DOI: 10.4103/ajphp.ajphp_43_25 ISSN: 3050-6549

Evaluation of Outcome of Nutrition Education on Knowledge, Attitude, and Practice of Iron-deficiency Anemia among Pregnant Women in Nilgiris District, Tamil Nadu, South India

Sandra Das, Prakash Bangalore Nagendrappa, Subrahmanya Kumar Kukkupuni, Gurmeet Singh

Abstract

Context:

Iron-deficiency anemia (IDA) is the most common nutritional deficiency worldwide and remains a major public health concern among pregnant women. Poor knowledge, attitudes, and practices (KAP) toward anemia contribute to its persistence.

Aims:

This study aims to evaluate the effectiveness of nutrition education in improving KAP on IDA among pregnant women in the Nilgiris district, Tamil Nadu.

Settings and Design:

This was a community-based, prospective, interventional, single-arm, and pre–post study conducted in rural and semiurban villages.

Methods:

Forty-one pregnant women in their first and second trimesters were purposively selected. Sociodemographic, obstetric, and KAP data were collected using a semistructured questionnaire through Epicollect5. Participants underwent an 8-week household-based nutrition education program using multimedia, flipcharts, and interactive sessions.

Statistical Analysis Used:

Descriptive statistics were used to summarize the participant characteristics. The composite domain scores were analyzed using the Wilcoxon signed-rank test after assessing normality using the Shapiro–Wilk test. P < 0.05 was considered statistically significant.

Results:

At baseline, adequate knowledge (31.7%), positive attitude (40.2%), and healthy practices (42.1%) were limited. Postintervention, significant improvements were observed in knowledge (91.6%, P < 0.001) and attitude (72.0%, P = 0.009). The improvement in practice (47.6%) was modest and did not reach statistical significance ( P = 0.253).

Conclusions:

Structured nutrition education improved KAP regarding IDA among pregnant women. Integrating such interventions into routine antenatal care may reduce the burden of anemia and improve maternal and child health outcomes.

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