Effect of Health Education on Knowledge, Attitude and Practice Regarding Maternal Nutrition and Infant and Young Child Feeding Practices among Young Pregnant Mothers Attending a Tertiary Care Hospital in Chennai: An Interventional Study


Authors : Dr. S Arun Murugan; Dr. G Pavithra; Dr. Sathish Kumar; Dr. Aashritha M; Dr. T. S. Abirami; Dr. Abhilekshmi A M; Dr. Anvi Saiju; Dr. K Brindha; Dr. H Deepika; Dr. R. Raghul Raja

Volume/Issue : Volume 10 - 2025, Issue 5 - May


Google Scholar : https://tinyurl.com/yc4n3ap3

DOI : https://doi.org/10.38124/ijisrt/25may1957

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Maternal nutrition and infant and young child feeding (IYCF) practices play a critical role in ensuring positive maternal and child health outcomes. Inadequate knowledge, poor attitudes, and suboptimal feeding practices contribute to malnutrition and adverse health effects. Health education interventions can improve maternal awareness and behavior, leading to better nutritional outcomes.  Objective: The Objective of this study is to assess Knowledge, Attitude and Practice regarding Maternal Nutrition and Infant and Young Child Feeding Practices and to evaluate the effect of Health Education on Maternal nutrition and Infant and Young Child Feeding Practices among Young Antenatal mothers attending Antenatal OPD at a Tertiary care Hospital.  Methods: This Interventional Study was conducted from August 2022 to October 2022 in three phases at Antenatal OPD, Government Kasturba Gandhi Hospital, Triplicane, Chennai District. The study group includes 33 Young pregnant women between the age group of 21-24 years and Gestational weeks between 12 to 36 weeks attending OP department. Baseline data was collected on the Knowledge, Attitude and Practice of young pregnant women on Maternal Nutrition and Infant and Young Child Feeding practices using a semi structured, interviewer administered pre-interventional questionnaire Heath Education intervention done for 3 weeks. In the First week lectures were conducted, second week videos and pictures and in the third week demonstration was done. Post Interventional assessment of the Knowledge, Attitude and Practice of young pregnant women on Maternal Nutrition and Infant and Young Child Feeding practices using a semi structured, interviewer administered post-interventional questionnaire.  Results: The study analyzed pretest and posttest scores for knowledge (K score), attitude (A score), and practice (P score) among 33 participants. Additionally, dietary intake (total calorie and total protein) was assessed before and after an intervention.It was found that Health education significantly improves knowledge, attitudes, and practices related to maternal nutrition and IYCF practices. Conclusion:  The health education intervention significantly improved knowledge, attitudes, and practices among young pregnant mothers.  Dietary intake (calories & protein) also improved significantly.  Statistical tests confirmed that all changes were highly significant (p < 0.001).  These findings support the need for structured health education programs in antenatal care settings. These findings align with previous studies highlighting the effectiveness of educational interventions in improving maternal nutrition knowledge and practices. However, sustainability of these changes requires continuous reinforcement through antenatal care programs.

Keywords : Health Education, Maternal Nutrition, Infant and Young Child Feeding Practices, Pregnant Mothers, India.

References :

    1. World Health Organization. Levels and trends in child under-5 mortality in 2020. https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-under-5-mortality-in-2020/
    2. Ministry of Health and Family Welfare, Government of India. Update on Maternal and Child Health Indicators under NHM.  https://mohfw.gov.in/press-info/8555
    3. UNICEF India. UN report highlights great strides for India in under-five child survival. https://www.unicef.org/india/press-releases/un-report-highlights-great-strides-india-under-five-child-survival
    4. Suri S. What NFHS-5 Data Shows: 1 in 3 Children below 5 Years of Age are Stunted, Underweight. Observer Research Foundation. 2021 Nov https://www.orfonline.org/research/what-nfhs-5-data-shows
    5. World Health Organization. Children: improving survival and well-being. https://www.who.int/en/news-room/fact-sheets/detail/children-reducing-mortality
    6. World Health Organization. Child mortality (under 5 years). https://www.who.int/news-room/fact sheets/detail/levels-and-trends-in-child-under-5 mortality-in-2020/
    1. Swasth India. India's Under 5 Mortality Rate Sees 3-Point Decline; UP, Karnataka Record Highest Dip: Report. https://swachhindia.ndtv.com/indias-under-5-mortality-rate-sees-3-point-decline-up-karnataka-record-highest-dip-report-71538/
    2. The Lancet. Subnational mapping of under-5 and neonatal mortality trends in India: the Global Burden of Disease Study 2000–17. https://www.thelancet.com/article/S0140-6736(20)30471-2/fulltext
    3. National Center for Biotechnology Information. Health, Physical Growth, and Neurodevelopmental Outcomes in Preterm Infants of Women with Hypertensive Disorders of Pregnancy.: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321773/
    4. National Center for Biotechnology Information. Maternal dietary patterns and risk of adverse pregnancy and birth outcomes: a systematic review and meta-analysis.

Background: Maternal nutrition and infant and young child feeding (IYCF) practices play a critical role in ensuring positive maternal and child health outcomes. Inadequate knowledge, poor attitudes, and suboptimal feeding practices contribute to malnutrition and adverse health effects. Health education interventions can improve maternal awareness and behavior, leading to better nutritional outcomes.  Objective: The Objective of this study is to assess Knowledge, Attitude and Practice regarding Maternal Nutrition and Infant and Young Child Feeding Practices and to evaluate the effect of Health Education on Maternal nutrition and Infant and Young Child Feeding Practices among Young Antenatal mothers attending Antenatal OPD at a Tertiary care Hospital.  Methods: This Interventional Study was conducted from August 2022 to October 2022 in three phases at Antenatal OPD, Government Kasturba Gandhi Hospital, Triplicane, Chennai District. The study group includes 33 Young pregnant women between the age group of 21-24 years and Gestational weeks between 12 to 36 weeks attending OP department. Baseline data was collected on the Knowledge, Attitude and Practice of young pregnant women on Maternal Nutrition and Infant and Young Child Feeding practices using a semi structured, interviewer administered pre-interventional questionnaire Heath Education intervention done for 3 weeks. In the First week lectures were conducted, second week videos and pictures and in the third week demonstration was done. Post Interventional assessment of the Knowledge, Attitude and Practice of young pregnant women on Maternal Nutrition and Infant and Young Child Feeding practices using a semi structured, interviewer administered post-interventional questionnaire.  Results: The study analyzed pretest and posttest scores for knowledge (K score), attitude (A score), and practice (P score) among 33 participants. Additionally, dietary intake (total calorie and total protein) was assessed before and after an intervention.It was found that Health education significantly improves knowledge, attitudes, and practices related to maternal nutrition and IYCF practices. Conclusion:  The health education intervention significantly improved knowledge, attitudes, and practices among young pregnant mothers.  Dietary intake (calories & protein) also improved significantly.  Statistical tests confirmed that all changes were highly significant (p < 0.001).  These findings support the need for structured health education programs in antenatal care settings. These findings align with previous studies highlighting the effectiveness of educational interventions in improving maternal nutrition knowledge and practices. However, sustainability of these changes requires continuous reinforcement through antenatal care programs.

Keywords : Health Education, Maternal Nutrition, Infant and Young Child Feeding Practices, Pregnant Mothers, India.

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