Khyati Desai - Academia.edu (original) (raw)

Papers by Khyati Desai

Introduction: In the last two decades, percentage of underweight has been not much changed while ... more Introduction: In the last two decades, percentage of underweight has been not much changed while prevalence of obesity is increased by four to eight folds.(1)(2)(3) Having an incorrect perception about one’s body weight could make one unlikely to seek intervention. This study was aimed to assess nutritional status of the young girls, the agreement between the perceived and actual weight category and to identify how the socio-demographic determinants affect nutritional status and its perceptions.

International Journal of Medical Science and Public Health, 2017

Gaining the skills and knowledge necessary for working productively, (b) economic returns, and (c... more Gaining the skills and knowledge necessary for working productively, (b) economic returns, and (c) social justice. Educated girls are more likely to avoid child marriage and have better maternal and child health outcomes. They are also more able and inclined to invest in the health and education of their sons and daughters-particularly increasing the chances that their daughters will be educated. [1] Education is a major factor influencing health, too. The world map of illiteracy coincides with map of poverty, malnutrition, ill health, and high child mortality rates. It also leads to better utilization of health care and greater community and political participation. [2] During Research Article Background: Education status is the major social factor among the young girls that affects health and social status of these girls. Objectives: This study was conducted to find out the magnitude of the problem of school dropouts, reasons, determinants, and perspectives of the dropping out of school among young girls of Surat city. Materials and Methods: It was a cross-sectional study carried out at Anganwadi centers of urban slums of Surat city among the young girls of 15-24 years. Sample size was 653 (total population 30520, anticipated frequency 39.4%, absolute precision 5%, and design effect 1.8). Sampling was done in two stages: In the first stage, 30 slums were selected by probability proportional to size sampling and in the second stage, 22 participants from each slum were selected by consecutive sampling. Data entry and analysis were done using MS Excel 2007 and SPSS 17. 14 key informant interviews of stakeholders were transcribed and translated, and content analysis was done. Results: Half of the girls (49.5%) could complete only their primary education, 26.2% had completed their secondary education, and only 14.2% of girls had completed up to higher secondary education. Two out of three girls were dropped out from the school. Majority of the girls (74.8%) had already left the school before or at completion of primary schooling. While most common reason of dropping out of the school was financial constraint (29.1%), marital status (Exp(B) = 9.360, confidence interval [CI] = 5.725-15.302, P = 0.000), and earning status of the participants (Exp(B) = 8.631, CI = 5.042-14.774, P = 0.000) were found as the most influential variables on applying backward regression model. On asking further, 55.9% of girls expressed their willingness to join for further study. Desire for further education was found significantly higher among unmarried than married (χ 2 = 120.4, P = 0.0001) and among non-earning than earning girls (χ 2 = 8.49, P = 0.0017). Conclusion: Early marriages and financial constraint leading compulsory earning draw the girls out of the school and kills their desire for further education. Hence, new avenues for further education and vocational training should be built up.

Indian Journal of Youth and Adolescent Health , 2017

Background and Objectives: "Adolescent Reproductive and Sexual Health (ARSH)" has been included i... more Background and Objectives: "Adolescent Reproductive and Sexual Health (ARSH)" has been included in the existing public health system in Gujarat from 2006 for addressing issues of adolescents. This study was done to identify the operational gaps and service utilization of ARSH clinic in one of the urban health centers (UHC) in Surat city. Methodology: Mixed approach having in-depth interviews and observation and record-based analysis was done to assess operational efficiency of ARSH clinic. In-depth interviews were carried out among four service providers and secondary data of 157 adolescents were analyzed from the UHC records. The ARSH assessment check list was developed using national guidelines. Quantitative data analysis was done by MS excel 2007. Interviews were transcribed, translated and content analysis was done. The problem analysis was done using Fish-bone diagram and SWOC analysis. Action plan was prepared by developing the critical pathway method. Results: Only 1.9% beneficiaries were boys. Service utilization was done mainly for STI/ RTI counseling (96.83%), IFA tablets (59.23%) and Immunization (81.53%). Inadequacy of infrastructure, materials, human resources, referral linkages, monitoring and supervision was observed. SWOC analysis revealed that the staff was empathetic towards the needs of adolescents but lack of IEC was identified as a major challenge to prepare an action plan. Demand generation was identified as the critical pathway. Conclusion: Service utilization was comparatively very low among boys and only for few services even among girls. Demand generation in schools and community and strengthening of weaknesses in operational aspects of ARSH may improve service utilization.

International Journal of Medical Science and Public Health, 2015

Breast-feeding and other dietary practices adapted by mother reflect the nutritional status of th... more Breast-feeding and other dietary practices adapted by mother reflect the nutritional status of the child. Breast-fed infants and children grow normally during the first 6 months of their life and show slow growth during the transitional period of weaning because they do not get enough nutritious foods. Rate of malnutrition usually peaks at this time with consequences that persist throughout life. Stunting is seldom reversed in later childhood and adolescence. Appropriate complementary feeding promotes growth and prevents stunting among children between 6 and 24 months of age. Aim and Objectives This study aimed to document the knowledge, attitude, and practices pertaining to complementary feeding among the mothers of Waghodia Taluka of Vadodara,

Introduction: In the last two decades, percentage of underweight has been not much changed while ... more Introduction: In the last two decades, percentage of underweight has been not much changed while prevalence of obesity is increased by four to eight folds.(1)(2)(3) Having an incorrect perception about one’s body weight could make one unlikely to seek intervention. This study was aimed to assess nutritional status of the young girls, the agreement between the perceived and actual weight category and to identify how the socio-demographic determinants affect nutritional status and its perceptions.

International Journal of Medical Science and Public Health, 2017

Gaining the skills and knowledge necessary for working productively, (b) economic returns, and (c... more Gaining the skills and knowledge necessary for working productively, (b) economic returns, and (c) social justice. Educated girls are more likely to avoid child marriage and have better maternal and child health outcomes. They are also more able and inclined to invest in the health and education of their sons and daughters-particularly increasing the chances that their daughters will be educated. [1] Education is a major factor influencing health, too. The world map of illiteracy coincides with map of poverty, malnutrition, ill health, and high child mortality rates. It also leads to better utilization of health care and greater community and political participation. [2] During Research Article Background: Education status is the major social factor among the young girls that affects health and social status of these girls. Objectives: This study was conducted to find out the magnitude of the problem of school dropouts, reasons, determinants, and perspectives of the dropping out of school among young girls of Surat city. Materials and Methods: It was a cross-sectional study carried out at Anganwadi centers of urban slums of Surat city among the young girls of 15-24 years. Sample size was 653 (total population 30520, anticipated frequency 39.4%, absolute precision 5%, and design effect 1.8). Sampling was done in two stages: In the first stage, 30 slums were selected by probability proportional to size sampling and in the second stage, 22 participants from each slum were selected by consecutive sampling. Data entry and analysis were done using MS Excel 2007 and SPSS 17. 14 key informant interviews of stakeholders were transcribed and translated, and content analysis was done. Results: Half of the girls (49.5%) could complete only their primary education, 26.2% had completed their secondary education, and only 14.2% of girls had completed up to higher secondary education. Two out of three girls were dropped out from the school. Majority of the girls (74.8%) had already left the school before or at completion of primary schooling. While most common reason of dropping out of the school was financial constraint (29.1%), marital status (Exp(B) = 9.360, confidence interval [CI] = 5.725-15.302, P = 0.000), and earning status of the participants (Exp(B) = 8.631, CI = 5.042-14.774, P = 0.000) were found as the most influential variables on applying backward regression model. On asking further, 55.9% of girls expressed their willingness to join for further study. Desire for further education was found significantly higher among unmarried than married (χ 2 = 120.4, P = 0.0001) and among non-earning than earning girls (χ 2 = 8.49, P = 0.0017). Conclusion: Early marriages and financial constraint leading compulsory earning draw the girls out of the school and kills their desire for further education. Hence, new avenues for further education and vocational training should be built up.

Indian Journal of Youth and Adolescent Health , 2017

Background and Objectives: "Adolescent Reproductive and Sexual Health (ARSH)" has been included i... more Background and Objectives: "Adolescent Reproductive and Sexual Health (ARSH)" has been included in the existing public health system in Gujarat from 2006 for addressing issues of adolescents. This study was done to identify the operational gaps and service utilization of ARSH clinic in one of the urban health centers (UHC) in Surat city. Methodology: Mixed approach having in-depth interviews and observation and record-based analysis was done to assess operational efficiency of ARSH clinic. In-depth interviews were carried out among four service providers and secondary data of 157 adolescents were analyzed from the UHC records. The ARSH assessment check list was developed using national guidelines. Quantitative data analysis was done by MS excel 2007. Interviews were transcribed, translated and content analysis was done. The problem analysis was done using Fish-bone diagram and SWOC analysis. Action plan was prepared by developing the critical pathway method. Results: Only 1.9% beneficiaries were boys. Service utilization was done mainly for STI/ RTI counseling (96.83%), IFA tablets (59.23%) and Immunization (81.53%). Inadequacy of infrastructure, materials, human resources, referral linkages, monitoring and supervision was observed. SWOC analysis revealed that the staff was empathetic towards the needs of adolescents but lack of IEC was identified as a major challenge to prepare an action plan. Demand generation was identified as the critical pathway. Conclusion: Service utilization was comparatively very low among boys and only for few services even among girls. Demand generation in schools and community and strengthening of weaknesses in operational aspects of ARSH may improve service utilization.

International Journal of Medical Science and Public Health, 2015

Breast-feeding and other dietary practices adapted by mother reflect the nutritional status of th... more Breast-feeding and other dietary practices adapted by mother reflect the nutritional status of the child. Breast-fed infants and children grow normally during the first 6 months of their life and show slow growth during the transitional period of weaning because they do not get enough nutritious foods. Rate of malnutrition usually peaks at this time with consequences that persist throughout life. Stunting is seldom reversed in later childhood and adolescence. Appropriate complementary feeding promotes growth and prevents stunting among children between 6 and 24 months of age. Aim and Objectives This study aimed to document the knowledge, attitude, and practices pertaining to complementary feeding among the mothers of Waghodia Taluka of Vadodara,