International Journal of Pediatric Nursing
A Quasi-Experimental Study to Assess the Effectiveness of Self-Instructional Module on Knowledge Regarding Vitamin A Deficiency and Its Prophylaxis Among Mothers of Under-Five Children in the Community Area at Sri Goindwal Sahib, Tarn-Taran, Punjab
1.Assistant Professor, Department of Nursing, Baba Farid University of Health Sciences, Faridkot, Punjab, India
2.Nursing Tutor, Department of Nursing, Baba Farid University of Health Sciences, Faridkot, Punjab, India
Abstract
Background of the study: Vitamin A deficiency is inadequate intake of vitamin A or its inadequate absorption in the body. It’s most prevalent in age group of 0–5 years. Aim: The present study aims to assess the effectiveness of Self-Instructional Module on the knowledge and attitude regarding vitamin A deficiency and its prophylaxis among mothers of Under-Five Children in the community area at Sri Goindwal Sahib, Tarn-Taran, Punjab. Methodology: A Quantitative research approach was used and a Quasi-experimental research design was adopted. Snowball Sampling Technique was used to select 60 subjects. A Self-Structured Questionnaire was used to assess the knowledge whereas the Likert Scale was used to assess the attitude. Result: The results of present study elucidates that in the Pre-test 56.66% mothers had poor knowledge, 43.33% had average knowledge and not a single mother met the criteria of good knowledge. In the Post-test, majority of mothers had good knowledge (81.66%) followed by average knowledge (16.66%) and only 1.66% mothers had poor knowledge. The Pre-test mean of the questionnaire was 11.12 with S.D. of 2.93 and the Post-test mean was 26.45 with S.D. of 4.94. The value of S.E. calculated out is 0.74. The “Z” value is 20.55 (significant at < 0.05). The result of Likert Scale indicates that 98% of mothers had supportive attitude towards vitamin A supplementation and 2% had neutral response towards vitamin A supplementation. Conclusion: The study concludes that before providing the Self-Instructional Module, majority of mothers had poor knowledge regarding vitamin A deficiency and supplementation, whereas after providing the Self-Instructional Module, majority of mothers had good knowledge. Hence, the Self-Instructional Module was highly effective (significant at 0.05).
Keywords: Attitude, knowledge, mothers, prophylaxis, self-Instructional module, Under-Five Children, vitamin a deficiency, vitamin a supplementation
References (14)
- World Health Organization. Vitamin A supplementation [Internet]. Geneva: WHO; [cited 2026 Feb 4]. Available from: https://www.who.int/teams/immunization-vaccines-and-biologicals/essential-programme-on-immunization/integration/linking-with-other-health-interventions/vitamin-a
- Sohi D. Nutrition and therapeutic diets. In: Sohi D, editor. A comprehensive textbook of nutrition and therapeutic diets for BSc nursing students. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2017. p. 100–120.
- National Institutes of Health. Vitamin A and carotenoids [Internet]. Bethesda (MD): NIH; [cited 2026 Feb 4]. Available from: https://ods.od.nih.gov/factsheets/VitaminA-HealthProfessional/
- Allen LH, Haskell M. Vitamin A requirements of infants under six months of age. Food Nutr Bull. 2001;22(3):214–34. doi:10.1177/156482650102200302.
- Kundu S, et al. Prevalence and determinants of vitamin A deficiency among children in India: Findings from a national cross-sectional survey. Clin Epidemiol Glob Health. 2021;11:100768.
- World Health Organization. Nutrition [Internet]. Geneva: WHO; [cited 2026 Feb 4]. Available from: https://www.who.int/health-topics/nutrition#tab=tab_1
- Akhtar S, Ahmed A, Randhawa MA, Atukorala S, Arlappa N, Ismail T, et al. Prevalence of vitamin A deficiency in South Asia: Causes, outcomes, and possible remedies. J Health Popul Nutr. 2013;31(4):413–23. doi:10.3329/jhpn.v31i4.19975.
- Bryant JH, Harrison PF. World development report 1993: Investing in health. In: Harrison PF, editor. Global health in transition: A synthesis. 1st ed. Washington (DC): National Academies Press (US); 1996. p. 1–50.
- Kumari R, et al. Prevalence of vitamin A deficiency among school-going children of Jasra block of Allahabad, India. J Appl Nat Sci. 2018;10(1):4–5. doi:10.31018/jans.v10i1.1568.
- Bhatia A. A descriptive study to assess the knowledge regarding vitamin A deficiency disorders among mothers of under five children in selected rural area of district Ludhiana, Punjab (2016). Asian J Nurs Educ Res. 2018;8(3):345–8. doi:10.5958/2349-2996.2018.00070.8.
- Patali CS. A descriptive study to assess the knowledge of mothers regarding the nutrition for under five children in selected areas of Bagalkot with a view to develop a self-instructional module. COJ Nurse Healthcare. 2018;3(4):000567. doi:10.31031/COJNH.2018.03.000567.
- Yamunambigai M, Manohari K, Nithiya K. A descriptive study to assess the knowledge regarding vitamin A deficiency among mothers of under five children in selected rural areas at Puducherry. Int J Adv Res. 2023;11:685–91. Available from: journalijar.com
- Times of India. Children low on micronutrients in Punjab [Internet]. Chandigarh: Times of India; 2019 Nov 16 [cited 2026 Feb 4]. Available from:https://timesofindia.indiatimes.com/city/chandigarh/children-low-on-micronutrients-in-punjab/articleshow/72079222.cms
- Tribune India. Vitamin A deficiency in 35% Chandigarh’s preschoolers: PGI study [Internet]. Chandigarh: Tribune India; 2022 Feb 7 [cited 2026 Feb 4]. Available from:https://www.tribuneindia.com/news/chandigarh/vitamin-a-deficiency-in-35-chandigarhs-preschoolers-pgi-study-368011/