Acknowledgement: God Almighty

ACKNOWLEDGEMENT
“Celebrate the blessing of God and Praise him for his

kindness towards you. Thank him for his precious gift”.
First and foremost I immensely thank God almighty, the

founder of knowledge and wisdom for his bountiful blessings,
benedictions, wisdom and inspiration all through my study, for showing
his grace and mercy on me all the days.
Every work accomplished is a pleasure - a sense of satisfaction.

This thesis is the end of the long journey for obtaining my doctorate,
which has taken me through many doors. This discipline of gratitude is
the explicit effort to acknowledge people who made this tenure easier
with words of encouragement, intellectually satisfying support offering
different angles to look and expand my theories and ideas. The successful
completion of the work is the fruit of the support, guidance, inspiration
and constant motivation of many. Thus the pleasure beneath is
incomplete without acknowledging them.
I have been fortunate to have the help and support of many people
without whom I would not have been able to accomplish what I have
today.
I am extremely grateful to authorities of Annamalai University,

for providing me the opportunity to pursue my doctorate in nursing.
I am extremely grateful to Dr. V. Murugaesan, Honourable

Vice-Chancellor, Annamalai University, for giving me the opportunity
to join the Ph.D. Programme.
I owe my special thanks to Dr. M. Ravichandran, Registrar,

Annamalai University, for his support to pursue the study.
I articulate my sincere gratitude to Dr. V. Selvanarayanan,
Controller of Examinations, Annamalai University, for the constant
support and guidance to do the study.
I express my gratitude to Dr. V. Venkatesalu, Director, Centre

for Academic Research (CARE), Annamalai University, for the constant
support and guidance to do the study.
I am extremely thankful to Dr. D. Rajkumar, Dean, Faculty of

Medicine, Annamalai University, for his guidance and encouragement
to do the study.
My grateful thanks to Dr. (Mrs) D. Karaline Karunakari,

Professor-cum-Principal, Rani Meyyammai College of Nursing,
Annamalai University, for her encouragement, motivation and support
as well as for providing all the facilities for the successful completion of
this study.
I submit my sincere thanks to Dr. (Mrs) M. Gandhimathi,

Professor-cum-Vice-Principal, Rani Meyyammai College of Nursing,
for her affection, moral support and guidance.
A special note of thanks to Dr. (Mrs) Vijayalakshmi Ethirajan,

Former Principal, RMCON, Annamalai University for her guidance,
constant support and concavity in all my endeavours.
My Whole hearted thanks and appreciation to my Guide

Dr. (Mrs) S. Kamala, Professor, Department of Child Health Nursing,
for her professional guidance, thought provoking discussions,
constructive criticism and constant encouragement that gave me
enriched learning experience. In addition to her constant support and
optimism, I cannot express how appreciative I am for her invaluable
input and contributions toward my project. She was instrumental in the
successful completion of my thesis. Her demand for excellence
constantly challenged me to work intensively to reach my potential. She
has taught me to think more rigorously and critically and have helped
me to become a more incisive writer.
I would like to express my very great regard to Dr. Sr. Suman Ignitius,
Co-Guide of my research for her valuable and constructive suggestions
during the planning and development of this research work. Her
willingness to devote her time so generously should be very much
appreciated.
I express my sincere thanks to Dr. (Mrs). JeyaGowri Subbash,

former Vice-Principal and all the Members of Faculty of Rani
Meyyammai College of Nursing for their encouragement, hospitality
and support to complete this research work.
I am extremely grateful to the management of Apollo College of

Nursing especially to our Chairman, Managing Director, COO and
HR for providing me an opportunity to carry out the study.
I am thankful to the Dr. Dilip Mathai, Dean, AHERF, for

providing me this opportunity and also extend my sincere thanks to all
the Faculty of Apollo College of Nursing, Hyderabad, for leading
me in the right direction for the successful completion of the project.
I am sincerely grateful to Mrs. P. Sowmya, Sr. Dietician,

Apollo Hospitals, Secundrabad, Dr. Anbumalar and Dr. Kalai,
Dieticians, Rani Meyyammai College of Nursing, Annamalai
University, for designing the diet supplement for my study.
I would like to extend my gratitude to all the under five children

and their mothers who participated in this study for the outstanding
commitment to the project and the gracious and friendly manner with
which they received me. I am also very appreciative of their willingness
to share their experiences, it helped me to gain a more comprehensive
understanding of my study.
My heartfelt thanks to Dr. Venkatesan, Statistician, Madras

Medical College, who deserves deep sense of gratitude and respect and
helping me with his expert guidance in Data Analysis and
Interpretation in a meaningful way.
I am highly grateful to all the Nursing experts for confirming the

content validity with valuable suggestions.
I thank Dr. Hannah Rajashekar, Principal, Apollo College of

Physiotherapy, for her concern in completing this research work.
I am extremely thankful to Mr. R. Lakshman Rao, for editing

this thesis for language appropriateness.
I extend my sincere thanks to Mrs. D. Vimala and Mrs. Anne

Soundarya, Assistant Professors, Apollo College of Nursing, who
helped me to complete my thesis.
I have no words to express my gratitude to Ms. Neelima, School

Health Nurse, Government of Telangana, for motivating and
supporting in all my endeavors related to completion of my thesis.
I am extremely grateful to Mr. Yaswanth and Mr. Anil, Staff

Nurse, Apollo Hospitals, Hyderabad for helping me in completion of my
thesis.
Where would I be without my family? My deepest gratitude goes

to my parents and family members for their constant love and support
and encouragement throughout my life and career without whom
I would have ever reached my goals. They give meaning to my life in so
many ways. My father Mr. M. S. Balagurumoorthy and my mother
Mrs. B. Amirthavalli and my younger brother Mr. B. Sundarajan,
for their immeasurable support, prayer and love for completing the
study. They raised me, supported me, taught me and loved me.
Last but not the least, my heartfelt thanks to my husband

Dr. Mr. J. Selvasekaran and my beloved daughter Ms. Janet
Selvasekaran, who believed my abilities and constantly encouraged
me, boosted my self-confidence and determination to overcome obstacles
and pursue my goals.
I would like to extend my thanks to my friends, well wishers for

their unlimited encouragement, cooperation, help and support
throughout the study.
I thank all people who have helped me directly or indirectly to

complete my study successfully.
I sincerely thank Mrs. Kavitha and Mr. V. Mohan, Vinayaga

Computers, Annamaai Nagar, Chidambaram, for their extreme
patience, timely co-operation, editorial and printing support.
Regardless of the source, I wish to express my gratitude to all

those who have contributed and helped me for successful completion of
this study, if I have failed to acknowledge anyone, may God bless them
too.
(B. Camala)

Acknowledgement: God Almighty

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ACKNOWLEDGEMENT

“Celebrate the blessing of God and Praise him for his

First and foremost I immensely thank God almighty, the

Every work accomplished is a pleasure - a sense of satisfaction.

I am extremely grateful to authorities of Annamalai University,

I am extremely grateful to Dr. V. Murugaesan, Honourable

I owe my special thanks to Dr. M. Ravichandran, Registrar,

I express my gratitude to Dr. V. Venkatesalu, Director, Centre

I am extremely thankful to Dr. D. Rajkumar, Dean, Faculty of

My grateful thanks to Dr. (Mrs) D. Karaline Karunakari,

I submit my sincere thanks to Dr. (Mrs) M. Gandhimathi,

A special note of thanks to Dr. (Mrs) Vijayalakshmi Ethirajan,

My Whole hearted thanks and appreciation to my Guide

I express my sincere thanks to Dr. (Mrs). JeyaGowri Subbash,

I am extremely grateful to the management of Apollo College of

I am thankful to the Dr. Dilip Mathai, Dean, AHERF, for

I am sincerely grateful to Mrs. P. Sowmya, Sr. Dietician,

I would like to extend my gratitude to all the under five children

My heartfelt thanks to Dr. Venkatesan, Statistician, Madras

I am highly grateful to all the Nursing experts for confirming the

I thank Dr. Hannah Rajashekar, Principal, Apollo College of

I am extremely thankful to Mr. R. Lakshman Rao, for editing

I extend my sincere thanks to Mrs. D. Vimala and Mrs. Anne

I have no words to express my gratitude to Ms. Neelima, School

I am extremely grateful to Mr. Yaswanth and Mr. Anil, Staff

Where would I be without my family? My deepest gratitude goes

Last but not the least, my heartfelt thanks to my husband

I would like to extend my thanks to my friends, well wishers for

I thank all people who have helped me directly or indirectly to

I sincerely thank Mrs. Kavitha and Mr. V. Mohan, Vinayaga

Regardless of the source, I wish to express my gratitude to all

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