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ADOLESCENT REPRODUCTIVE HEALTH (ARH) COMMUNICATION AMONG TRIBAL GIRLS OF ADILABAD DISTRICT - AN ASSESSMENT AND ACCOMPLISHMENT THROUGH EDUTAINMENT

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Title ADOLESCENT REPRODUCTIVE HEALTH (ARH) COMMUNICATION AMONG TRIBAL GIRLS OF ADILABAD DISTRICT - AN ASSESSMENT AND ACCOMPLISHMENT THROUGH EDUTAINMENT
 
Creator SINDHU RANI, V
 
Contributor AMALA KUMARI, P
 
Subject biological phenomena, diseases, economic systems, area, sampling, investment, selection, wood, agreements, paper
 
Description Adolescence is the age between 10 and 19 years. Reproductive health is an
indispensable ingredient of health, especially during adolescence and a major
determinant of human development. In the age group of 10-24 years, the health needs of
adolescents have neither been researched nor addressed adequately. Particularly in case
of adolescent girls, their reproductive health needs are often misunderstood,
unrecognized or underestimated, especially so among tribal adolescent girls. So the
present study ‘Adolescence Reproductive Health (ARH) communication among tribal
girls of Adilabad district – an assessment and accomplishment through edutainment’
was planned to measure existing reproductive health communication among tribal
adolescent girls and to develop edutainment material incorporating ARH messages in
the form of animations and games to bring change in their knowledge, thereby practices.
The experimental research design was selected for the study with sample of 120
school children 30 from each Tribal Ashram school. Adilabad district was selected
purposively because tribes are densely populated compared to other districts of the state.
ARH messages were identified from the experts. Pretest was conducted. Content was
developed on identified ARH issues and subjected to content analysis. Edutainment
material in print and electronic form were developed, incorporating ARH content.
Utilising these edutainment material, ARH education was conducted for six days @ two hours per day in four Ashram schools. The effectiveness of edutainment materials and
results was assessed through the statistical analysis. Following findings emerged from
the study.
Majority of the respondents were in the age of 13-14 years. In case of class of
study half of the sample were in 8th class, followed by 9th (36.7%) and 7th (13.3%)
classes. Ordinal position of the respondent revealed almost equal percent on first and
second. If the male child was in the first and second ordinal positions, such families
limited with 3 children. When waited for male child, female children were found in
third to fifth positions. Out of the total sample, 75.8% attained menarche and 24.2% yet
to attain. Age of menarche started at 10 years and continued up to 15. It was highest
during 12-13 years (83.5%) and mean age of menarche was found as 12.4 years.
Information seeking behavior measured on five intents as stated by Erin (2008),
in varied areas showed notable results. Adolescent girls have intent for information to
get complete picture, followed by getting a clearer picture and changed picture.
Menstrual health was found to be most preferred category of information. With regard
to sources of information, the adolescent girls were seeking information through
interaction more than any other sources. Mothers, teachers and friends were the major
interaction categories. Media exposure, one of the profile characteristics of the
respondents revealed more for TV and books.
ARH issues relevant to adolescent girls were identified with the help of an
expert group. The topics with mean value of 0.9 and above were included and others
were deleted. Based on the content of ARH issues, they were grouped under eight broad
major topics with 2- 5 subtopics. Adolescence, physical changes, psychological
changes, menstrual health, social sensitivity in adolescent girls, nutritional care,
HIV/AIDS, games and exercises.
Based on the ARH issues identified, information was collected in vernacular
language i.e. telugu for content development and finalized for the production of print
and electronic edutainment modules to provide learning through entertainment and act
as BCC package.Print material was in a form of hand book entitled Kishora Balikala
Arogya Karadeepika (Health manual for adolescent girls) which consisted of text,
illustrations, puzzles, games, stories and case studies. In electronic material, subtopic
wise power point presentation was done with animations and video, to support effective
presentation of the content to the sample.
Content analysis has been carried out and the reliability of the content was
computed using spearmen split-half reliability which was r = 0.84 proving high
reliability. Using Cohen’s kappa, the percent agreement of reliability between the raters,
was computed as 0.67, which was at substantial level of agreement. These two values
empirically judged the content reliable for the purpose.
Effectiveness of the edutainment material was measured. Respondents assigned
máximum to happiness (2.99), followed by motivation (2.95), Advocacy (2.90),
Intuitiveness (2.86), Fun (2.85), Attentive (2.83), Focus (2.81). The level of ARH
communication was measured before and after imparting of knowledge on ARH issues
in all the four schools and computed for their significance of increase. Concurrent
evaluation was also carried out after 15 days of post evaluation, to measure the
reliability as well as retention.
Pretest mean values were found different in four schools, after imparting
knowledge on ARH issues to the adolescent girls and mean scores were almost equal at
post and concurrent test. When percent increase between pre and post, pre and
concurrent was calculated, there was highest increase in Asifabad and Luxetpet schools.
It is evidently showing that the edutainment material gave enough health
communication to the sample.
A significant difference in all schools was observed after imparting knowledge
on ARH issues to the adolescent girls, proving the effectiveness of edutainment
material. Also significant difference in all schools was observed at pre and concurrent
level.
ROI for ARH communication was calculated. Scot (2006), explained ROI as the
relative profit that was made due to investment. In the present study it was
operationalised as the behavioral benefit that occurred among the adolescent girls in
terms of health education due to execution of ARH issues in the form of edutainment
material on which some investment was made. The returns on investment for ARH
communication with regard to information was 18.93%, which means for every unit of
investment, the increase was almost 19 times. It was 21.92% for influence, which means
for every unit of investment, the increase was almost 22 times. The returns on influence
were more than information. In the present study ROI is a proof, to state behavior
change communication through edutainment material is profitable.
ARH communication is essential for all adolescent girls. It should be effective to
sustain the communication. Hence, based on empirical evidences of the study, a strategy
of BCC package for adolescent reproductive health, may be proposed to assure
reproductive health right from adolescence, focusing four major areas viz., curriculum
and edutainment material, ARH content, media focus and community empowerment.
This strategy to provides edutainment material with complete, clear and changed
picture of ARH issues, cognitively empowering their major sources of interaction with
reproductive information, i.e mothers, teachers and friends and widely using T.V. and
news paper was proposed.
 
Date 2016-09-14T14:13:49Z
2016-09-14T14:13:49Z
2014
 
Type Thesis
 
Identifier http://krishikosh.egranth.ac.in/handle/1/76705
 
Language en
 
Relation D9742;
 
Format application/pdf
 
Publisher ACHARYA N.G. RANGA AGRICULTURAL UNIVERSITY, RAJENDRANAGAR, HYDERABAD