Use of ADDIED Model to Develop Self Learning Material on Behavior Change Communication (BCC) related to Reproductive and Child Health Care and Assess its Effectiveness on Knowledge of Auxiliary Nurse and Midwives (ANMs) Regarding BCC for Antenatal Care

Abstract

Introduction: As per WHO Every year an estimated 2,87,000 women die worldwide from complications
related to pregnancy. Behavior Change Communication (BCC) is one of the most cost effective ways of
targeting the issues of maternal health . There is a need to sensitize the in service ANMs regarding the
benefits of adopting a systematic BCC intervention.
Objective: 1: To develop self learning material on BCC for RCH care
2: To assess effectiveness of Self learning material (SLM)on knowledge of ANMs regarding BCC for
Antenatal care
Method: Study was based on ADDIE Model to develop instructional material. Researcher developed
SLM with learning objective to describe the process of Behaviour Change Communication and related
role of ANMs, to acquire knowledge about relevant information about selected ANC issues, plan and
conduct BCC sessions for the selected ANC issues. Structured questionnaire was developed by the
researcher consisting items on knowledge of BCC and information related to antenatal period for early
registration, Importance of TT immunization, Diet and Rest, Identification and treatment of Anemia,
Hi-Risk Pregnancy, Importance of Institutional Delivery , Identification and treatment of RTI/STI. One
group pretest post-test time series design was used to assess the retention of knowledge among 94 study
sample after reading the SLM up to three months.
Result: Majority of In-service ANMs (ISAs) 67 (71.3%) were from the age group of 40 years and
above and had not attended any course /In service education programme on BCC. Finding shows that
SLM was significantly effective to enhance the pre-test mean knowledge score from 32.78 to 78 .61
and 70.16 (p<.001).

Conclusion: SLM was effective to improve the knowledge of In-service ANMs on BCC and relevant information related essential
health care practices during antenatal period