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Volume XI Issue 12 ISSN: 0976-3759 Journal of SCHOOL SOCIAL WORK May 2015

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The 132nd issue of JSSW deals with the Problems of Adolescents.2015 / May / XI-12 / Problems of AdolescentsContentsEditorialMenstrual Knowledge and Coping Strategies of Early Adolescents: A School Based Intervention StudyIssues and challenges faced by Equal Opportunity Cell StakeholdersObesity in AdolescenceHighlights of Volume XIFrom the Consultant's DiaryFrom the Consultant's DiaryBy Prof Naidu PJKeywords: noneBM for BMIRagul and Ranjani (names changed) twins studying 6th standard in an International School barged into the consulatation room and looked around to find a suitable seat. Both were (11 years old) obese and usual chairs and stools would never do for them. They comfortably settled in the large three seater sofa. Mother and father, who too were heavy built but not obese, said that their eating habit caused much concern.Both the children were intelligent and among the top five in the class.It was deduced from the input from parents that they ate anytime and everytime. They ate during the serial, at commercial break and even for the weather forecast. They ate when they were angry or calm or sad or happy.They agreed to come to the consultant only because the family physician explained about the harmful effect of obesity in the long run. They were co-operative but did not know how to control their eating.The consultant taught them to calculate (using a chart) the calorie and fat content of all they ate. They were given the task of identifying whatever cue prompted them to eat. The strong link to food was broken with alternate activity. The siblings agreed to be the weight watcher for the other.They devised a realistic plan ofthree meals a day onlyno snacks in betweenall fried items to be avoided till certain weight was attainedfirm refusal to ice creamsvegetables when they could not control their hunger pangsibling to control without being harsh or sarcastic or humiliating.They honestly followed the cognitive treatment and have graduated to overweight from obese.

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  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015 03

    Note: Views expressed by the contributors are not necessarily the

    official view of the Journal.

    Editorial Prof Naidu P J 04

    Menstrual Knowledge and Coping Strategies of Early

    Adolescent Girls: A School Based Intervention Study

    Anitha S and Dr Sinu E 05

    Issues and challenges faced by Equal Opportunity Cell

    Stakeholders Rekha N Mistry 17

    Obesity in Adolescence Dr Sampathkumari S 25

    Highlights of Volume XI JSSW Team 31

    A National School Social Work monthly dedicated to networking of parents and teachers.

    Price Rs 20.00

    Journal of

    School Social Work

    Journal of School Social Work,8 (New 14), Sridevi Colony,

    Seventh Avenue, Ashok Nagar,

    Chennai 600083

    jssw.india@

    gmail.comeditor@

    jsswindia.com

    C o n t e n t s

    Volume XI Issue 12 M a y 2 0 1 5

    Page

    Contents

    Focus: Adolescent Problems

    Contributors are requested to submit the research/ evidence/ field

    experience based articles well in advance. When an article is submit-

    ted we expect corresponding author or the first author to send a dec-

    laration that the article had not been submitted to any other journal for

    publication. Abstract, key words and references in APA style are

    needed too. Please mention your subscription number also. Other

    things being equal, subscription will give the author an edge over

    non-subscribers. Though no focus will be announced, the articles

    may be grouped under suitable focus, if possible. ~Ed.

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 201504

    EditorialProf Naidu P J

    Social work is a challenging,

    rewarding, and dynamic field. But

    its also a demanding profession,

    requiring emotional and personal

    maturity. Like every professional,

    social worker also offers a unique

    service to the community and

    individuals in an identified area of

    need. He possesses a body of

    knowledge acquired through

    specialized training. Monolithic

    professions break into several

    divisions when the demands from

    society are overwhelming. So, as

    a natural consequence social work

    also subdivided into many

    specializations and continues

    further.

    Social workers in human

    resource sector (Factory Welfare

    Officers/ Personnel Managers),

    health delivery system (Medical

    and Psychiatric Social Workers),

    correctional area (Prison Social

    Workers or Probation Officers) and

    in the community (Community

    Development Officers) have very

    specific role to play and unique

    service to offer.

    Similarly School Social Work as

    a distinct specialization requires

    a special body of knowledge,

    behaviour patterns and skills set

    apart from the common principles

    What Next?

    governing all social work

    professionals.

    The school social worker has to

    understand the genesis of problem not

    only from the historic and theoretical

    perspective but also from the practical

    and current dynamics of sociocultural

    impacts. He has to resolve his ethical

    dilemmas and work for the common

    good of the client. He has to learn on

    the go and apply knowledge acquired

    or borrowed from other disciplines to

    suit the needs of the client who relies

    heavily on him for making decisions

    that would change the course of clients

    life.

    So, after creating an awareness

    about the need for employing school

    social workers, what follows next

    logically is to train personnel to take

    up the role by

    1 Preparation programmes for

    capacity building

    2 Evolving service standards

    3 Evaluation of competency

    4 Ethical standards of accountability

    5 Licensing/ Authority to practice.

    6 On job supervision or self-

    evaluation standards.

    7 Continuing education.

    Would Schools of Social Work start

    training specialised School Social

    Workers in large number with

    appropriate field practicum?

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Introduction:

    Adolescence is a significant

    period in the life of a woman.

    Adolescent girls often lack

    information regarding reproductive

    health, including menstruation,

    which can be due to socio-cultural

    barriers in which they grow up.

    These differences create numerous

    psychosocial problems for them.

    Need of the hour for girls is to have

    the information, education and an

    enabling environment to cope with

    menstrual issues (Thakre, 2011).

    Menstrual health problems:

    Some common menstrual health

    problems during adolescence are

    irregular periods, painful

    menstruation (dysmenorrhea), heavy

    or prolonged bleeding

    (menorrhagia), infrequent and light

    menstruation (oligomenorrhea),

    frequent menstruation

    (polymenorrhea), absence or

    delayed menstruation (amenorrhea),

    pre-menstrual syndrome and pre-

    menstrual dysphoric disorder.

    Primary Dysmenorrhea is painful

    Menstrual Knowledge and Coping Strategies of

    Early Adolescent Girls: A School Based

    Intervention StudyAnitha S*

    Sinu E**

    *Anitha S, Psychiatric Social Work Consultant, Dept of Psychiatry, PES Institute of

    Medical Science and Research, Kuppam, Andhra Pradesh. [email protected]

    ** Dr Sinu E, Assistant Professor in Psychiatric Social Work, Dept of Psychiatry,

    Kasturba Medical College, Manipal University, Karnataka. 576104.

    [email protected] (Corresponding Author)

    Abstract

    Girls studying in Class VIII (n=61) were selected using census method

    from government high school, Udupi rural district, Karnataka for a descriptive

    study the social problems and coping strategies during menstruation among

    early adolescent schoolgirls. The study group reported age at onset of

    menarche, duration of menstrual bleeding and knowledge about menarche

    before onset. Almost all of them agreed that menstruation was a normal

    phenomenon. Majority use sanitary pad. More than half of them burn the

    used pad for disposal. Three-fourth did not face any restriction during

    menstruation. One-third used to cope with menstrual problems by staying

    indoors. School Social Worker plays a vital role in imparting health education

    related to menstrual hygiene and practices.

    Keywords: menstrual hygiene; teenagers; school social work; child mental

    health; adolesence education; intervention in schools;

    Anitha S and Dr Sinu E

    05

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    menstruation without any known

    organic cause. It usually occurs 6-

    12 months after the onset of

    menarche. It is characterized by

    lower abdominal pain, usually before

    or during menstrual flow lasting for

    8-72 hours with back pain and thigh

    pain, headache, diarrhea, nausea

    and vomiting. It is commonly

    occurring menstrual disorder among

    adolescence which is often

    underreported, underdiagnosed and

    untreated. Recent clinical and

    experimental studies have shown

    that the causes of dysmenorrhea are

    purely physiological and not

    psychological as it was reported in

    earlier studies.

    More menstrual problems:

    Amenorrhea means absence of

    menstruation. Primary amenorrhea is

    not attaining menarche by the age

    of 16. Secondary amenorrhea is

    missing three consecutive periods

    after attaining puberty. Amenorrhea

    due to pregnancy is normal.

    Menorrhagia is menstrual bleeding

    lasting for more than 7 days or heavy

    blood loss during menstrual flow

    more than 80 ml. Oligomenorrhea is

    infrequent menstruation in which

    menstrual period lasts more than six

    weeks with four to nine periods in a

    year. Polymenorrhea is menstrual

    dysfunction in which periods occur

    for less than 21 days. Metrorrhagia

    is non-menstrual discharge of blood

    from the uterus between periods.

    Premenstrual syndrome usually

    occurs five days before menses and

    relieved within four days of

    menstruation. It consists of at least

    one affective and somatic symptom

    during three menstrual cycles;

    affective symptoms such as

    depressed mood, anger outburst,

    irritability, anxiousness, confusion,

    social withdrawal and somatic

    symptoms such as breast

    tenderness, abdominal bloating,

    headache and swelling of

    extremities.

    Intervention in schools:

    Literature revealed that school

    interventions are effective in

    increasing knowledge among

    adolescent girls on reproductive

    health (Mandal 1998; Shetty 2001).

    After the reproductive health

    education package, girls gained

    better knowledge regarding bath

    during menses, menses as normal

    phenomenon, knowledge regarding

    onset of puberty and menstrual

    hygiene (Parwej 2005).

    With the introduction of falalin

    cloths, use of sanitary pads

    improved among adolescent tribal

    girls. At baseline 90% of girls were

    using old clothes. During post-

    Anitha S and Dr Sinu E

    06

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    assessment, 68% of them said their

    first choice was falalin cloths, while

    32% said it was sanitary pads. None

    preferred old clothes (Shah 2013). A

    brief session on use of absorbent

    improved the menstrual hygiene

    among tribal girls. Ready availability,

    easy to use and cost-effective

    absorbents prevented the reuse of

    old cloths during menstruation

    among adolescents.

    Girls had satisfactory knowledge

    regarding age at menarche and

    genital hygiene at pre-test.

    Knowledge regarding menstruation

    and menstrual hygiene improved

    significantly from 77% to 96% and 92

    to 100% respectively, after

    reproductive health intervention

    (Rao 2008). After community-based

    health education intervention there

    was significant increase in menstrual

    awareness from 35% to 55%, use of

    ready-made pads increased

    significantly from 5% to 25% and

    reuse of cloth declined from 85% to

    57% (Dongere 2007).

    Effect of exercises:

    Regular aerobic exercise as a

    part of life style modification

    significantly decreased the

    premenstrual symptoms.

    Psychological, behavioural and

    physical problems during

    menstruation were significantly lower

    in exercisers than the non-exercisers

    (Kusuma 2014). Self-Instructional

    module was effective in increasing

    the knowledge (80%) among

    adolescent girls on premenstrual

    syndrome (Padmavathi, 2013) and

    menstrual hygiene (Sushila, 2013).

    Knowledge about menarche:

    Knowledge about menstruation

    before onset was very high (88%) in

    Bhavnagar of Gujarat, Singhur of WB

    (68%), Coimbatore (67%),

    Bangalore (58%) (Verma, 2011;

    Dasgupta 2008; Kavitha 2012;

    Shanbag 2012). Whereas it was low

    in slum areas of Bijapur dist (18%),

    Siliguri city of West Bengal (24%) ,

    Gujarat(37%), Tirupathi (16%) and in

    Rajasthan (Udgiri, 2010;

    Bhattacherjee 2013; Tiwari 2006;

    Reddy 2005; Anoop, 2005). Rural

    girls were more aware prior to

    attainment of menarche than urban

    girls (Juyal 2012; Deo (2005).

    Usage of sanitary pads:

    Usage of sanitary pads among

    adolescent girls was high in

    Palakkad district (70%) of Kerala and

    in slum areas of Siliguri city, WB

    (74%) (Bhattacherjee, 2013). Sanitary

    napkin use was high in nuclear family

    (75%). Majority of girls from joint

    family (72%) instructed about proper

    disposal of sanitary pads than

    nuclear family (50%). There was an

    Anitha S and Dr Sinu E

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  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    association between mothers

    educations and type of family with

    regard to proper disposal of napkin

    (Subathra 2012). In Davanagere

    district of Karnataka, 60% of them

    used sanitary napkins during

    menstruation and knew the correct

    method of disposal (Manjula 2011).

    Using home-made pads was high in

    girls (75%) from rural area of East

    Delhi (Parvathy Nair, 2007).

    Reuse of old clothes:

    In Rajasthan, More than three-

    fourths reported using old cloth

    during menstruation, and a large

    proportion of them were reusing the

    same during subsequent periods.

    Prevalence of reproductive tract

    infection was more than three times

    higher among girls having unsafe

    menstrual practices. Schooling,

    residential status, occupation of

    father, caste and exposure to media

    were the major predictors of safe

    menstrual practices among

    adolescent girls (Anoop 2005). In

    Tirupathi, 69% of adolescent were

    using home-made pads and few

    (15%) were using sanitary napkin

    (Reddy, 2005). In Uttarkhand, use of

    sanitary pads was higher in rural girls

    (66%) than urban girls (34%). Use of

    both napkins and clothes were more

    in urban girls and more rural girls

    were reusing the napkins after

    washing (Juyal 2012).

    Infections due to reuse:

    In Wardha district of Maharashtra,

    47% were using cloth among them

    40% were reusing it and 16% use

    pad. Genital infections were more

    in those who use cloth (66%) than

    those who use napkins (12%). More

    than half of them (57%) disposed the

    used clothes and pads in dustbin,

    13% flush in toilet and 1% burn it

    (Mudey, 2010). Khanna (2005) and

    Quazi (2006) reported that more than

    three fourth of girls use cotton

    clothes and reuse them after

    washing. 57%, 15% and 21% girls

    store unused pads in cupboards or

    drawers, dress cabinet and

    bathroom respectively. Majority of

    girls (79%) change pads during night

    while very few (21%) change in

    college or school. Majority (78%) of

    the girls changed napkins 2-3 times

    a day and 17% change once a day.

    Older girls (19-22 yrs) used

    disposable pads than the young girls

    (15-19 yrs). Larger proportion of

    older girls (87%) bathed during

    menstruation than younger ones

    (79%). Wearing stained dress and

    washed napkins were more

    common among younger girls.

    Older girls had better hygienic

    practices than the younger ones

    (Omidvar, 2010).

    Anitha S and Dr Sinu E

    08

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Need for the study:

    The literature review shows that

    average age of onset of menarche

    is 12 years in India. More than three-

    fourth of the adolescents do not have

    adequate knowledge about

    menstruation and hygiene even after

    attaining menarche. Menstrual

    hygiene was better in older girls and

    most of the younger girls were

    following unhygienic menstrual

    practices. Hence, it was decided to

    conduct awareness programme for

    early adolescent girls who were

    aged 12-13 years.

    Material and method:

    Descriptive research design was

    used for the study. Study was

    prospective in nature. The study was

    field based study and it was an action

    research. Place of study was 25 km

    away from Manipal. Study was

    conducted in rural setting. Universe

    of the study was Govt high school,

    Karkala taluk of Udupi district which

    was field practice area of Kasturba

    Medical College, Manipal. Study

    sample constituted girls studying in

    grade 8 (n=61) who were selected

    using census method from all the

    three sections. Girls who had not

    attained menarche were also

    included in the awareness

    programme. It was a coeducational

    institution, boys in all three sections

    were excluded from the programme.

    They were asked to sit in another

    classroom; second author

    conducted session for boys on

    myths and misconceptions related

    to masturbation. After the descriptive

    the study, intervention was

    conducted for the 8th grade school

    children regarding menstrual

    hygiene.

    The study was part of school

    health programme. Health

    professionals such as faculty from

    Social Work, post-graduates from

    Psychiatry, M.Phil Social Work and

    Clinical Psychology, Medicine Intern,

    M.Sc Clinical Psychology students

    from Kasturba Medical College,

    regularly conduct half-a-day school

    health programme on a weekly

    basis. Present study was conducted

    in September 2013. Paper and

    pencil test was used to collect the

    data. Informed consent was taken

    from School Principal and Oral

    assent was obtained from the

    participants. Statistical Analysis:

    frequency tables and percentage

    were used to analyze the data.

    Intervention procedure:

    Knowledge regarding menstrual

    hygiene and practices among

    adolescents was elicited before the

    awareness programme by asking 10

    specific questions such as average

    Anitha S and Dr Sinu E

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  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    age of onset of menarche,

    information about menses before

    onset, perception about

    menstruation, normal duration of

    bleeding, absorbent used during

    menses, method of disposal,

    restrictions and problems faced

    during menstruation and ways of

    dealing with such problems. All the

    questions were open-end type.

    Multiple choices were not given. First

    author conducted the session for a

    period of two hours in the forenoon

    who was final year M.Phil scholar in

    Psychiatric Social Work. The session

    was conducted in the presence of

    three senior female teachers.

    Participatory methodology was

    used. Content of session included

    specific information such as average

    age of onset of menarche is 12-13

    years, menstruation is normal and a

    natural phenomenon and not a curse,

    normal duration of bleeding is 5-7

    days, absorbent to be used during

    menses, method of disposal,

    importance of bathing during

    menses, cleaning genitalia with soap

    and water, frequency of changing

    pad, clarification of myths and

    misconceptions regarding

    menstruation and possible reasons

    behind restrictions and where to

    seek help for menstrual problems

    were explained. Students were

    encouraged to talk about menstrual

    problems with mothers, school

    teachers and health personnel such

    as doctors, nurses, school social

    workers.

    Sl.No

    1

    2

    Knowledge about

    menstruation

    Age at onset of menarche

    Awareness about menarche

    Categories

    10-12 years

    12 years

    13 years

    12-13 years

    12-16 years

    13-14 years

    Before the onset

    After the onset

    Dont know

    n

    02

    22

    15

    14

    05

    03

    21

    37

    03

    %

    3

    36

    25

    23

    9

    5

    34

    61

    05

    Table 1:

    Knowledge about Menstruation among Early Adolescent Girls

    (Table No: 1 contd...)

    Anitha S and Dr Sinu E

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    Journal of SCHOOL SOCIAL WORK May 2015

    Sl.No

    3

    4

    5

    Knowledge about

    menstruation

    Duration of bleeding

    Absorbent used

    Method of disposal

    Categories

    3-7 days

    5 days

    5-7 days

    7 days

    Above 7 days

    Pad

    Cloth

    Both

    None

    No response

    Burn

    Wash

    Flush out

    Throw away

    Dustbin

    No response

    n

    04

    16

    08

    30

    03

    44

    04

    04

    04

    05

    36

    7

    7

    5

    1

    9

    %

    06

    26

    13

    49

    04

    72.0

    6.6

    6.6

    6.6

    8.2

    59.0

    11.5

    11.5

    8.2

    1.6

    14.7

    Table 1: (Contd.)

    Knowledge about Menstruation among Early Adolescent Girls

    Results:

    Table No: 1 describes the

    knowledge regarding menstruation

    among early adolescent girls. More

    than one-third (36%) reported that

    age at onset of menarche was 12

    years, one-fourth (25%) reported 13

    years and 23% reported 12-13 years.

    One-third (34%) were aware of

    menstruation before attainment of

    menarche. Nearly half of them (49%)

    reported that normal duration of

    menstrual bleeding was seven days

    and one-fourth (26%) reported it as

    fivedays and only few felt it lasted

    for 3-7 days. Almost all of them

    agreed that menstruation was a

    normal and natural phenomenon.

    Majority (72%) used pad, 6% cloth

    as an absorbent, 6.4% used both

    and 14% did not respond. Method

    of disposal of used absorbent

    indicates that nearly 90% were vocal

    about it and only a handful fought shy

    of reporting about it. More than half

    of them (59%) burnt, 11% disposed

    it in toilet, 10 % threw away and

    14.4% alone did not respond.

    Anitha S and Dr Sinu E

    11

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Table 2 revealed that one-third

    faced restrictions in playing out-door

    games, attending social functions,

    going to temples and few (15%) were

    restricted from attending school

    during menstruation. More than one-

    third (39%) of them would not do

    anything during menstruation.

    Another one-third (31%) revealed

    that they would stay in bed. Few

    would resort to home remedies

    (16%) and self-medications (7%).

    Nayana et al (2014) reported that

    majority (74%) of the girls cope by

    taking bed rest during menstruation,

    12% by applying hot applications,

    and 10% by self-medication.

    Discussion:

    Present study revealed that only

    one-third (34%) of adolescent girls

    were aware about menarche before

    their attainment. In this study, most

    of them were from rural background.

    Similar findings were reported by

    Singh (2013), Kamath (2013), Paria

    (2014) in whose study also one-third

    were aware about menarche prior to

    onset. Whereas Karkada (2012)

    stated that more than half of (54%)

    the girls were aware about

    Table 2:

    Social Problems and Coping Strategies During Menstruation

    Social problems and

    coping strategies

    during menstruation

    Restrictions

    Coping strategies

    Categories

    Categories

    Play

    Social functions

    Going to Temple

    Attending school

    Others

    No restrictions

    Would not do

    anything

    Rest

    Self-medication

    Home remedies

    Others

    No response

    Sl.No

    1

    2

    n

    21

    17

    18

    09

    03

    11

    24

    19

    04

    10

    04

    04

    %

    34.3

    27.7

    29.3

    14.67

    4.89

    17.93

    39.12

    30.97

    6.6

    16.3

    6.6

    6.6

    Anitha S and Dr Sinu E

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  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    menstruation prior to menarche in

    Udupi District.

    Absorbent used:

    Majority (72%) of the girls used

    sanitary pad as absorbent in the

    present study. Percentage of rural

    girls in Udupi district using pads was

    quite high in this study when

    compared to other studies, 44% in

    rural Bangalore (Shanbag, 2012),

    31% in rural Nagpur (Thakre, 2012),

    40% in Navi Mumbai (Nemadi, 2009)

    and 24% in Delhi-rural (Parvathy,

    2007). Studies have shown that

    usage of sanitary napkin was high in

    urban areas than rural areas. There

    was contrary finding (Juyal, 2012) in

    Uttarkhand, more rural girls use

    sanitary pad (48%) than urban girls

    (28%). Current study revealed that

    very few (7%) use cloth as

    absorbent. Usage of cloth as

    absorbent was high in adolescent

    girls (46%) of Nagpur district. Usage

    of old plain cloth as menstrual

    absorbent was high in Bhavnagar of

    Gujarat (87%).

    Disposal:

    In this study, 59% stated that they

    burn the sanitary pad as a method

    of disposal. This finding was in

    concordance with Nemade et al

    (2009) where they reported that 51%

    of them burnt the sanitary pad for

    disposal. In this study, nearly half of

    them reported (49%) that normal

    duration of bleeding was seven

    days. There were no studies which

    reported the knowledge on normal

    duration of bleeding.

    Functional restrictions:

    In the present study, only one-

    third faced restrictions in social

    functions, going to temple and play

    in Udupi district. This was a positive

    finding and percentage of

    restrictions was very less when

    compared to other studies. Irine

    vegas (2014) found religious

    restrictions were significantly more

    than social restrictions during

    menstruation and these restrictions

    were more in rural areas than urban

    areas. In Nagpur district, three-fourth

    of the girls faced various forms of

    restrictions (Thakre 2011). Whereas

    in Palakkad, nearly half of them

    (44%) had restrictions in household

    activities, 58% were isolated

    (Subathra 2012). Goel (2011)

    reported three-fourth of them faced

    religious restriction, nearly half of

    them were restricted to enter kitchen,

    one-fourth had diet restrictions. In

    Pune, 20% of girls reported having

    restriction in household activity and

    30% in school. In Singhur, 71%

    faced religious restrictions, 50% in

    food, 43% in play, 33% household

    work, 16% attending school and 10%

    Anitha S and Dr Sinu E

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    Journal of SCHOOL SOCIAL WORK May 2015

    in attending marriage (Das gupta

    2008). Present study findings were

    in concordance with Sharma et al

    (2008) findings, where 26% faced

    restrictions in social activities, 17%

    missed school, 25% abstained from

    household work. Nearly half of them

    (41%) prohibited cooking, 38%

    separate bed for sleeping, 36%

    were untouched, 35% did not have

    daily bath, 36% did not go out of

    the house during menstruation

    (Kushwah 2007). Large proportion

    (92%) faced restrictions in worship,

    household activities (70%), diet

    (56% ), bathing(2% ) (Nair 2007). In

    Guntur, 50% were restricted from

    household work, playing, attending

    marriage, religious activities, taking

    certain food (Drakshayani, 1994).

    Strength of the study:

    Intervention was carried out after

    the descriptive study. This paper

    demonstrates the widening horizon

    of school social work practice. The

    paper also highlights the current

    trends in school social work from their

    professional practice.

    Limitations:

    Due to time constraint post-

    assessment was not done regarding

    knowledge gained after the

    menstrual awareness programme.

    Involving school teachers in the

    awareness progamme made

    students anxious and they did not

    open up freely. Structural limitations

    also interfered with the study. The

    classroom with impromptu windows

    and doors created a flutter among

    respondents.

    Future directions:

    Similar intervention programme

    can be conducted for Sixth and

    Seventh grade girl children. Pictures,

    audio-visual aids and thematic cards

    can also be used.

    Conclusion:

    Three-fourth of the adolescents

    had poor menstrual knowledge with

    regard to mean age at onset of

    menarche. Half of them had poor

    knowledge about normal duration of

    menstrual bleeding. This study found

    that majority (72%) were using

    sanitary pad as absorbent and more

    than half of them burn the used pad

    for disposal. Only one-third faced

    restrictions in play, social functions,

    going to temple and few (15%)

    attending school during

    menstruation. More than one-third

    used to cope by not doing anything

    during menstrual problems and

    another one-third would take bed

    rest. There is ample scope for

    School Social Work practice in

    imparting health education related to

    menstrual hygiene and practices for

    early adolescent girls.

    Anitha S and Dr Sinu E

    14

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    References:

    Bhattacherjee, Sharmistha, Ray, Kuntala Biswas, Romy. Chakraborty, Manasi

    Menstruation: Experiences of adolescent slum-dwelling girls of Siliguri City, West

    Bengal, India. Journal of Basic and Clinical Reproductive Sciences. 2013:2; 85.

    Drakshayani Devi K, Venkata Ramaiah P. A study on menstrual hygiene among rural

    adolescent girls. Indian J Med Sci. 1994 Jun;48(6):139-43.

    Khanna A, Goyal RS, Bhawsar R. Menstrual practices and reproductive problem. A

    study of girls in Rajasthan. Journal of health management, 2005: 7 (1); 91-107.

    Mandal K. Teaching adolescent school girls about menstrual hygiene. Indian J

    Nursing Midwifery 1998;1:19-26.

    Mudey AB et al. A Cross-sectional Study on Awareness Regarding Safe and Hygienic

    Practices amongst School Going Adolescent Girls in Rural Area of Wardha District,

    India. Global Journal of Health Science. 2010: 2(2); 225-231.

    Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal

    changes amongst unmarried female adolescents in a rural area of East Delhi. Indian

    J Community Med. 2007;32:1567.

    Padmavathi P, Sankar R, Kokilavani N. A Study on the Prevalence of Premenstrual

    Syndrome among Adolescent Girls in a Selected School at Erode. Asian Journal of

    Nursing Education & Research. July 2012;2(3):154.

    Paria B, Bhattacharyya A, Das S.A comparative study on menstrual hygiene among

    urban and rural adolescent girls of West Bengal. J Family Med Prim Care. 2014 Oct-

    Dec;3(4):413-7.

    Parwej S, Kumar R, Walia I, Aggarwal AK. Reproductive health education intervention

    trial. Indian J Pediatr 2005;72:287-91

    Quazi SZ, Gaidhane A & Singh D. Beliefs and Practices regarding menstruation

    among adolescent girls of high school and Junior college of rural areas of Thane

    district. Journal of DMIMSU, Dec 2006; 2:67-71.

    Reddy PJ, Usha Rani D, Reddy GB, Reddy KK. Reproductive health constraints of

    Adolescent school girls. The Indian Journal of Social Work, 2005; Vol.66 (4):431-

    441.

    Shah Shobha P et al. Improving quality of life with new menstrual hygiene practices

    among adolescent tribal girls in rural Gujarat, India. Reproductive Health Matters

    2013; 21:205-213.

    Subathra V, Jayakumar. Menstrual Hygiene among Rural Adolescents. Journal of

    School Social Work, 2012: Vol.9(6):9-12.

    Thakre SB, Thakre SS, Ughade S, Thakre AD. Urban-rural differences in menstrual

    problems and practices of girl students in Nagpur, India. Indian Pediatr. 2012

    Sep;49(9):733-6.Public Health (IJCRIMPH). July 2012;4(7):1353-1362.

    Shetty P, Kowli S. Family life education for non-school going adolescents: An

    experiment in an urban slum. J Fam Welfare 2001;47:51-8.

    Singh AK. Knowledge, attitude practices about menstruation among adolescent

    females, Uttarkhand. PJMS. 2013; 3(2);19-22.

    Anitha S and Dr Sinu E

    15

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

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  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Introduction:

    The Constitution of India is

    wedded to the concept of social

    justice. It aims to foster the goal of

    socio-economic revolution by

    creating the necessary environment

    for its achievement. By demolishing

    the hierarchical social order of socio-

    economic privileges, it directs the

    state to build up a new just society

    promising the social, economic and

    political justice to all, along with the

    other basic provisions of the

    Constitution. As a consequence, the

    Indian State, under the constitutional

    Issues and challenges faced by

    Equal Opportunity Cell StakeholdersRekha N Mistry*

    *Rekha N Mistry, MSW, NET in Social Work, P G Dip., in Guidance and Counseling

    Assistant Prof, Master of Social Work Programme, Sociology Dept, Veer Narmad

    South Gujarat University, Surat Gujarat-395007. India. [email protected]

    Abstract:

    During the XI plan greater emphasis was laid on providing training to

    human resources in order to achieve the objectives of inclusive growth. UGC

    proposed Development Assistance Scheme whereby development of

    structure, management and mode of delivery of the education system was on

    priority in order to reduce the disparities between urban-rural, developed and

    underdeveloped areas. Many schemes were made available to the universities

    through establishment of Equal Opportunity Cells to address the diverse

    socio-economic handicaps that come from heterogeneous geographical

    background to the universities in urban areas. This paper is aimed at

    understanding various issues faced by officials of the university, as a

    stakeholder, in implementing various schemes meant for students

    improvement.

    Key Words: Social Justice; Globalization; Equal Opportunity Cell; DAS

    (Development Assistance Scheme); NEP (New Economic Policy); LEG

    (Liberalization, Privitization and Globalization)

    set-up, is duty bound to find a middle

    way to reduce disparities of property

    and privileges and bestow benefits

    on marginal sections.

    The concept of social justice:

    Justice P.B. Gajendragadkar

    while describing the concept of

    social justice, said that it takes within

    its sweep the objective of removing

    all inequalities and affording equal

    opportunities to all citizens in social

    affairs as well as economic activities.

    The concept of social justice, which

    the Constitution of India has

    engrafted, consists of diverse

    Rekha N Mistry

    17

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    principles essential for the orderly

    growth and development of

    personality of every citizen. Social

    justice is thus an integral part of

    justice in the generic sense. Social

    justice is a dynamic device to

    mitigate the sufferings of the poor,

    weak, dalits, tribal and deprived

    sections of the society. Therefore,

    the idea of social justice or social

    democracy enables the state

    mechanism to provide life security,

    life with dignity, decent standard of

    living, protection and promotion of

    interests of weaker sections, and a

    society free from exploitation,

    inequality and discrimination. As per

    the institutional mandate, the social

    justice is the order and the

    economic justice is the rule of the

    day.

    Obligation of the State:

    In India, there is a huge class of

    population, which is deprived of

    social justice. In the six decades of

    the institutional governance, the state

    has tried to oblige with this

    institutional duty. The central feature

    of the government policies until the

    1990s had been the active

    participation of the state in the

    economic and social governance of

    the country.

    The framework of policies

    includes:

    State participation,

    Market intervention

    Economic and

    Social planning.

    It means that the state was playing

    a more active role in the supply of

    basic services like education and

    health. Also, these measures were

    accompanied by policies and

    interventions in various markets such

    as agricultural land, capital, labour,

    housing and others to improve the

    access to poor and marginalized

    groups alike.

    Constitutional safeguards:

    During 1950-1990, in certain

    areas, the constitutional vision and

    governmental protective laws or

    measures have brought the some

    changes in the means of transport

    and communication, education

    system, employment, science and

    technology, agriculture production

    and defense. However, the period

    was marked with the minimum growth

    in the field of public health, women

    empowerment, social, educational,

    political and economic advancement

    of the marginal sections, such as

    women, SCs, STs and OBCs. In fact

    the constitutional safeguards, like

    reservation in state education and

    employment, provided just

    opportunity and some sense of

    security to neglected segments for

    Rekha N Mistry

    18

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    securing their rights of governance

    through participation along with their

    personal development. In spite of

    several hurdles, the marginalized

    sections forming 80 to 85 per cent

    of Indian population, were on the new

    horizons of growth in terms of human

    development as well as economic

    development, 1975-80, especially

    when the first generation of the

    marginalized section-entered in to

    the process of governance in

    prohibited and prevented area of

    socio-economic development but,

    the process of Liberalization,

    Privatization, and Globalization (LPG)

    has made their dreams of social and

    economic justice a little bit difficult.

    The entire New Economic Policy

    (NEP) package has discounted the

    long-cherished constitutional goals

    of growth with justice, equity, social

    responsibility and accountability for

    the slogans of liberalization,

    privatization, globalization,

    efficiency, marketability and

    competitiveness, leaving marginal

    sections without safety nets.

    Integration into world trade:

    Globalization is the latest phase

    of capitalism whereby capitalism is

    increasingly constituted on a

    transnational basis by breaking

    through the boundaries of states and

    integrating them to the world

    economy. Thus, the process of LPG

    has changed the entire policy

    perspective towards the

    constitutional mandates. As a part of

    global economy, as a mandatory

    condition, India was required to

    make changes in its laws, policies,

    institutions and priorities. The net

    effect of these developments are

    seen on overall all the sectors of

    Indian economy. LPG of education

    started with the introduction of

    Economic reforms by India in 1991,

    with replacement of General

    Agreement on Trade and Tariff

    (GATT) by World Trade Organization

    (WTO) in 1995 and signing of GATS

    by WTO member countries. Thus

    Education has become the

    commercialized sector through

    privatization.

    Implications of NEP:

    The New Economic policy (NEP)

    implies the reduction in the

    economic and social role of the

    government, and hence, the policies

    and programmes, which have been

    built up with the wider participation

    of the state during the 1950s to 1980s

    and are being gradually reversed.

    The globalization exposes a number

    of challenges. The poorer and

    marginalized sections have to

    depend highly on the market and

    their access to the means of

    19

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    livelihood like land, capital and

    employment which might be eroded.

    The globalization also means that the

    role of the multinational companies

    will increase whereas the access of

    relatively poor sections of the

    society will be less.

    Improving skills set:

    In order to have the access of the

    poorer sections in the multinational

    companies, improvement in their

    skills is necessary. And therefore, in

    the changed scenario, the educated

    human resource, equipped with

    latest knowledge and skills will be

    in greater demand for participation

    in the social and economic

    development of the country. This, in

    turn, built up pressure on universities

    and colleges for providing trained

    human resource while ensuring the

    quality and relevance of education.

    The Eleventh Plan was launched at

    a time when the country was

    undergoing of major economic and

    technological changes based on the

    policy of LPG while ensuring the

    development of rural and backward

    classes.

    Establishment of EOC:

    The Sachar Report (2005) made

    recommendations at two levels:

    1. General Policy Initiatives that

    cut across different aspects of

    socio-economic and educational

    development;

    2. Specific Policy Measures that

    deal with particular issues and/or

    dimensions (education and

    credit).

    Under General Policy Initiatives

    it has been suggested to set up an

    Equal Opportunity Commission

    (EOC) to look into grievances about

    denial of equal opportunity or bias

    or discrimination by the deprived

    groups. On the basis of

    recommendations, the Expert Group

    was appointed by the Ministry of

    Minority Affairs, Government of India,

    to determine the structure, scope

    and functions of an Equal Opportunity

    Commission in February, 2008. The

    Expert Group is of the opinion that

    though Equality is a foundational

    value of our Republic, stark

    inequalities mark our present social

    reality and prospects for the future

    generations. The objectives of XI

    five year plan were many but to

    create 70 million new work

    opportunities and reduce educated

    unemployment to below 5% were

    the major. To attain the same, in the

    XI Plan, greater emphasis had been

    placed on reduction of disparities

    between urban/rural and developed/

    under developed areas by

    enhancing support to universities

    located in backward and rural areas.

    20

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Therefore, UGC provided guideline

    for

    1. Equal Opportunity Cell

    2. Schemes to be implemented

    3. Provision of necessary

    support during XI Plan 2007-2012.

    UGC proposed sixteen schemes

    out of which the four schemes are

    taken for the present paper:

    1.Equal opportunity Cell

    2.Coaching Schemes for

    Scheduled Caste, Scheduled

    Tribes, OBC (non-creamy layer),

    Minorities,

    3. Establishment of Career and

    Counselling Cell in Universities

    4. Facilities for differently abled

    (Physically Challenged) persons.

    Through EOC various schemes

    were implemented at university and

    college levels. Eleventh five year is

    completed and therefore there is a

    need to introspect, assess,

    measure and evaluate the

    contribution at local level to achieve

    national level objectives to meet the

    global needs.

    Methodology:

    Researcher had developed the

    interview guide mainly related to two

    areas. One, on the difficulties faced

    in implementation of various

    schemes and secondly, on

    suggestions for future

    implementation which was carried

    out through the discussion method

    with the officials of the University as

    a stake holder which comprised of

    administrative personnel and

    academicians.

    Programme evaluation:

    The implemented programmes

    under Equal Opportunity Cell (EOC)

    were

    1. Remedial coaching schemes

    2. Coaching for entry in to public

    services

    3. Coaching for NET/SLET

    preparation.

    The groups of beneficiaries

    comprised of major tribal population,

    who spent four to five hours in their

    to and fro journey for post

    graduation.

    Procedure for implementation:

    The University had decided to

    implement the above mentioned

    programmes at central level as well

    as department level. The

    implementation of remedial

    coaching classes were

    decentralized and started with

    respective departments whereas the

    coaching classes for Civil Services

    were implemented at the central

    level. Students from all the

    departments were enrolled.

    Teaching was planned on regular

    day, two lectures with interchange of

    subject, one for G K and the second

    21

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    on covering other subjects,

    including the scope of various

    competitive exams like UPSC and

    RRB. Initially two batches of 30

    students in each were started.

    Unfortunately the programme ended

    within a very short period of time.

    Stakeholders faced he following

    difficulties in implementation of

    programme successfully:

    Lack of sincerity and

    motivation on the part of students.

    Refusal to comply with home

    preparation

    Lack of material on current

    event from the stakeholder.

    Lack of reading habit.

    (Reference books by expert

    teachers, students were not ready

    to do reading).

    Lack of commitment:

    (Students were irregular and not

    punctual). It seemed that students

    did not value the free classes.

    Daily travel from peripheral

    areas caused staying back or

    going late.

    Further readiness to come

    on holiday was also not found

    among the students.

    Career and counseling cell:

    The officials shared that it was a

    heavy work on the part of in charge

    officials who are overloaded with

    other priorities. The shortage of

    officials has been a stark reality. It

    was suggested to have the separate

    unit which comprised of exclusive

    appointments of full time placement

    officer, assistant and section officer

    and other required staff necessary

    for efficient implementation of the

    schemes. There should be enough

    time to create conceptualization

    among stakeholders and

    beneficiaries. However, it was felt that

    creating necessary infrastructure is

    not difficult task. Provision of lift in

    administrative building to encourage

    persons with special needs for

    example is not a much difficult task.

    But at the same time, creating Braille

    centre in the central library related

    to IT subject was a challenging task.

    The need was felt for awareness

    programme from government

    officers, for stakeholders and

    beneficiaries.

    Suggestions from stakeholders:

    It is advisable to have full

    fledged base unit with own staff

    instead of appointment of one or

    two member from each

    department.

    Enough ground work should

    be done to make students aware

    about input, output and expected

    work from them in the beginning

    to sustain their motivation.

    An academician who had

    22

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    earlier experience 20 years ago

    in running coaching for IAS

    exams, UPSE exam, said

    students had unrealistic

    expectation of ready made

    questions and answer

    Some students believed that

    IAS degrees will be awarded

    while the classes were meant only

    for exam preparation.

    It was strongly

    recommended to inculcate mental

    readiness among the students for

    completing the schedule of a

    particular coaching.

    Students should have clear

    motivation for further career in life.

    Success story:

    A Department organized free

    coaching for NET/SLET for working

    and visiting lecturers in their

    department daily from 2 pm to 3pm

    in a voluntary Innovative programme

    and library was kept open for them

    on holidays. Modular tests were also

    conducted for practice and guidance

    was availed as per syllabus of Net

    and when difficulty was encountered

    in finding material. The success rate

    was found to be high, as motivation

    and punctuality were found among

    the students who were working as

    visiting faculty because they were

    aware of the significance of coaching

    and passing of particular test.

    Conclusion:

    The most serious consequences

    of globalization are likely to be on

    the discriminated people like

    Scheduled Castes/ Scheduled

    Tribes. Today, the government has

    developed certain safeguards in the

    form of reservation policy in the

    public sector. These sections should

    also have access to private sector

    employment, education and health

    services, which has been reduced

    due to the persistence of

    discrimination. There is no provision

    for the safeguard against

    discrimination in the form of

    reservation in the private and

    multinational companies. Therefore,

    it is necessary that alternative means

    of Equal Opportunity Policy and

    Affirmative Action are developed for

    the private sector and also for the

    multinational companies in the

    framework of international legal

    provisions. An example of such a

    policy tool is the UK Race Relations

    Act, 1976, USA affirmative action

    programme and policy of diversity.

    A review of EOCs or similar bodies

    across the world demonstrates the

    utility of such an institution, if it is

    tailored to the specific socio-

    economic, judicial and institutional

    context of the country. The

    experience of such institutions shows

    23

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    that there is no alternative in

    recognizing social identities and to

    developing, gathering and

    publishing of evidence about

    persisting inequalities in opportunity,

    that the EOC needs to be pro-active

    and independent of the government;

    and; that a wide range of context-

    specific policy options are needed

    in our country to realize the objective

    of equal social justice.

    16 schemes proposed by UGC:

    1. Travel grant

    2 . C o n f e r e n c e s / S e m i n a r s /

    Symposia/ Workshops

    3. Publication grant

    4.Appointment of visiting

    Professor/ visiting Fellow

    5. Day care centre

    6. Adventure sports for

    development of sports

    infrastructure and equipments.

    7. Special development grant for

    24

    universities in backward/rural/

    remote/border areas.

    8. Special development grant for

    Young Universities and

    rejuvenation grant for Old

    Universities.

    9. Instrumentation maintenance

    facility (IMF).

    10. Construction of womens

    hostels

    11. Basic facilities for women

    12.Faculty Improvement

    Programme. (Teacher Fellowship

    for doing M.Phil/ Ph.D)

    13. Equal opportunity Cell

    14.Coaching Schemes for

    Scheduled Caste, Scheduled

    Tribes, OBC (non-creamy layer),

    and Minorities.

    15. Establishment of Career and

    Counselling Cell in Universities

    16. Facilities for differently abled

    (challenged) persons.

    References:

    Jogdand P et al. (2008): Globalization and Social Justice, Perspectives, Challenges

    and Praxis. Rawat publication, New Delhi.

    Report by the Expert Group (2008): Equal Opportunity Commission, the Ministry of

    Minority Affairs, Government of India, New Delhi.

    Sachar R (2005): Summary Minority Report, Status of Muslim in India, Government

    of India.

    XI th Five year Plan (2007-2012): Social Sector, Planning Commission, Government

    of India.

    XI Plan, University Grants Commission Guidelines for General Development

    Assistance to Central, Deemed and State Universities during XI plan, UGC, New

    Delhi, Annexure

    Rekha N Mistry

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015 25

    Introduction:

    The term adolescence is derived

    from Latin adolescere meaning to

    grow, to mature and considered as

    transition stage from childhood to

    adulthood. They are no longer

    children, yet not adults,

    characterized by rapid physical

    growth, significant emotional,

    psychological and spiritual

    changes. The progression from

    appearance of secondary sexual

    characteristics to sexual and

    reproductive maturity is the marked

    feature. Development of adult mental

    process, identity and transit from

    total social economic dependence

    to relative independence cause a

    lot of rebellious tendency in them.

    Global info on adolescents:

    Among population 1.10 billion

    are adolescents. One in every five

    human is an adolescent and 85%

    live in developing countries.

    According to WHO adolescence

    lasts from 10 to 19 years. Early

    adolescence is 10 13 years,

    middle from 14 16 years and late

    adolescence lasts from 17 19

    years. Those between 15 24 years

    are considered as youth and the

    range of young people is from 10

    24 years.

    Obesity:

    Owing to changed life-style and

    lack of adequate outdoor exercises

    many young persons tend to

    become overweight and obese.

    Obesity is defined as excessive

    accumulation of body fat which

    results in individuals being 20% or

    more heavier than the ideal body

    weight. Any weight in excess of

    normal range is overweight. Obesity

    is increase in size of adipose tissue.

    Adiposites are special cells

    containing fat. Adipose tissue is a

    major energy store in the body and

    its size can increase if food intake is

    greater than the bodys energy

    demands (Caterson et al, 1997).

    These tissues are sensitive to

    Obesity in Adolescence

    Sampathkumari S*

    *Dr Sampathkumari S, MD, DGO, FICOG, FCDiab., Associate Professor OG, Govt

    Chengalpet Medical College & Hospital, Chengalpet, Tamilnadu

    Abstract:

    Rapid changes in physical, emotional, social and spiritual spheres take

    place during this stage. Obesity is one of the major concerns of adolescence.

    Factors leading to obesity, complications of overweight and prevention

    startegies are outlined by the author.

    Key words: Obesity; overweight; BMI; adiposites; calories;

    Dr Sampathkumari S

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    nutritional change and need to be

    balanced since they are used as

    storage bins for fat. Size of the fat

    cells is reduced by limiting calories.

    Increase in body weight from an

    excessive increase in body fat,

    indicates that obesity is not mere

    increase in weight or mass but

    excess of adipose tissue (Joseph

    et al, 1996).

    Genetic influence:

    Generally when both parents are

    obese the child is 70 80 % prone

    to obesity and when one parent

    obese the risk is 40 50 %.

    Factors that cause obesity:

    Race (Black and Hispanic)

    Parental obesity

    High birth weight

    Low birth weight.

    Social and other causes:

    Sedentary life

    Food availability

    Intake portion size

    Increased television viewing

    Special dinner out

    Fast food

    Captivating ads

    Snacking

    greatly influence quantity

    imbibed, the metabolic and

    endocrine functions of the body. It

    weakens physical health, state of

    well being and shorten life

    expectancy. The social factors that

    cause this disability are

    unhappiness that lead to stress and

    psychological disorders.

    Assessing obesity:

    The BMI (Body Mass Index) is

    taken as the parameter to decide

    obesity. According to WHO, the BMI

    should be below 20 for adolescents

    below 14 years and 25 for 15 year

    olds. BMI above 28 for 16 year olds

    is considered as obesity. But,

    Tienboon and others contend that

    BMI is inappropriate to decide

    obesity. The incidence of obesity

    among American teenagers is 12

    15%.

    Gender difference:

    The Ten state nutrition study

    conducted in US concluded that

    females are fatter than males at all

    ages. This fact is confirmed by a

    study which found that 32.4% girls

    among 14 year olds are fatter when

    compared to 3.6% of fat boys.

    Perhaps the higher level of physical

    activity among boys could be the

    reason for lesser number of obese

    boys. The situation in Australia is

    quite contrasting, where 50% men (of

    this 16% are adolescents) are obese

    to 33% women. About 80% of obese

    adolescents turn out to be obese

    adults. The Indian scenario is equally

    disturbing as 22.8% of population is

    adolescents. A study among affluent

    Dr Sampathkumari S

    26

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    adolescents found that 31% in Delhi,

    24% in Pune and 22% in Chennai are

    overweight, about 7.5% in Delhi are

    obese. (Indian Pediatrics 2002; 39:

    449-452, Indian Pediatrics 2004; 41:

    559-575, Diabetes Res Clinical

    Practice 2002; 57: 185-190)

    City-bred 3 times more obese:

    According to the National Family

    Health Survey (NFHS), overweight

    and obesity are more than three

    times higher in urban centres as

    compared to rural areas

    Obesity in adults is still

    understandable. But we are

    seeing 8-year-olds who are

    obese. Even 12-year olds are

    suffering from diabetes and

    hypertension today, according to

    Ms. Naini Setalvad, a nutritionist.

    On an average, 16% of city

    children are overweight while 6%

    are morbidly obese. Even by

    Indian standards, these

    percentages are high - Dr

    Mufazzal Lakdawala, Bariatric

    surgeon.

    Big problem:

    About 30 million Indians are

    obese.

    Around 20% of school going

    children are overweight.

    Number of women in the 15-49

    years age group who are

    overweight or obese increased

    from 11% in NFHS-2 to 15% in

    NFHS-3 (1998 -99 / 2005 06).

    (Times of India, 25th October

    2009, Sunday)

    Effects of obesity:

    The problems faced by obese

    persons are

    Inability to qualify for many types

    of employment

    Discrimination in employment

    opportunities

    Higher rates of unemployment

    Lower socioeconomic status

    Experience discrimination at

    work

    Cannot enjoy theatre seats or a

    ride in a bus or airliner.

    Society believes that obesity is

    a lack of self-discipline, or moral

    weakness.

    They avoid social interactions or

    public places

    Choose to limit their own

    freedom, rather than suffer

    embarrassments

    The negative effect on daily

    activities confines them indoors,

    ultimately to low self-esteem.

    Puberty earlier than non

    obese and are prone to PCOS (in

    girls).

    Disturbed pattern of eating:

    Following are the causative

    factors for unrestrained eating

    behaviour:

    Dr Sampathkumari S

    27

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Consumption of an imbalance of

    high-energy and low nutrient foods

    over low-energy and high nutrient

    foods. (eating chips rather than a

    piece of fruit)

    Interpretation of diverse feelings

    of situations as reasons to eat

    Susceptibility to eating cues

    unrelated to physiological needs

    Guilt related to eating under any

    circumstances

    Lack of understanding of bodily

    needs for nourishment

    Unwillingness to eat with others,

    including family members

    Lack of structure in eating patterns

    unbalanced

    Night eating

    Binge eating

    Eating only in the latter part of the

    day after starvation in the early part

    Nausea described as

    connected with eating in the early

    part of the day

    Lack of any feeling of control

    over food intake

    Eating rapidly and

    indiscriminately

    Nutritional needs:

    Age and physical activity

    determine the bodily needs of

    nutrition. The following are the

    nutritional needs:

    About 2700 2800 calories are

    required by males of 11 18 years

    2100 2200 calories for females

    of 11 18 years.

    The calorie requirement for

    obese people is limited to 1500 -

    1800 cals.

    The intake must be a proper mix

    of protein 12 %, carbohydrates 58%

    and fat 30 %. Calorie needs are

    related to growth rate, basal

    metabolic rate and physical activity.

    Other associated disorders:

    CVS diseases hyper tension,

    left ventricular hypertrophy

    Stroke

    Diabetes mellitus

    Kidney disease

    Gall bladder disease

    Respiratory disease (Asthma,

    Snoring)

    Orthopedic problems (Arthritis)

    Menstrual problems (PCOD)

    Difficulty in walking due to

    accumuated fat around hip

    Sore and rashes

    US-based studies indicate that

    obese individuals can lose more

    than 10 years of life compared to

    their normal weight peers.

    Obesity is considered as

    second leading cause of

    preventable death

    Heart and Stroke foundations

    research shows that the number

    of deaths attributable directly to

    overweight and obesity has

    Dr Sampathkumari S

    28

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    almost doubled over the last 15

    years.

    Treatment:

    1. Calorie restriction

    2. Physical activity

    3. Behaviour modification and

    4. Hormonal treatment are the four

    types of treatment modalities

    available to reduce body fat. The

    calorie restriction can be achieved

    by following methods:

    Three meals a day but in smaller

    portion

    Fresh fruits, sprouts and nuts are

    healthy and nutritious

    Avoid dense snacks burgers,

    pizzas

    Avoid zero calorie / high sugar

    drinks

    Avoid aerated drinks as they

    affect bone density and cause

    teeth damages

    Avoid fast food. High in calorie,

    fat, sodium and low in fibre,

    contain preservatives

    No Cheese Have paneer

    No maida Have whole grain

    wheat

    No fried food Have grilled or

    baked foods

    No soft drinks Have low fat milk

    drinks

    Dont skip breakfast cause for

    diabetes

    High sugar breakfast spikes the

    sugar level but dips fast, feeling

    hungry soon resulting in

    increased consumption of food

    Physical activity to reduce fat:

    Daily chores walking, climbing

    stairs, cycling, swimming,

    household activities

    Exercises planned and

    structured leisure time physical

    activity to improve and maintain

    fitness. 30 60 mins/day

    Exercise increases absorption of

    calories, improves physical and

    mental health

    Sports Involves competition,

    good for heart, lung and muscle

    strength, greater endurance and

    flexibility

    Excessive TV viewing is

    associated with weight gain

    sedentary life, especially when

    snacking junk food and drinking

    aerated waters

    Combine TV watching with

    activities like stationary cycling ,

    spot jogging

    Walk up stairs Avoid elevator

    Walk Avoid Bus, Car

    Swimming ideal exercise

    Playing ball soft ball / Kick ball

    Conclusion:

    Health is wealth. This old adage

    will never go out of circulation. For it

    is a healthy body that houses a

    healthy mind. To remain active for a

    Dr Sampathkumari S

    29

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    long and productive life it is essential

    that obesity is at check at all times

    and at all costs. Unfortunately many

    parents consider plumpiness as a

    sign of prosperity little realising the

    host of physical, psychological,

    social and economic problems that

    may arise sooner than later. Early

    References:

    Asia Pacific Journal of Clinical Nutrition, http://apjcn.nhri.org.tw/server/info/articles/

    diseases/childhood-obesity.htm

    Adolescence issue 08 http://issuu.com/fogsi/docs/adolescence_issue_08

    Adolescent Health Care, Edited by Robert.H.Blum https://books.google.co.in/

    books?isbn=1483277380

    Indian Pediatrics 2002; 39: 449-452, Indian Pediatrics 2004; 41: 559-575,

    Times of India http://timesofindia.indiatimes.com/city/mumbai/Urban-and-

    overweight/articleshow/5158160.cms

    Obesity and Pubertal Transition in Girls and Boys - http://www.ncbi.nlm.nih.gov/

    pmc/articles/PMC2931339/

    http://deltauniv.edu.eg/UploadFiles/UploadFiles/pediatric% 20nutrition

    %20lecture%20(3).pdf

    detection and intervention for

    appropriate weight gain, proper food

    habits, and physical activity can

    enhance the longevity of life.

    Let us educate parents, teachers

    and other stakeholders about

    medical and psychosocial

    consequences of adolescent

    obesity.

    Attention Contributors!The following system is in vogue from January 2015. The articles sub-

    mitted are uploaded in ejournals.co and immediately a distint number is

    generated and the contributors are informed by email. The article uploaded

    is assigned simultaneously to proof readers and peer reviewers (double

    blind) and their comments and recommendations are received and redi-

    rected to contributors for rectification and resubmission.

    The article is then assigned to copy editors who incorporate all the cor-

    rections. We require a minimum of 15 to 20 days for this process. Hence

    in future, the articles received will be acknowledged and possible date of

    publication will be announced only after the peer review process is com-

    pleted.

    Contributors are requested to submit the research/ evidence/ field ex-

    perience based articles well in advance. When an article is submitted we

    expect corresponding author to send a declaration, abstract, key words

    and references in APA style. ~Ed

    Dr Sampathkumari S

    30

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015 31

    Highlights of Volume XIJSSW Team

    Journal of School Social Work has weathered all seasons and has

    successfully brought out the 132nd issue completing its 11th year of publi-

    cation. All these years JSSW had silently created an awareness about all

    possible hurdles faced by a child going to school (especially girl child)

    expounded with ample field-based experience supported by empirical

    evidence through numerous studies and practical remedies which had en-

    deared the teaching community.

    All the veterans and budding ones have contributed in no small mea-

    sure to the growth of the Journal. The JSSW in turn, had honed the writing

    skills of research scholars and PG students, many admitted and several

    admired. Many of them are now Assistant or Associate Professors and

    encourage their students to write in the rich tradition of Guru-Shishya

    parampara.

    We thank all the giants in the field of Social Work, Nursing and Medicine

    for their co-operation and Dr Parthasarathy R a Living Legend among Psy-

    chiatric Social Workers in India who continues to be the prime mover.

    The next step is to develop a system to train and equip social workers

    so that when the time arrives to appoint school social workers in all schools,

    we will not be caught napping. We need a large number of trained person-

    nel and veterans to train them with the right content. JSSW will leave no

    stone unturned until the goal is reached.

    The articles that appeared in JSSW from June 2014 to April 2015:June 2014 XI 01 Focus: Family Complexities

    HSE: Dr Latchumanan M

    Family Complexities by Kranthi Kumar M and Dr Ashok Kumar Y

    Complexities in Families Living with HIV/ AIDS by Dr Sadhna Jain

    Impact of Family Complexity on Children by Serah Reshmi

    Occupational Stress and Work Motivation in Relation to

    Family Complexity by Damodaran B and Dr Sudhakaran M

    V

    July 2014 XI 02 Focus: Child-Friendly Safe Schools

    HSE: Dr Lakshmana G

    Parameters for a Child-Friendly School by Dr Shaly Joseph

    Installing Child-Friendly Systems by Dr Malathi K S and Dr Nathan T K

    JSSW Team

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Perception of Teachers about Inclusive Education

    By Gnana Rathna Raju Savalam and Dr Johnson Sampath Kumar T

    Holistic Personality development in Child-Friendly Safe Schools

    By Dr Prasa Rao G A

    Positive Indicators of Child-Friendly Schools

    By Dr Merlin Sasikala J E and Ravichandran T

    August 2014 XI 03 Focus: Importance of Research

    HSE: Dr Premalatha M

    Non-Violent Communication (NVC) in Schools

    by Dr Nathan T K and Dr Malathi K S

    Researching Culture of a Classroom: The Importance of Ethno-

    Methodology by Reena Merin Cherian and

    Jessica Singh

    A Study on the Effect of Structured Activity on the Psychological

    Profile of School Going Adolescents

    by Dr Sujatha Sridharan, Rajeswari C and Praveen H

    Importance of Resaerch by Sylvia Daisy A and Dr Carter Premraj F

    M Ed Students Inclination towards Type of Research in Education

    by Dr Ramakrishnan N and Kanimozhi P

    September 2014 XI 04 Focus: Desire to Win

    HSE: Dr Mary Princess Lavanya

    Desire to Win by Padma V and Dr Charumathi P J

    Level of Aspiration among Higher Secondary Students

    by Dr Ramakrishnan N and Kanimozhi P

    Desire of Differently Abled

    by Koteeswara Rao M and Dr Saraswati Raju Iyer

    Adolescent Health Behaviours: A Desire to Achieve Positive Health

    by Dr Dhanasekara Pandian R, Arthur Julian A Joseph

    and

    Manjusha Warrier

    Trends of Articles Published in Journal of School Social Work: A

    Bibliometric Evaluation of First Decade (2004-2013)

    by Dr Sinu E and Prof Naidu P J

    October 2014 XI 05 Focus: Lure of the Ludicrous

    HSE: Dr Nirmala B P

    Prevalence of Internet Addiction among Students

    by Akshaya K and Sasikala K

    Nature Deficit Disorder in Children by Kavya Jyotsna U

    32

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

    Innovative Social Work Interventions for Strengthening Mother and

    Child Health: A Research Based Analysis

    by Pattan Rakesh and Banashankarayya M

    Internet Usage, Role Overload and Role Stress among Female School

    Teachers in Chennai by Prabha Arun, Gowri Krishnamurthy and

    Karthik Lakshmanan

    R M

    November 2014 XI 06 Focus: Rights and Responsibilities

    HSE: Dr Anita Mary

    A Study to assess the Knowledge of School Teachers Regarding

    First Aid Management of Selected Emergencies

    by Rajeswari C, Dr Caroline Priya and Praveen H

    Leading GenNext with the Perspective of Rights and Responsibili-

    ties

    by Sheik Fareeth K

    Children as Citizens: Whose Responsibility?

    by Radha Vallury and Dr Saraswati Raju Iyer

    Responsibilities of Women in Protecting the Environment

    by Ravichandran Tand Dr Merlin Sasikala J E

    December 2014 XI 07 Focus: Fears of Children

    HSE: Sheik Fareeth K

    School Health Nurse Allays Health Related Fears by Dr Malarvizhi S

    Child Marriage and Its Consequences in Ethiopia

    by Bimal Kanta Nayak

    Fear and Anxieties in Children by Beula

    Francis

    Remedies for Test Anxiety by Prof Naidu P J

    January 2015 XI 08 Focus: Parents Concerns

    HSE: Dr Bimal Kanta Nayak

    Parents concern in the Management of Fears in Children:

    A Case Study by Soyuz John, Manjusha Warrier

    and Dr Dhanasekara

    Pandian R

    A Qualitative Study of Mothers Perceptions on Overweight

    School Children by Dr Malarvizhi

    S

    Parenting Challenges Faced by Non-Resident Indians

    by Dr Sadhna

    33

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 201534

    Published and owned by P. Jayachandran Naidu. Published from

    8, Sridevi Colony, 7th Avenue, Ashok Nagar, Chennai 600083 and printed

    by T. Rajaguru at TRK Press, 39, Saidapet Road, Vadapalani, Chennai

    600026. Editor: P. Jayachandran Naidu.

    Journal of School Social Work English Monthly ISSN: 0976-3759

    Registered with Registrar of Newspapers for India under No: TNENG/2004/14389

    Postal Registration: TN/ CC (S) DN / 47 / 15-17

    Licensed to post under: TN/PMG (CCR) / WPP - 663 / 15-17

    Date of publication: 3rd Day of the Month

    JSSW Team

    Jain Television News Exposure on Children A Critical Study

    by Sripathy T

    Perspectives of Teachers on Need for School Social Work

    by

    Veena S Algur

    Educational Problems Faced by Adolescent Children of Commercial

    Sex Workers in Ganga Jamuna Area of Nagpur City

    by Dr

    Purushottam Thote

    February 2015 XI 09 Focus: Safe Schools

    HSE: Dr Vinayaka Murthy PSafe Schools by Beula JDevelopment and Standardization of Awareness Test on

    Intellectual Disability by DrRenukha PEarly Intervention of Dengue through Special Messengers

    by Dr Vijayalakshmi M and Dr Sunitha KA Study on Personal Values among High School Students in

    Madurai by Dr Ramakrishnan M and ParthibanMWriting Articles for Resarch Journals by Prof Naidu P J

    March 2015 XI 10 Focus: Early InterventionHSE: Dr Thippeswamy V

    Early Intervention Programme on Child Sexual Abuse:A Proposed Study by Ambigai Sivakumar R and Dr Sinu

    EEarly Intervention to Prevent Cannabis Use among Adolescents by Arthur Julian A Joseph and Dr Dhanasekara Pandian RPerspectives of Early Intervention Strategies to Minimise

    Delinquent Behaviour among Childrenby Ravichandran Tand Dr Merlin Sasikala J E

    Vulnerability and Early Interventionby Dr Malathi K S and Dr Nathan T K

    April 2015 XI 11 Focus: Exam PreparationExamination and Performance Anxiety A Case Study by Jailap Deen SThe Relations beyween Positive Mental Health and Wellbeing

    by Nafisa Khan, Dr Charumathi P J and Dr Sandhya

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015

  • Volume XI Issue 12 ISSN: 0976-3759

    Journal of SCHOOL SOCIAL WORK May 2015