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Effectiveness of Planned Teaching Programme on Knowledge Regarding


Prevention of Child Abuse and Neglect Among Primary School Teachers

Article  in  Online Journal of Health and Allied Sciences · January 2015

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Online Journal of Health and Allied Sciences
Peer Reviewed, Open Access, Free Online Journal
--
Published Quarterly :Mangalore, South India : ISSN 0972-5997 This work is licensed under a
Volume 14, Issue 4; Oct-Dec 2015 Creative Commons Attribution-
No Derivative Works 2.5 India License

Original Article:
Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of
Child Abuse and Neglect Among Primary School Teachers

Authors
Prakash M Naregal, Lecturer (Child Health Nursing),
Vaishali R Mohite, Dean,
Prabhuswami Hiremath, Lecturer (Mental Health Nursing),
Mahesh Chendake, Asst. Professor (Medical Surgical Nursing),
Rajashri B Karale, Lecturer (Child Health Nursing),
Shivaji Pawar, Clinical Instructor, Mental Health Nursing),
Krishna Institute of Nursing Sciences, Karad, Maharashtra, India– 415539.

Address for Correspondence


Prakash M Naregal,
Lecturer (Child Health Nursing),
Krishna Institute of Nursing Sciences,
Karad– 415539,
Maharashtra, India.
E-mail: prakash_221@yahoo.co.in

Citation
Naregal PM, Mohite VR, Hiremath P, Chendake M, Karale RB, Pawar S. Effectiveness of Planned Teaching Programme on
Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers. Online J Health Allied
Scs.2015;14(4):11. Available at URL: http://www.ojhas.org/issue56/2015-4-11.html

Open Access Archives


http://cogprints.org/view/subjects/OJHAS.html
http://openmed.nic.in/view/subjects/ojhas.html

Submitted: Oct 27, 2015; Accepted: Dec 26, 2015; Published: Jan 30, 2016

Abstract: Background: Child abuse is one major threat to knowledge and 5(17%) teachers had poor knowledge
children all over the globe. Regardless of the type of child regarding knowledge of child abuse and neglect. The mean
abuse, the result is serious emotional harm affecting the pre test value is 9.433 and the mean post test value is 16.200
normal growth & development of child. School teachers are a difference of 6.77.The paired‘t’ value is 5.512, (p < 0.0001)
in contact with children daily and by reporting suspected showing significant increase in the knowledge regarding
child abuse and neglect, teachers can make an important child abuse and neglect. There was a significant association
contribution to the early detection and prevention of abuse. between knowledge scores of primary school teachers regard
Objectives: 1. To assess the knowledge of primary school to age of teachers (χ2=14.769, P<0.05), marital status
teachers regarding child abuse and neglect. 2. To assess the (χ2=6.389, P<0.05), employment (χ2=19.259, P<0.05) and
effectiveness of planned teaching programme on knowledge not significant association (P>0.05) of Knowledge scores
of primary school teachers regarding child abuse and neglect. with any other demographic variables. Conclusion: The study
3. To find out the association between pre-test knowledge showed that the planned teaching programme on child abuse
scores of primary school teachers with selected demographic and neglect was effective in improving the knowledge of
variables. Material and Methods: The research approach used primary school teachers and thus helps them to understand
for the study was evaluative approach. The study was the harmful effects of child abuse and neglect on child and
conducted in 3 primary schools at Karad, Maharashtra, India community as well as to take necessary steps to identify and
using one group pre-test post-test design. Non-probability prevent the children suffering from child abuse.
Purposive sampling technique was used for selecting 30 Key Words: Effectiveness, Planned teaching programme,
primary school teachers. On the 1st day Structured Child abuse, Neglect, Primary school teachers
knowledge questionnaire was used for collecting data and Introduction:
planned teaching programme on child abuse and neglect was Child abuse is more than bruises and broken bones. While
conducted and followed by post test on the 7th day. The data physical abuse might be the most visible, other types of
collected, tabulated and analyzed in terms of objectives of the abuse, such as emotional abuse and neglect, also leave deep,
study using descriptive and inferential statistics. Results: In lasting scars.[1] Child abuse is a state of emotional, physical,
pre-test majority 18 (60%) teachers had poor and 6 (20%) economic and sexual maltreatment meted out to a person
had average and good knowledge regarding child abuse and below the age of eighteen and is a globally prevalent
neglect respectively. Where as in post-test majority 19(63%) phenomenon. However, in India, as in many other countries,
teachers had average knowledge, 6(20%) had good

1
there has been no understanding of the extent, magnitude and Planned teaching programme will help to increase the
trends of the problem.[2] knowledge regarding child abuse and neglect.
In 2007, the Ministry of Women and Child Development Hypothesis:
(MWCD), India released a study report on child abuse and Ho: The mean post test knowledge scores of primary school
the study found that 69% of children reported to have been teachers regarding child abuse will not be significantly higher
physically abused. Out of these 54.68% were boys; 52.91% than that of their mean pre-test knowledge scores 0.05 levels
of boys and 47.09 % of girls reported having been abused in of significance.
their family environment. Of the children who were abused H1: The mean post test knowledge scores of primary school
in family situations, 8.6% were abused by their parents. teachers regarding child abuse will be significantly higher
Every two out of three school children reported facing than that of their mean pre-test knowledge scores at 0.05
corporal punishment. In juvenile justice institutions, 0.21% level of significance.
of children in conflict with law and 52.86% of children in H2: There will be a significant association of knowledge
need of care and protection reported having been physically scores of primary school teachers with selected demographic
abused. With regard to child labour 50.2% of children work variables.
all seven days of the week. 81.16% of the girl child labourers Materials and Methods
work in domestic households, while 84% of the boy child In view of the nature of the problem selected for the study
labourers worked in tea stalls or kiosks. Also, 65.99% of and objective to be accomplished evaluative research
boys and 67.92% of girls living on the street reported being approach was considered. The research design adapted for
physically abused by their family members and other the study was one group pre test, post test design.
people.[2] Independent Variable of the study was planned teaching
According to UNICEF, violence against children can be programme for teachers regarding child abuse and neglect
physical and mental abuse and injury, neglect or negligent and Knowledge Scores as measured by structured
treatment, exploitation and sexual abuse and such violence questionnaires was dependent Variable. The study was
may take place in homes, schools, orphanages, residential conducted among teachers of 3 primary schools at Karad,
care facilities, on the streets, in the workplace, in prisons and Maharashtra, India. 30 primary school teachers were selected
in places of detention. Such violence can affect the normal as sample of the study by non-probability Purposive
development of a child impairing their mental, physical and sampling technique. After extensive review of literature and
social being. In extreme cases abuse of a child can result in the with the help of experts structured knowledge
death.[3] questionnaire were prepared to assess the level of knowledge
According to data from National Statistics on Child Abuse of primary schools teachers regarding child abuse and
reports that nearly five children die every day in America neglect.
from abuse and neglect. In 2011, an estimated 1,570 children The tools consists of two sections:
died from abuse and neglect in the United States.[4] Section 1: Demographic variable: Age, sex, marital status,
Children are suffering from a hidden epidemic of child abuse education, occupation, income, experience, religion, nature
and neglect. It’s a widespread war against our children that of work place ,childhood enjoyment and abused during
we have the power to stop, and understanding the issue is the childhood.
first step. Every year more than 3 million reports of child Section 2: Structured knowledge questionnaire regarding
abuse are made in the United States involving more than 6 child abuse and neglect.
million children (a report can include multiple children. A Method of Data Collection:
report of a child abuse is made every ten seconds.[5] Child Formal permission to conduct the study was obtained from
abuse can have damaging effects not only on the children the concerned authority. On the day of pre-test, at the very
who suffer it, but on communities that must address the beginning, the client where explained purpose of the study
aftermath of abuse.[6] and informed written consent was obtained from each
The first step in helping abused or neglected children is teacher. Pre test was conducted on 26 Nov 2013 to assess the
learning to recognize the signs of child abuse and neglect.[7] existing level of knowledge of primary school teachers
Educators see and work with school-age children on a daily regarding child abuse and neglect followed by planned
basis during the school week throughout the school year. teaching programme on child abuse and neglect was
This reality puts these school staff on the front lines of conducted with the help of lesson plan and A.V. aids ( charts
identifying possible child maltreatment.[8] By reporting and posters). Post test was conducted on 1 Dec 2013 by
suspected child abuse and neglect, teachers can make an administering the same knowledge questionnaire. The
important contribution to the early detection and prevention teachers actively participated and co-operated during data
of abuse.[9] Schools can, and many do, play a part in the collection.
prevention of child abuse through the curriculum, by Data Analysis:
providing positive role models and opportunities for The data obtained was analyzed in terms of the objective of
participation.[10] the study using descriptive and inferential statistics. The plan
Problem Statement: A study to assess effectiveness of of data analysis was developed under the excellent direction
planned teaching programme on knowledge regarding of experts in the field nursing and statistics.
prevention of child abuse and neglect among primary school The plan of data analysis was as follows:
teachers in a selected schools at Karad, Maharashtra, India. 1. Organization of data in a master sheet.
Objectives: 2. Tabulation of data in terms of frequency, percentage,
1. To assess the knowledge of primary school teachers mean, SD, median and range to describe the data.
regarding child abuse and neglect. 3. Classifying knowledge source using mean and median
2. To evaluate the effectiveness of planned teaching and SD as follows:
programme on knowledge of primary school teachers (SD+X)=Good
regarding child abuse and neglect. (SD+X)-(SD-X)=Average
3. To find out the association between pre-test knowledge (SD-X)=Poor
scores of primary school teachers with selected A score of 1 was awarded to all correct answers while score
demographic variables. of 0 was awarded to all incorrect answers of structured
Assumption: Study assumes that primary school teachers questionnaire.
possess some knowledge regarding child abuse and neglect.

2
Inferential statistics were used to draw the following Table 3: Mean, median and standard deviation of total knowledge
conclusions: score of primary school teacher’s regarding child abuse and neglect.
Paired “T” test was used for testing effectiveness of PTP and (n=30)
Chi-square test was used to find association. Area of Analysis Mean Standard Deviation
Results Pre-test 9.433 4.981
Section A: Distribution of primary school teachers according Post-test 16.200 4.951
to socio-demographic variables. Paired ‘t’ value 5.512, p < 0.0001
Table 1: Distribution of frequency and percentage of primary school Table 3 shows that there was significant increase in post test
teachers according to socio-demographic variables scores of teachers. The mean post test knowledge score
Characteristics Category
Respondents 16.2(SD=4.951) of primary school teachers was significantly
Frequency Percentage higher than their pre test knowledge score 9.433
Male 3 10 (SD=4.981).The computed‘t’ test statistic value is 5.512.
Gender
Female 27 90 Since, the p value for the test is less than 0.05, the null
Below 25 years 13 43.3 hypothesis is rejected at the 95% confidence level it shows
26-30 years 10 33.3 that the planned teaching programme was effective method
Age of Teachers for improving the knowledge of primary school teachers
31-35 years 6 20
36 years and above 1 3.3 regarding child abuse and neglect.
Section C: Association Between Pre-Test Knowledge Scores On
Single 24 80
Marital Status Child Abuse And Neglect With Selected Demographic Variables
Married 6 20 Of Primary School Teachers.
Yes 25 83.3 Table 4: Association between knowledge scores and selected
Parent or Guardian
No 5 16.6 demographic variables.
Diploma 9 30 Pre-test knowledge Chi-
Socio-demographic
Bachelor 2 6.6 square P value Df
variables Good Average Poor
Education value
Graduate 14 46.6
Gender of teachers
Post Graduate 5 16.6 0.9877
Male 1 0 2 0.6103 2
Permanent(fulltime) 6 20 (NS)
female 5 6 16
Employment Permanent(part-time) 6 20
Age of teachers
Contract 18 60
Below 25 years 2 5 6
0-5years 25 83.3 14.769
26-30 years 1 0 9 0.0221 6
6-10years 4 13.3 (S)
Experience 31-35 years 3 0 3
11-15years 1 3.3
36 and above 0 1 0
16 and above 0 0
Marital status
Hindu 24 80 6.389
Single 4 3 17 0.0410 2
Religion Christian 4 13.3 (S)
Married 2 3 1
Muslim 2 6.6
Parent
Government 20 66.6 1.600
Nature of work place Yes 4 5 16 0.4493 2
Private 10 33.3 (NS)
No 2 1 2
Yes 28 93.3
Childhood enjoyment Education
No 2 6.66
Diploma 1 2 6
Yes 1 3.3 3.397
Childhood Abuse Bachelor 0 1 1 0.7576 6
No 29 96.6 (NS)
Graduate 3 2 9
The data presented in Table 1 shows that Maximum numbers Post-graduate 2 1 2
of 27 (90%) primary school teachers were female,
Employment
13(43.33%) belongs to the age group of below 25 years.
Permanent full-
Majority of 24 (80%) were single, 25 (83.3%) were parent or time
4 0 2
19.259
guardian, 14 (46.6%) studied graduation, 18 (60%) were (S)
0.0007 4
Permanent part-
employed on contract, 25 (83.3%) had experience of 0-5 0 4 2
time
years, 24(80%) were Hindus and 20 (66.6%) working at Contract 2 2 14
government sector, 28 (93.3%) belongs to the group enjoyed Experience
childhood, 29 (96.6%) not abused during their childhood. 0-5 years 5 4 16 3.600
Section B: Distribution of Primary School Teachers According to 0.4628 4
6-10 years 1 2 1 (NS)
Knowledge Scores of Teachers on Child Abuse and Neglect.
Table 2: Distribution of frequency and percentage of total knowledge 11-15 years 0 0 1
scores of primary school teachers regarding child abuse and neglect Religion
(n=30). Hindu 6 6 12 5.000
Pretest Post Test 0.2873 4
Christian 0 0 4 (NS)
Knowledge Score
Frequency Percentage Frequency Percentage Muslim 0 0 2
Good (mean+SD) 6 20 6 20 Nature of work place
Average (mean+SD to 4.000
6 20 19 63 Government 2 5 13 0.1353 2
mean-SD) (NS)
Private 4 1 5
Poor (mean-SD) 18 60 5 17
Childhood
Table 2 shows that in pre-test majority 18 (60%) of teachers enjoyment 1.429
had poor, 6 (20%) had average and 6 (20%) had good 0.4895 2
Yes 6 5 17 (NS)
knowledge regarding child abuse and neglect. Where as in No 0 1 1
post-test majority 19(63%) teachers had average knowledge, Childhood abuse
6(20%) had good and 5(17%) teachers had poor knowledge 0 0 1
0.6897
0.7083 2
Yes
regarding child abuse and neglect. (NS)
No 6 6 17

3
Table No.4 shows that there was a significant association References
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to age of teachers χ2=14.769, P<0.05), marital status Preventing, and Reporting Child Abuse. Available
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significant association (P>0.05) of Knowledge scores with and-neglect.htm.
any other demographic variables. 2. Ministry of Women and Child Development. Study on
Discussion Child Abuse: India 2007. Ministry of Women and Child
The study was conducted to assess the effectiveness of a Development, Government of India. Available
planned teaching programme regarding child abuse and at http://wcd.nic.in/childabuse.pdf.
neglect. It was aimed to improve the knowledge of primary 3. Childline India. Abuse & Violence. Available
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post-test score 16.2(SD=4.951) was higher than the mean violence-india.htm.
pre-test score 9.433 (SD=4.981) these scores indicate that the 4. Alabama Network of Children's Advocacy Centers.
planned teaching programme was effective. The significant National Statistics on Child Abuse. Available
difference between the 2 tests were tested by using paired‘t’ at http://www.alabamacacs.org/national-statistics-on-
test the level of significant was set at the computed‘t’ value child-abuse.html.
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among 16 primary school teachers and 17 public health Abuse and Neglect? Recognizing the Signs and
nurses and physicians. Findings showed that teachers were Symptoms. Available at
experiencing a lack of knowledge of signs of abuse, baseline https://www.childwelfare.gov/pubpdfs/whatiscan.pdf
rates of abuse, and child abuse reporting procedures. Some 8. Wisconsin Department of Public Instruction. The
teachers expressed that they would like to gain more School’s Role in Preventing Child Abuse and Neglect.
knowledge in the areas of child neglect and child emotional Available at http://sspw.dpi.wi.gov/sspw_childabuse.
abuse study concludes that frontline workers are in need of 9. Goebbels FG, Nicholson JM, Walsh K, De Vries H.
supportive tools in the child abuse detection and reporting Teachers’ reporting of suspected child abuse and
process.[11] neglect: behavior and determinants. Health Education
The Yogo Teachers' Responses to Child Abuse study, Research. 2008;23(6):941–951.
conducted at Japan, had objectives to review trends in 10. UNICEF. Child Protection. Available
research on school responses to child abuse, and to identify at http://www.unicef.org/teachers/protection/prevention
the current status and issues regarding responses to child .htm.
abuse by Yogo teachers. Eleven academic journal articles 11. Schols MWA, de Ruiter C, Ory FG. How do public
were retrieved and the results demonstrated that Yogo child healthcare professionals and primary school
teachers were often in positions where child abuse could be teachers identify and handle child abuse cases? A
detected at an early stage, and in many cases they were qualitative study; BMC Public Health. 2013;13:807
practically involved. Yogo teachers were highly aware of 12. Sakou K Aoyagi C, Akuzawa C et al. A Literature
their roles and potential roles in child abuse cases. The Review of Yogo Teachers' Responses to Child
review concluded that additional empirical studies should be Abuse. School Health. 2012;8:6-16.
conducted to examine specific support that would help 13. Kenny MC. Teachers' attitudes toward and knowledge
promote school responses to child abuse issues, that might of child maltreatment. Child Abuse Negl. 2004
include raising the competence of yogo teachers to handle Dec;28(12):1311-9.
child abuse cases or implementing various preventive
measures to reduce child abuse before it occurs.[12]
A similar study conducted by Kenny MC to determine 200
teachers' self-reported knowledge of the signs and symptoms
of child maltreatment, reporting procedures, legal issues
surrounding child abuse and their attitudes toward corporal
punishment. In addition, a factor analysis was performed on
the Educators and Child Abuse Questionnaire (ECAQ).
Results showed that teachers reported a lack of awareness of
the signs of child abuse and reporting procedures, which may
affect their ability to report cases of suspected abuse. It
concluded that there was a need for standardized training in
child maltreatment for all teachers as well as clear, concise
institutional guidelines for reporting child abuse and support
for teachers confronted with suspected victims.[13]
Conclusion:
The present study concludes that primary school teachers'
knowledge on child abuse and neglect is inadequate in pretest
and after administration of planned teaching programme,
there is a gain in knowledge of primary school teachers.
Therefore, planned teaching programme is effective in
increasing the knowledge of primary school teachers.

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