DISSERTATION

PRESENTATION

BY: -
CHANCHAL
M.Sc Nursing 2nd YR
 INDEX
• INTRODUCTION
• STATEMENT OF THE PROBLEM
• OBJECTIVES
• RESEARCH METHODOLOGY
• OBSERVATION AND RESULTS
• DISCUSSION
• SUMMARY AND CONCLUSION
• RECOMENDATION
• LIMITATION
 Introduction

Adolescence is a significant period of human

growth and maturation.
 Adolescence is the most vulnerable stage
from the point of view of health.
In a country like India, adolescent girls face
serious health problems due to socio-
economic, environmental conditions, nutrition
and gender discrimination.
A vast majority of girls in India are suffering
from either general or specific morbidities.
 Need of the study

Acc. To International centre for research

women revealed that 60-70% of adolescent
girls Nutritional deficiencies have far
reaching consequences, especially in
adolescent girls. If their nutritional needs are
not met, they are likely to give birth to under
nourished children, thus transmitting under
nutrition to future generations.
 PROBLEM STATEMENT

Assessment of health profile of school

going adolescent girls in Government Girls
Sr. Sec. School of rural area of Rohtak,
Haryana.
 OBJECTIVES OF THE STUDY

To assess the health profile of school

going adolescent girls in government
schools of rural area of Rohtak by
recording their BMI & Hb level.
To assess their dietary pattern and
physical activity.
To provide health education pamphlet.
 Assumptions

This study assumes that:

 Some students may have knowledge about good
health
 60-70 % of students may have appropriate health.
 METHODOLOGY

Research Approach : Quantitative

approach

Research Design : Exploratory design

Setting of study : GGSSS,

Chandi and
Kharanti
 CONT….

Sampling technique : Consecutive

sampling

Sample size : 200

Population : students of class

9th, 10th , 11th &
12th
 VARIABLES OF THE STUDY

Independent variable : health phamphlet

Dependent variable : health profile of

adolescent girls

Demographic variable : class, parent’s

education and
parent’s occupation
METHOD OF DATA COLLECTION

Health Profile Performa

 Inclusion criteria

Adolescent girls who are studying in 9th to

12th and are willing to participate.

Adolescent girls who are studying in 9th to

12th who are available during the period of
data collection.
 Exclusion Criteria

Adolescent girls who are studying in 9th to

12th are not willing to take part and who are
not available during the whole period of data
collection of same school.
 Procedure for data collection

Structured health Performa filling,

Measuring Hb by Sahli’s Method,
Measuring weight by weighing machine and
Measuring scale for measuring height.
 Sections of Items

S.No Description of items No. of items

1 Demographic variables 8

2 Assessment related to study 7+2=9

subjects dietary pattern and
physical activities

3 Anthropometric Measurement 6
RESULT OF THE STUDY
Demographic characteristics of study subjects

distribution of students according to age group

28% 30%

13-14 yrs
15-16 yrs
17-18 yrs

42%
distribution of students according to class wise

20%

26%

9th
10th
11th
12th

19%

34%
Distribution of students as per Father's Education

3.50%
11%

13%

illiterate
5th
23% 8th
10th
12th
graduate

23%

22.50%
Distribution of sample according to
education of mother

1%
4.50%

13%
25%

illiterate
5th
8th
10th
12th
graduate

18.50%

38.50%
 distribution of study subjects as per Father's Occu-
pation
37.50%
0.375 34.50%

0.325

0.275

0.225
Axis Title

0.175
12.00%
0.125
9.00%
7.00%
0.075

0.025

farmer labour pvt. Job govt. job other

Series1 NaN NaN NaN NaN NaN
percentage 37.50% 34.50% 12.00% 7.00% 9.00%
 Distribution of study Subjects according to the Type
of Family

80.00% 71.50%

70.00%

60.00%

50.00%

40.00%

23.50%
30.00%

20.00%

10.00%

0.00%
percentage

nuclear joint
Distribution of study subjects as per family belongs
to BPL

12%

yes
no
total

51%

37%
i) Dietary Pattern

1 Vegetarian 187 93.50%

2 Non- Vegetarian 13 6.50%

Total 200 100%

ii) Regular fast food intake

1 Yes 76 38%

2 No 124 62%

Total 200 100%

iii) Tea intake with meals

1 Yes 184 92%

2 No 16 8%

Total 200 100%

iv) Fruits and vegetable consumptions

1 Yes 197 98.50%

2 No 3 1.50%

Total 200 100%

v) Green vegetable consumptions

1 Yes 185 92.50%

2 No 15 7.50%

Total 200 100%

vi) Frequency of meals per day

1 2 meals 70 35%

2 3 meals 130 65%

Total 200 100%

vii) Vitamin C rich food

1 Yes 42 21%

2 No 158 79%

Total 200 100%

viii) Participation in outdoor games

1 Yes 129 64.50%

2 No 71 35.50%

Total 200 100%

ix) Regular physical exercise

1 Yes 13 6.50%

2 No 189 94.50%

Total 200 100%

 Distribution of study sample as per
BMI criteria according WHO

distribution of study sample as per BMI criteria

according WHO

60% 50.50%
46%
50%

40%
percentage

30%

20%

3.50%
0%
10%

0%
UW normal OW obese
 Finding of BMI

S.No. BMI Criteria Frequency Percentage

1 Below 18.5 92 46%

(malnourished)

2 18.5 – 24.9 (normal) 101 50.50%

3 25 – 30 (overweight) 7 3.50%

4 Above 30 (obese) 0 0%

Total 200 100%

 Association between BMI and
Demographic variables
S.No. Demographic Chi square df P value Result
variables value

1 Age 16.779 4 0.002138 Significan

t
2 Class
3 Education 9.067 10 0.5258 Not
of father significant
4 Education 16.300 10 0.914 Not
of mother significant
5 Occupatio 2.223 8 0.973399 Not
n of significant
parents
6 Type of 4.72 2 0.094 Not
family Significant
7 Family 6.91 2 0.031 Significan
belongs t
 Association between BMI and dietary pattern
S.No. Demographic variables Chi square df P value Result
value
1 Dietary pattern 1.2833 2 0.52643 Not
significant
2 Regular fast food 17.20 2 0.00018 Significan
intake 4 t
3 Tea with meals 0.3958 2 0.8204 Not
significant
4 Fruits and 8.0289 2 0.0182 Significan
vegetable t
consumption
5 Green vegetable 0.6173 2 0.7344 Not
consumption significant
6 Meals per day 1.7741 2 0.41185 Significant
7 Vitamin C intake 1.2078 2 0.5466 Not
significant
Association between BMI and physical activities

S.No. Demographic Chi square df P value Result

variables value

1 Participation 0.9103 2 0.6343 Not

in out door Significan
games t

2 Regular 0.7503 2 0.6871 Not

physical Significan
exercise t
 Finding related to anemia

60%
53.50%

50%

40%

percentage
30%
25.00%

20%

11.50%
10%

10%

0%
above 11 9 to 11 7 to 9 below 7
 Finding of anemia

S.No. Anemia Criteria Frequency Percentage

1 Above 11 (normal) 20 10%

2 < 9 – 11 (mild) 107 53.50%

3 < 7 – 9 (moderate) 50 25%

4 Below 7 (sever) 23 11.50%

Total 200 100%

 Association of anemia and demographic variables

S.No. Demographic Chi square df P value Result

variables value

1 Age 23.99 6 0.00052 Significan

t
2 Class
3 Education of 17.23 15 0.305 Not
father significant
4 Education of 12.01 15 0.678 Not
mother significant

5 Occupation of 7.839 12 0.7975 Not

parents significant
6 Type of 9.26 3 0.0259 Significan
family t
7 Family belongs 3.42 3 0.330 Not
to BPL significant
Association between Anemia and Dietary Habits
S.No. Demographic Chi square df P value Result
variables value
1 Dietary pattern 1.4339 3 0.6971 Not
significant
2 Regular fast 1.170 3 0.760 Not
food intake significant
3 Tea with meals 1.215 3 0.7493 Not
significant
4 Fruits and 2.184 3 0.534 Not
vegetable significant
consumption
5 Green vegetable 2.96 3 0.397 Not
consumption significant
6 Meals per day 7.927 3 0.465 Significant
7 Vitamin C intake 3.1578 3 0.3679 Not
significant
 Results of association between BMI and
Anemia
BMI ANEMIA

mean SD mean SD

19.0415 3.0632 9.2475 1.8342

Result details

Source Sum of squares df Mean of F ratio

square

Between BMI & 9592.2436 1 9592.2436 1504.9

Anemia 7748

Within BMI & 2536.7243 398 6.3737

Anemia

Total 12128.9679 399

 Discussion

Objective No. 1
Among 200 study subjects, 50.50% subjects
were normal, 46% subjects were underweight,
3.50% were overweight category according to
WHO. No one was in obese category i.e. 50.50%
were normal and rest were malnourished.
Among 200 study subjects, 10% subjects were
normal, 53.50% subjects were mild, 25% were
moderate and 11.50% were in sever category
according to WHO i.e. only 10% were in non-
anemic sample rest were anemic.
 Contd…….

Objective No. 2
Association between 7 demographic variables, 9 dietary habit
and physical activity questions were seen with BMI in which
level of significance was seen at 5%, in which it was
significant with age, family belong to BPL, regular fast food
intake and fruits and vegetable consumption.

Association between 7 demographic variables, 7 dietary habit

questions were seen with Anemia in which level of
significance was seen at 5%, in which it was significant with
age, type of family and meals per day.

As their Chi square value at 0.05 level of significance is more

than that of the tabulated values.
Association between BMI and anemia is also
significant at 0.05 level of significance. As the
F- ratio value of ANOVA is more than that of
the tabulated value.
 Summary & Conclusion

 The mean value of BMI and anemia was 19.0415 & 9.2475
and SD was 3.0632 & 1.8342 respectively.
 50.50% were normal and rest were malnourished.
 10% were in non- anemic sample rest were anemic.
 With BMI, it was significant with age, family belong to
BPL, regular fast food intake and fruits and vegetable
consumption and rest were not significant.
 With anemia, it was significant with age, type of family and
meals per day and rest were not significant.

Hence there will be partial significant relationship

between selected demographic variables, dietary pattern
and physical activities.
 Recommendation

A similar study can be conducted by using

the other .strategies by developing
information booklets or by educating
teachers.
In the same setting experimental study with
taking large samples can be done.
Comparative study can be done
Same study can be done on staff nurses and
nursing students
 Limitations

This study is only limited to adolescent school

going girls of GGSSS, Rohtak, Haryana.
The study was limited to assess the health profile
of adolescent girls according to structured health
profile Performa.
The study was limited to the 200 samples only.
The data was collected by using the Non
probability consecutive sampling techniques.
The study was limited to students who are willing
to participate in the study.
 Association of BMI and demographic variables and
dietary pattern
S.No. Demogra f malnouris normal overweigh obese Chi df P value Result
phic hed t square
variables value
i) Age

1 13 - 14 60 40 18 2 0 16.7749 4 0.002138 Significant

2 15 - 16 87 36 48 3 0

3 17 - 18 53 16 35 2 0

Total 200 92 101 7 0

i) Education of Father

1 Illiterate 22 12 9 1 0 9.067 10 0.5258 Not

Significant
2 5th 45 26 18 1 0

3 8th 44 21 21 1 0

4 10th 56 21 34 2 0

5 12th 26 10 15 1 0

6 Graduatio 7 2 4 1 0
n
Total 200 92 101 7 0
i) Education of Mother

1 Illiterate 50 27 23 0 0 16.300 10 0.0914 Not

Significant
2 5th 77 36 40 1 0

3 8th 37 11 23 3 0

4 10th 26 13 10 3 0

5 12th 9 5 4 0 0

6 Graduatio 1 0 1 0 0
n
Total 200 92 101 7 0

i) Main occupation of parents

1 Farmer 75 34 39 2 0 2.223 8 0.973399 Not

Significant
2 Labour 69 35 32 2 0

3 Private 24 10 13 1 0
Job
4 Govt. Job 14 5 8 1 0

5 Other 18 8 9 1 0

Total 200 92 101 7 0

i) Type of family

1 Nuclear 143 60 79 4 0 4.72 2 0.094 Not

Significant
2 Joint 57 32 22 3 0

Total 200 92 101 7 0

i) Family belongs to BPL

1 Yes 56 34 21 1 0 6.91 2 0.031 Significan

t
2 No 144 58 80 6 0

Total 200 92 101 7 0

i) Dietary Pattern

1 Vegetaria 187 85 96 6 0 1.2833 2 .52643 Not

n significant
2 Non- 13 7 5 1 0
vegetaria
n
Total 200 92 101 7 0

i) Regular fast food intake

1 Yes 76 49 26 1 0 17.20 2 .000184 Significan

t
2 No 124 43 75 6 0

Total 200 92 101 7 0

i) Tea with meals

1 Yes 184 85 93 6 0 .3958 2 .8204 Not

Significan
2 No 16 7 8 1 0 t

Total 200 92 101 7 0

i) Fruits and vegetable consumption

1 Yes 197 91 100 6 0 8.0289 2 0.0180 Significan

t
2 No 3 1 1 1 0

Total 200 92 101 7 0

i) Green vegetable consumption

1 Yes 185 86 93 6 0 0.6173 2 0.7344 Not

Significan
2 No 15 6 8 1 0 t

Total 200 92 101 7 0

i) Meals per day

1 Yes 70 35 34 1 0 1.7741 2 0.41185 Not

Significan
2 No 130 57 67 6 0 t

Total 200 92 101 7 0

i) Vitamin C / lemon consumption

1 Yes 32 12 19 1 0 1.2078 2 0.5466 Not

Significan
2 No 158 80 82 6 0 t

Total 200 92 101 7 0

 Association of BMI and physical
activities

i) Participation in outdoor games

1 Yes 129 62 62 5 0 0.9103 2 0.6343 Not

Significan
2 No 71 30 39 2 0 t

Total 200 92 101 7 0

i) Regular exercise

1 Yes 13 6 6 1 0 0.7503 2 0.6871 Not

Significan
2 No 187 86 95 6 0 t

Total 200 92 101 7 0

Association between Anemia and demographic variables
S.No. Demograp f normal Mild Moderate Sever Chi df P Result
hic squar value
variables e
value

i) Age
1 13 – 14 60 (30%) 8 (4%) 25 (12.5%) 17 10 (5%) 23.99 6 0.000 Signifi
(8.5%) 52 cant
2 15 – 16 87 (43.5%) 7 (3.5%) 58 (29%) 10 (5%) 11
(5.5%)
3 17 – 18 53 (26.60%) 5 (2.5%) 24 (12%) 23 2 (1%)
(11.5%)
Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23
(11%)
i) Education of Father
1 Illiterate 22 (11%) 1 (0.5%) 12 (6%) 8 (4%) 1 (0.5%) 17.23 15 0.305 Not
5 0 Signifi
2 5th 45 (22.5%) 6 (3%) 19 (8.5%) 14 (7%) 6 (3%) cant

3 8th 44 (22%) 5 (2.5%) 24 (12%) 12 (6%) 3 (1.5%)

4 10th 56 (28%) 7 (3.5%) 35 (17.5%) 5 (2.5%) 9 (4.5%)

5 12th 26 (13%) 1 (0.5%) 14 (7%) 8 (4%) 3 (1.5%)

6 Graduation 7(3.5%) 0 (0%) 3 (1.5%) 3 (1.5%) 1 (0.5%)

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23

(11.5%)
i) Education of Mother
1 Illiterate 50 (25%) 6 (3%) 30 (15%) 10 4 (2%) 12.01 15 0.678 Not
4 0 Signifi
2 5th 77 (38.5%) 8 (4%) 34 (17%) 25 10 cant
(12.5 (5%)
%)
3 8th 37 (18.5%) 4 (2%) 18 (9%) 10 5
(5%) (2.5%)

4 10th 26 (13%) 2 (1%) 17 (8.5%) 3 4 (2%)

(1.5%)

5 12th 9 (4.5%) 0 7 (3.5%) 2 (1%) 0

6 Graduation 1 (0.5%) 0 1 (0.5%) 0 0
Total 200 (100%) 20 (10%) 107 (53.5%) 50 23
(25%) (11.5
%)
i) Main occupation of parents
1 Farmer 75 (32.5%) 1 (0.5%) 8 (4%) 4 (2%) 1 7.839 12 0.797 Not
(0.5%) 5 Signifi
cant
2 Labour 69 (34.5%) 10 (5%) 35 (17.5%) 18 6 (3%)
(9%)
3 Private Job 24 (12%) 2 (1%) 11 (5.5%) 7 4 (2%)
(3.5%)

4 Govt. Job 14 (7%) 6 (3%) 45 (22.5%) 14 10

(7%) (5%)
5 Other 18 (9%) 1 (0.5%) 8 (4%) 7 2 (1%)
(3.5%)

Total 200 (100%) 20 (10%) 107

(53.5
%)
i) Type of family

1 Nuclear 143 (72.5%) 10 (5%) 85 32 16 9.26 3 0.025 Signifi

(42.5 (16%) (8%) 9 cant
%)
2 Joint 57 (23.5%) 10 (5%) 22 18 7
(11%) (9%) (3.5%)

Total 200 (100%) 20 (10%) 107 50 23

(53.5 (25%) (11.5
%) %)
i) Family belongs to BPL

1 Yes 56 (23%) 5 (2.5%) 27 19 5 3.42 3 0.330 Not

(13.6 (9.5%) (2.5%) Signifi
%) cant
2 No 144 (72%) 15 (7.5%) 80 31 18
(40%) (15.5 (9%)
%)
Total 200 (100%) 20 (10%) 107 50
(53.5%) (25%)
 Association between anemia and dietary pattern
i) Dietary Pattern
1 Vegetarian 187 19 (9.5%) 99 (49.5%) 45 (22.5%) 22 (11%) 1.433 3 0.697 Not
(93.5%) 9 617 Signifi
cant
2 Non- 13 (6.5%) 1 (0.5%) 6 (3%) 6 (3%) 1 (0.5%)
vegetarian
Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23 (11.5%)

i) Regular fast food intake

1 Yes 76 (38%) 8 (4%) 39 (19.5%) 18 (9%) 11 (5.5%) 1.170 3 0.760 Not
7 0 Signifi
cant
2 No 124 (62%) 12 (6%) 68 (34%) 32 (16%) 12 (6%)

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23 (11.5%)

i) Tea with meals

1 Yes 184 (92%) 18 (9%) 99 (49.5%) 47 (23.5%) 20 (10%) 1.215 3 0.749 Not
2 373 Signifi
cant
2 No 16 (8%) 2 (1%) 8 (4%) 3 (1.5%) 3 (1.5%)

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23 (11.5%)

i) Fruits and vegetable consumption

1 Yes 196 (88%) 19 (9.5%) 106 (53%) 49 (24.5%) 22 (11%) 2.184 3 0.534 Not
9 9 Signifi
cant
2 No 4 (2%) 1 (0.5%) 1 (0.5%) 1 (0.5%) 1 (0.5%)

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%)

i) Green vegetable consumption

1 Yes 185 (92.5%) 17 (8.5%) 98 (46%) 48 (24%) 22 (11%) 2.962 3 0.397 Not
5 Signifi
2 No 15 (7.5%) 3 (1.5%) 9 (4.5%) 2 (1%) 1 (0.5%) cant

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23 (11.5%)

i) Meals per day

1 Yes 70 (35%) 4 (2%) 35 (17.5%) 25 (12.5%) 6 (3%) 7.972 3 0.465 Signifi

8 7 cant

2 No 130 (65%) 16 (8%) 72 (36%) 25 (12.5%) 17 (8.5%)

Total 200 (100%) 20 (10%) 107 (53.5%) 50 (25%) 23 (11.5%)

i) Vitamin C / lemon consumption

1 Yes 32 (16%) 4 (2%) 17 (8.5%) 10 (5%) 1 (0.5%) 3.157 3 0.367 Not

8 9 Signifi
cant
2 No 158 (74%) 16 (8%) 90 (45%) 40 (20%) 22 (11%)

Total 200 (100%) 20 107 (53.5%) 50 (25%)

(10%)
CONCEPTUAL FRAMEWORK OF STUDY
The conceptual framework is based upon
the system model by ‘Von Bertalanffy’
which consists of three elements input,
process and output.