Prepared By,

Mrs. SHEELA K C
II yr M.Sc Nursing
Rathna college of nursing,
Hassan.

Guided By,
Mrs. LAKSHMI M
HOD, Dept. of OBG,
Rathna college of nursing,
Hassan.

Several terms are commonly used in reference to
particular stage of growth and development . Puberty
primarily refers to the maturational, hormonal and growth
process that occurs when the reproductive organs begin
to function and the secondary sex characteristics
develop.
Adolescence is a period of transition between childhood
and adulthood- a time of rapid physical, cognitive, social,
and emotional maturity as youngsters prepares for
adulthood.
Menarche is the term applied to the first menstruation
period in girls.




Menstruation is the time of change for every
adolescent girl. Due to lack of knowledge
regarding menstruation , the adolescent girls go
through the
Physiological and emotional stresses. In Indian
society do not get adequate knowledge about
their own bodys physiological changes and about
menstruation. If we are providing accurate
knowledge to the adolescent girls, it will be helpful
for them at the time of menstruation.
A study to evaluate the effectiveness
of structured teaching programme (STP)
on knowledge regarding pre preparedness
for menstruation and menstrual hygiene
among pre-adolescent girls in selected
rural schools at Hassan district .

To assess the knowledge regarding pre preparedness
for menstruation and menstrual hygiene among pre-
adolescent girls before structured teaching programme.
To administer STP regarding pre preparedness for
menstruation and menstrual hygiene among pre-
adolescent girls.
To evaluate the effectiveness of STP regarding pre
preparedness for menstruation and menstrual hygiene
among pre-adolescent girls after structured teaching
programme.
To find the association between knowledge of
pre-adolescent girls regarding pre preparedness
for menstruation and menstrual hygiene with their
selected socio demographic variables.

H
1
: There will be significant increase in post test
knowledge scores after administration of STP
regarding pre preparedness for menstruation and
menstrual hygiene.
H
2
: There will be a significant association
between selected socio-demographic variables
with their post test knowledge scores.


Knowledge regarding pre preparedness
for menstruation
Knowledge regarding pre preparedness
for menstrual hygiene
Research approach- Quantitative
approach.

Research design-Pre experimental design.
Probability simple random sampling

O
1

X

O
2

Pre test
Intervention
Post test
KEYS

O1 Level of knowledge
in the pre test.

O2 Level of knowledge
in the post test.

X Intervention.

Schematic Representation Of
Research Design.
Independent variable:
In this study the independent variable is
Structured teaching programme.
Dependent variable:
Knowledge of pre-adolescent girls regarding pre
preparedness for menstruation and menstrual
hygiene is the dependent variable in this study.


The study was conducted in
selected rural schools at Hassan
district, Karnataka.

The target population of the present
study includes pre-adolescent girls studying in
selected rural schools at Hassan district.
Samples
The sample used for this study was
80 pre-adolescent girls studying in selected rural
schools at Hassan district, those who fulfil the
inclusion and exclusion criteria.


Sample size
The sample comprise of 80 pre-
adolescent girls from selected rural
schools at Hassan district.
Sampling technique
Probability ( simple random ) sampling
technique.

Inclusion criteria:-
Pre-adolescent girls between the age group of 9-12
years.
Pre-adolescent girls who are willing to participate in the
study.
Pre-adolescent girls who are not attained menarche.
Pre-adolescent girls studying in selected rural schools at
Hassan district available at the time of study.
Exclusion criteria
Pre-adolescent girls who are not willing to participate
Pre-adolescent girls who are attained menarche.


A structured questionnaire was used to
assess the level of knowledge of pre-
adolescent girls regarding pre preparedness
for menstruation and menstrual hygiene.

The tool was organized in to two parts:
PART I Socio Demographic profile contains 8items-
age, religion, type of the family, educational status of the
mother, occupation of father, dietary habits, place of
residence and source of information regarding pre
preparedness for menstruation and menstrual hygiene.
PART II Contains 30 structured questionnaire
seeking knowledge of pre-adolescent girls regarding pre
preparedness for menstruation and menstrual hygiene

The constructed tool was given to five experts;
four from the field of obg nursing, one from
obstetrician and gynaecologist. The experts
were chosen based on their experience and
clinical expertise. As per the suggestions and
recommendations of the experts, necessary
modifications were done in the tool.
The Reliability of the questionnaire was assessed by
using split half technique Smearmon browns
prophecy formula and Karl Pearsons correlation
method.
R= 2r/1+r
R=Reliability of co-efficient of correlation
for whole test.
r=Reliability of co-efficient of correlation
for half test.
The obtained value is r = 0.81, which indicates the
tool is reliable.

AREAWI SE ASSESSMENT OF PRE TEST KNOWLEDGE
REGARDI NG PRE PREPAREDNESS
FOR MENSTRUATI ON AND MENSTRUAL HYGI ENE.
ASSESSMENT No of
items
Range Mean
score
SD Mean
%
Minimum Maximum
Female reproductive
organs
6 1 6 3.20 .960
53.33
Pre-Preparedness for
menstruation
12
1 7 4.15 1.323
34.58
Pre-Preparedness
for menstrual hygiene
12
2 6 4.04 1.277
33.67
6 17 11.39 2.084
37.97




































































































































































Table shows the overall areawise assessment of knowledge level of pre-adolescent girls before administration of structured
teaching programe on pre preparedness for menstruation and menstrual hygiene. Pre-adolescent girls shows least knowledge
level of 33.67% in area of pre preparedness for menstrual hygiene and more knowledge level of 53.33% in area of female
reproductive organs.
AREAWISE ASSESSMENT OF PRE TEST
KNOWLEDGE
Pretest over all knowledge score
OVERALL ASSESSMENT OF PRE TEST KNOWLEDGE
REGARDI NG PRE PREPAREDNESS FOR MENSTRUATI ON AND
MENSTRUAL HYGI ENE .

Table Shows the pre-test overall knowledge score on pre
prepreparedness for menstruation and menstrual hygiene. They are
having 37.97% of knowledge score before administration of STP.
ASSESSMENT No of
items
Range Mean
score
SD Mean
%
Minimum Maximum
OVERALL
30
6 17 11.39 2.084
37.97
Distribution of subjects according to
Pre Test Level of Knowledge.

Table shows distribution of subjects according to pre-test
level of knowledge, majority of pre-adolescents (31.2%)
have moderate level of knowledge where as 68.8% of pre-
adolescents have inadequate knowledge.
LEVEL OF KNOWLEDGE
NUMBER PERCENTAGE
ADEQUATE
0 0
MODERATELY ADEQUATE
25 31.2
INADEQUATE
55 68.8
TOTAL
80 100.0
ASSESSMENT OF POST TEST KNOWLEDGE
REGARDI NG PRE PREPAREDNESS FOR
MENSTRUATI ON AND MENSTRUAL HYGI ENE.

ASSESSMENT No of
items
Range Mean
score
SD Mean
%
Minimum Maximum
Female reproductive
organs
6 4 6 5.29 .640
88.17
Pre-Preparedness for
menstruation
12
8 12 9.95 1.030
82.92
Pre-Preparedness for
menstrual hygiene
12
7 12 10.49 1.293
87.42
Table shows the assessment of knowledge level of pre-adolescent girls on pre preparedness for menstruation
and menstrual hygiene Pre-adolescent girls shows the least knowledge level of 82.92% in the area of pre
preparedness for menstruation and the highest knowledge level ( mean 88.17%) in the area of female
Reproductive organs
FIGURE SHOWS AREAWISE ASSESSMENT OF
POST TEST KNOWLEDGE
Posttest over all knowledge score
TABLE SHOWS OVERALL ASSESSMENT OF POST TEST
KNOWLEDGE REGARDI NG PRE PREPAREDNESS FOR
MENSTRUATI ON AND MENSTRUAL HYGI ENE.

Table shows the post test overall knowledge score on pre
preparedness for menstruation and menstrual hygiene. They
are having 85.73% of knowledge score after the
administration of structured teaching programme.
ASSESSMENT No of
items
Range Mean
score
SD Mean
%
Minimum Maximum
OVERALL
30
22 29 25.72 1.575
85.73
Distribution of subjects according to
Post Test Level of Knowledge.

Table shows distribution of subjects according to post test level of
knowledge which reveals that the majority of the pre-adolescent girls
(78.8%) had adequate level of knowledge and remaining 21.2% had
moderately adequate level of knowledge.

LEVEL OF KNOWLEDGE
NUMBER PERCENTAGE
ADEQUATE
63 78.8
MODERATELY ADEQUATE
17 21.2
INADEQUATE
0 0
TOTAL
80 100.0
Comparison of pre and post test knowledge scores
among the pre-adolescent girls
Area of
knowledge
Pre-test Post-test Enhancement
Students paired
t-test
Mean SD Mean SD Mean SD
Female
reproductive
organs
3.20 .960 5.29 .640 2.087 1.138 t=16.401
Pre-Preparedness
for menstruation
4.15 1.323 9.95 1.030 5.800 1.626 t=31.910
Pre-Preparedness
for menstrual
hygiene
4.04 1.277 10.49 1.293 6.450 1.895 t=30.438
Association between the selected
demographic variable and the pre test level of
knowledge.
Chi-square test is used to identify significance
of association. There is no significant association is
found between any demographic variables and pre-
test knowledge score of pre-adolescent girls.

As per the 1
st
objective, Overall pre-test knowledge score on pre
preparedness for menstruation and menstrual hygiene is 11.39 with
SD of 2.084 mean percentage was 37.97%

As per the 2
nd
and 3
rd
objective, Overall post test knowledge
score on pre preparedness for menstruation and menstrual hygiene
among pre-adolescent girls mean knowledge is 25.72 with SD of
1.575, mean percentage of 85.73%

As per the 4
th
objectives the 2 value shows that there is no
significant association between any demographic variables and pre
test knowledge score of pre-adolescent girls.

A similar study can be undertaken with a large sample to generalize
the findings.
A study can be conducted in community setting.
Similar study can be conducted among the health professionals.
True experimental study can be conducted among the nursing
students.

The present study was conducted to evaluate the
effectiveness of structured teaching programme on the
knowledge of pre-adolescent girls regarding pre
preparedness for menstruation and menstrual hygiene
among pre-adolescent girls in selected rural schools at
Hassan district. Data was collected, analyzed and
interpreted in terms of the objectives formulated. The
over all pre test knowledge percentage was 37.97%. over
all post- test knowledge percentage was 85.73%. This
shows the effectiveness of structured teaching
programme in improving knowledge of pre-adolescent girls
regarding pre preparedness for menstruation and
menstrual hygiene.
The findings of the study recommended for the
further interventional approaches in developing
knowledge of pre-adolescent girls regarding pre
preparedness for menstruation and menstrual
hygiene. The present study proved the necessity
of the teaching programme in improving the
knowledge of pre-adolescent girls.