PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

MS WANGKHEIRAKAM RINA

FIRST YEAR M. SC. NURSING

CHILD HEALTH NURSING
YEAR 2010-2012

PADMASHREE COLLEGE OF NURSING

GURUKRUPA LAYOUT, NAGARBHAVI
BANGALURU-560072

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALURU, KARNATAKA

PERFORMA FOR REGISTRATION OF SUBJECTS FOR

DISSERTATION

NAME
OF
CANDIDATE
ADDRESS

2.

NAME OF THE
INSTITUTE

Padmashree College Of Nursing

Bengalore

3.

COURSE OF THE STUDY

AND SUBJECT

1st Year M. Sc. Nursing

Child Health Nursing
3/4/2010

4.

DATE OF ADMISSION

5.

THE
AND

MS.WANGKHEIRAKPAM RINA
M. SC. NURSING 1ST YEAR
PADMASHREE COLLEGE OF
NURSING,
GURUKRUPA LAY OUT
NAGARBHABI,
BENGALURU 560072

1.

Effectiveness Of Structured Teaching

Programme On Knowledge Of High
School children Regarding Prevention
Of Dengue Fever In Selected Schools
At Bengaluru

TITLE OF THE STUDY

6. BRIEF RESUME OF THE INTENDED WORK

6.1 INTRODUCTION
It's a global pandemic. It's quite clear that the disease...has
evolved.

There just is more dengue in the world.

Duane Gubler

Of all the arthropod borne viral diseases, dengue fever is the most
common. Dengue fever is one of the most important emerging disease of the
tropical and sub tropical and subtropical regions affecting urban and periurban
areas. The geographical distribution of the disease has greatly expanded and the
number of cases has increased dramatically in the past 30years. Some of 2.5
billion people live in the areas where dengue viruses can be transmitted 1.
Dengue fever is an acute, infectious tropical disease caused by an
arbovirus transmitted by the bite of infected female Aedes aegypti mosquitoes.
Dengue fever can be caused by any one of four types: DEN-1, DEN-2, DEN-3,
and DEN-4. Infection with one virus does not protect a person against infection
with another. A person can be infected by at least two, if not all four types of the
dengue virus at different times during a life span, but only once by the same
type.2
The incidence of dengue has grown dramatically around the world in
recent decades. Some 2.5 billion people two fifths of the world's population
are now at risk from dengue. WHO currently estimates there may be 50 million
dengue infections worldwide every year In2007 alone, there were more than
890 000 reported cases of dengue in the Americas, of which 26 000 cases were
Dengue Hemorrhagic Fever. The disease is now endemic in more than 100
countries in Africa, the Americas, the Eastern Mediterranean, South-east Asia
3

and the Western Pacific. South-east Asia and the Western Pacific are the most
seriously affected. Before 1970 only nine countries had experienced Dengue
haemorrhagic fever epidemics, a number that had increased more than four-fold
b19953.
It is of sudden onset that usually follows a benign course with symptoms
such as headache, fever, exhaustion, severe muscle and joint pain, swollen
glands and rash he presence of fever, rash, and headache (and other pains) is
particularly characteristic of dengue. Other signs of dengue fever include
bleeding gums, severe pain behind the eyes, and red palms and soles. Dengue
strikes people with low levels of immunity. Because it is caused by one of four
serotypes of virus, it is possible to get dengue fever multiple times. However, an
attack of dengue produces immunity for a lifetime to that particular serotype to
which the patient was exposed. Dengue goes by other names, including "break
bone" or "dandy fever Dengue often have contortions due to the intense joint
and muscle pain, hence the Name break bone fever.4
A study was conducted on changing clinical manifestation of dengue
infection in North India,2008. Data were collected using structured performa.
During the period of the study, a total of 139 children suspected dengue patients
were admitted to the hospital, of which 124 could be tested for dengue IgM ,
and 102 were positive. Of these102 patients, 80 could be followed up and
documented. Seizures were observed in 45% cases, altered sensorium in 53.7%,
vomiting in 41.2%, haemorrhage in 38.8%, skin rash in 37.5%, abdominal pain
in 25%, headache in 18.8% and jaundice in 2% cases. Gastrointestinal tract was
the commonest site of bleeding. On examination ,edema was present in 47.5%
cases, hepatomegaly in 62.5%, splenomegaly in 60.0% and hypotension in
10.0% cases. The investigations revealed a low platelet count of less than 100
000/mm3 in 60.3%cases. Mean liver enzyme levels were mildly raised. Mean
total duration of fever in survivors was 14.97.3 days. The overall fatality rate
in hospital was 5.0%.5

Seizures Encephalitis, Encephalopathy, Guillain-Barre syndrome,

Neuropathy and transverse myelitis are the complications. Death can occur due
to intractable seizures, shock, Disseminated intravascular coagulation,
Intracranial bleed or rarely Liver failure.30% of Dengue Hemorrhagic Fever
can proceed to Dengue Shock Syndrome and if untreated the mortality among
Dengue Shock Syndrome is 30-40%. The mortality is only 1% among properly
treated cases. Less common complications are prolonged convalescence and
depression, pneumonia, bone marrow failure, iritis, orchitis and oophoritis.
The only method of preventing dengue is controlling the mosquito
infestation. No vaccine is currently available. Vaccine development is difficult
because any of the four different viruses may cause disease and because
protection against only one or two dengue viruses could actually increases the
risk of dengue hemorrhagic fever. The mosquito causing dengue primarily
breeds in man-made containers like metal drums earthenware jars and other
water storage jar. Proper solid waste disposal and improved water storage
practices, including covering containers should be encouraged. Insecticides
should be used periodically. For travelers going to affected areas, use of
mosquito repellents is advised.6
There are no specific antiviral medicines for dengue. It is important to
maintain hydration. Use of acetyl salicylic acid (e.g. aspirin) and non steroidal
anti-inflammatory drugs (e.g. Ibuprofen) is not recommended. Dengue
haemorrhagic fever (fever, abdominal pain, vomiting, bleeding) is a potentially
lethal complication, affecting mainly children. Early clinical diagnosis and
careful clinical management by experienced physicians and nurses increase
survival of patients.7
6.2 NEED FOR THE STUDY
Over the past 10-15 years, next to diarrhoeal disease and acute respiratory
infections, dengue has become a leading cause of hospitalization and deaths,
among children in the south east Asia Region. The estimate number of annual
5

dengue cases in the region is between 20- 30 million and dengue hemorrhagic
fever cases about 2,00,000.
The Incidence of this fever is variable and depends on the geographical
region and the density of mosquito-borne diseases in a region. Several hundred
thousand cases of dengue hemorrhagic fever per year. Dengue Hemorrhagic
Fever is more serious and the fatality rate is about 5%. Children younger than
15 years comprise 90% of Dengue Hemorragic Fever subjects in the world.
Dengue Hemorrhagic Fever can affect both adults and children. Poor
surveillance system in India makes it difficult to know the exact incidence of
the epidemic in the country.8
Dengue fever, is spreading in Asia. "Officials at the WHO say Asia, home
to 70 percent of the at-risk population, has seen a rise in dengue mainly because
of higher temperatures due to climate change, rising populations and greater
international travel., the highest number of reported cases in Asia this year to
August are in Indonesia (80,065) followed by Thailand (57,948) and Sri Lanka
(27,142).It was found in the Himalayan countries of Bhutan and Nepal for the
first time in 2004, and is endemic in most of Southeast and South Asia as well
as Indonesia and East Timor. In India, government hospitals in New Delhi are
overflowing with dengue victims as the city hosts 7,000 foreign athletes and
officials for the Commonwealth Games. Cases in India were at a 20-year high
with 50 people dead and 12,000 reported infections. The number of actual
infections is likely to be far higher. Surveys conducted by the health ministry
indicate that the dengue prevalence rate was 3.4 percent in 2006, rising to 5.25
percent in 2007, and by 2009 to 9.1 percent9
The number of patients with dengue fever has increased in the last two
months in the Bangalore City. Registered Medical Officer of the Hospital says
that there have been 23 cases tested positive with Dengue fever in his hospital.
Nearly 8-10 suspected cases visit Browing every day with symptoms of Dengue
fever. It is not just adults but even children are being affected by this viral
6

fever. Medical Superintendent of Indira Gandhi Institute of Child Health said

that nearly 50-60 suspected cases had come to them, and 30 children had tested
positive for dengue fever. As per their latest records received from different
hospitals for the last six months, they have only 23 patients tested positive with
dengue fever. But in reality, each government hospital in the City has tested at
least 20 patients positive with dengue fever.10
A record based study was conducted in costal district of Karnartaka to study
the clinical manifestation, trends and outcome of all confirmed dengue cases
among 466 patient using pre- designed questionnaire. The result shows that
majority were males, 301(64.6%) and in the and in the age group of 12-44
years, 267 (57.5%). Maximum number of cases were seen in 2007, 219 (47%)
and in the month of September, 89 (19.1%). The most common presentation
was fever 462 (99.1%), followed by myalgia 301 (64.6%), vomiting 222
(47.6%), headache 222 (47.6%) and abdominal pain 175 (37.6%). The most
common hemorrhagic manifestation was petechiae 84 (67.2%). 391 (83.9%)
cases presented with dengue fever, 41 (8.8%) dengue hemorrhagic fever, and 34
(7.3%) with dengue shock syndrome. Out of 66 (14.1%) patients who
developed clinical complications, 22 (33.3%) had ARDS and 20 (30.3%) had
pleural effusion. Deaths reported were 11(2.4%). 11
In my clinical experience at Indira Gandhi hospital I come across many
school age children admitted with diagnosis of dengue fever. Considering the
magnitude of the problem and with the view of developing some awareness to
the school age children, the researcher felt to assess the knowledge of the high
school students regarding dengue and the preventive practices undertaken by
them.

6.3 STATEMENT OF THE PROBLEM

A Study To Evaluate The Effectiveness Of Structured Teaching Programme
On Knowledge Of High School Children Regarding Prevention Of Dengue
Fever In Selected Schools At Bengaluru.
6.4 OBJECTIVES OF THE STUDY
1. To assess the existing knowledge of high school children regarding
prevention of dengue fever
2. To evaluate the effectiveness of structure teaching programme on
knowledge of high school children regarding prevention of dengue fever.
3. To find out the association between pre test knowledge scores of high
school children regarding prevention of dengue fever with selected
demographic variables.
6.5 .OPERATIONAL DEFINITION
1. Effectiveness: It determines the extent to which the structured teaching
programme has achieved the desired effect in improving the knowledge of
high school children regarding prevention of dengue fever.
2.

Structured

teaching programme: It refers to the systematically

developed instructional vedio assisted teaching session with duration of 30

minutes designed by the investigator for the high school children on
prevention of dengue fever.
3. Knowledge: It refers to the correct response of the high school children to
the items on cognitive aspect of prevention of dengue fever in terms of
knowledge measured by structure knowledge questionnaire and expressed in
term of knowledge score.

4. Dengue fever: Dengue fever is a disease caused by viruses that are

transmitted to people by mosquitoes and usually causes fever (high, about
104 F-105 F), skin rash , and pain (headaches) and often severe muscle
and joint pains among school children
5.

Prevention : It refers to any measures that are being taken to control or

stop the spread of infection among school age children.

6. High school children: It refers to students who are studying from 8 th to 10th
standard in selected schools at Bengaluru.
6.7 ASSUMPTIONS
1. School children have some knowledge regarding prevention of dengue
fever.
2. Structured teaching programme may improve the knowledge of high
school children on prevention of dengue fever
3. The high school children will be expressing willingness to learn and
understand about prevention of dengue fever.

6.8 HYPOTHESIS
H1: There will be significant difference between pre test and post test
knowledge scores on prevention of dengue fever among high school children
H2 : There will be significant association between pre test knowledge and
selected demographic variables

6.6 REVIEW OF LITERATURE

Review of literature is defined as the broad comprehensive, in depth,
systematic and critical review of the scholarly publication, unpublished
scholarly print materials, audiovisual materials and personal communication. 12
9

An important expect of literature review is to make sure what is already

done in relation to the problem of interest and contribution make new
knowledge, insight and general scholarship of the researchers.

The related literature has been organized under the following:

Section - A : Literature related to incidence of Dengue fever
Section B : Literature related to studies on knowledge , attitude and practice
regarding

prevention of dengue fever

Section C: Literature related to studies on vector control

SECTION A:
Review of literature related to incidence of dengue fever
A prospective longitudinal study was conducted to determine the
cumulative incidence of dengue virus (DENV) infections by virus serotype
from 710 school children in a cohort of school children 5-13 years of age
residing in Maracay, Venezuela. Serological evaluations were conducted by
plaque reduction neutralization test (PRNT). By the end of the first year
serotype, the percentages found were 1.4% DENV-1, 1.4% DENV-2, 19%
DENV-3, and 1.2% DENV-4. In the second year, by serotype, the percentages
found were 0.8% DENV-1, 1.5% DENV-2, 8.5% DENV-3, and 2.3% DENV-4.
Overall, these results suggest a high cumulative incidence of DENV infections
among 5-13-year-old school children in Maracay, Venezuela.13

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 was 286 dengue patients including 15 (5.3%) dengue fever and
271 (94.7%) dengue haemorrhagic fever). Among Dengue HemorrhagicFever
10

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 hemorrhagicFever II (51%).). Signs found commonly in children were
epistaxis, oliguria, and liver enlargement (p-value < 0.05). Haemoconcentration,
thrombocytopenia, increased alanine aminotransferase, and longer prothrombin
time were found to be significantly higher in adults than in children (p-value <
0.05)14
A prospective cohort study was conducted on dengue infection in
schoolchildren in Long Xuyen, Viet Nam to provide epidemiological data for a
dengue vaccine efficacy trial. Active surveillance of febrile episodes identified
clinically-suspected dengue and acute and convalescent sera were collected.
The average annual incidence of primary dengue infection was 11.4% and the
symptomatic to asymptomatic primary infection ratio ranged from 1:3-1:6.
Study withdrawal rate, a feasibility indicator for conducting efficacy trials, was
low: 4.2% per year when excluding children who changed schools. Our 20042007 results confirm the high transmission of dengue in children in Long Xuyen
and demonstrate the suitability of this study site for a large scale efficacy trial. 15
An experimental study was conducted on prevalence and clinical
differentiation of dengue fever in children in North India among 6 to 13
years .Of 298 children enrolled over 1 year, 56 (18.8%) tested positive for
dengue IgM. Randomly selected 44 of the 56 IgM +ve patients were subjected
to Polymer Chain Reaction assay, of which 15 were positive.

16

Comparing age,

duration of illness at presentation, rash, bleeding manifestations, vomiting,

platelet count, liver transaminases, serum proteins, albumen and bilirubin were
significant features on univariate analysis. On logistic regression younger age,
rash and higher serum alanine transaminase (sALT) levels were the only
significant independent predictors for probable dengue. 16
11

A retrospective study was conducted to describe the clinical features of

dengue cases in Japan on 62 laboratory-confirmed Japanese dengue cases
presented to Tokyo Metropolitan Komagome Hospital between 1985 and2000.
Age distribution was from 12 to 60 years old . Clinical manifestations included
fever (100%), headache (90%), and skin rash (82%).Laboratory examinations
revealed leukocytopenia (71%), thrombocytopenia (57%), elevated levels of
serum aspartateamino transferase (78%), and lactate dehydrogenase (71%).
Antibody responses were consistent with that of secondary flavivirus infection
in 60% of cases. Severity of symptoms in patients with primary dengue
antibody response and thosewith secondary flavi virus antibody responses
didnt show statistical significance. Dengue virus infection should be taken into
consideration in the differential diagnosis of febrile patients who recently
entered Japan from tropical or subtropical countries.17

Section B:
Review of literature to studies on knowledge, attitudes and practice of
prevention of dengue fever
A cross-sectional approach was conducted to assess knowledge, attitudes
and practice of high school female students, teachers and supervisors towards
Dengue fever, and to determine scoring predictors of high school students
knowledge and practice scores, Jeddah. A multistage, stratified, random sample
method was applied. A total of 2693 students, 356 teachers and 115 supervisors
completed confidential self-administered questionnaires.. the result was
Students obtained the lowest mean knowledge score compared to the other two
groups (F = 51.5, P < 0.001). A positive family history of Dengue fever (a OR
= 2.05; 95% CI = 1.153.64), having literate mothers (secondary education),
and students age 17 were the predictors of high students knowledge score.
The only predictor of high practice score was obtaining high knowledge score
(a OR = 2.06; 95% CI = 1.732.44).18

12

A cross-sectional study was designed to assess the knowledge, attitude, and

practice of people regarding dengue disease in 9 villages of the Pakse district
from July to September 2006. 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 their
friends or relatives. It is encouraging that 217 (94.3%) respondents had a
positive attitude that DF 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, 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. 19
A cross-sectional pilot study was conducted on knowledge ,attitude and
practice among people visiting tertiary care hospitals in Karachi. Through
convenience sampling, a pre-tested and structured questionnaire was
administered through a face-to-face unprompted interview with 447 visitors.
Knowledge was recorded on a scale of 13. The result was found to be about
89.9% of individuals interviewed had heard of dengue fever. Sufficient
knowledge about dengue was found to be in 38.5% of the sample, with 66% of
these in Aga Khan University Hospital and 33% in Civil Hospital Karachi.
Literate individuals were relatively more well-informed about dengue fever as
compared to the illiterate people (p<0.001). Knowledge based upon preventive
measures was found to be predominantly focused towards prevention of
mosquito bites (78.3%) rather than eradication of mosquito population (17.3%).
Use of anti- mosquito spray was the most prevalent (48.1%) preventive
measure. Television was considered as the most important and useful source of
information on the disease.20

In May 2001 a comparative study was conducted on knowledge of dengue

and the use of prevention measures among 1650 persons living in three areas in
13

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: 10.6, 95% Confidence Interval: 4.2726.4), but lower
among housewives or unemployed persons (aOR: 0.44, 95% Confidence
Interval: 0.310.64).21
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 behaviour and practice of effective control
measures among the villagers are recommended22
Section C :
Review of literature relate to studies on vector control

14

A comparative study was conducted using Cluster randomised trial to

assess the effectiveness of an integrated community based environmental
management strategy to control Aedes aegypti, the vector of dengue, with a
routine strategy. All clusters were subjected to the intended intervention; all
completed the study protocol up to February 2006 and all were included in the
analysis. At baseline the Aedes infestation levels were comparable between
intervention and control clusters: house index 0.25% v 0.20%, pupae per
inhabitant 0.44103 v 0.29103. At the end of the intervention these indices
were significantly lower in the intervention clusters: rate ratio for house indices
0.49 (95% confidence interval 0.27 to 0.88) and rate ratio for pupae per
inhabitant 0.27 (0.09 to 0.76). Thus A community based environmental
management embedded in a routine control programme reducing levels
of Aedes infestation.23
An experimental study was conducted on effectiveness of peridomestic
space spraying of insecticides in reducing wild Aedes populations and
interrupting dengue transmission.

The result shows that there is no clear

evidence for recommending peridomestic space spraying as a single, effective

control intervention. Thus, peridomestic space spraying is more likely best
applied as part of an integrated vector management strategy. The effectiveness
of this intervention should be measured in terms of impact on both adult and
immature mosquito populations, as well as on disease transmission.24
A comparative study was conducted on the effects of different dengue
vector control interventions (i.e. biological control, chemical control,
environmental management and integrated vector management) with respect to
the following entomological parameters: Breteau index (BI), container index
(CI), and house index (HI). in developing countries. The result was that with
95% confidence intervals (95% c.i.) 56 publications covering 61 dengue vector
control interventions. Integrated vector management was found to be the most
effective method to reduce the CI, HI and BI, resulting in random combined
relative effectiveness values of 0.12 (95% c.i. 0.02-0.62), 0.17 (95% c.i. 0.0215

1.28) and 0.33 (95% c.i. 0.22-0.48), respectively. Environmental management

showed a relatively low effectiveness of 0.71 whereas integrated vector
management focused on larger populations (median: 12 450; range: 210-9 600
000). In conclusion, dengue vector control is effective in reducing vector
populations, particularly when interventions use a community-based, integrated
approach, which is tailored to local eco-epidemiological and sociocultural
settings and combined with educational programmes to increase knowledge and
understanding of best practice.25
A literature review; and case studies was conducted in Brazil, Guatemala,
the Philippines and Viet Nam on dengue vector control service. In the
systematic literature review there were only a few studies Staffing levels,
capacity building, management and organisation, funding and community
engagement were insufficient. The case studies confirmed most of this
information: (1) a lack of personnel (entomologists, social scientists,
operational vector-control staff); (2) a lack of technical expertise at
decentralised levels of services; (3) insufficient budgets; (4) inadequate
geographical coverage; (5) interventions relying mostly on insecticides; (6)
difficulties in engaging communities; (7) little capacity building; (8) almost no
monitoring and evaluation. The analysis underlined the need for: operational
standards; evidence-based selection/delivery of combinations of interventions;
development/application of monitoring and evaluation tools; needs-driven
capacitybuilding.26

7. MATERIAL AND METHODS

7.1 Source of data
The data will be collected from high school children at selected schools
Bengaluru.

16

7.2 Method of data collection

I.

Research design

The research design for this study is pre-experimental one group pre test post
test design
II.

Research variable

Dependent varialble : Knowledge of high school children regarding

prevention of dengue fever
Independent variable : Structured teaching programme regarding prevention
of dengue fever.
Demographic variable: It includes high school student ages, sex , educational
status, family status, subject taught, class taught ,previous information.
III. Setting
The study will be conducted in high school children in selected urban schools,
Bengaluru depending on availability of subjects and feasibility of conducting
study.
IV. Population
In this study the population comprised of high school children in selected urban
schools, Bengaluru.

V. Sample size
The high school children who are fulfilling the inclusion criteria will be the
sample. The sample size will be 60 high school children
VI. Criteria for sample selection
Inclusion criteria
The study include high school children

17

1. Who are studying in the selected schools at Bengaluru

2. Both male and female school children
3. Who are studying in 8th to 10th standards
4. Who are able to read English or Kannada
Exclusion criteria
The study excludes high schools children,
1. Who are not available at the time of data collection due to sickness
2. Who are not willing to participate.
VII. Sample technique
The data will be collected using probability simple random sampling technique.
Lottery method will be adopted for selection of sample.
VIII. Tools for data collection
Section A: It includes demographic variables of high school children such as
ages, sex, educational status , family status, subject taught, class taught
,previous information regarding prevention of dengue fever.
Section B: A structure self instructional questionnaire will be used to assess the
knowledge of high school children regarding prevention of dengue fever.
Section C: Structured teaching programme to assess the prevention of dengue
fever.
IX. Method of data collection
Phase 1 : Assess the existing knowledge of the school children on prevention
dengue fever
Phase 2 : Structured teaching programmed will be given to the school children
on prevention of dengue fever:
Phase 3: After the period of one week level of knowledge will be assessed
within the same group using the same questionnaire
Duration of the study is 4-6 weeks
18

X. Plan for data analysis

Numerical data obtained from sample will be organized and analysed with the
use of both descriptive and inferential statistic. Master sheet will be prepared
based on the numerical data obtain from the sample.
a )Descriptive statistics
Frequency and percentage distribution will be used to study the
demographic variables.
Mean, standard deviation, range will be used to describe the level of
knowledge of high schools children regarding prevention of dengue
fever.
b) Inferential statistics
Paried t test will be used to assess pretest and post test knowledge of
high school children regarding prevention of dengue fever
Chi square test will be used to find out the association between
knowledge and selected demographic variables regarding prevention
of dengue fever.
Level of significance will be set at 0.05 to interpret the hypothesis an
finding.
Analysed data will be represented in the form of tables, graphs and
figures.
XI. Projective outcome
As investigator has planned for structure teaching programme among high
school children there will be increased in knowledge and awareness among the
high school children regarding prevention and control of dengue fever.

7.3 Does the study requires as investigation to be conducted on patient or

animals? if so please describe

19

Yes , with prior consent from the sample the study will be conducted in selected
urban school at Bengaluru . The study will require intervention in the form of
structured teaching programme only. No other intervention which cause any
harm will be done to the subject.
7.4

Ethical consideration towards sample related:

Yes , the permission will be obtained from concerned authority and the study
subject.
Privacy , confidentiality and anonymity will be guarded
Scientific objectivity of the study will be maintained with honest and
impartiality.
Ethical clearance certificate has been enclosed for the verification

8. LIST OF REFERENCES

1.

Park.K .Preventive and social medicine. 18 th edition .Ms

Banarsidas Bhanot:Jabalpur;2005:198-199

2.

Dengue

Fever.

Cause,

risks, complications.

symptoms,
Available

treatment,
from:

www.mamashealth.com/infect/dengue

3.

WHO | Dengue and dengue haemorrhagic fever. March 2009.

Available from:
20

www.who.int ... Media centre Fact sheets

4.

Jhon P. Dengue fever symptoms, causes, signs, treatment

and

prevention .

23

Nov

2010 .Available

from

www.medicinenet.com ... dengue fever index

5. Ichiro Itoda , Ggohta Masuda, Akihiko Suganuma.et.

al . Changing clinical manifestations of dengue infection in
north India. 2008;Vol:32
6.

Dengue

fever

www.essortment.com

prevention.

Available

from:

Health & Fitness.

7. Dr. Rajamohanan K. Dengue fever: Clinical features

and

management

in

children.Available

from:

www.commedtvm.org/phus/phu01_session%202.html
8.

Dengue Fever - Incidence and Prevalence. Available from:

www.medindia.net Consumer Health Health Information

9. Dengue fever stalks the affluent - BusinessWeek,India.

sep

16

2010.Availablefrom:

www.businessweek.com/magazine/.../b4196013896421.ht

10. Cases of dengue fever increasing in City. Bangalore, DH

News

Service.

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9. Signature of the candidate

10. Remark of the guide

The Synopsis of the present study is

Appropriate, relevant, feasible and the
effort taken by the investigator can be
encourage.

11.1 Name and designation of Guide

: Mrs. Arockia Mary, Assoc. Prof

11.2 Signature

11.3 Co.guide (If any)

11.4 Signature

11.5 Head of the department

: Mrs. Arockia Mary, Assoc. Prof

11.6 Signature

11.7 Remarks of the principal

: This study is relevant, feasible and

appropriate for the speciality chosen

24

11.8 Signature

25