Research activity requires a team effort. Many people have made important contributions during planning, pretest, intervention, posttest and finalizing this research study. Therefore, I take this opportunity to extend my sincere gratitude to all of them.

First of all, I am grateful to Dr. P. T. Jayawickramarajah, Consultant Medical Educationist, WHO, who provided me various suggestions during the study period. I am specially thankful to WHO for providing me financial support to study the MHPE course and carry out this research study.

I express my profound gratitude to Associate Professor, Henry Boshuizen, Ph.D and Assistant Professor, Dr.Herma Roebertsen, Ph.D, from the Faculty of Health sciences, University of Maastricht, The Netherlands, who gave their in valuable advice and direction during planning, intervention and finalizing this research study. Without their help this study would never have been completed.

I am extremely grateful to Assistant Director of the Medical Education Department (MED) Dr. D. S. Pant who helped me during planning, intervention and finalizing phase of the study. Similarly, I am grateful to other staff member of MED, Director Prof. P. C. Karmacharya, Accountant Mr. Suresh Deuja, Secretary Mrs. Urmila Lama and Assistant Mr. Chuda Lal Pradhan who helped me in various ways to finalize the study report.

My sincere thanks also go to the Campus Chief of Maharajgunj Nursing Campus Miss Archana Bhattacharya, and other faculty teachers of the Campus Miss Milan Lopchan, Mrs. Radha Ranabhat, Mrs. Kiran Bajracharya who helped me during planning and intervention period by providing various supports for the study. I am also very much thankful to my friends, and faculty member Mrs. Manorama Tuladhar, Mrs. Janaki Rai for helping me to conduct classroom sessions during the intervention period.

I am also grateful to the Second Year Proficiency Certificate Level Nursing students who willingly volunteered to be participants of the study.

I am also thankful to Dr. Ritu Pd. Gartoulla, Assoc. Prof. from Community Medicine Department, who helped me during the planning, intervention and finalizing of the study.

Similarly, I am also grateful to Dr. Puspa Raj Sharma, Associate Professor, Department of Child health, Institute of Medicine, who helped me during the planning stage of defining various aspects of content on " Childhood Diarrhoea". I am grateful to Mr. Amod Poudel, Lecturer, Institute of Medicine, who helped me statistical analysis of the research report.

Last but not least, I want to be thankful to my family members specially my daughter Jenny who had to endure hardship during my absence out of the country.