF I (42.9%), whereas that of adults was Dengue
Hemorrhagic Fever II (51%).). Signs found commonly in children were epistaxis, oliguria, and
liver enlargement (p-value < 0.05). Haemo concentration, thrombocytopenia, increased alanine
aminotransferase, and longer prothrombin time were found to be significantly higher in adults
than in children (p-value < 0.05).

CLARO LB, TOMASSINI HC, ROSA ML (2004): A qualitative study was conducted on
dengue prevention and control programmes through a review of recent. Study on knowledge,

12
beliefs and practices concerning dengue and its prevention. The results revealed that the adequate
knowledge of dengue and prevention methods is found in close association with high rates of
domiciliary infestation by Aedes Aegypti. Thus traditional education strategies, although efficient
in transmitting information have failed to change population behaviour and also reveal two
important issues that appear to explain these attitudes, representations of dengue and risks
associated with mosquitoes and difficulties in avoiding infection of household water recipients
due to sanitation problems in communities.

HAIRI F, ONG CH, SUSHIMI A, ET.AL (2003): A cross-sectional survey was conducted to
assess the level of knowledge, attitude and practices concerning dengue and its vector Aedes
mosquito among selected rural communities in the Kuala Kangsar district from 16-25th June,
2002. It was found that the knowledge of the community was good. Out of the 200 respondents,
82.0% cited that their main source of information on dengue was from television/radio. The
respondents' attitude was found to be good and most of them were supportive of Aedes control
measures. There is a significant association found between knowledge of dengue and attitude
towards Aedes control (p = 0.047). It was also found that good knowledge does not necessarily
lead to good practice. This is most likely due to certain practices like water storage for domestic
use, which is deeply ingrained in the community. Mass media is an important means of
conveying health messages to the public even among the rural population, thus research and
development of educational strategies designed to improve behavior and practice of effective
control measures among the villagers are recommended.

VAN BENTHEM BH, KHANTIKUL N, PANART K ET.AL (2001): A comparative study was
conducted on knowledge of dengue and the use of prevention measures among 1650 persons
living in three areas in northern Thailand. Knowledge were measure by structured questionnaire
of the 1650 persons, 67% had knowledge of dengue. Fever (81%) and rash (77%) were the most
frequently mentioned symptoms. Persons with knowledge of dengue reported a significantly
higher use of prevention measures than persons without knowledge of dengue. In multivariate
analyses, knowledge of dengue significantly differed by age, sex, occupation and site (P < 0.05).
Younger people knew more about dengue than older persons: people aged 60 and older. In
comparison with farmers knowledge of dengue was significantly higher among students (AOR:

13
10.6, 95% Confidence Interval: 4.27–26.4), but lower among housewives or unemployed persons

(AOR: 0.44, 95% Confidence Interval: 0.31–0.6).

GUPTA P, KUMAR P, AGGARWAL OP (1998): Conducted a study to assess the knowledge

and attitudes about dengue and practices of prevention followed by the residents of a rural area
and an urban resettlement colony of East Delhi. It was an interview based cross sectional
knowledge, Attitude and practices .study was undertaken in January 1997 to February 1997, a few
months after the dengue epidemic in rural area and urban areas of East Delhi. A pre-structured
and pre-tested format containing the relevant questions was administered to the subjects. A total
of 687 subjects 334 rural and 353 urban were interviewed. Nearly four fifth (82.3%) of these were
aware of dengue. Audiovisual media was the most common source of information in both the
areas. Knowledge about the disease was fair to good. Fever was the commonest symptom of
bleeding and headache. Mosquito was known to spread the disease to 71% rural and 89% urban
respondents. More than two third respondents in urban and two fifth in rural areas had used some
method of mosquito control or personal protection during the epidemic.

STATEMENT OF THE PROBLEMS:

“A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING

PROGRAMME ON KNOWLEDGE REGARDING DENGUE FEVER AMONG THE
ADOLESCENTS IN THE SELECTED AREAS OF ANEKAL, BANGALORE.”

6.3 OBJECTIVES OF THE STUDY:

。 To assess the level of knowledge regarding dengue fever among the adolescents in the
selected areas of Anekal, Bangalore.

。 To compare the relation between pre-test and post-test knowledge score regarding
dengue fever.
。 To determine the association between knowledge and selected demographic variables
such as age, gender, education of mother, occupation of mother, education of father,
occupations of mother, socio economic status, source of information..

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6.4 OPERATIONAL DEFINITION:
> ASSESS:

It is the measurement of knowledge regarding dengue fever among

the adolescents in the selected areas of Anekal, Bangalore.

> EFFECTIVENESS:
It refers to the promoted level of understanding and knowledge regarding
dengue fever.
> STRUCTURED TEACHING PROGRAMME :
It refers to systematically developed programme with teaching aids designed
to impart level of knowledge regarding dengue fever.

> KNOWLEDGE:
It refers to the correct response of the adolescents regarding Dengue fever and
its prevention.

> PARTICIPANTS:
Adolescents of the selected areas of Anekal, Bangalore.

> DENGUE FEVER:

Dengue fever is a disease caused by virus that are transmitted to people by Aedes
mosquitoes and usually causes fever, skin rash, chills, alopecia, anorexia, ulcer of mouth,
stomach discomfort, lethargy, nausea, vomiting, headache and often severe muscle and
joint pain.

6.5 ASSUMPTIONS

Adolescents will have inadequate knowledge regarding Dengue fever.

Structured teaching will be effective to impart knowledge regarding Dengue fever.
The adolescents would co-operate with the investigator and would be willing
to express their knowledge regarding dengue fever.

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6.6 HYPOTHESES

H0 There is no significant difference between mean pre-test and post-test score regarding
knowledge on dengue fever.
H1 The mean post test knowledge score regarding dengue fever will be significantly higher
than mean pre test knowledge score.

H2 There will be significant association between knowledge of adolescents

regarding dengue fever with selected demographic variables.

6.7 DELIMITATIONS:

This study is limited to the adolescents in the selected areas of Anekal, Bangalore.

7. MATERIALS AND METHODS OF THE STUDY:

7.1 SOURCES OF DATA:

The data will be collected from adolescents in the selected areas of Anekal, Bangalore.

7.2 METHODS OF DATA COLLECTION:

Data will be collected by using structured knowledge questionnaire, after obtaining

prior permission from the authority and consent from sample.

7.2.1 RESEARCH APPROACH:

The approach for this study will be quantitative research approach.

7.2.2 RESEARCH DESIGN:

Pre experimental research design.

7.2.3 VARIABLES UNDER THE STUDY:

1) INDEPENDENT VARIABLES:

In the present study, the independent variable is structured teaching programme.

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2) DEPENDENT VARIABLE:

In the present study, the dependent variable is level of knowledge of adolescents in

the selected areas towards Dengue fever.

3) ATTRIBUTING VARIABLES:

Demographic variables such as;

。 Age
。 Gender
。 Education of mother
。 Occupation of mother
。 Education of father
。 Occupation of father
。 Socio economic status
。 Source of information

7.2.4 SETTING:

The study is conducted at selected areas of Anekal, Bangalore.

7.2.5 POPULATION:

Adolescents in the selected areas of Anekal, Bangalore.

7.2.6 SAMPLING CRITERIA:

1) INCLUSION CRITERIA:
> Adolescents who are living in the selected areas of Anekal, Bangalore.
> Adolescents who are willing to participate.
> Adolescents who could follow English/Kannada.

1) EXCLUSION CRITERIA:

> Adolescents who are not willing to participate.

> Adolescents who are not available during the time of data collection.

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7.2.7 SAMPLE AND SAMPLE SIZE:

The sample was Adolescents in the selected areas of Anekal, Bangalore and the
sample size is 60.

7.2.8 DURATION OF THE STUDY:

The study will be conducted within 4 – 6 weeks of duration.

7.2.9 SAMPLING TECHNIQUE:

Simple random sampling technique will be adopted for the study.

7.2.10 TOOL OF RESEARCH:

Appropriate structured knowledge questionnaire to assess the knowledge of Adolescents in

the selected areas of Anekal, Bangalore and validated by experts and it will be used to collect the
needed data. The Tool contains two parts.

TOOL A: It contain socio demographical profile such as age, gender, education of mother,
occupation of mother, education of father, occupation of father, socio economic status.

TOOL B: Structured teaching programme.

7.2.11 COLLECTION OF DATA:

Before starting the study the research have to obtain permission from subject concerned
for doing the study. The data collection will be done for one week.

7.2.12 PILOT STUDY:

Pilot study will be conducted among 6 samples from Selected areas of Anekal, Bangalore.

The purposes of pilot study are:

。 Evaluate the effectiveness of structured teaching programme regarding dengue fever.

。 Evaluate the effectiveness of the developed tools.

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。 Find out the feasibility of conducting the final study.

7.2.13 METHODS OF DATA ANALYSIS AND INTERPRETATION:

Data will be collected by using by structured questionnaire will be meticulously recorded

and analyzed through following techniques, after obtaining prior permission from the authority.

1. Descriptive Analysis:

> Freque ncy and percen tage ana lys is will b e use d to describe the demog
rap hic characteristics o f Ado lescents in the selected a reas o f Anekal,
Bangalore .

> Descriptive analysis such as mean, range, standard deviation and mean score
percent will be used to assess the knowledge regarding Dengue fever among
adolescents in the selected areas of Anekal, Bangalore.
2. Inferential Statistics:

> Paired t- test will be carried out to assess the statistical significance and compare
the pre and post test knowledge score regarding Dengue fever among adolescents
in the selected areas of Anekal, Bangalore.
> The chi-square analysis will be used to determine the association
between knowledge and selected Demographic Variables .

7.3 DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR INTERVENTIONS TO

BE CONDUCTED ON PATIENTS OR OTHER HUMAN OR ANIMALS?

Yes, this study requires providing a Strucured Teaching Programme among

adolescents regarding Dengue fever in selected areas of Anekal, Bangalore.

7.4 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION?

Yes, ethical clearance has been obtained from our institution.

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8. LIST OF REFERENCES:
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2) Chakarvanti A, Arora, R, Luxemburger c. fifty years of dengue in India.Maulana

Azad . Medical college, bhadur shahzafarMasg, New Delhi, 10002, India.

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https://www.medscape.com/answers/215840- 43482/what-is-the-global-
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2018/5412 a cross sectional study on knowledge attitude and practice regarding dengue
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knowledge attitude and practice regarding dengue among adult population visiting a tertiary
care hospital in Pondicherry India.

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13)https://www.ecronicon.com/ecpt/pdf/ECPT-05-00128.pdf

14) https:// www.research.net /publication/277923100 A descriptive study on dengue

fever ported a medical college hospital.

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and practices regarding dengue infection in Westmoreland, Jamaica. West Indian Med
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practice regarding dengue among people in Pakse, Laos. Nagoya J Med Sci. 2009 Feb; 71(1-
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21) Haldar A, Gupta UD, Majumdar KK, Laskar K, Ghosh S, Sen S. Community perception
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24) Hairi. F. ong, Ch. Sashimi a. et al, (2003), knowledge, attitude, and practice (KAP) study on
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1 SIGNATURE OF THE CANDIDATE

2REMARKS OF THE GUIDE

3NAME AND DESIGNATION OF THE GUIDE

4 SIGNATURE OF THE GUIDE

5 HEAD OF THE DEPARTMENT

6 REMARKS OF THE PRINCIPAL

7 SIGNATURE OF THE PRINCIPAL

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