School Children as Mini-Teachers: Exploring the impact of Child-to-Child approach in Promoting the Importance of Vitamin-A

Keywords: Vitamin-A Deficiency, Health Education, Change Agents, Child-to-Child Approach, Peer Group, School Health


Background: Children are the most vulnerable part of the society who succumb to health conditions especially deficiencies of macro and micronutrients like Vitamins and Minerals. Their health is essential for an active and quality lifestyle and brings less stress on parents too. Empowering children to be masters of their own health and providing adequate knowledge regarding health aspects can promote healthy behaviors, which gradually become learned lifestyles paving way for a healthy society.

Aim: To evaluate the effect of Child-to-Child approach in teaching children about the importance of Vitamin A.

Methods: A pre experimental one group pre-test/post-test no control group design was used in this study. Using purposive sampling technique 90 children were recruited among them 18were change agents and 72 peer group.

Result: There was a significant improvement in the knowledge regarding Vitamin A and its importance to health among the children after applying the child-to-child approach. Descriptive statistics and inferential statistics like Paired ’t’ test and Karl Pearson’s co-efficient of correlation were used to analyse the findings. Among the pre-test and post-test scores, it was found that the knowledge level improved in their post-tests.

Conclusion: Child to child approach is a feasible method and an interesting way to get school children to learn about health. They also act responsible by being change agents.

How to cite this article:
Sunderraj SEJ. School Children as Mini-Teachers: Exploring the impact of Child-to-Child approach
in Promoting the Importance of Vitamin-A. Int J Nurs Midwif Res 2020; 7(1): 43-47.



Ananthakrishnan S, Pani SP, Nalini P. A comprehensive study of morbidity in school age children. Indian

Pediatrics 2001; 38(9): 1009-1016.

Arlappa N, Balakrishna N, Laxmaiah A et al. Prevalence of vitamin A deficiency and its determinants among

the rural pre-school children of Madhya Pradesh, India. Annals of Human Biology 2011; 38(2): 131-136.

Hugh H. Child-to-Child- Another path to learning, Hamburg, Unesco Institute for Education, 1988.

Haskell MJ, Jamil KM, Hassan F et al. Daily consumption of Indian spinach (Basellaalba) or sweet potatoes has

a positive effect on total-body vitamin A stores in Bangladeshi men. The American Journal of Clinical

Nutrition 2004; 80(3): 705-714.

Vijayaraghavan K, Radhaiah G, Prakasam BS et al. Effect of massive dose vitamin A on morbidity and mortality

in Indian children. The Lancet 1990; 336(8727): 1342-5.

Akhtar S, Ahmed A, Randhawa MA et al. Prevalence of vitamin A deficiency in South Asia: causes, outcomes,

and possible remedies. Journal of Health, Population, and Nutrition 2013; 31(4): 413.

Darling-Hammond L, Flook L, Cook-Harvey C et al. Implications for educational practice of the science

of learning and development. Applied Developmental Science 2019; 1-44.

Gortmaker SL, Cheung LW, Peterson KE, et al. Impact of a school-based interdisciplinary intervention on diet and physical activity among urban primary school children: eat well and keep moving. Archives of Pediatrics &

Adolescent Medicine 1999; 153(9): 975-983.

Mishra G. When child becomes a teacher–the child to child programme. Indian Journal of Community

Medicine 2006; 31(4): 277.

Deepthi R, Naresh Kumar SJ, Prasanna et al. Participatory school health education on vector-borne diseases:

engaging children as change agents. International Journal of Health Promotion and Education 2014;

(2): 68-77.

Kolucki B, Lemish D. Communicating with children. 2011.

Vijayaraghavan K, Nayak MU, Bamji MS et al. Home gardening for combating vitamin A deficiency in rural

India. Food and Nutrition Bulletin 1997; 18(4): 1-7.

Malone K. “The future lies in our hands”: children as researchers and environmental change agents

in designing a child-friendly neighbourhood. Local Environment 2013; 18(3): 372-395.

Kaveh MH, Nejad ZK, Nazari M et al. Evaluating the effect of the child-to-child approach based on the

Theory of Planned Behavior on the eating behaviors of elementary school students. Int J Med Res Health

Sci. 2016; 5(5): 121-126.

Onyango-Ouma W, Aagaard-Hansen J, Jensen BB. The potential of schoolchildren as health change agents in

rural western Kenya. Social Science & Medicine 2005; 61(8): 1711-1722.

Palafox NA, Gamble MV, Dancheck B et al. Vitamin A deficiency, iron deficiency, and anemia among

preschool children in the Republic of the Marshall Islands. Nutrition 2003; 19(5): 405-408.