A Study to Assess the Effectiveness of Child-to-Child Approach on Knowledge regarding selected Monsoon Diseases among School-Age Children in a selected-UP School, Kidangoor, Kottayam

The monsoon season in India, particularly in Kerala, is marked by a rise in infectious diseases due to heavy rainfall and increased humidity. Children are especially vulnerable to waterborne illnesses such as diarrhea and typhoid, primarily due to lower immunity and increased exposure to contaminated environments. A quasi-experimental study was conducted by 7th semester B.Sc. Nursing students during 2025–2026 to evaluate the effectiveness of the Child-to-Child approach of education on improving knowledge regarding selected monsoon diseases among school-going children in a selected UP school in Kottayam District, Kerala. A quantitative research approach was adopted, and 35 students were selected using non-probability convenient sampling. Data were collected using a standardized knowledge questionnaire in June 2025. Six students were initially shortlisted as potential peer educators (change agents) using purposive sampling technique, and from them four were selected, who scored above 80% in the post-test were trained using audiovisual aids to implement the child-to-child approach. The pretest results revealed that 17.14% of students had poor knowledge, 82.85% were average, and none had good knowledge. Following the intervention, post-test results indicated 94.28% had good knowledge, 5.71% were average, and none were poor. The mean post-test score (83.25%) significantly exceeded the pretest score (45.81%), and the paired t-test value (t = 19.926, p < 0.05) indicating that the child-to-child approach was effective. No significant association was found between most demographic variables and knowledge levels, except for age.